https://www.msn.com/en-us/general/general/life-or-death-consequences-layoffs-throw-indian-country-into-turmoil/ar-AA1z51VV
(
..)
Layoffs were initially expected to include 2,200 IHS workers, of whom 1,400 provided direct patient care, including more than 90 physicians, 350 nurses, at least 25 nurse practitioners, nearly 20 dentists, 43 dental assistants, more than 85 pharmacists, 45 lab technicians, 25 hospital social workers, 45 lab technicians, nearly 130 medical assistants, as well as paramedics, dieticians, behavioral health workers, hospital food service workers, nursing assistants and more than 15 service area chief executives or their deputies.
But the White House issued an exemption Friday afternoon for certain IHS workers that reduced the total layoffs to 950, officials told ICT. Details were not immediately available on whether or how many doctors, nurses and other direct-care workers would be affected.
Nonetheless, the impact would be severe, officials said.
Such a drastic reduction in force would lead to the immediate cancellation of medical services and procedures, the coalition letter states. There are 214 Tribal Nations that receive some of all of their care directly from IHS, and losing probationary providers and staff would mean a loss of health and ultimately mortality. Indian Country cannot afford emergency rooms and clinics being forced to shut down or significantly downsize, eliminating critical access to care.