#healthsystem — Public Fediverse posts

#usa #israel #iran : #warofaggression / #gaza / #healthsystem / #warfare / #internationallaw

„War is no longer only just about killing or territory. It is increasingly about the long-term viability of societies.

On 2 April, the United States and Israel bombed the 106-year-old Pasteur Institute, (…) [which] has long been central to vaccine production, infectious disease surveillance, and epidemiological research in the #MiddleEast and beyond.“

https://www.thenewhumanitarian.org/opinion/2026/04/21/healthocide-why-attack-pasteur-institute-iran-more-war-crime

🧭 Section 3 — Stabilization Protocol (Ideal-in-Real Conditions)

🎯 Goal

eliminate loss-of-consciousness episodes

stabilize the autonomic nervous system

reduce panic spikes

restore baseline cognitive function

maintain work functionality in real conditions

#stabilization #healthRecovery #burnoutRecovery #neurostability

---

1. 🧱 Core layer (mandatory — nothing works without this)

💤 Sleep (foundation of recovery)

Goal is not “ideal”, but exiting collapse mode

2–3h → 4–5h (first 3–5 days)

then → 6h stabilization

then → 7h target baseline

⚠️ Without this, any medication layer only masks symptoms temporarily

#sleepRecovery #sleepDebt #recoveryCycle

---

⚡ Nervous system load control

caffeine: drastically reduce (or temporarily remove if tachycardia present)

screen load: breaks every 45–60 min (5–10 min reset)

avoid sudden standing (orthostatic collapse risk)

#nervousSystem #autonomicBalance #loadManagement

---

2. 🧠 Neuro layer (panic / overload)

Symptoms: → panic disorder

Clinical approach (real medicine):

short-term anxiolytics / SSRIs / beta-blockers — ONLY under physician supervision

goal: suppress spikes, not “mute emotions”

⚠️ Self-medication here can worsen blood pressure, heart rate, and cognition

#panicDisorder #anxiety #mentalHealth #clinicalApproach

---

3. ❤️ Cardiovascular risk layer (syncope)

Symptom: → syncope

Critical exclusion: → cardiac arrhythmia

Required diagnostics:

ECG / Holter monitoring

orthostatic blood pressure checks

electrolytes + glucose tests

💊 Any “energy/stimulant correction” without this is unsafe

#syncope #cardiology #riskControl #diagnostics

---

4. 🔋 Metabolic layer

regular meals (prevents “wobbly legs”)

hydration + electrolytes

stable glucose levels

#metabolism #energyBalance #fatigueControl

---

5. 👁️ Vision (not root cause, but amplifier)

→ Computer Vision Syndrome

reduce continuous visual focus

apply 20–20–20 rule

control lighting and contrast

#digitalEyeStrain #screenFatigue #visionStress

---

6. 💊 Pharmacological layer (strict separation)

❌ NOT allowed:

stimulants “to push through”

sleeping pills without diagnosis

mixing sedatives intuitively

self-prescribed beta-blockers / SSRIs

#noSelfMedication #pharmaSafety #riskControl

---

⚠️ ONLY under medical supervision:

short-term anti-anxiety treatment

long-term anxiety disorder management

cardiovascular regulation if diagnosed

#medicalSupervision #psychiatry #evidenceBased

---

7. 🧩 Realistic operational mode

Day (working cycle)

45–60 min work blocks

5–10 min recovery breaks

no skipped meals

controlled standing/movement

Evening

aggressive reduction of stimulation

screen off 60–90 min before sleep

Night

fixed sleep window (not “when possible”)

#workRhythm #deepWork #recoveryBreaks

---

🚨 RED LINE

If:

repeated loss of consciousness

chest pain / severe palpitations

confusion episodes

→ this is no longer stabilization mode, but urgent medical evaluation

#emergency #redFlag #medicalUrgency

---

🧠 Conclusion

This is not simple fatigue. It is systemic autonomic decompensation driven by severe sleep deprivation.

Pharmacology here:

not the base

not a workaround

but a secondary layer after proper diagnosis

#burnout #systemFailure #sleepCollapse #healthSystem

---

If you want the next section:

“Work Survival Architecture (how to function without relapsing into collapse)”

🧭 Section 3 — Stabilization Protocol (Ideal-in-Real Conditions)

🎯 Goal

eliminate loss-of-consciousness episodes

stabilize the autonomic nervous system

reduce panic spikes

restore baseline cognitive function

maintain work functionality in real conditions

#stabilization #healthRecovery #burnoutRecovery #neurostability

---

1. 🧱 Core layer (mandatory — nothing works without this)

💤 Sleep (foundation of recovery)

Goal is not “ideal”, but exiting collapse mode

2–3h → 4–5h (first 3–5 days)

then → 6h stabilization

then → 7h target baseline

⚠️ Without this, any medication layer only masks symptoms temporarily

#sleepRecovery #sleepDebt #recoveryCycle

---

⚡ Nervous system load control

caffeine: drastically reduce (or temporarily remove if tachycardia present)

screen load: breaks every 45–60 min (5–10 min reset)

avoid sudden standing (orthostatic collapse risk)

