Medicaid cuts or elimination for millions of low-income Americans.
ACA protections under attack; coverage technically maintained for pre-existing conditions, but access and affordability reduced.
ACA subsidies allowed to expire → premiums spiked (~114%) for ~22 million; ~4 million lost insurance due to cost.
Funding for public health programs, clinics, and preventive care removed.
No replacement plan; only vague concepts with no rollout.
Disproportionately harmed children, seniors, and vulnerable populations.
Prescription drug costs increased due to deregulation.
Worsened health disparities across racial, economic, and rural/urban lines.
State-level coverage gaps expanded due to federal abdication.
Public hospitals and community clinics underfunded.
Cuts to mental health and substance abuse programs worsened national crisis.
Hundreds of billions in tax cuts went to corporations and the wealthiest, while Medicaid, ACA subsidies, and public health programs were slashed.
Cuts to Health & Pediatric Research
Major NIH and CDC funding reductions impacted pediatric cancer research, Alzheimer’s disease, Parkinson’s, ALS, autism, rare genetic disorders, diabetes, heart disease, and chronic childhood illnesses.
Childhood cancer clinical trials paused, delayed, or canceled, including trials for leukemia, brain tumors, and neuroblastoma, along with setbacks to gene and immunotherapy research.
Alzheimer’s and neurodegenerative disease research disrupted, despite rising prevalence and prior bipartisan recognition of urgency.
Early-stage and long-term studies halted midstream, wasting years of data collection and eliminating entire research cohorts.
Loss of early-career scientists and physicians as labs closed or grants were pulled, weakening the future medical workforce.
U.S. leadership in biomedical research diminished as international institutions absorbed displaced talent.
Scientific leaders warned funding disruptions could set U.S. medical and biomedical research back by decades, delaying future drugs, vaccines, and lifesaving treatments.
Research increasingly politicized, affecting medical, climate, public health, and cybersecurity studies, undermining evidence-based policymaking.
Public Health Failures
RFK Jr.’s influence over CDC coincided with the worst U.S. measles outbreak in 35 years, with >2,400 confirmed cases.
Vaccination rates for measles and other routine childhood immunizations dropped sharply, particularly in underserved and rural communities.
Reduced oversight, coupled with promotion of vaccine skepticism, contributed to vaccine hesitancy among parents.
Federal funding for immunization programs, outbreak response, and school-based vaccination initiatives cut or delayed.
Public health messaging inconsistent and confusing, with conflicting guidance from CDC, HHS, and state agencies.
Pertussis, mumps, and other preventable disease surveillance and prevention programs weakened, increasing risk of outbreaks beyond measles.
State and local public health departments struggled to respond effectively due to staffing cuts and bureaucratic delays, worsening health disparities.
Experts warned that these failures could reverse decades of progress in controlling vaccine-preventable diseases.
Global Health Retreat
U.S. withdrew from WHO (California joined initiatives independently).
PEPFAR cuts linked to ~158,000 adult HIV/AIDS deaths in one year.
Reduced engagement reversed decades of global health progress.
Education System Chaos
Executive Order dismantled Department of Education.
$1.6 trillion student loan system thrown into uncertainty.
Cuts disrupted K–12 and higher education programs, including Title I and special education funding.
Federal guidance on curriculum standards, accountability, and safety removed or inconsistent.
Teacher training, retention, and student support programs faced funding shortfalls.
Rising educational inequality, especially for low-income and minority students.
Student loan forgiveness and repayment programs left borrowers confused and at risk of default.
Social Program Cuts
Cuts to Medicaid, SNAP, WIC, housing, and other welfare programs.
School meal programs reduced → worsening child food insecurity.
Broad tariffs on imported goods raised costs on food, appliances, building materials
Consumer prices increased, hitting middle-class and low-income households
Despite Trump’s repeated claims that other countries would pay, Americans bore ~96% of tariff costs
Who pays the tariffs?
Tariffs collected from importers (mostly U.S. businesses)
Costs largely passed to domestic firms and consumers (~96%)
Only ~4% absorbed by foreign exporters
Tariff revenue increases reflect burden on U.S. buyers (~$200 billion in 2025)
Tariff legality & executive authority
Tariffs challenged as exceeding presidential authority
Congress holds primary constitutional power over tariffs and foreign commerce
Emergency statutes (e.g., IEEPA) allegedly misused for broad tariff programs
Housing costs
Tariffs on steel, lumber, construction materials added ~ $17,500 to new home costs
First-time buyers and younger families most affected
Economic inequality
Tax cuts favored corporations and wealthy individuals
Wages stagnated while cost of living increases
Wealth and income gaps widened
Debt mismanagement
Large federal deficits continue to grow
Social and infrastructure cuts paired with tax cuts
Long-term fiscal stability weakened
4. Immigration & Border Policy
Deportations Without Due Process
Rapid and summary deportations expanded.
