President Donald Trump’s shift on the Department of Government Efficiency began with a warning from an unlikely source.

Jesse Watters, a co-host of the Fox News hit show The Five, is usually a slick deliverer of MAGA talking points. But on February 19, Watters told a surprisingly emotional story about a friend working at the Pentagon who was poised to lose his job as part of the Trump administration’s sweeping cuts to the federal workforce. “I finally found one person I knew who got DOGE’d, and it hit me in the heart,” said Watters, who urged his Fox colleagues to “be a little bit less callous.”

Although Watters soon resumed championing DOGE, the moment went viral. Trump watched the clip and asked advisers if it was resonating with his base of supporters, according to one of three White House officials I spoke with for this story (they requested anonymity so they could discuss private conversations).

Over the ensuing weeks, the president grew unhappy with the television coverage of cuts affecting his voters, according to two of those officials, while the White House fielded calls from Cabinet members and Republican lawmakers frustrated by Elon Musk, the billionaire tech mogul empowered to slash the federal government. Some of Trump’s top advisers became worried about the political fallout from DOGE’s sweeping cuts, especially after seeing scenes of angry constituents yelling at GOP members of Congress in town halls.

[Read: Hungary joins the DOGE efforts]

All of this culminated in Trump taking his first steps to rein in Musk’s powers yesterday. The president called a closed-door meeting with Cabinet members and Musk, one that devolved into sharp exchanges between the DOGE head and several agency leaders. Afterward, Trump declared that his Cabinet would now “go first” in deciding whom in their departments to keep or fire.

DOGE lives. Trump has made clear that Musk still wields significant authority. And those close to Trump say that the president is still enamored with the idea of employing the world’s richest man, and still largely approves of the work that DOGE is doing to gut the federal bureaucracy. Some in the White House also believe that clarifying Musk’s purview might help the administration in a series of lawsuits alleging that Musk is illegally empowered.

But Trump’s first public effort to put a leash on Musk appears to mark the end of DOGE’s opening chapter, and a potential early turning point in Trump’s new administration.

Many in the GOP have reveled in the brash way that Musk and his young team of engineers have strode into government agencies, seized the computers, and slashed jobs and budgets. And few Republicans have been willing to publicly challenge Musk, who has taken on hero status with many on the right and wields an unfathomable fortune with which he can punish his political foes. But important figures within the president’s orbit—including some senior staffers and outside advisers—now quietly hope that the cuts, as Trump himself posted on social media yesterday, will be done with a “‘scalpel’ rather than the ‘hatchet.’”

“I don’t want to see a big cut where a lot of good people are cut,” Trump said to reporters in the Oval Office after yesterday’s meeting. But, he added, “Elon and the group are going to be watching them, and if they can cut, it’s better. And if they don’t cut, then Elon will do the cutting.”

Six weeks into Trump’s term, the White House has declined to say how many people have left the federal government so far, or how many more it wants to see fired as it looks to reshape the government’s civil service of 2.3 million workers. Democrats, shaking off their despondency after November’s elections, have rallied against Musk, trying to save agencies such as USAID and warning that all Americans, no matter their political party, would feel the impact of DOGE cuts to agencies such as the Federal Aviation Administration, the IRS, and the Department of Agriculture. Musk paid them no heed, trashing Democrats’ objections to his more than 219 million followers on X and wielding an actual chain saw onstage at a conservative conference last month. Days later, he directed that an email be sent to the entire federal workforce asking workers to justify their employment by listing their accomplishments of the past week.

That was the breaking point for several Cabinet members. Secretary of Defense Pete Hegseth, Secretary of State Marco Rubio, and FBI Director Kash Patel were among the officials who voiced complaints to their staff and to the White House that Musk was usurping their authority, one of the White House officials told me. Their agencies, along with many others, instructed employees not to reply to Musk’s email, and the government’s main personnel agency later said that responding was voluntary, neutering DOGE’s threats. Trump’s Cabinet officials broadly agree with DOGE’s mission—to reduce waste, fraud, and abuse in government—but object to the seemingly haphazard way it is being executed.