#nervousSystem #autonomicBalance #loadManagement

---

2. 🧠 Neuro layer (panic / overload)

Symptoms: → panic disorder

Clinical approach (real medicine):

short-term anxiolytics / SSRIs / beta-blockers — ONLY under physician supervision

goal: suppress spikes, not “mute emotions”

⚠️ Self-medication here can worsen blood pressure, heart rate, and cognition

#panicDisorder #anxiety #mentalHealth #clinicalApproach

---

3. ❤️ Cardiovascular risk layer (syncope)

Symptom: → syncope

Critical exclusion: → cardiac arrhythmia

Required diagnostics:

ECG / Holter monitoring

orthostatic blood pressure checks

electrolytes + glucose tests

💊 Any “energy/stimulant correction” without this is unsafe

#syncope #cardiology #riskControl #diagnostics

---

4. 🔋 Metabolic layer

regular meals (prevents “wobbly legs”)

hydration + electrolytes

stable glucose levels

#metabolism #energyBalance #fatigueControl

---

5. 👁️ Vision (not root cause, but amplifier)

→ Computer Vision Syndrome

reduce continuous visual focus

apply 20–20–20 rule

control lighting and contrast

#digitalEyeStrain #screenFatigue #visionStress

---

6. 💊 Pharmacological layer (strict separation)

❌ NOT allowed:

stimulants “to push through”

sleeping pills without diagnosis

mixing sedatives intuitively

self-prescribed beta-blockers / SSRIs

#noSelfMedication #pharmaSafety #riskControl

---

⚠️ ONLY under medical supervision:

short-term anti-anxiety treatment

long-term anxiety disorder management

cardiovascular regulation if diagnosed

#medicalSupervision #psychiatry #evidenceBased

---

7. 🧩 Realistic operational mode

Day (working cycle)

45–60 min work blocks

5–10 min recovery breaks

no skipped meals

controlled standing/movement

Evening

aggressive reduction of stimulation

screen off 60–90 min before sleep

Night

fixed sleep window (not “when possible”)

#workRhythm #deepWork #recoveryBreaks

---

🚨 RED LINE

If:

repeated loss of consciousness

chest pain / severe palpitations

confusion episodes

→ this is no longer stabilization mode, but urgent medical evaluation

#emergency #redFlag #medicalUrgency

---

🧠 Conclusion

This is not simple fatigue. It is systemic autonomic decompensation driven by severe sleep deprivation.

Pharmacology here:

not the base

not a workaround

but a secondary layer after proper diagnosis

#burnout #systemFailure #sleepCollapse #healthSystem

---

If you want the next section:

“Work Survival Architecture (how to function without relapsing into collapse)”

🧭 Section 3 — Stabilization Protocol (Ideal-in-Real Conditions)

🎯 Goal

eliminate loss-of-consciousness episodes

stabilize the autonomic nervous system

reduce panic spikes

restore baseline cognitive function

maintain work functionality in real conditions

#stabilization #healthRecovery #burnoutRecovery #neurostability

---

1. 🧱 Core layer (mandatory — nothing works without this)

💤 Sleep (foundation of recovery)

Goal is not “ideal”, but exiting collapse mode

2–3h → 4–5h (first 3–5 days)

then → 6h stabilization

then → 7h target baseline

⚠️ Without this, any medication layer only masks symptoms temporarily

#sleepRecovery #sleepDebt #recoveryCycle

---

⚡ Nervous system load control

caffeine: drastically reduce (or temporarily remove if tachycardia present)

screen load: breaks every 45–60 min (5–10 min reset)

avoid sudden standing (orthostatic collapse risk)

#nervousSystem #autonomicBalance #loadManagement

---

2. 🧠 Neuro layer (panic / overload)

Symptoms: → panic disorder

Clinical approach (real medicine):

short-term anxiolytics / SSRIs / beta-blockers — ONLY under physician supervision

goal: suppress spikes, not “mute emotions”

⚠️ Self-medication here can worsen blood pressure, heart rate, and cognition

#panicDisorder #anxiety #mentalHealth #clinicalApproach

---

3. ❤️ Cardiovascular risk layer (syncope)

Symptom: → syncope

Critical exclusion: → cardiac arrhythmia

Required diagnostics:

ECG / Holter monitoring

orthostatic blood pressure checks

electrolytes + glucose tests

💊 Any “energy/stimulant correction” without this is unsafe

#syncope #cardiology #riskControl #diagnostics

---

4. 🔋 Metabolic layer

regular meals (prevents “wobbly legs”)

hydration + electrolytes

stable glucose levels

#metabolism #energyBalance #fatigueControl

---

5. 👁️ Vision (not root cause, but amplifier)

→ Computer Vision Syndrome

reduce continuous visual focus

apply 20–20–20 rule

control lighting and contrast

#digitalEyeStrain #screenFatigue #visionStress

---

6. 💊 Pharmacological layer (strict separation)