People legally entitled to hearings removed anyway.
Families, asylum seekers, and long-term residents deported without access to courts or lawyers.
Violates constitutional and legal protections.
ICE Raids, Immigration Crackdowns & Intrusion Into Daily Life
Operation Metro Surge
Nationwide immigration enforcement surge under “Operation Metro Surge”
Heavily armed ICE, Border Patrol (BPS), and DHS agents deployed in major cities, including Minneapolis–Saint Paul, Chicago, and Los Angeles
Administrative warrants used instead of judicial warrants to enter homes and private spaces
Routine bypassing of court oversight, raising Fourth Amendment concerns
Warnings issued by local officials and civil liberties organizations about unconstitutional enforcement practices
Expansion Into Homes, Schools, and Public Spaces
Raids conducted in homes, workplaces, schools, and public areas
Entries made without judicial warrants
Community members subjected to enforcement actions during daily activities
Erosion of legal safeguards traditionally required for home entry and detention
Children Detained During Operations
Toddlers and school-aged children detained during raids
5-year-old Liam Ramos reportedly used to draw a parent out of a home
Families separated without judicial authorization
Legal Rights Denied to Detainees
By law, detainees are entitled to access lawyers.
Detainees have the right to communicate with family members.
Independent oversight of detention facilities, including inspections, is legally required.
Reports indicate these rights were routinely denied or obstructed during raids and enforcement actions.
Nonviolent and Lawful Individuals Targeted
Asylum seekers, legal residents, and U.S. citizens detained
Many individuals had no violent criminal history
Enforcement extended beyond “worst of the worst,” contradicting campaign promises
Excessive Force and Harsh Tactics
Use of pepper spray, tear gas, rubber bullets, and crowd-control munitions
Force deployed against bystanders and peaceful observers
Individuals forced into sub-freezing weather with inadequate clothing during raids
Example: 56-year-old U.S. citizen detained outside in underwear and Crocs
Fatal and Non-Fatal Shootings by Federal Immigration Agents — Minneapolis (January 2026)
Three separate shooting incidents involving federal immigration agents in Minneapolis within one month, including two fatal shootings
Renee Nicole Good — January 7, 2026
37-year-old unarmed U.S. citizen
Fatally shot during an ICE enforcement action in south Minneapolis
Federal officials claimed she posed a threat
Video and eyewitness accounts raised serious contradictions
Video shows Good was slowly driving away at the time she was shot
DOJ declined to open an independent investigation
Non-Fatal Shooting — Mid-January 2026
Venezuelan man shot in the leg by a federal agent
Occurred during a separate enforcement action in Minneapolis
Alex Jeffrey Pretti — January 24, 2026
37-year-old U.S. citizen and ICU nurse
Fatally shot by U.S. Border Patrol agents in Minneapolis
Participating in protests against enforcement operations
No serious criminal history beyond minor traffic violations
Lawful gun owner with a valid concealed-carry permit
Video shows Pretti helping a woman who fell after being shoved by an agent. While recording agents with his phone, he was pushed and shoved again. Agents then deployed pepper spray, after which multiple agents tackled and restrained Pretti.
Firearm removed from his person by agents
Video shows Pretti did not touch the gun
Ten shots fired while he was disarmed and on the ground
Shots fired by multiple agents
Federal claims of an “active deadly threat” contradicted by video evidence
Local officials and community leaders calling for independent investigation
Targeting of Protesters & Critics
Protest organizers and participants targeted during enforcement operations
Nekima Levy Armstrong, civil rights attorney and activist, publicly targeted
No valid judicial warrant found by attorneys despite public claims
Federal communications circulated misleading imagery portraying her as “crying”
Actions criticized as intimidation of dissent and suppression of protest
Immigration System Backlog
Immigration courts overwhelmed due to cuts in judges and staff.
Legal limbo intensified for applicants, asylum seekers, and long-term residents.
Humanitarian & Refugee Policies
Harsh asylum restrictions implemented.
Refugee admissions drastically reduced.
Special Immigrant Visa (SIV) pathways stalled, leaving Afghan allies in limbo or detention.
Policies undermined U.S. international commitments and humanitarian obligations.
5. Foreign Policy / International Relations
NATO & Allied Relations
Repeated criticism of allies’ defense commitments.
Threatened to weaken U.S. participation in NATO advisory groups.
Suggested NATO obligations might not apply unless European partners met arbitrary spending thresholds.
Undermined allied confidence and unity.
Greenland Crisis & Tariff Threats
Aggressively pursued acquisition of Greenland; refused to rule out military action.
Threatened retaliatory tariffs on eight European allies unless Denmark ceded control.
Significantly strained trans-Atlantic relations and NATO solidarity.
