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After years of accelerating progress that has reduced cancer deaths by a third since the 1990s, the institute has terminated funds nationwide for research to fight the disease, expand care, and train new oncologists. €œWe use the word €˜drone attack€™ now regularly,€ one worker said of grant terminations. €œIt just happens from above.€

The assault could well result in a perceptible slowing of progress in the fight against cancer.

Nearly 2 million Americans are diagnosed with malignancies every year. In 2023, cancer killed more than 613,000 people, making it the second leading cause of death after heart disease. But the cancer fight has also made enormous progress. Cancer mortality in the U.S. has fallen by 34% since 1991, according to the American Cancer Society. There are roughly 18 million cancer survivors in the country.

That trend €œwe can very, very closely tie to the enhanced investment in cancer science by the U.S. government,€ said Karen Knudsen, CEO of the Parker Institute for Cancer Immunotherapy and a globally recognized expert on prostate cancer.
This article is based on interviews with nearly two dozen current and former NCI employees, academic researchers, scientists, and patients. KFF Health News agreed not to name some government workers because they are not authorized to speak to the news media and fear retaliation.

€œIt€™s horrible. It€™s a crap show. It really, really is,€ said an NCI laboratory chief who has worked at the institute for three decades. He€™s lost six of the 30 people in his lab this year: four scientists, a secretary, and an administrator.

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It didn€™t last. A month later, HHS fired nearly all of them, three former workers said. Combined with retirements and other departures, a skeleton crew of six or seven remain of about 75 people. €œWe were all completely blindsided,€ a fired worker said. NCI leadership €œhad no idea that this was happening.€
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As a result, websites, newsletters, and other resources for patients and doctors about the latest evidence in cancer treatment aren€™t being updated. They include Cancer.gov and NCI€™s widely used Physician Data Query, which compile research findings that doctors turn to when caring for cancer patients.

Gary Kreps, founding director of the Center for Health and Risk Communication at George Mason University, said he relied on Physician Data Query when his father was diagnosed with advanced stomach cancer, taking PDQ printouts when he met with his dad€™s doctors. €œIt made a huge difference,€ Kreps said. €œHe ended up living, like, another three years€ €” longer than expected €” €œand enjoyed the rest of his life.€

As of May 30, banners at the top of the Cancer.gov and PDQ websites said, €œDue to HHS restructuring and reduction in workforce efforts, the information on this website may not be up to date and pages will indicate as such.€ The banners are gone, but neither website was being updated, according to a fired worker with knowledge of the situation.

Outdated PDQ information is €œreally very dangerous,€ Kreps said.

Wiping out NCI€™s communications staff makes it harder to share complex and ever-changing information that doctors and patients need, said Peter Garrett, who headed NCI€™s communications before retiring in May. Garrett said he left because of concerns about political interference.

€œThe science isn€™t finished until it€™s communicated,€ he said. €œWithout the government playing that role, who€™s going to step in?€

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