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Its hard to imagine more foolish, poorly considered, and thoughtless actionsactions that will hurt Americans. The cuts also included at least four directors of the NIHs 27 institutes and centers and nearly entire communications staffs, according to the Associated Press, which also reported extensive layoffs in programs that track asthma, air pollution, smoking, gun violence, reproductive health, climate change and other health threats at the CDC and less drastic cuts at the Centers for Medicare and Medicaid Services

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