The recent mass layoffs at the Food and Drug Administration (FDA) and other agencies under the Department of Health and Human Services (HHS) represent a seismic shift in the U.S. public health landscape. These actions, spearheaded by HHS Secretary Robert F. Kennedy Jr., are not just a bureaucratic reshuffle—they are a direct assault on public health, the pharmaceutical and medical device industries, and the very principles of scientific inquiry and transparency.
Impact on Public Health
The decision to lay off 10,000 employees across HHS, including 3,500 at the FDA, is a reckless gamble with public health. These cuts come at a time when the nation faces complex challenges such as emerging infectious diseases, the regulation of cutting-edge medical technologies, and the ongoing need for robust food safety measures. The FDA’s ability to approve new drugs, monitor post-market safety, and evaluate medical devices has been severely compromised. Entire teams responsible for drug approvals and post-market surveillance have been gutted, leaving critical regulatory gaps that could jeopardize patient safety.
The layoffs have also disproportionately affected specialized areas like artificial intelligence (AI) in medical devices—a field that requires high levels of expertise due to its complexity. With half of the AI-focused staff at the FDA’s Center for Devices and Radiological Health (CDRH) terminated, delays in approving life-saving innovations are inevitable. Medical device companies are already reporting disruptions in their interactions with the FDA, with meetings canceled due to the absence of key reviewers.
The Fallout for Industry
Pharmaceutical and medical device manufacturers are facing an unprecedented regulatory bottleneck. The layoffs have introduced significant delays in product approvals, with some industry insiders estimating that timelines could stretch by months or even years. This is not just an inconvenience for companies; it directly impacts patients waiting for new treatments and technologies. The uncertainty is compounded by the elimination of entire communications teams at the FDA, leaving stakeholders without clear channels to navigate this chaotic environment.
Undermining Science
Science thrives on stability and expertise—both of which have been decimated by these layoffs. The FDA and NIH have long been global leaders in biomedical research and innovation. By removing experienced scientists, regulators, and administrators en masse, these agencies are being hollowed out at their core. This is not just a loss for the U.S.; it weakens global public health efforts that rely on American leadership in research and regulation.
Transparency Under Siege
Perhaps most egregious is how these changes undermine transparency—a principle Secretary Kennedy himself pledged to uphold through “radical transparency.” Instead, we see a systematic erosion of public accountability:
- FOIA Offices Gutted: The FDA’s Freedom of Information Act (FOIA) office has been severely impacted, with many officers laid off or reassigned. At other agencies like the CDC, FOIA offices have reportedly been shuttered entirely. This makes it nearly impossible for journalists, researchers, and citizens to access critical information about government operations.
- Public Meetings Canceled: Advisory committee meetings that traditionally allow public input on vaccine recommendations and other health policies have been postponed or canceled without explanation.
- Opaque Decision-Making: HHS has increasingly relied on administrative maneuvers to bypass public comment periods required under federal law. This creates a “fait accompli” system where stakeholders only learn about policy changes after they are implemented.
These actions betray not only Kennedy’s promises but also the foundational principles of democratic governance. FOIA exists to ensure an informed citizenry capable of holding its government accountable—a safeguard now dangerously weakened.
A Call to Action
The layoffs at HHS and FDA are more than just a bureaucratic reshuffling—they are an existential threat to public health infrastructure, scientific progress, and governmental transparency. These cuts may save $1.8 billion annually—a mere 0.1% of HHS’s budget—but they come at an incalculable cost to human lives and societal trust. The pharmaceutical industry cannot function effectively without a competent regulatory partner; public health cannot flourish without transparent governance; science cannot advance without institutional support.
This is not reform—it is sabotage disguised as efficiency. It is time for Congress, industry leaders, public health advocates, and every concerned citizen to demand accountability before this crisis deepens further.