❌ NOT allowed:

stimulants “to push through”

sleeping pills without diagnosis

mixing sedatives intuitively

self-prescribed beta-blockers / SSRIs

#noSelfMedication #pharmaSafety #riskControl

---

⚠️ ONLY under medical supervision:

short-term anti-anxiety treatment

long-term anxiety disorder management

cardiovascular regulation if diagnosed

#medicalSupervision #psychiatry #evidenceBased

---

7. 🧩 Realistic operational mode

Day (working cycle)

45–60 min work blocks

5–10 min recovery breaks

no skipped meals

controlled standing/movement

Evening

aggressive reduction of stimulation

screen off 60–90 min before sleep

Night

fixed sleep window (not “when possible”)

#workRhythm #deepWork #recoveryBreaks

---

🚨 RED LINE

If:

repeated loss of consciousness

chest pain / severe palpitations

confusion episodes

→ this is no longer stabilization mode, but urgent medical evaluation

#emergency #redFlag #medicalUrgency

---

🧠 Conclusion

This is not simple fatigue. It is systemic autonomic decompensation driven by severe sleep deprivation.

Pharmacology here:

not the base

not a workaround

but a secondary layer after proper diagnosis

#burnout #systemFailure #sleepCollapse #healthSystem

---

If you want the next section:

“Work Survival Architecture (how to function without relapsing into collapse)”

🧭 Section 3 — Stabilization Protocol (Ideal-in-Real Conditions)

🎯 Goal

eliminate loss-of-consciousness episodes

stabilize the autonomic nervous system

reduce panic spikes

restore baseline cognitive function

maintain work functionality in real conditions

#stabilization #healthRecovery #burnoutRecovery #neurostability

---

1. 🧱 Core layer (mandatory — nothing works without this)

💤 Sleep (foundation of recovery)

Goal is not “ideal”, but exiting collapse mode

2–3h → 4–5h (first 3–5 days)

then → 6h stabilization

then → 7h target baseline

⚠️ Without this, any medication layer only masks symptoms temporarily

#sleepRecovery #sleepDebt #recoveryCycle

---

⚡ Nervous system load control

caffeine: drastically reduce (or temporarily remove if tachycardia present)

screen load: breaks every 45–60 min (5–10 min reset)

avoid sudden standing (orthostatic collapse risk)

#nervousSystem #autonomicBalance #loadManagement

---

2. 🧠 Neuro layer (panic / overload)

Symptoms: → panic disorder

Clinical approach (real medicine):

short-term anxiolytics / SSRIs / beta-blockers — ONLY under physician supervision

goal: suppress spikes, not “mute emotions”

⚠️ Self-medication here can worsen blood pressure, heart rate, and cognition

#panicDisorder #anxiety #mentalHealth #clinicalApproach

---

3. ❤️ Cardiovascular risk layer (syncope)

Symptom: → syncope

Critical exclusion: → cardiac arrhythmia

Required diagnostics:

ECG / Holter monitoring

orthostatic blood pressure checks

electrolytes + glucose tests

💊 Any “energy/stimulant correction” without this is unsafe

#syncope #cardiology #riskControl #diagnostics

---

4. 🔋 Metabolic layer

regular meals (prevents “wobbly legs”)

hydration + electrolytes

stable glucose levels

#metabolism #energyBalance #fatigueControl

---

5. 👁️ Vision (not root cause, but amplifier)

→ Computer Vision Syndrome

reduce continuous visual focus

apply 20–20–20 rule

control lighting and contrast

#digitalEyeStrain #screenFatigue #visionStress

---

6. 💊 Pharmacological layer (strict separation)

❌ NOT allowed:

stimulants “to push through”

sleeping pills without diagnosis

mixing sedatives intuitively

self-prescribed beta-blockers / SSRIs

#noSelfMedication #pharmaSafety #riskControl

---

⚠️ ONLY under medical supervision:

short-term anti-anxiety treatment

long-term anxiety disorder management

cardiovascular regulation if diagnosed

#medicalSupervision #psychiatry #evidenceBased

---

7. 🧩 Realistic operational mode

Day (working cycle)

45–60 min work blocks

5–10 min recovery breaks

no skipped meals

controlled standing/movement

Evening

aggressive reduction of stimulation

screen off 60–90 min before sleep

Night

fixed sleep window (not “when possible”)

#workRhythm #deepWork #recoveryBreaks

---

🚨 RED LINE

If:

repeated loss of consciousness

chest pain / severe palpitations

confusion episodes

→ this is no longer stabilization mode, but urgent medical evaluation

#emergency #redFlag #medicalUrgency

---

🧠 Conclusion

This is not simple fatigue. It is systemic autonomic decompensation driven by severe sleep deprivation.

