81% of U.S. live births covered.
38 years of evidence.
13 months of administrative leave.
There is a way to kill a federal program without admitting you killed it. You send everyone home on "administrative leave," you keep the paperwork moving, and a year later you say the data will be released "at a later time."
In November 2025, somebody at the CDC filed an OMB extension request for PRAMS — the surveillance system whose entire operational team had been on leave for seven months. The paperwork went through. Nobody on the floor seems to know who is going to do the work the paperwork now authorizes.
Death certificates count corpses.
Hospital records count what was billed.
PRAMS counted experience.
You cannot count what you have agreed not to name. You cannot fund what you have agreed not to study. You cannot reduce a disparity you have agreed does not exist.