[Juliette Kayyem: Is DOGE sure it wants to fire these people?]

That pushback from inside the administration was combined with rising public anger about the cuts that exploded at several lawmakers’ town halls in recent weeks. From Georgia to Kansas, Republicans took sharp criticism about the cuts, including from some in the crowds who described themselves as Trump voters and veterans. The National Republican Congressional Committee told lawmakers this week to postpone holding any further town halls. The anger reverberated to Capitol Hill this week, with several Republicans privately urging DOGE to slow down.

Majority Leader John Thune said on CNN on Tuesday that Cabinet secretaries should retain the full power to hire and fire, a belief he later reiterated privately to White House Chief of Staff Susie Wiles, according to one of the White House officials who was briefed on the call. This person told me that in recent weeks, Wiles has also relayed to Trump other GOP lawmakers’ concerns about Musk, including that the constant drip of stories about DOGE slashing key jobs is distracting from their political messaging on issues such as immigration and taxes.

Musk was invited to a Senate lunch on Wednesday, a meal that took place just hours after the Supreme Court delivered a significant blow to the Trump administration in one of several ongoing legal fights over spending cuts. In the meeting, lawmakers later told reporters, several senators urged Musk to better coordinate with Congress by giving them more visibility into his process. They also offered to make the cuts permanent by enshrining them in legislation.

Senator Lindsey Graham told reporters afterward that the “the system needs to be fine-tuned to coordinate between DOGE and Congress and the administration,” and that Musk needs to be better about addressing senators’ concerns. Musk, in the lunch, distanced himself from some of the more unpopular firings. Hours later, he had a similar meeting with House Republicans, some of whom voiced unhappiness with that day’s news reports about plans to fire 80,000 Veterans Affairs workers, thousands of whom are veterans themselves, in a move that would likely delay vital services to those who have served the country in uniform.

Trump also grew angry at those reports, snapping at aides that he did not want to be seen as someone who betrayed veterans, many of whom he believes voted for him, an outside adviser who spoke with the president told me. That, when combined with the complaints from his advisers and worries that Musk was beginning to drag down his own poll numbers, prompted him to call for the meeting with the DOGE leader and the Cabinet heads at the White House yesterday.

The meeting soon grew volatile, according to an official present, with Rubio snapping back at Musk when the billionaire accused him of not moving fast enough with his firings. Musk and Transportation Secretary Sean Duffy also clashed over the quality of air-traffic controllers, while Doug Collins, who runs the Department of Veterans Affairs, urged that any layoffs be done more carefully. Trump agreed. Details of the meeting were first reported today by The New York Times. In addition to announcing that the Cabinet secretaries would be in charge of firings, Trump said that similar meetings would be held every two weeks.

“Everyone is working as one team to help President Trump deliver on his promise to make our government more efficient,” White House Press Secretary Karoline Leavitt told me in a statement when I asked if Musk’s role is shrinking.

Tammy Bruce, a spokesperson for the State Department, said in a statement: “Secretary Rubio considered the meeting an open and productive discussion with a dynamic team that is united in achieving the same goal: making America great again.” The Departments of Defense and Transportation, the FBI, and the VA, as well as DOGE, did not immediately respond to requests for comment.

Musk later wrote on X that the meeting was “very productive.” Yet for some in MAGA’s populist wing, the moment was perceived as a humiliation for the billionaire. They rallied around efforts to protect the Pentagon and the authority of Hegseth, a popular figure on the right. A cartoon of Trump walking Musk like a dog on a leash was passed around on the Hill and in right-wing-media circles. Some predicted that Trump would soon jettison his billionaire completely.

[Read: The Trump voters who are losing patience]

The White House insists that Musk’s work will continue. The Office of Personnel Management outlined plans this week for a new wave of firings, offering guidance to cut entire teams and job categories. Most of those fired so far have been probationary employees, who are typically new hires with fewer job protections.

