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An internal budget document leaked to the press on Wednesday gives the clearest vision yet of Robert F. Kennedy Jr.’s planned chronic disease-fighting agency, the Administration for a Healthy America. 

The Office of Management and Budget document, which STAT obtained, has not been authenticated by the Department of Health and Human Services — and would require Congress’ approval to become real — but it sketches out a new HHS. Even after mass layoffs, some divisions would experience even deeper cuts as part of the restructuring, losing programs related to everything from firearm injury to HIV/AIDS treatment, worker safety and chronic diseases. 

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The document, labeled “Pre-decisional,” envisions a major budget cut and substantial reorganization at the National Institutes of Health. The NIH budget would drop nearly 40 percent, going from $47 billion budget to $27 billion, and the NIH’s 27 institutes would be consolidated down to just eight.

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