Legal Framework

International Covenant on Economic, Social and Cultural Rights — Article 12

Guarantees the right to the highest attainable standard of physical and mental health. States must take steps including reducing infant mortality, improving environmental and industrial hygiene, preventing and controlling diseases, and ensuring medical services for all.

Related incidents

11 incidents

One Big Beautiful Bill: $1 Trillion in Medicaid Cuts and $295 Billion in SNAP Cuts

The One Big Beautiful Bill Act slashes $863 billion from Medicaid and $295 billion from SNAP to fund $1 trillion in tax cuts for the wealthiest, projected to strip healthcare from 10.9 million people …

  • The One Big Beautiful Bill Act includes $863 billion in Medicaid cuts and $295 billion in SNAP cuts over fiscal years 2025-2034, exceeding …
  • The CBO projects 10.9 million Americans will become uninsured due to Medicaid losses and ACA marketplace coverage reductions.

HHS Dismantlement Under RFK Jr. Fuels Worst Measles Outbreak in 30 Years

RFK Jr.'s dismantlement of federal health agencies during an active measles crisis — including firing vaccine advisors, cutting thousands of positions, and clawing back billions — has resulted in the …

  • RFK Jr. ordered approximately 10,000 HHS layoffs in March 2025, on top of 10,000 voluntary departures, shrinking the workforce by roughly …
  • Over $12 billion in COVID-era public health infrastructure grants were clawed back — funding that had been supporting measles surveillance, …

FDA Food Safety Collapse: 3,500+ Staff Cut and Outbreak Investigation Capacity Gutted

Mass layoffs at the FDA driven by the Department of Government Efficiency eliminated over 3,500 staff in 2025, causing foreign food safety inspections to drop by nearly half, outbreak investigations …

  • The FDA lost 3,859 employees in 2025 and 473 more in early 2026, driven by DOGE-mandated layoffs that included 70 outbreak investigators and …
  • Foreign food safety inspections fell by nearly half in March 2025 and remained approximately 30% lower through July compared to previous …

Systematic Rollback of Disability Rights Protections

Systematic dismantlement of disability protections through withdrawal of ADA guidance, cancellation of pending rules, elimination of Section 503 hiring goals, 50% staff cuts at the disability services …

  • In March 2025, the DOJ rescinded numerous ADA guidance documents dating to 1999 that clarified requirements for accessibility in public …
  • On September 11, 2025, the DOJ announced it would not pursue 54 pending regulatory actions, including two ADA rulemakings: one on accessible …

Intensified Cuba Sanctions Regime: Blackouts, Hospital Shutdowns, and Collective Punishment

The systematically intensified US sanctions regime against Cuba has caused 20-hour blackouts, hospital closures, medication shortages for 5 million chronically ill people, and collapse of essential …

  • US sanctions have cut Cuba's fuel imports by approximately 90 percent as of February 2026, causing electrical grid collapse with blackouts …
  • Cuba's Health Minister reports 5 million people with chronic illnesses face medication or treatment disruption, including 16,000 cancer …

Systematic Destruction of Environmental Protections — Paris Agreement, UNFCCC, and Endangerment Finding

An unprecedented withdrawal from the Paris Agreement, UNFCCC, and IPCC, combined with the rescission of the endangerment finding and rollback of 31+ environmental rules, constitutes the most …

  • On January 20, 2025, Trump signed an executive order withdrawing the US from the Paris Agreement and directing withdrawal from broader …
  • In January 2026, the administration announced withdrawal from the UNFCCC and IPCC — plus 64 other international organizations — an …

FEMA Dismantlement — Budget Cuts, Mass Layoffs, and Destruction of Disaster Response Capacity

A systematic effort to dismantle federal disaster preparedness and response capacity through budget cuts, mass layoffs, program terminations, and structural reorganization. FEMA's workforce has …

  • FEMA's workforce shrank from approximately 29,000 to 23,000 in 2025 — a loss of one-third of its staff since Trump's second term began.
  • The proposed FY2026 budget cuts FEMA by $646 million. Plans call for a 50% total workforce reduction, a 41% disaster response staff cut, and …

Rescission of ICE Sensitive Locations Policy — Churches, Schools, and Hospitals Open to Raids

The rescission of the sensitive locations policy removed decades-old protections for churches, schools, hospitals, courthouses, and shelters from immigration enforcement. The change unleashed a …

  • On January 20, 2025, the Trump administration rescinded the DHS Protected Areas policy via executive order 'Protecting the American People …
  • Arrests of people with no criminal record surged 2,450% in Trump's first year — from 6% of ICE detainees in January 2025 to 41% by December …

Restrictions on Reproductive Rights and Comstock Act Revival

A multi-pronged campaign to restrict reproductive rights through executive action, including withdrawal from EMTALA enforcement, restoration of the Title X gag rule, enforcement of the Hyde Amendment, …

  • The DOJ withdrew from lawsuits seeking to enforce EMTALA's requirement that hospitals provide stabilizing care — including abortion — in …
  • The administration prohibited USAID from funding sexual and reproductive health programs globally, reinstating and expanding the 'Global Gag …

Systematic Dismantlement of USAID and Global Humanitarian Consequences

Systematic destruction of the US Agency for International Development resulted in termination of lifesaving programs across the developing world, with The Lancet projecting 9.4 million additional …

  • The Lancet projects 9.4 million additional deaths by 2030 as a direct result of the USAID dismantlement, making this potentially the single …
  • 23 million children lost access to education and 95 million people lost access to basic healthcare when USAID programs were terminated.

US Withdrawal from the World Health Organization — Dismantling Global Pandemic Preparedness

The US withdrew from the WHO effective January 2026, removing the organization's largest funder and dismantling pandemic preparedness infrastructure. The WHO announced plans to cut 2,300 jobs — 25% of …

  • Trump signed Executive Order 14155 on January 20, 2025, initiating US withdrawal from the WHO. The withdrawal became effective on January …
  • The US was the WHO's largest single funder, responsible for 22% of mandatory contributions during 2024-2025. The WHO's most recent two-year …