Pharmacology here:

not the base

not a workaround

but a secondary layer after proper diagnosis

#burnout #systemFailure #sleepCollapse #healthSystem

---

If you want the next section:

“Work Survival Architecture (how to function without relapsing into collapse)”

🧭 Section 3 — Stabilization Protocol (Ideal-in-Real Conditions)

🎯 Goal

eliminate loss-of-consciousness episodes

stabilize the autonomic nervous system

reduce panic spikes

restore baseline cognitive function

maintain work functionality in real conditions

#stabilization #healthRecovery #burnoutRecovery #neurostability

---

1. 🧱 Core layer (mandatory — nothing works without this)

💤 Sleep (foundation of recovery)

Goal is not “ideal”, but exiting collapse mode

2–3h → 4–5h (first 3–5 days)

then → 6h stabilization

then → 7h target baseline

⚠️ Without this, any medication layer only masks symptoms temporarily

#sleepRecovery #sleepDebt #recoveryCycle

---

⚡ Nervous system load control

caffeine: drastically reduce (or temporarily remove if tachycardia present)

screen load: breaks every 45–60 min (5–10 min reset)

avoid sudden standing (orthostatic collapse risk)

#nervousSystem #autonomicBalance #loadManagement

---

2. 🧠 Neuro layer (panic / overload)

Symptoms: → panic disorder

Clinical approach (real medicine):

short-term anxiolytics / SSRIs / beta-blockers — ONLY under physician supervision

goal: suppress spikes, not “mute emotions”

⚠️ Self-medication here can worsen blood pressure, heart rate, and cognition

#panicDisorder #anxiety #mentalHealth #clinicalApproach

---

3. ❤️ Cardiovascular risk layer (syncope)

Symptom: → syncope

Critical exclusion: → cardiac arrhythmia

Required diagnostics:

ECG / Holter monitoring

orthostatic blood pressure checks

electrolytes + glucose tests

💊 Any “energy/stimulant correction” without this is unsafe

#syncope #cardiology #riskControl #diagnostics

---

4. 🔋 Metabolic layer

regular meals (prevents “wobbly legs”)

hydration + electrolytes

stable glucose levels

#metabolism #energyBalance #fatigueControl

---

5. 👁️ Vision (not root cause, but amplifier)

→ Computer Vision Syndrome

reduce continuous visual focus

apply 20–20–20 rule

control lighting and contrast

#digitalEyeStrain #screenFatigue #visionStress

---

6. 💊 Pharmacological layer (strict separation)

❌ NOT allowed:

stimulants “to push through”

sleeping pills without diagnosis

mixing sedatives intuitively

self-prescribed beta-blockers / SSRIs

#noSelfMedication #pharmaSafety #riskControl

---

⚠️ ONLY under medical supervision:

short-term anti-anxiety treatment

long-term anxiety disorder management

cardiovascular regulation if diagnosed

#medicalSupervision #psychiatry #evidenceBased

---

7. 🧩 Realistic operational mode

Day (working cycle)

45–60 min work blocks

5–10 min recovery breaks

no skipped meals

controlled standing/movement

Evening

aggressive reduction of stimulation

screen off 60–90 min before sleep

Night

fixed sleep window (not “when possible”)

#workRhythm #deepWork #recoveryBreaks

---

🚨 RED LINE

If:

repeated loss of consciousness

chest pain / severe palpitations

confusion episodes

→ this is no longer stabilization mode, but urgent medical evaluation

#emergency #redFlag #medicalUrgency

---

🧠 Conclusion

This is not simple fatigue. It is systemic autonomic decompensation driven by severe sleep deprivation.

Pharmacology here:

not the base

not a workaround

but a secondary layer after proper diagnosis

#burnout #systemFailure #sleepCollapse #healthSystem

---

If you want the next section:

“Work Survival Architecture (how to function without relapsing into collapse)”

https://www.europesays.com/africa/176922/ Instagram #governmentintervention #healthcarecrisis #healthcareinigeria #healthcareissues #healthcareproblems #healthcareproblemsinnigeria #healthcarestrike #healthcareworkers #healthcareworkersstrike #healthcareworkersunion #healthreform #healthsystem #medicalcare #Nigeria #nigeriahealthcare #nigeriashostpitals #strickthreats

#middleeast #war #conflict #destruction #healthsystem #humanitariancrisis #MiddleEast #Lebanon #Iran #Iraq #Syria #Jordan

2/2

(…) According to WHO data (…) ongoing hostilities in the region have displaced more than 4 million people, with over 3,300 killed and 30,000 injured.“

#middleeast : #war / #conflict / #destruction / #healthsystem / #humanitariancrisis

„The World Health Organization (#WHO) has launched a $30.3 million flash appeal to support health systems in five conflict-hit #MiddleEast countries, warning they are "under severe strain" after weeks of intensified violence.

In a social media post on Friday, WHO Director-General Tedros Adhanom Ghebreyesus named #Lebanon, #Iran, #Iraq, #Syria and #Jordan as needing urgent support…

1/2
https://news.cgtn.com/news/2026-04-04/WHO-launches-30-3-mln-flash-appeal-for-five-Middle-East-countries-1M3JY3DsZi0/p.html?UTM_Source=cgtn&UTM_Medium=rss&UTM_Campaign=World

Ultimate 2D ... #2Dgamedevelopment #Unity #Gamekit #Gametemplates #Charactercontroller #Bullethell #Platformer #Zombieshooter #Movementsystem #Ai #Particleeffects #Healthsystem #Damagesystem #Ammopickups #Xpsystem #AssetStore

https://u3dn.com/packages/ultimate-2d-game-kit-226850

The Lancet has published a short editorial on the state of Ukraine’s health system after four years of war. A few numbers worth noting:

Over 47,000 civilian casualties.
2,591 attacks on health infrastructure.
359 health workers killed.
68% of Ukrainians report a decline in health.
Among health workers: 81% burnout, 69% anxiety, 61% depression, and only 17% have access to psychosocial support.