Democrats, who see Musk as a potent political target for their party, have downplayed the significance of Musk’s seeming demotion.

“I don’t think anything has fundamentally changed.” Representative Adam Smith, the ranking member of the Armed Services Committee, told me. “It’s not about government efficiency and effectiveness. It’s about crippling the federal workforce because he sees it as a threat to him instead of a service provider to the country.”

In an effort to ward off other court challenges, the administration has also tried to stress that Musk, who is a special government employee, is not technically running the U.S. DOGE Service; instead, the White House said last month, DOGE is administered by Amy Gleason, a former health-care executive who worked for the agency in a previous iteration.

The claim was undermined, however, by Trump’s own words: When he spoke before Congress on Tuesday night, he repeatedly referred to Musk as the head of DOGE.

So, it was capitalism after all. More specifically, crony capitalism. I am talking, of course, about how the leaders of the tech world revealed themselves before and after the 2024 presidential election, when just a little more than half of America (and a surprisingly diverse group for an anti-DEI candidate) decided to give the job once again to the Republican nominee, Donald Trump.

But what was quite different this time was the growing participation from the tech elite, with some falling in line before the election, some waiting until after, and one—Elon Musk—taking an even more prominent role, effectively gaining control of the U.S. government for the price of getting Trump back into power.

For tech leaders at this moment, the digital world they rule has become not enough. Leaders, in fact, is the wrong word to use now. Titans is more like it, as many have cozied up to Trump in order to dominate this world as we enter the next Cambrian explosion in technology, with the development of advanced AI.

I cannot explain fully why a small majority of U.S. voters did what they did, because it is for many and varied reasons, including inflation, immigration, a ginned-up panic over trans athletes, and post-pandemic yips, in which I have only glancing expertise. There is no doubt we all are muddling through unusually aggrieved times. But I can tell you how we got that way, because of the part I do know about, which has been a crucial element to what has happened: the wholesale capture of our current information systems by tech moguls, and their willful carelessness and sometimes-filthy-thumb-on-scale malevolence in managing it.

When combined with a lack of empathy and enormous financial self-interest—which I’ve been pointing out at least since Silicon Valley potentates marched up to Trump Tower in late 2016 like sheeple to pay homage to the president-elect—it is basically a familiar trope: greed (of the few) over need (of the many).

And that has resulted in the damaging and warping and siloing of us all, courtesy of many of the people I wrote about in my book Burn Book: A Tech Love Story, about the promise and then souring of Silicon Valley. It is these characters who want to reign like kings not just over tech, but over everything everywhere, and all at once. To update the old Facebook maxim of “Move fast and break things”: Move fast and crush everyone. This was bad enough as a business axiom, but when it’s applied to the entire apparatus of our democracy, it’s terrifying.

My memoir of my decades covering these people—from when they had nothing to now, when they have it all—focused on a range of characters, including the late Steve Jobs, the Apple co-founder who was by far the person I most thought of as a true tech visionary. While some might disagree—not everyone was keen on his use of what was jokingly called a “reality-distortion field” conjured up to sell his always nifty hardware—Jobs stood far and away above the men who followed him, like Facebook’s Mark Zuckerberg, Amazon’s Jeff Bezos, and, of course, Elon Musk of, it’s fair to say, Elon Musk Inc.

Jobs, who was definitely a crafty and manipulative charmer, also had a set of basic values he stayed true to, from protection of privacy to making quality products, unlike this trio for whom the acquisition of wealth, the hoarding of power, and endless self-aggrandizement have become the goal. Unlike Jobs, who left behind a legacy of innovation and even wonder, the titans who followed him are so poor, all they have is money.

To be fair, Musk’s efforts were once certainly loftier— pushing into existence an electric-car industry that had not previously had any traction; cutting the costs of rockets and space travel and much more. Let me clearly acknowledge that this was all indeed inspiring. That is, until his epic megalomania, personal foibles, and other deep-seated character flaws—which had always been there, lurking—took over his mind completely and sent it into the outer limits.

