KevinMD February 28, 2025
Federal downsizing, while touted as a means to streamline operations and eliminate bureaucratic waste, has significant and often detrimental consequences for the U.S. health care system. Two documents shed light on this issue from complementary perspectives. The first, a U.S. Office of Management and Budget-Office of Personnel Management (OMB-OPM) memorandum outlines an aggressive workforce optimization initiative designed to reduce federal staffing and cut costs. The second, an opinion piece from MedPage Today, warns of the dangers that accompany deregulation and reduced oversight in health care. Together, these sources illustrate how federal downsizing—despite its efficiency goals—can erode the regulatory framework that safeguards patient care and public health.
The drive for efficiency and its hidden costs
The OMB-OPM memorandum reflects a broader...
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