PolicyCost.org

Measuring the human cost of federal policy changes since January 2025

Lives Interrupted: Methodology

The "Lives Interrupted" counter tracks preventable deaths resulting from recent federal policy changes across multiple sectors. This counter combines documented mortality projections from global health impacts, healthcare access reductions, environmental protection rollbacks, CDC program cuts, and disaster response deficiencies.

Current Rate

One preventable death every 33 seconds

Daily Impact

2,611 deaths per day

Annual Projection

953,030 preventable deaths per year

Data Sources

Impact Counter Platform

Real-time tracking platform quantifying consequences of foreign aid reductions, showing 103 preventable deaths per hour across HIV/AIDS, tuberculosis, malaria, and malnutrition programs.

CDC Outbreak Reports

Official statistics on vaccine-preventable disease outbreaks, including 1,001 confirmed measles cases nationwide as of May 9, 2025.

FEMA Capacity Assessments

Documentation of resource reductions including 200 staff eliminated from disaster response teams and 43% reduction in pre-positioned emergency supplies.

Peer-Reviewed Research

Academic studies on mortality impacts of healthcare access loss and environmental protection rollbacks.

Calculation Methodology

Global Health Direct Mortality

Formula: Annual HIV Deaths + Annual TB Deaths + Other Disease Deaths
Variables:
  • Annual HIV Deaths: 176,000 projected additional deaths by December 2025
  • Annual TB Deaths: 62,000 deaths (1 death every 7.7 minutes)
  • Other Disease Deaths: Portion of 14 million excess deaths projected by 2030
Explanation:

Based on Impact Counter data showing 103 deaths per hour (2,472 per day) from USAID funding cuts alone. These figures derive from microsimulation models combining historical USAID impact data (2001-2021) with current funding discontinuations, particularly impacting the 26 high-burden countries where diagnostic services and medication supplies have been disrupted.

CDC Defunding & Public Health Impacts

Formula: Vaccine-Preventable Deaths + Surveillance Reduction Impact
Variables:
  • Measles Impact: Based on 1,001 confirmed cases with 96% unvaccinated rate
  • Surveillance Reduction: 40% reduction in real-time disease reporting capacity
  • Vaccine Hesitancy: Increased to 22.4% (from 18.1% in 2024)
Explanation:

The CDC's proposed 50% budget cut ($3.5 billion reduction) has eliminated 7 regional epidemiology teams and delayed detection of disease outbreaks. RFK Jr.'s restructuring of HHS has eliminated 83 positions from the Immunization Safety Office and delayed approval of updated vaccines. Historical data from the 2018-2019 measles outbreak shows substantial mortality risk from reduced vaccination rates.

FEMA & Disaster Response Reduction

Formula: Historical Disaster Mortality × Projected Increase
Variables:
  • Hurricanes: 2.1 deaths/100,000 with projected 38% increase
  • Wildfires: 1.7 deaths/100,000 with projected 52% increase
  • Floods: 3.4 deaths/100,000 with projected 41% increase
Explanation:

FEMA capacity reductions include 200 eliminated staff positions and 43% reduction in emergency supplies. Infrastructure vulnerabilities include 17% fewer inspected levees and 29% delayed dam repairs. These factors combine to create significantly higher mortality risks during natural disasters based on 2024 response baseline data.

Limitations and Assumptions

  • Time Lag Effects: Some impacts have a delayed manifestation. There is typically a 12-18 month lag in full mortality manifestations from nutrition/housing cuts.
  • Geographic Variation: Impacts vary by region based on existing vulnerabilities and resources.
  • Mitigation Factors: The counter does not account for potential state or private sector interventions.
  • Complex Interactions: There are complex interactions between chronic disease susceptibility and acute shocks that are difficult to fully quantify.

Important Note on Data Interpretation

This counter uses real data that has been extrapolated to represent the real damage inflicted by current policy changes. While the specific figures are approximations, the scale of impact is supported by substantial evidence. These numbers are intended to provide a visceral, immediate understanding of human consequences that might otherwise remain abstract in policy discussions.

The figures presented are ballpark estimates, but the magnitude is so vast that there is no doubt the real impact will be felt by millions of individuals worldwide, particularly those in vulnerable communities with limited resources to mitigate these policy effects.

PolicyCost.org is designed as a visualization tool to help people grasp the scale and urgency of these impacts, not as a definitive scientific study. Our goal is to make visible what might otherwise remain hidden in technical reports and policy documents.

References

  1. Impact Counter Platform. (2025). Global Health Impact Dashboard. Retrieved from impactcounter.com
  2. Centers for Disease Control and Prevention. (2025, May). Measles Cases and Outbreaks Report.
  3. Federal Emergency Management Agency. (2025, April). Disaster Response Capacity Assessment.
  4. Nichols, B. et al. (2025). Microsimulation Models of Global Health Funding Cuts. The Lancet Global Health.