NIH leaders offered Indian Health Service jobs in Alaska, Montana, Dakotas

The emails started arriving late on a Monday night.

“The Department of Health and Human Services (HHS) proposes to reassign you as part of a broader effort to strengthen the department and more effectively promote the health of American people,” the email read. “One critical area of need is in the American Indian and Alaskan Native communities.”

Amid the Trump administration’s massive layoffs at HHS, these reassignment emails accelerated an apparent purge of leadership at federal health agencies. Top officials in different parts of HHS were put on administrative leave with the option of relocating to a new job in Alaska, Montana, New Mexico or other postings within the Indian Health Service (IHS).

“Utmost disrespect”

The number of health leaders who got the emails and the reasons for who was picked remain unclear. The email doesn’t specify what will happen to those placed on administrative leave if they don’t accept the offer.

“The move displays the utmost disrespect for public service. It is clearly designed to force talented scientists and health experts to leave government,” says Richard Besser, CEO of the Robert Wood Johnson Foundation, a noofit philanthropy focused on health. “It is also an insult to those health care professionals in the Indian Health Service who dedicate their lives to providing health care services on tribal lands.”

It is unclear if anyone took the offer or plans to take it.

Connections to Fauci

So did Fauci’s wife, Christine Grady, the top bioethicist at NIH, along with two others close to Fauci, according to a source who was not authorized to speak about the situation.

Fauci, who left the NIH in 2022, became a hero to many during the pandemic, but has also been vilified by critics of the government’s response. Dr. Francis Collins, who also worked closely with Fauci as NIH director, was recently forced out of the agency.

The offer appears to be “an opportunity to try and say they’re not being let go, they’re being offered a new opportunity,” said Susan Polan, associate executive director of the American Public Health Association. But that “does not seem to be the ultimate goal. The goal really does seem to be to undermine the leadership in these agencies.”

IHS used as “a pawn”

Polan spoke during a briefing last week by public health advocates and officials decrying cuts of about 10,000 workers at the Centers for Disease Control and Prevention, the Food and Drug Administration, the NIH and other agencies.

“It’s a way to try to get people to quit,” added Dr. Phillip Huang, director of Dallas County Health and Human Services, at the briefing.

The Indian Health Service provides crucial services and deserves to be adequately staffed with the most qualified workers, Huang and others at the briefing said.

Reassignment locations

• Alaska
• Albuquerque [New Mexico]
• Bemidji [Minnesota]
• Billings [Montana]
• Great Plains [South Dakota, North Dakota, Nebraska, Iowa]
• Navajo [Arizona, New Mexico, Utah]
• Oklahoma

“We would like to understand your preference across these potential reassignment opportunities,” the email says.

“Specifically, we would like to know which regions you would accept a voluntary reassignment and the order of your preference, if any, across the regions,” it states.

Health leaders offered transfer

– Dr. H. Clifford Lane, deputy director for clinical research at the National Institute of Allergy and Infectious Diseases, who had long worked with Fauci.

– Dr. Emily Erbelding, director of the division of microbiology and infectious diseases at the National Institutes of Allergy and Infectious Diseases.

– Renate Myles, director of communications for NIH;

– Dr. Eliseo J. Pérez-Stable, director of the National Institute on Minority Health and Health Disparities;

– Dr. Shannon Zenk, director of the National Institute of Nursing Research;

– Dr. Diana Bianchi, the director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

– Brian King, director of the Food and Drug Administration’s Center for Tobacco Products.

IHS is a priority for RFK Jr.

The Indian Health Service was an early target of Elon Musk’s DOGE cuts, when 950 employees were fired in February. But HHS Secretary Robert F. Kennedy Jr. quickly intervened and said all of those staff should be rehired. “The Indian Health Service has always been treated as the redheaded stepchild at HHS,” Kennedy said at the time in a written statement to ICT, a noofit news organization that covers Indigenous people.

Kennedy announced he would be visiting the Navajo Nation in a western trip Monday through Wednesday. Kennedy dubbed it a “MAHA tour” — referring to his Make America Healthy Again slogan. He will also go to Arizona and Utah and meet with tribal leaders, though HHS did not share a precise itinerary in a press release on the trip.

Georges Benjamin, executive director of the American Public Health Association, says broader cuts to federal health programs affect tribal communities, too. “When they cut grants or close down CDC programs they also directly and indirectly cut IHS programs,” he says.

Smith, who is from Valdez Village in Alaska and who chairs the National Indian Health Board, says tribal leaders need the chance to weigh in on any changes.

“We urge the Department of Health and Human Services (HHS) to uphold this obligation and engage in meaningful Tribal Consultation before moving forward with any reassignments,” Smith wrote in the statement.

Other top federal health officials who have been recently forced out include Dr. Peter Marks, who was the top vaccine regulator at the FDA.