Project Syndicate • 12/19/2025 – 12/26/2025

The article argues that the US government's plan to transition 270,000 frontline health-care workers from NGO programs to government payrolls could significantly reduce the health workforce, jeopardizing disease surveillance and endangering American lives. It highlights the critical role these workers play in public health and national security, suggesting that the policy shift may lead to an exodus from the health profession. The author challenges the belief that this transition will enhance efficiency and accountability, positing that it may weaken health infrastructure and compromise public health and national security. The discussion reflects a longstanding concern about the relationship between health systems and national security, with significant implications for future global health challenges.
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