👉 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00355-7/

#Ukraine #HealthSystem #WarImpact #PublicHealth #HealthWorkers #Resilience

The Lancet has published a short editorial on the state of Ukraine’s health system after four years of war. A few numbers worth noting:

Over 47,000 civilian casualties.
2,591 attacks on health infrastructure.
359 health workers killed.
68% of Ukrainians report a decline in health.
Among health workers: 81% burnout, 69% anxiety, 61% depression, and only 17% have access to psychosocial support.

👉 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00355-7/

#Ukraine #HealthSystem #WarImpact #PublicHealth #HealthWorkers #Resilience

The Lancet has published a short editorial on the state of Ukraine’s health system after four years of war. A few numbers worth noting:

Over 47,000 civilian casualties.
2,591 attacks on health infrastructure.
359 health workers killed.
68% of Ukrainians report a decline in health.
Among health workers: 81% burnout, 69% anxiety, 61% depression, and only 17% have access to psychosocial support.

👉 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00355-7/

#Ukraine #HealthSystem #WarImpact #PublicHealth #HealthWorkers #Resilience

The Lancet has published a short editorial on the state of Ukraine’s health system after four years of war. A few numbers worth noting:

Over 47,000 civilian casualties.
2,591 attacks on health infrastructure.
359 health workers killed.
68% of Ukrainians report a decline in health.
Among health workers: 81% burnout, 69% anxiety, 61% depression, and only 17% have access to psychosocial support.

👉 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00355-7/

#Ukraine #HealthSystem #WarImpact #PublicHealth #HealthWorkers #Resilience

VA looks to abruptly eliminate tens of thousands of health care jobs – The Washington Post

WP Exclusive

VA plans to abruptly eliminate tens of thousands of health care jobs

Strains on the Veterans Affairs system could grow with the elimination of as many as 35,000 mostly unfilled health care positions, including doctors and nurses.

Updated December 13, 2025, 7 min, By Meryl Kornfield, Hannah Natanson and Lisa Rein.

Government reporters Meryl Kornfield, Hannah Natanson and Lisa Rein can be reached securely on Signal at (301) 821-2013, (202) 580-5477 and (202) 821-3120, respectively.

The Department of Veterans Affairs plans to abruptly eliminate as many as 35,000 health care positions this month, mostly unfilled jobs including doctors, nurses and support staff, according to an internal memo, VA staffers and congressional aides.

The cuts come after a massive reorganization effort already resulted in the loss of almost 30,000 employees this year.

Agency leaders have instructed managers across the Veterans Health Administration, the agency’s health care arm, to identify thousands of openings that can be canceled. Employees warn that the contraction will add pressure to an already stretched system, contributing to longer wait times for care.

The decision comes after Veterans Affairs Secretary Douglas A. Collins, under political pressure from Congress, backed away from a plan to slash 15 percent of the agency’s workforce through mass firings. Instead, VA lost almost 30,000 employees this year from buyout offers and attrition.

🏛️Following Politics

The agency hopes that the cuts will reduce the health care workforce to as little as 372,000 employees, a 10 percent reduction from last year, according to a memo shared with regional leaders last month and obtained by The Washington Post. Details of the cuts came into focus in recent days, according to 17 staffers at VA and congressional aides who spoke on the condition of anonymity because they didn’t have permission to share plans.

VA spokesman Pete Kasperowicz confirmed the planned cuts for unfilled positions. He said the health care system is eliminating about 26,400 of its open jobs, which he described as “mostly covid-era roles that are no longer necessary.”

“The vast majority of these positions have not been filled for more than a year, underscoring how they are no longer needed,” he wrote in response to questions. “This move will have no effect on VA operations or the way the department delivers care to Veterans, as we are simply eliminating open and unfilled positions that are no longer needed.”

The nation’s largest government-run health care system has struggled to fill vacancies amid a broader national shortage of health care workers and a strained federal workforce. Job applications to the agency have also fallen 57 percent from last year, according to the agency’s workforce report last month.

This reorganization comes in advance of an expected announcement next week that Collins plans to also shrink the network of 18 regional offices that administer the nation’s VA hospitals and medical centers, according to four people familiar with the plan. Staff at those regional offices help determine policies and manage staffing. Collins and others have been critical of the agency’s top-heavy administrative offices, arguing that staffing cuts there will free up more resources for health care.

The health system grew by tens of thousands of employees under the Biden administration as more veterans enrolled in VA health care after passage of the PACT Act, which expanded benefits for veterans exposed to toxic burn pits. Then-secretary Denis McDonough urged veterans to be seen by VA doctors rather than request referrals to private practitioners outside the system.