Citations
- https://www.npr.org/sections/shots-health-news/2025/04/01/g-s1-57485/hhs-fda-layoffs-doge-cdc-nih
- https://www.biopharmadive.com/news/fda-cdrh-cuts-device-industry-impact/740535/
- https://www.usatoday.com/story/money/2025/03/27/rfk-jr-hhs-cuts-food-safety-cdc-fda/82688365007/
- https://www.theregreview.org/2025/03/24/reiss-administrative-changes-that-decrease-transparency-at-hhs/
- https://redactor.ai/blog/fda-foia-redaction-software
- https://apnews.com/article/health-human-services-layoffs-restructuring-rfk-jr-ec4d7731695e4204970c7eab953b2289
- https://www.medtechdive.com/news/fda-cdrh-cuts-device-industry-impact/740528/
- https://www.thefdalawblog.com/2025/01/foia-requires-transparency-of-instructions-to-fda-staff-even-when-those-instructions-are-to-pause-communications-with-the-public/
- https://www.cnn.com/2025/04/01/health/staff-cuts-at-federal-health-agencies-have-begun/index.html
- https://www.nbcnews.com/health/health-news/widespread-job-cuts-begin-health-agencies-rcna198859
- https://www.science.org/content/article/fda-officials-angry-good-bye-academies-members-issue-warning-trump-tracker
- https://www.raps.org/news-and-articles/news-articles/2025/3/former-fda-officials-experts-decry-hhs-staff-cuts
- https://www.nbcnews.com/now/video/how-hhs-job-cuts-will-impact-how-government-handles-disease-prevention-235993669842
- https://www.cnn.com/2025/03/27/health/hhs-rfk-job-cuts/index.html
- https://www.drugdiscoverytrends.com/what-rfk-jr-s-plans-to-cut-20000-hhs-job-could-mean-for-the-pharma-sector/
- https://www.biopharmadive.com/news/hhs-layoffs-notices-rif-restructuring-kennedy/744101/
- https://apnews.com/article/trump-hhs-cdc-fda-nih-cms-layoffs-5aba829b829d9e1a0167c4a0d968aadb
- https://www.nelsonlabs.com/medtech-and-pharma-regulation-changes-to-watch-for-under-the-new-administration/
- https://www.reuters.com/business/healthcare-pharmaceuticals/trump-administration-begins-mass-layoffs-health-agencies-sources-say-2025-04-01/
- https://www.npr.org/2025/03/30/nx-s1-5343646/the-fda-will-lose-3-500-jobs-as-part-of-the-hhs-cuts-how-will-this-impact-you
- https://www.fiercehealthcare.com/regulatory/rfk-jr-prepares-10000-job-cuts-across-hhs-new-wave-worker-reductions
- https://www.biopharmadive.com/news/hhs-layoffs-restructuring-kennedy-fda-cms-trump/743694/
- https://www.hhs.gov/foia/statutes-and-resources/officers-reports/2025-section-5/index.html
- https://www.hhs.gov/foia/statutes-and-resources/officers-reports/2025-section-2/index.html
- https://www.usatoday.com/story/news/politics/2025/04/01/health-human-services-hhs-mass-layoffs-updates/82754402007/
- https://www.raps.org/news-and-articles/news-articles/2025/3/hhs-to-cut-10,000-more-jobs-across-hhs,-including
- https://www.cbsnews.com/news/rfk-jr-purges-cdc-fda-records-transparency-teams/
- https://www.hhs.gov/foia/statutes-and-resources/officers-reports/2025-introduction/index.html
- https://www.hhs.gov/about/news/hhs-restructuring-doge-fact-sheet.html
- https://www.fda.gov/news-events/press-announcements/hhs-fda-announce-chemical-contaminants-transparency-tool-foods
- https://www.pbs.org/newshour/politics/layoffs-begin-at-hhs-agencies-responsible-for-research-tracking-disease-and-regulating-food
- https://www.fox5dc.com/news/mass-layoffs-hit-federal-health-agencies-amid-controversy
- https://www.fda.gov/medical-devices/medical-devices-news-and-events/medical-device-supply-chain-vulnerabilities-and-public-health-impact-they-have-our-most-vulnerable
- https://www.govexec.com/workforce/2025/03/uncertainty-grips-hhs-employees-await-their-fate-and-leadership-left-dark-its-madness/404179/
- https://thehill.com/policy/healthcare/5226962-hhs-mass-layoffs-cuts/
- https://www.biospace.com/policy/transparency-missing-in-action-at-hhs-despite-leaders-calls-for-clarity