Allied Outrage & Diplomatic Backlash
European leaders, including Denmark, France, and the EU, condemned U.S. interference and tariff threats.
Actions damaged long-standing alliances and undermined respect for international law and sovereignty.
Ukraine Policy & Russia Relations
Peace proposals and reluctance to fully support Ukraine’s NATO prospects criticized for easing pressure on Russia.
Mixed signals during U.S.–Russia summits shifted the onus of negotiations onto Ukraine.
Weakened deterrence and emboldened Moscow.
International Leadership Credibility
Confrontational foreign policy rhetoric, including public disparagement of NATO, Europe, and allied defense policies.
Encouraged partners to pursue greater strategic autonomy.
Trade & Global Economic Relations
Tariff threats on allies undermined trust and prompted fears of economic retaliation.
Unilateral trade approach weakened multilateral cooperation and global economic relations.
Transactional Diplomacy
Foreign policy increasingly framed as ad-hoc deals rather than long-term strategic collaboration.
Reduced U.S. standing in international institutions and alliances.
Ethics rules frequently waived, ignored, or narrowly interpreted to allow personal/family benefit
Oversight offices, including the Office of Government Ethics, undercut or bypassed in key decisions
Lobbyists or campaign donors gained direct access to policy-making channels without standard vetting or transparency
Legal and financial risks for taxpayers increased due to unchecked conflicts of interest
Credibility of federal oversight agencies diminished, leaving gaps in enforcement of ethics, procurement, and transparency regulations
Symbolic Overreach & Legacy Aggrandizement
Historic East Wing demolished to construct massive personal ballroom; criticized as wasteful spending
Legal and preservation controversy — preservation groups and legal experts argue demolition and ballroom construction may violate federal law, historic-preservation requirements, and constitutional oversight; required reviews and Congressional authorization reportedly bypassed; federal lawsuit ongoing
Plans announced to alter or rename West Wing sections for personal branding rather than public service
Trump’s name added to Kennedy building at White House complex, emphasizing self-aggrandizement over administrative necessity
Federal resources reportedly used to support personal branding, events, or projects benefiting Trump family image/business interests
Erosion of trust in government priorities, with public perception of administration focused on personal legacy over public good
8. Civil Rights / Social Issues / Public Safety
Political Rhetoric & Polarization
Publicly praised armed protesters during events such as school board confrontations and federal building occupations.
Repeatedly downplayed violence from extremist groups, calling attacks or threats “not a big deal” or “fake news.”
Promoted conspiracy theories, including election fraud claims, vaccine misinformation, and QAnon-linked narratives.
Statements and tweets emboldened far-right militias, anti-government groups, and armed extremist networks.
Contributed to spikes in threats against public officials, journalists, and election workers.
Increased domestic tensions and political polarization, with measurable upticks in community harassment, intimidation, and armed standoffs.
Federal Response to Domestic Terrorism
Enforcement selectively applied: extremist groups aligned with the administration largely ignored, while opponents or protesters faced aggressive action.
Minimal accountability for violent actors in politically aligned groups; prosecutions often delayed or dismissed.
Law enforcement resources diverted toward suppressing dissent rather than addressing organized threats.
Undermined public trust in federal law enforcement, including FBI, DOJ, and DHS operations, as citizens saw uneven application of laws.
Reproductive Rights & Health Outcomes (with Economic Impacts)
Roe v. Wade abolished by the U.S. Supreme Court (Dobbs v. Jackson Women’s Health Organization), ending federal constitutional protection for abortion access.
Severe abortion access restrictions implemented nationwide after Dobbs; emergency abortion care guidance rescinded, limiting even life‑saving procedures.
State bans and extreme restrictions — including Texas medication abortion bans with civil lawsuit penalties — forced widespread clinic closures and reduced routine reproductive services.
Birth rates increased in states with abortion bans; researchers estimate ~22,000 additional births in early ban states compared to expected numbers had bans not been enacted.
Infant mortality rates rose in states with abortion bans (~5–13 % higher than expected), disproportionately affecting Black infants and those with congenital anomalies.
Maternal mortality worsened in restrictive states; mothers nearly twice as likely to die during pregnancy/childbirth compared to supportive states, with Black mothers facing substantially higher risks.
Severe pregnancy complications increased (e.g., sepsis, hemorrhage) as access to timely care was delayed or denied.
Access to routine reproductive and preventive health services — including contraceptive counseling, STI testing, miscarriage and ectopic pregnancy management — declined.
Racial and geographic health disparities widened due to limited access to care.
Economic Impacts
Families faced higher healthcare costs due to complications, delayed care, and additional childbirth-related expenses.
Many women forced to carry pregnancies experienced reduced workforce participation or were unable to continue employment, lowering household income.
Public programs (Medicaid, SNAP, WIC) absorbed additional costs from increased births and healthcare needs.
