January 21, 2025
Reporter, D.C. Diagnosis Writer

Hello and happy Tuesday, D.C. Diagnosis readers. It’s the first full day of the Trump presidency, and a slew of executive orders, confirmation hearings, and new legislative priorities are on the horizon. Send news, tips, and what you’re watching for to sarah.owermohle@statnews.com.

global health

Trump moves to exit WHO 

President Trump started his presidency with a late-night order for the U.S. to withdraw from the World Health Organization, a move global health experts fear will both cripple the agency and substantially weaken international health security — in the United States and abroad.

In his executive order calling for the U.S. to withdraw from the WHO, Trump resurrected 2020 complaints about the agency, saying the WHO mishandled the Covid-19 pandemic and didn't take on emergency reforms

He also said the WHO demands an unfair level of payments from the U.S., relative to other nations’ contributions. More from Helen Branswell.


trump 2025

Making sense of the executive order storm 

President Trump signed his first batch of executive orders at a crowded Capital One Arena last night, to cheers from ardent supporters. While he didn’t bring up health care provisions explicitly while flourishing his EO pens, at least one signature — to rescind more than 70 Biden administration orders — has put immediate targets on regulations related to health care costs, coronavirus aid, and gender equity.

They include an October 2022 order to test Medicare and Medicaid models that could lower health care costs, an extension, Biden said, of his administration’s signature achievement to negotiate drug prices in the Inflation Reduction Act. 

Trump is also peeling back certain Biden administration efforts to expand access to Covid-19 treatments and vaccines, ordering federal workers to return to the office full time, and ordering a freeze on federal hiring. More from the STAT team.


public health

A populist health care message for the new president

Trump’s first-administration efforts to repeal the Affordable Care Act didn’t prove popular. His earlier attempts to lower drug prices didn’t pan out. Even his Covid-19 successes, including vaccines developed in record time, are now mired in politics.

During his presidential campaigns and first administration, Trump could not quite land on the right health care message to harness the populist momentum that drove his commanding influence over the Republican party, Rachel Cohrs Zhang writes. But Trump seems to have found an answer that will resonate with many Americans in Robert F. Kennedy Jr. and his “Make America Healthy Again” agenda

RFK Jr.’s focus on health lifestyles, paired with interrogating public health officials and industry practices, has proved to be a rallying point across a range of voters and lawmakers. What that focus means for other voter priorities — like lowering the cost of health care — remains to be seen. More from Rachel.



Fridcovid response

Biden’s pardon for Fauci reignites Republican ire 

President Biden preemptively pardoned former top infectious disease official Anthony Fauci on Monday, just before hosting Trump for a traditional inaugural breakfast.

The highly unusual move protects Fauci from any potential charges brought by the incoming Trump administration. It comes amid calls from some Trump supporters and congressional Republicans to charge Fauci with perjury or misconduct over the government’s handling of the Covid-19 response, what Biden called “exceptional circumstances,” in a statement.

There were early signs Monday that Fauci’s biggest detractors would not back down. Sen. Rand Paul (R-Ky.), who now leads the Senate Homeland Security and Governmental Affairs Committee, criticized the pardon and pledged to continue investigating the former official. 


drug prices

Medicare’s next round of pricing targets 

Medicare officials announced Thursday that they would negotiate prices for blockbuster diabetes and weight loss drugs Ozempic and Wegovy. The final-hour decisions by Biden CMS officials further complicates potential Trump administration plans about covering the blockbuster medications.

Those two are on a list of 15 whose prices will be negotiated this year in a program created by one of President Biden’s signature accomplishments, the Inflation Reduction Act, Rachel reported.

The choices facing the incoming Trump administration over weight loss drug coverage have massive consequences for the Medicare program, for patients, and for the drugmaker. More from Rachel.


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What we’re reading

  • Former surgeon general: Vaccine-preventable diseases are still a major threat, STAT
  • Cecile Richards, former Planned Parenthood president and feminist activist, has died, The 19th News
  • Paul Mango, Warp Speed leader and Trump adviser, dies at 65, STAT
  • Opinion: Former Trump health official: Medicare should cover Wegovy — but not negotiate its price, STAT 

Thanks for reading! More on Thursday,