Continue/Read Original Article Here: VA looks to abruptly eliminate tens of thousands of health care jobs – The Washington Post

VA looks to abruptly eliminate tens of thousands of health care jobs – The Washington Post

WP Exclusive

VA plans to abruptly eliminate tens of thousands of health care jobs

Strains on the Veterans Affairs system could grow with the elimination of as many as 35,000 mostly unfilled health care positions, including doctors and nurses.

Updated December 13, 2025, 7 min, By Meryl Kornfield, Hannah Natanson and Lisa Rein.

Government reporters Meryl Kornfield, Hannah Natanson and Lisa Rein can be reached securely on Signal at (301) 821-2013, (202) 580-5477 and (202) 821-3120, respectively.

The Department of Veterans Affairs plans to abruptly eliminate as many as 35,000 health care positions this month, mostly unfilled jobs including doctors, nurses and support staff, according to an internal memo, VA staffers and congressional aides.

The cuts come after a massive reorganization effort already resulted in the loss of almost 30,000 employees this year.

Agency leaders have instructed managers across the Veterans Health Administration, the agency’s health care arm, to identify thousands of openings that can be canceled. Employees warn that the contraction will add pressure to an already stretched system, contributing to longer wait times for care.

The decision comes after Veterans Affairs Secretary Douglas A. Collins, under political pressure from Congress, backed away from a plan to slash 15 percent of the agency’s workforce through mass firings. Instead, VA lost almost 30,000 employees this year from buyout offers and attrition.

🏛️Following Politics

The agency hopes that the cuts will reduce the health care workforce to as little as 372,000 employees, a 10 percent reduction from last year, according to a memo shared with regional leaders last month and obtained by The Washington Post. Details of the cuts came into focus in recent days, according to 17 staffers at VA and congressional aides who spoke on the condition of anonymity because they didn’t have permission to share plans.

VA spokesman Pete Kasperowicz confirmed the planned cuts for unfilled positions. He said the health care system is eliminating about 26,400 of its open jobs, which he described as “mostly covid-era roles that are no longer necessary.”

“The vast majority of these positions have not been filled for more than a year, underscoring how they are no longer needed,” he wrote in response to questions. “This move will have no effect on VA operations or the way the department delivers care to Veterans, as we are simply eliminating open and unfilled positions that are no longer needed.”

The nation’s largest government-run health care system has struggled to fill vacancies amid a broader national shortage of health care workers and a strained federal workforce. Job applications to the agency have also fallen 57 percent from last year, according to the agency’s workforce report last month.

This reorganization comes in advance of an expected announcement next week that Collins plans to also shrink the network of 18 regional offices that administer the nation’s VA hospitals and medical centers, according to four people familiar with the plan. Staff at those regional offices help determine policies and manage staffing. Collins and others have been critical of the agency’s top-heavy administrative offices, arguing that staffing cuts there will free up more resources for health care.

The health system grew by tens of thousands of employees under the Biden administration as more veterans enrolled in VA health care after passage of the PACT Act, which expanded benefits for veterans exposed to toxic burn pits. Then-secretary Denis McDonough urged veterans to be seen by VA doctors rather than request referrals to private practitioners outside the system.

Continue/Read Original Article Here: VA looks to abruptly eliminate tens of thousands of health care jobs – The Washington Post

#israel #gaza : #war / #gaza / #infrastructure / #health / #civilianwarvictims / #women / #motherhood / #children / #uno

„Gaza’s #healthsystem for mothers and newborns has been “decimated”, the UN said on Thursday, with Israeli attacks destroying almost all hospitals, cutting off medical supplies and driving sharp rises in #maternaldeaths, #miscarriages and #newbornfatalities amid #massdisplacement and #hunger.“

https://news.un.org/en/story/2025/12/1166569

Allegheny Health Network leads state with 1,000 robotic-assisted lung ‘Ion’ biopsies done – WPXI https://www.byteseu.com/1587999/ #ahn #allegheny #AlleghenyHealthNetwork #AllleghenyGeneralHospital #assisted #Biopsy #Cancer #detection #Health #HealthSystem #Hospital #IonByIntuitive #lung #LungBiopsy #LungCancer #Medicine #Pittsburgh #robot #screening

Exclusive interview: Judge calls for mental health reform after death of local man

BRADLEY …
#NewsBeep #News #Mentalhealth #asylums #BradleyCounty #BradleyCountyCourt #BradleyCountyCriminalCourt #BradleyCountyJudicialComplex #ClayCollins #CriminalCourt #exclusiveinterview #Health #healthsystem #institution #judge #JudgeClayCollins #localnews #mentalhealthresources #mentalhealthsystem #MentalHospital #mentalinstitutions #MentalHealth #system #UK #UnitedKingdom
https://www.newsbeep.com/uk/187479/

Towards universal health care coverage in low- and middle- income countries: integrating refugees into national health systems | Conflict and Health

To-date there has been relative…
#NewsBeep #News #US #USA #UnitedStates #UnitedStatesOfAmerica #Healthcare #ConflictStudies #EmergencyMedicine #Epidemiology #Health #HealthPromotionandDiseasePrevention #HealthServicesResearch #Healthsystem #Low-andmiddle-incomecountries #PublicHealth #Refugees #Universalhealthcare
https://www.newsbeep.com/us/13521/

#israel #palestine : #war / #gaza / #opt / #healthsystem / #ngo

The International Committee of the Red Cross (#ICRC) said on July 8 that a “sharp surge” in deaths and injuries in incidents around aid distribution sites in Gaza was pushing the territory’s already stretched health system past its capacity.

