I’m going through Donald Trump’s budget request to Congress now, and pulling out some of the key investments – and many of the most consequential cuts and eliminations.

Notably, for the Department of Health and Human Services (HHS), the White House is pushing for lawmakers to appropriate funding to establish the Administration for a Healthy America (AHA). This, you may remember, is health secretary Robert F Kennedy Jr’s planned consolidation of many subagencies whose workforces he slashed last year. In the budget, the White House says that these programs “duplicate other federal spending, promote radicalized DEI ideologies, or use taxpayer funds to support radical nonprofts that are not aligned with administration policies”. Last year, Congress didn’t provide funding for AHA, but in 2027 the administration is hoping to secure funding as part of the $111bn it requests fo the wider HHS.

However, Trump is hoping to cut $5bn in funding for the National Institutes of Health (NIH), which has seen wholesale cuts to research, grants and funding since the president returned to office.

In the budget request, the administration writes that the NIH “broke the trust of the American people with wasteful spending, misleading information, risky research, and the promotion of dangerous ideologies that undermine public health”.