an administration oriented so tightly to the details of performance that they’ll take photos off the walls at USAID but so untethered from the actual work of governance that no one knows whether Medicaid is currently operational
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John Hudson
USAID officials called Trump's directives a "shock and awe" approach that has left officials unsure how to apply for exemptions for life-saving aid programs. "They even removed all the pictures in our offices of aid programs," per one official
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