Forbes January 13, 2025
Robert Pearl, M.D.

As Donald Trump begins his second term as U.S. president next week, the nation he was elected to lead faces critical, ongoing health challenges. These include soaring medical costs, stagnant life expectancy and rampant burnout among healthcare workers.

Amid the medical turmoil, an unexpected figure has emerged—a civilian without an official government role is now set to wield unprecedented influence over the federal budget.

Elon Musk, the world’s richest man, co-heads the Department of Government Efficiency (DOGE), a non-government entity tasked with slashing $500 billion in annual government spending.

But as the fiscal math unfolds, Musk and his DOGE co-chair Vivek Ramaswamy face a daunting reality. Hitting their target will require them to inflict extensive suffering on millions of American...

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