The ICRC said in a statement that its field hospital in south Gaza recorded 200 deaths since the new aid distribution sites were launched in late May.“

1/2

https://www.straitstimes.com/world/middle-east/red-cross-warns-gaza-health-system-overwhelmed-by-casualties-at-aid-distributions

#israel #gaza :#war / #gaza / #uno / #medicalaid / #energy / #fuelshortage

„Gaza’s #healthsystem is at breaking point, overwhelmed time and again by scores of people killed or injured near aid distribution sites, the UN World Health Organization (WHO) said on Tuesday.“

https://news.un.org/en/story/2025/06/1164471

I get the need to increase #defense spending, but on the back of current #austerity it sure feels like were trading a functioning #healthsystem for a javelin missile
#nzpol

I hope someone far more versed in the complexity of the medical system than I am can answer this simple question: If our health insurance market is so beneficial, why are our health costs so high and our life expectancy so low?

#healthinsurance #healthsystem

@VeroniqueB99 I have an older brother in New Jersey and I know what it's like. He also lost his wife to cancer and spent everything he had. At least here in Brazil, healthcare is free.
#healthsystem #reality #society #cancer #fediversehealth #society #capitalism

#introduction

I am economist & political scientist (PhD) and conduct #research and #evaluation on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative #Methods, #RigorousImpactEvaluation, #Causality, #Econometrics.

#introduction

I am economist & political scientist (PhD) and conduct #research and #evaluation on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative #Methods, #RigorousImpactEvaluation, #Causality, #Econometrics.

#introduction

I am economist & political scientist (PhD) and conduct #research and #evaluation on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative #Methods, #RigorousImpactEvaluation, #Causality, #Econometrics.

#introduction

I am economist & political scientist (PhD) and conduct #research and #evaluation on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative #Methods, #RigorousImpactEvaluation, #Causality, #Econometrics.

#introduction

I am economist & political scientist (PhD) and conduct #research and #evaluation on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative #Methods, #RigorousImpactEvaluation, #Causality, #Econometrics.

#MiddleEastCrisis live: #UN inquiry accuses #Israel of crime of ‘#extermination’ in destruction of #Gaza #HealthSystem

Report by ex-UN high commissioner for Human Rights Navi Pillay accuses Israel of ‘relentless and deliberate attacks on medical personnel and facilities’

How a year of war laid waste the Gaza Strip – visualised
https://www.theguardian.com/world/live/2024/oct/10/middle-east-crisis-israel-gaza-iran-us-lebanon-latest-news-updates
#Palestine #Israel #WarCrimes #Genocide

#israel #palestine : #war / #gaza / #infrastructure / #healthsystem

„Cancer patients are waiting to die, polio has returned and many of the doctors and nurses who might have offered help are dead while the hospitals they worked at have been reduced to rubble. Doctors and health professionals say that even if the Israel-Hamas war were to stop tomorrow, it will take years to rebuild the health care sector, and people will continue to die (…).“
https://www.japantimes.co.jp/news/2024/09/11/world/sickness-death-gaza-disease/

Harris Gets MAJOR Policy WIN as Election Heats Up! | Bulwark Takes - https://youtu.be/AsAspYbuUi0?si=2uamM4XEaFmY-WqT #TheBulwark #USHealth #DrugPrices #HealthSystem #JonathanCohn #SamStein #Medicare #USDrugPrices #HealthCare #USHealthCare #USHealthSystem #KamalaHarris #JoeBiden #USPolitics

UN VIDEO MOLTO IMPORTANTE, dettagliato, da vedere, e da DIFFONDERE quanto più possibile:

Quante persone hanno effettivamente ucciso le forze di occupazione israeliane a Gaza dal 7 ottobre ad oggi?

Lo spiega il dottor Mads Gilbert medico norvegese, specialista in anestesiologia e capo del dipartimento di medicina d’urgenza presso l’Ospedale Universitario della Norvegia settentrionale e professore di medicina d’urgenza presso l’Università di Tromsø. Nella sua permanenza a Gaza ha potuto constatare con i propri occhi quanto dice.

https://youtu.be/cM8HATqS-Jo

! WATCH AND SHARE !

