In a dramatic shift in US health policy, RFK Jr. has initiated extensive layoffs at the Department of Health and Human Services (HHS), with plans to cut 10,000 jobs, affecting a quarter of the workforce. Key offices, including those responsible for public health information, have been shuttered, prompting concern about the implications for critical health services. Affected employees learned of their layoffs in a chaotic manner, with many comparing the experience to a game show. Former officials, including ex-Secretary Sebelius, have expressed that the cuts could lead to significant service disruptions and threaten lives. The restructuring has raised alarms over the future of essential programs, including those aimed at combating AIDS and supporting older adults and people with disabilities. As controversy surrounds these drastic actions, RFK Jr. remains unusually silent on the ramifications of these cuts for Americans.