After years of mocking Trump, Musk changed drastically during COVID and became ever more manic and cruel, as he swung hard right down conspiracy highway. That was why I predicted on my book tour in March 2024 that Musk would back Trump extravagantly, even after he had just as vehemently said he would remain politically neutral and promised not to donate to either candidate.

Hello, he is lying, I thought at the time. Under a Biden administration—and then, after he stepped down as nominee, a Harris administration—Musk would have received the usual scrutiny of his businesses. He must have known that under Trump, if he ponied up time and money, and, most especially, if he deployed the platform formerly known as Twitter to power Trump’s propaganda machine, an unfettered billionaire’s paradise awaited him.

Soon enough, besides funding a PAC and taking over Trump’s ground game in swing states, Musk was showing off his stomach while bizarrely jumping up and down on a variety of stages across the nation. And, of course, he was pushing a flood of inaccurate information on X and puckering up to Trump like a particularly enthusiastic remora, sometimes referred to as a suckerfish or shark sucker. (Hey, I don’t make up the words.)

As inane as he looked, it was the best investment of time and money of Musk’s life, even if it meant cosplaying as a beta to Trump’s alpha. It’s paid off: His net worth has nearly doubled after Trump’s victory—it sits at $348 billion today—with billions more possible as he remakes the government in his image. Soon after Trump’s victory, the president announced the formation of the jokingly titled Department of Government Efficiency, or DOGE—which I suggested might more accurately stand for “Department of Grandstanding Edgelords”—to be run by Musk and (briefly) a fellow look-at-me billionaire, Vivek Ramaswamy. With its power, staff, and efficacy undefined, it sounded more like an episode of The Apprentice.

Initially, a number of people theorized that this unelected commission was a clever way for Trump to sideline the billionaire who had helped to take him over the line to victory. I myself was not sure Trump would tolerate anyone taking attention off him. But so far, he has.

As of this writing, tens of thousands of Americans in government roles have already been fired by Elon’s tech toadies. Musk has gotten rid of regulators who just happen to oversee his businesses, in agencies such as the Federal Aviation Administration, the Consumer Product Safety Commission, and USAID. While Trump has recently made noises about reining in Musk’s power, he also said that if Cabinet members don’t shrink their own agencies, “Elon will do the cutting.” And, anyway, Musk as a long track record of doing whatever he wants.

What is happening is shocking, in a way. But if anyone is not surprised, it’s tech reporters who saw, over the past decade, what these people were becoming. Musk’s behavior is emblematic of tech’s most heinous figures, who now feel emboldened to enter the analog world with the same lack of care and arrogance with which they built their sloppy platforms. They denigrate media, science, activism, and culture, and spend their time bellyaching about the “woke-mind virus” and diversity, equity, and inclusion efforts. Those programs, despite their occasional annoyances, were directionally correct. As I often point out, the opposite of woke is asleep; the opposite of DEI is homogeneity, inequity, and exclusion. That’s just the way an increasing number of techies want it and, with Trump and Musk at the wheel, the goal toward which they are now reengineering our country.

Before the stakes got even higher, there was a warning about what was happening as AI expanded. With trillions of dollars there for the taking, investments are being made by the same small coterie of companies and people that now controls the entire federal government. So are the important decisions about safety and more, which should be made by an independent and fair government and its citizens.

There are no laws regulating almost any of it, though the Biden administration gave it a shrugging try for a little bit. A bummer, right? But not unexpected if you have been paying even the slightest amount of attention.

“The ideals of technological culture remain underdeveloped and therefore outside of popular culture and the practical ideals of democracy,” wrote one of my favorite philosophers, Paul Virilio. “This is also why society as a whole has no control over technological developments. And this is one of the gravest threats to democracy in the near future. It is, then, imperative to develop a democratic technological culture.” This seems vanishingly unlikely today.