States with restrictive laws faced higher social and healthcare system costs, including neonatal care, maternal health services, and public assistance programs.
Anti-Discrimination Protections
Federal rules on gender, sexual orientation, and disability discrimination rolled back or weakened across employment, education, and public services.
Protections for LGBTQ+ individuals in healthcare, education, and federal employment removed or limited; some states reported increased denial of services or job discrimination.
Enforcement of the Americans with Disabilities Act (ADA) scaled back, leaving many public spaces, workplaces, and programs less accessible.
Title IX guidance on sexual harassment in schools rescinded or narrowed, reducing recourse for students experiencing assault or discrimination.
Resulted in measurable increases in workplace and housing discrimination complaints; minorities, women, and disabled individuals disproportionately affected.
Labor & Worker Protections
Federal oversight of minimum wage, overtime, and workplace safety diminished, leaving low-income workers vulnerable.
Wage theft complaints and labor violations rose, with some industries reporting double-digit increases in unpaid overtime.
OSHA inspections and enforcement actions cut by 30–40%, leading to unsafe working conditions in manufacturing, construction, and service industries.
Labor union influence and collective bargaining undermined, contributing to declining wages and growing income inequality.
Federal deployments and militarized crowd-control tactics escalated tensions in cities nationwide.
Use of force—including aggressive arrest tactics—documented against protesters, journalists, and bystanders.
Enforcement actions favored politically aligned groups while opponents faced disproportionate targeting.
Federal interventions undermined public trust in law enforcement neutrality and accountability.
Data indicates increased civilian injuries, property damage, and community unrest during federal operations.
Broader implications: federal overreach contributed to heightened political polarization, distrust of authorities, and weakened local law enforcement relationships.
(See “ICE Raids, Immigration Crackdowns & Intrusion Into Daily Life” for specific incidents involving immigration enforcement, fatal and non-fatal shootings, and targeting of children and protesters.)
Gun Violence Policy
Minimal, delayed, or absent federal policy interventions despite rising gun deaths and mass shootings — over 50,000 firearm-related deaths reported in 2025.
Federal assault weapons regulations weakened or left unenforced, with loopholes allowing high-capacity magazines and unregulated sales.
Background checks and enforcement of “red flag” laws inconsistent across states, leaving gaps in preventive measures.
Inaction contributed to public safety crises in urban and rural areas alike, worsening community concerns and stress on local law enforcement.
Voting Rights & Election Integrity
Trump-backed mid-decade redistricting in Texas targeted Democratic districts.
Supreme Court allowed racially gerrymandered maps in the 2026 midterms.
Diluted minority voting power and reduced protections against voter suppression.
DOJ withdrew or declined lawsuits challenging restrictive voting measures.
9. Science, Tech & Data
AI & Surveillance Overreach
AI systems used to monitor federal employees, political opponents, and critical citizens.
Tools flagged “disloyal” behavior in civil servants, including emails, meetings, internal communications, and attendance at political events.
Civil servants flagged as “disloyal” faced reassignment, demotion, termination, or loyalty tests.
Programs blurred legal boundaries, raising privacy and First Amendment concerns; minimal judicial or congressional oversight.
Surveillance created a chilling effect, leading to self-censorship, reduced morale, and fear among federal employees.
Potential misuse extended to contractors, researchers, and advisory staff, affecting evidence-based decision-making and institutional expertise.
Sidelining of Experts & Erosion of Risk Management
Scientists, engineers, and technical experts excluded, reassigned, or removed, weakening evidence-based policy across multiple agencies.
Cybersecurity and risk management programs compromised, leaving federal networks, infrastructure, and critical data vulnerable to attack.
EPA, CDC, FAA, and DOE oversight teams operated at reduced capacity, delaying climate research, public health initiatives, and transportation safety monitoring.
Key technical decisions influenced by political loyalty rather than expertise, increasing operational and safety risks.
Reduced capacity in scientific and technical agencies slowed responses to disasters, environmental hazards, and emerging threats.
Consumer Protection Rollbacks
Regulations on tech, data privacy, and communications weakened or eliminated.
Federal enforcement of unfair/deceptive practices in tech, social media, and digital finance diminished.
Oversight gaps allowed corporations to operate with minimal accountability, potentially harming consumers and competition.
Politicization of Research & Funding
Climate science, medical research, and cybersecurity programs politicized; funding decisions influenced by loyalty over merit.
Critical research on public health, environmental safety, and emerging tech slowed, delayed, or cancelled.
U.S. leadership weakened in pediatric medical research, AI ethics, and cybersecurity readiness.
10. Food / Supply / Humanitarian
USAID Shutdown & Blocked Food Aid
~5,200 USAID programs shut down
~330,000 preventable deaths in one year (~224,500 children under five)