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DOGE has cut a wide swath — shrinking the federal workforce to 1960s levels. But its impact in other ways has been more narrow than both supporters and detractors might realize. Government spending is actually increasing amid all the DOGE cuts, with notable exceptions including foreign aid and education. ... DOGE, after promising $2 trillion in savings, now says it has saved the government $160 billion. ... In fact, the government has actually been spending more compared to this time last year, the model found. (Cai and Sentner, 4/29)

Cutting federal funding for scientific research could cause long-run economic damage equivalent to a major recession, according to a new study from researchers at American University. In recent months, the Trump administration has sought to cancel or freeze billions of dollars in grants to scientists at Columbia, Harvard and other universities, and has moved to sharply curtail funding for academic medical centers and other institutions. Deeper cuts could be on the way. As soon as this week, the White House is expected to propose sharp reductions in discretionary spending, including on research and development, as part of the annual budget process. (Casselman, 4/30)

The Trump administration on Tuesday temporarily reinstated dozens of fired federal workers who help screen coal miners for black lung, a deadly and incurable disease caused by inhaling toxic coal dust. The unusual move comes after The Washington Post reported that the layoffs had forced the National Institute for Occupational Safety and Health (NIOSH), a division of the Centers for Disease Control and Prevention, to suspend the Coal Workers’ Health Surveillance Program for the first time in a half-century. (Joselow, 4/29)

With several members receiving termination letters and its webpage archived, public health experts believe the days are numbered for CDC's Healthcare Infection Control Practices Advisory Committee (HICPAC). HICPAC develops guidance for preventing and controlling healthcare-associated infections. While the committee operates with less attention than CDC's well-known Advisory Committee on Immunization Practices (ACIP), it made headlines in recent years after some groups pushed back on revisions to one of its infection control guidances. (Fiore, 4/29)

The word came down at 9 a.m. Pacific on April 14 that they were done. Marcia Stefanick of Stanford and three other leaders of regional centers that for decades have researched women’s health heard from their study’s national leaders that their funding would end with the fiscal year. (Cooney, 4/29)

Environmental Health Perspectives, widely considered the premier environmental health journal, has announced that it would pause acceptance of new studies for publication, as federal cuts have left its future uncertain. For more than 50 years, the journal has received funding from the National Institutes of Health to review studies on the health effects of environmental toxins — from “forever chemicals” to air pollution — and publish the research free of charge. (Rosenbluth and Mandavilli, 4/29)

Health and Human Services Secretary Robert F. Kennedy Jr. plans to launch a sweeping, four-year public relations campaign called “Take Back Your Health” that could cost tens of millions of dollars, according to a document obtained by NBC News. ... The document, a request for proposals, calls for public relations firms to bid to run the campaign. The winning firm would employ up to 30 people to manage the campaign and oversee the purchase of up to three ads a day on five major television networks. (Strickler, 4/29)

Pfizer CEO Albert Bourla on Tuesday said uncertainty around President Donald Trump’s planned pharmaceutical tariffs is deterring the company from further investing in U.S. manufacturing and research and development. Bourla’s remarks on the company’s first-quarter earnings call came in response to a question about what Pfizer wants to see from tariff negotiations that would push the company to increase investments in the U.S. It comes as drugmakers brace for Trump’s levies on pharmaceuticals imported into the country — his administration’s bid to boost domestic manufacturing. (Constantino, 4/29)

�鶹Ů�� Health News: Listen To The Latest '�鶹Ů�� Health News Minute'

Zach Dyer reads this week’s news: Concierge medicine could worsen the physician shortage in rural areas, and the Trump administration has canceled medical research grants that it says aren’t in line with its priorities. Sam Whitehead reads this week’s news: Families that rely on home health aides could pay the price for the Trump administration’s anti-immigrant policies, and some local health departments are canceling scheduled services because the federal government is trying to take back health grants. (4/29)