Where is the hope, then? One glimmer came to me this past year in an interview I did with the historian Yuval Noah Harari, in which he pointed out that science and illumination were not the immediate beneficiaries of the invention of the Gutenberg printing press, in about 1440, though some tie those developments together. In fact, even a century later, Copernicus’s groundbreaking On the Revolutions of the Heavenly Spheres sold only 500 copies. What was a best seller right after the press was in heavy use was a book by an obscure writer named Heinrich Kramer titled “The Hammer of Witches,” a demented treatise on satanic women who stole men’s penises and hid them in a nest in a tree, I kid you not. When we spoke, Harari noted that the popularity of the book spurred witch hunts, in which tens of thousands of people—mostly women—were killed.

“The thing is the printing press did not cause the scientific revolution. No,” Harari told me. “You have about 200 years from the time that Gutenberg brings print technology to Europe in the middle of the 15th century until the flowering of the scientific revolution.”

He went on: “How did, in the end, we get to the scientific revolution? It wasn’t the technology of the printing press; it was the creation of institutions that were dedicated to sifting through this kind of ocean of information, and all these stories and developing mechanisms to evaluate reliable information and to be trusted by the population.”

That is, indeed, the possible exit from the mess we now find ourselves in—swimming in oceans of information with an ever-decreasing number of facts to keep us afloat. Except, unlike the expansion that tech gave to the enlightened before, the institutions of today, such as media, science, and education, are being slowly destroyed by technology. And there seems to be no way out of this world, especially as egomaniacal entrepreneurs like Musk and others fork over small pieces of their vast fortunes to buy up everything from global media to, yes, a president of the United States.

And there they are, thus, everywhere we look, running everything, a fate that Paul Virilio predicted in a 1994 interview with the now-defunct technology journal CTHEORY, when he worried that “virtuality will destroy reality.” That is precisely what is happening 30 years later, although it is much worse than I think we are prepared to acknowledge, even now as Musk presides over Oval Office press conferences and White House Cabinet meetings as Trump’s enforcer and sees himself as a kind of global superhero.

In our many interviews over the years, Musk often referenced science fiction, which he looked to for inspiration. During that 1994 interview, Virilio referenced a short story that I imagine Musk knows, “in which a camera has been invented which can be carried by flakes of snow. Cameras are inseminated into artificial snow, which is dropped by planes, and when the snow falls, there are eyes everywhere. There is no blind spot left.”

The interviewer then asks the single best question I have ever heard—a question that I wish I would have had the perspicuity to ask of the many tech leaders I have known over three decades, especially Musk, who via DOGE now is building what techies call a “God view” dashboard of our nation and the world: “But what shall we dream of when everything becomes visible?”

And from Virilio, the best answer: “We’ll dream of being blind.”

It’s not the worst idea.

This essay has been adapted from the epilogue of Swisher’s book Burn Book: A Tech Love Story

At Donald Trump’s first Cabinet meeting, late last month, Elon Musk sheepishly admitted that DOGE had “accidentally canceled very briefly” Ebola-prevention programs. After a nervous chuckle, he claimed that the oversight had been swiftly corrected. But it wasn’t. The truth is far more disturbing—this administration didn’t just pause a line item; it has actively dismantled the infrastructure the country relies on to detect and confront deadly pathogens.

For more than a decade, I have worked as a physician and public-health expert responding to infectious diseases around the world. In 2014, while treating Ebola patients in Guinea, I contracted and survived Ebola myself. I know how lethal Donald Trump’s assault on America’s outbreak preparedness could be. We are sure to regret it.

DOGE’s slash-and-burn campaign has hit everything from the NIH to the National Weather Service. The cuts to global health, however, are especially alarming. It’s unclear what Musk thought would happen when he fed the U.S. Agency for International Development “into the wood chipper,” as he proclaimed with gleeful indifference on X, the social-media megaphone he owns. Ditto what Trump thought when he withdrew the United States from the World Health Organization and effectively muzzled the CDC. But the result has been that, in little more than a month, America has transformed itself from a preeminent global-health leader into an untrustworthy has-been. Undermining even one of these institutions would have posed a serious threat; gutting them all at once is an invitation for future outbreaks.