#Gaza, #MadsGilbert, #Palestine, #Palestina, #genocide, #genocidio, #hospitals, #diseases, #massmurders, #healthsystem, #massacridimassa, #ospedali, #malattie, #sistemasanitario

https://slowforward.net/2024/07/26/how-many-people-israel-killed-in-gaza-quanti-gli-uccisi-a-gaza-da-israele-_-a-video-in-english-and-italian/

#diseases #Gaza #genocide #genocidio #healthSystem #healthsystem #hospitals #MadsGilbert #MadsGilbert #malattie #massMurders #massacriDiMassa #massacridimassa #massmurders #ospedali #Palestina #Palestine #sistemaSanitario #sistemasanitario

https://www.youtube.com/watch?v=s9TBVBkycw4&list=PLneypbodq-jYq9a6Y8BjobC6KJOIBLCZB&index=3&pp=iAQB

'This Must End': #ApartheidIssrael Orders New Mass Evacuation, Continuing Attacks On #Gaza's #HealthSystem

#FreePalestineNow🇵🇸
#EndtheTortureAndGenocideOfPalestinians
#StopTargetingOfMedicalProvidersInPalestine

A #MustWatchVideo

https://www.youtube.com/watch?v=Z2f38ZxhYLg

#DemocracyNow

Doctor Just Back from #Gaza: The #HealthSystem Has Totally Collapsed Due to #ApartheidIsrael's Genocidal Invasion

#FreePalestineNOW 🇵🇸

@GrahamDowns I think there is a second perspective: This #NHI discussion is a big opportunity. Not necessarily in the way the #ANC would like it to be, quite the opposite:

Now *all* eyes are on #ANC #corruption and #StateCapture in the #HealthSystem in #SouthAfrica.

Before, private health care for those who could afford it was good, so the only ones who lost out big time were those limited to public health care - and those did not have a voice that was heard.

This is changing now: Those with money and power outside the ANC wake up and start to care. And *also* those inside #COSATU and #ANC that are in #MedicalScheme|s and don't want to lose their quality care, no matter what they say publicly.

At the same time, the current system is not fair, social or human - neither can it be that those who can afford it are paying horrendous amounts for private health profits nor that large parts of society do not get quality health care at all.

I am not saying that the #NHI bill in the current form will work or is even more than a smoke screen, but I also think that we are seeing the beginning of a discourse and not the end of it.

A discourse the ANC can not control in the way they thought they could. They might have opened Pandoras Box now...

@royal @kaasbaas

Earlier this morning...

⚠️ #GazaHealthMinistry
Continued brutal #SavageIsraeliAggression completely incapacitated the #healthsystem in the #Gaza strip
https://www.youtube.com/watch?v=xYeSKO9FUcc

Many medical staff including the director of #AlShifaHospital are still kidnapped, tortured, suffering bad conditions and starvation.

Kidnapping doctors! That's how Israel 'defends itself'! Bullshit!

#PermanentCeasefireNOW
#EndGenocideAgainstPalestinians
#EndTheOccupationNOW🇵🇸

#NotInMyName✡️

This phenomenon is exacerbated by the country’s #economic, #political & #racial divides. #America is increasingly a country of haves & have-nots, measured not just by bank accts & property values but also by vital signs & grave markers. Dying prematurely… has become the most telling measure of the nation’s growing #inequality.

…early deaths (are) an extreme manifestation of an underlying deterioration of #health & a failure of the #HealthSystem to respond.

#Affordability #GeographicInequality

Great quote from Jennifer Lunden's forthcoming book "An American Breakdown"

https://jenniferlunden.com/american-breakdown/

#disability #healthsystem #medicalsystem #memoir #nonfiction #creativenonfiction

@badtux @JessTheUnstill @doppelgrau

(2/n)
...the #food and #energy sectors).

As trickle-down clearly could never work, it is high time to finally level the playing field for the people.

A #WealthTax, a steep #CarbonTax, in particular for private trips to space, and an #ExcessProfitsTax / #WindfallProfitTax / #WindfallTax of at least 50% would go a long way to pay for a state-of-the-art #PublicTransport and #HealthSystem...

@gerald_leppert 👋🏽 #introductionpost
We’re the division of gastroenterology and hepatology at a large integrated #Healthsystem in #Pennsylvania. In addition to our mission of making health easier, we have an active research arm and a passion for teaching medical students, residents, and fellows.
#GutHealth #endoscopy #gastroenterology #cancerscreening #ArtificialintelligenceAI #ultrasound #advancedendoscopy #EUS #pancreas #ERCP
Looking forward to connecting and sharing!

#introduction

I am economist & political scientist (PhD) and conduct research on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative, #RigorousImpactEvaluation, #Causality, #Econometrics, #Evaluation.

#introduction

I am economist & political scientist (PhD) and conduct research on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative, #RigorousImpactEvaluation, #Causality, #Econometrics, #Evaluation.

#introduction

I am economist & political scientist (PhD) and conduct research on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative, #RigorousImpactEvaluation, #Causality, #Econometrics, #Evaluation.

#introduction

I am economist & political scientist (PhD) and conduct research on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative, #RigorousImpactEvaluation, #Causality, #Econometrics, #Evaluation.

#introduction

I am economist & political scientist (PhD) and conduct research on #SocialRiskManagement #ClimateChange #GlobalDevelopment #SocialProtection #PublicHealth #CooperativeStudies.

My current focus is on the topics #ClimateChangeAdaptation, #DisasterRiskManagement, #RuralDevelopment, #HealthCareFinancing, #HealthSystem‎‎s.

#ResearchMethods: #MixedMethods & #MethodIntegration, #Quantitative & #Qualitative, #RigorousImpactEvaluation, #Causality, #Econometrics, #Evaluation.