{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:09:53Z","timestamp":1790255393179,"version":"4.1.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The capacity of the U.S. Department of Health and Human Services (HHS) has been substantially reduced since early 2025. This has included staffing cuts on a scale not seen in decades, delays in implementing billions of dollars in grants, and other disruptions to normal operations, all of which have received considerable public coverage and attention. To date, far less public attention has been given to rebuilding efforts. This commentary presents recommendations for rebuilding HHS\u2019 lost capacity, following a series of roundtable discussions convened by a network of former senior HHS appointees. The roundtables included former HHS political appointees, career program staff and division leaders, and health policy researchers from universities, think tanks, and policy organizations. Based on common themes in these discussions, we propose 5 recommendations to rebuild HHS capacity: (1) treating and funding the rebuilding of federal health and health research capacity as an urgent national security priority; (2) shifting from reactive crisis management to coordinated forward planning; (3) continued documentation of what capacity has been lost and why; (4) establishing an independent, nonpartisan science advisory body across HHS; and (5) drafting legislation now so that policy windows are not missed when they open.<\/jats:p>","DOI":"10.1093\/haschl\/qxag245","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T11:33:20Z","timestamp":1788867200000},"source":"Crossref","is-referenced-by-count":0,"title":["Rebuilding health and human services: a call to strategic planning and action"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1715-6258","authenticated-orcid":false,"given":"Sean","family":"Bruna","sequence":"first","affiliation":[{"name":"Department of Anesthesia & Perioperative Medicine, Medical University of South Carolina , MSC 912, 167 Ashley Ave, Ste 301, Charleston, SC 29425-9120 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Sarvana","sequence":"additional","affiliation":[{"name":"Office of the Assistant Secretary for Health, U.S. Department of Health and Human Services , Washington, DC 20201 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"2026092408515854800_qxag245-B1","doi-asserted-by":"publisher","DOI":"10.1377\/forefront.20250418.195899","article-title":"Trump administration's HHS cuts: creating waste and inefficiency, not 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what is Trump's role?","volume":"394","author":"Brown","year":"2026","journal-title":"BMJ"},{"issue":"1","key":"2026092408515854800_qxag245-B7","doi-asserted-by":"publisher","first-page":"14","DOI":"10.2105\/ajph.2025.308268","article-title":"Funding and defunding of NIH research should be based on real science and not politics or amorphous constructs","volume":"116","author":"Resnicow","year":"2026","journal-title":"Am J Public Health"},{"key":"2026092408515854800_qxag245-B8","author":"The Impact Project"},{"key":"2026092408515854800_qxag245-B9","author":"HHS Impacts Group"},{"issue":"8113","key":"2026092408515854800_qxag245-B10","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1038\/d41586-026-01361-7","article-title":"Entire NSF science advisory board fired by Trump administration","volume":"653","author":"Garisto","year":"2026","journal-title":"Nature"}],"container-title":["Health Affairs 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