The fallout from these sweeping cuts is particularly evident when examining USAID, or what’s left of it. The agency’s tagline was “From the American people,” and perhaps the American people didn’t understand that it was also for them. Musk disparaged the agency outright—declaring it a “criminal organization.” The White House pointed to alleged wasteful spending, including funding for a “DEI musical” in Ireland (which wasn’t even funded by USAID, it turned out). In decrying the agency’s downfall, many Democrats focused more on the importance of “soft power” foreign policy than on-the-ground impact. Yet much of USAID’s budget was devoted to addressing humanitarian and health crises abroad with the implicit goal of preventing these emergencies from reaching our own shores. (Explicitly, the goal was to “advance American security and prosperity.”) Americans are safer when instability and infectious threats are effectively managed on foreign lands.

[Donald Moynihan: The DOGE project will backfire]

USAID was also the primary funder of the President’s Emergency Plan for AIDS Relief, established in 2003 under George W. Bush. PEPFAR has saved more than 25 million lives and helped smother the global HIV pandemic. More than 20 million people—500,000 of them children—were receiving HIV treatment through the program when Trump signed an executive order on his first day back in office pausing all foreign aid for 90 days. Secretary of State Marco Rubio promised that waivers would allow the life-saving work to continue, but few have materialized. Meanwhile, USAID staff who were placed on administrative leave can’t distribute medicines or cover costs for transport and personnel. After this dismantling, PEPFAR’s activities in hundreds of places around the world remain restricted at best, and fully paused at worst. Without the support long provided by the program, thousands of people will likely die far younger than they would have with proper medical care. PEPFAR’s current authorization ends later this month; its future after that is unclear.

Similarly, USAID’s efforts to stop Ebola at its source are also now gone. USAID’s role in Ebola containment has long been essential. During the 2014 West Africa outbreak—during which more than 11,000 people died—USAID oversaw training of local health-care workers, the building of Ebola treatment centers, and passenger screening at the borders and airports. A decade later and just days into Trump’s second term, Uganda reported another Ebola outbreak. This time, though, the foreign-aid freeze Trump had put in place meant that USAID was unable to supply the usual resources for transporting lab specimens or implementing airport screening. The day after Musk reassured the Cabinet that Ebola prevention had been swiftly restored, the State Department canceled crucial contact tracing and surveillance efforts for Uganda’s outbreak. With USAID nowhere to be found, the WHO scaled up its own response. That’s something, for now, but America’s absence is shameful.

Moreover, the WHO may not have the capacity to do so for much longer. On his first day in office, Trump signed an executive order moving to withdraw from the WHO, accusing it of demanding “onerous payments from the United States.” In 2023, the U.S. contributed $481 million—an eighth of what Americans spend on professional dog-training services every year—to WHO’s operating budget. Admittedly, many Americans—fueled by Trump’s denigration of the organization—developed a deep distrust of the WHO following perceived missteps during the coronavirus pandemic. Even its supporters can see the organization’s flaws—it’s bureaucratic, sclerotic, and overdue for reform. Despite these shortcomings, it is an organization we desperately need, and no real alternative exists.

WHO is the only international organization that can identify and respond to emerging threats early on, such as flare-ups of unidentified outbreaks like the one currently circulating in northwestern Democratic Republic of the Congo. Its global network of laboratories to detect infectious threats—known as the Gremlin—relies heavily on U.S. support and is now at risk of closure. And even as its partnerships alongside U.S. colleagues have strengthened surveillance, containment, and readiness abroad, the WHO also helps us here at home. On the same day as Musk’s Ebola comments, the FDA canceled the meeting where experts decide next season’s flu-vaccine composition. Going forward, the U.S. will have to wait on WHO guidance for that crucial decision and download the recipe for next year’s flu shot. If America keeps abdicating its leadership, it will be forced to rely on an organization whose funding it is slashing and whose collaboration it is severing. Although the WHO might still scrape together funds and staff, that’s not guaranteed—especially if other nations follow Trump’s example and cut ties or funding.

