RFK Jr. Just Blew Up HHS—What It Means for America’s Health and Universities

RFK, RFK, how many kids did you kill today?  

Robert F. Kennedy Jr. has sparked a crisis in American public health and higher education through his aggressive campaign to dismantle the Department of Health and Human Services (HHS). Long a cornerstone of federal responsibility for health, welfare, and biomedical research, HHS employed more than 80,000 people and administered over $1.7 trillion annually before Kennedy’s interventions and influence over policy in 2025.

Historical Context: Eisenhower to Kennedy

In 1953, President Dwight D. Eisenhower launched Reorganization Plan No. 1 to create the Department of Health, Education, and Welfare (HEW), marking a pivotal moment in the federal government's role in public well-being. By elevating health, education, and social security programs to cabinet-level status, Eisenhower signaled a bold commitment to addressing the needs of a rapidly changing postwar America. 

The move consolidated scattered agencies under one umbrella, aiming to improve administrative efficiency and policy coordination. For higher education, this reorganization laid the groundwork for expanded federal involvement in student aid, institutional support, and educational research.

Vaccines became a formal part of the federal health mission under HEW in the 1950s and 1960s, as the U.S. government began to take a more active role in immunization programs. The turning point was the polio vaccine, licensed in 1955, which prompted widespread federal coordination to distribute and administer vaccines across the country.

President Lyndon B. Johnson transformed the Department of Health, Education, and Welfare into a driving force behind his ambitious Great Society agenda, using it to expand the federal government's role in education and public health. Under his leadership, HEW administered landmark programs like Medicare and Medicaid, revolutionizing access to healthcare for the elderly and poor. In higher education, Johnson championed the Higher Education Act of 1965, which HEW implemented to provide financial aid, strengthen colleges and universities, and open doors for underserved students. HEW became not just a bureaucratic body but a vehicle for social mobility, equity, and national progress—reflecting Johnson’s belief that education was the key to unlocking America’s full potential.

HHS itself was born from a major federal reorganization. In the 1970s, President Richard Nixon proposed to consolidate the Department of Health, Education, and Welfare into HHS.  Nixon’s move was intended to streamline operations, but it left the U.S. with a robust federal apparatus to manage national health challenges.

Under Jimmy Carter the HHS was formed in 1979, creating a centralized agency tasked with managing health policy, Medicare and Medicaid, public health research, and social programs. 

Decades later, Kennedy has argued that HHS is bloated, inefficient, and beholden to corporate and pharmaceutical interests. Through a series of public campaigns and policy interventions, he has influenced the administration to break up HHS, pushing programs down to states or folding them into smaller offices.

Fallout at the CDC

The changes at HHS have had immediate and dramatic consequences at the Centers for Disease Control and Prevention (CDC). Kennedy publicly criticized the agency and its leadership, leading to the firing of CDC Director Dr. Marsha Reynolds and sparking a wave of resignations among senior officials. Experts warn that this leadership vacuum jeopardizes the U.S.’s ability to respond to disease outbreaks, maintain vaccination programs, and oversee critical public health surveillance. Internal memos reveal that morale at CDC is at historic lows, with key epidemiologists and lab directors leaving amid uncertainty over funding and administrative oversight.

Impacts on Higher Education and Research

Universities and medical schools are facing cascading consequences. HHS, primarily through the National Institutes of Health (NIH), has long been the largest funder of biomedical research in the world, distributing over $45 billion annually. Institutions such as Johns Hopkins, Harvard, and Stanford rely heavily on these funds to support laboratories, graduate students, and clinical trials.

With NIH programs frozen or disrupted due to policy shifts, medical schools are seeing stalled research projects, disrupted residency programs, and shrinking training pipelines in critical specialties. Universities dependent on HHS-administered scholarships, loan repayments, and childcare subsidies for students and staff are struggling to fill the gaps. Without federal coordination, these programs risk becoming inconsistent across states, deepening inequality in education and healthcare access.

National Security and Global Competitiveness

Experts warn that the dismantling of HHS and the destabilization of CDC erode the nation’s capacity to respond to pandemics, bioterrorism, and other public health emergencies. The U.S.’s global leadership in biomedical research is at stake, with rival countries like China, India, and the EU increasingly capable of attracting talent and funding.

A Divisive Legacy

Supporters of Kennedy argue that decentralizing HHS empowers states and reduces bureaucratic overreach. Critics counter that the move threatens public health, medical education, and national security. Universities, research hospitals, and public health agencies are now navigating an uncertain future, with millions of Americans reliant on HHS programs feeling the immediate impact.

From Eisenhower's founding of HEW to Kennedy’s dismantling of HHS, the trajectory of federal health governance has shifted dramatically. The consequences of these decisions—on research, higher education, and public safety—will likely be felt for decades.

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Sources

• National Institutes of Health. “NIH Budget and Historical Trends.” nih.gov

• Centers for Medicare & Medicaid Services. “National Health Expenditure Data.” cms.gov

• Congressional Research Service. The Department of Health and Human Services (HHS): Overview and Budget Trends. 2024.

• Association of American Medical Colleges (AAMC). “Federal Support for Medical Education and Research.” aamc.org

• CDC Internal Communications (leaked memos, 2025)

• Higher Education Inquirer archives on federal research funding and policy shifts