[Katherine J. Wu: Inside the collapse at the NIH]

With USAID and WHO under siege, more responsibility for global disease detection and response would fall on the CDC. But the future of the world’s preeminent “disease detectives” is at risk as well. The plan to slash the next cohort of CDC Epidemic Intelligence Service officers—think Kate Winslet’s character in Contagion—was thankfully stopped at the 11th hour, but about 750 CDC staff were still let go in recent cuts, including many stationed on outbreak front lines across the country and around the globe (about 180 of those terminated were later reinstated). Certain pages on the CDC website were deleted, and when a judge ordered them restored, many had been dramatically altered. CDC communications such as the Morbidity and Mortality Weekly Report—which providers rely on to track health threats—were abruptly paused for the first time in more than 60 years. CDC staff were also ordered to stop communicating with, and to take their names off any scientific papers written with, anyone from the WHO, further weakening the CDC’s reach and insight into what’s happening around the world. Whether the issue is cuts to USAID, defunding the WHO, or hobbling the CDC, the end result is the same: America is walking away from global health leadership, making the entire world less safe—including us.

Understand how this will work at a practical level: Until recently, countries had compelling reasons to report outbreaks, even if such transparency sometimes came with travel bans or other stigmatizing restrictions. Those sticks were often worth the carrots, namely USAID funding and CDC expertise that would appear and help quickly end outbreaks. Now, with no carrots on offer, why would any country submit to the stick? Future outbreaks may be reported too late or not at all—leaving America oblivious to emerging health crises. Since 2014, seven public-health emergencies of international concern (PHEICs) have been declared by the WHO. The number of Ebola outbreaks is escalating, and climate change will intensify the emergence and spread of known and potentially unknown microbes.

It is in America’s interest to reverse course immediately and rebuild the crucial infrastructure needed to detect and respond to outbreaks. Not only is this the right thing to do, but it also makes economic sense. In 1980, at the height of the Cold War, the WHO declared smallpox eradicated—a milestone achieved through joint U.S. and Soviet support. Americans invested about $30 million to stamp out smallpox, a fraction of what the country now saves every year by no longer needing to vaccinate against or treat smallpox—to say nothing of the lives saved.

Americans believe that about 25 percent of the country’s budget is spent on foreign aid. In reality, the figure is 1 percent, or at least it was. USAID’s entire 2023 spending was $43 billion—a 20th of the U.S. defense budget and about what Musk’s enterprises have received in government funding. The CDC’s was even less, just $9 billion.

[Nicholas Florko: Spared by DOGE—for now]

Despite his actions, Musk clearly understands that these systems are essential for America’s security. After admitting his Ebola error, he quickly clarified: “I think we all want Ebola prevention.” That would require pulling USAID’s most essential remnants out of the dustbin. The U.S. must also reengage with the WHO and negotiate the terms of its renewed support and engagement with the organization before it’s too late. And for all the distrust many Americans harbor toward the CDC post-pandemic, they must rally around it—an agency whose role will become only more indispensable as measles, bird flu, and other pathogens spread across the country.

Now, and with startling speed, the country is turning its back on global health. In doing so, it is endangering other nations, and also itself. USAID’s account on X, once a digital chronicle of its achievements, is gone. When I search for it on my phone, I get an error message: “Something went wrong. Try again.” We must heed that warning. Musk and Trump have destroyed the shield that once protected America from the next global contagion. Deadly diseases don’t bother with borders; no wall will keep them out. If America stays the course, “Something went wrong” will become the epitaph of a great country, one that once led the world in global health preparedness. It will be deeply missed.