E mployees of the U.S. Department of Health and Human Services (HHS) knew that mass layoffs would be coming on April 1. But many did not expect the cuts to be so deep—or the implications of the layoffs to be so potentially detrimental to the health and wellbeing of American families. The layoffs came in many formats: in emails at 5 a.m., in person when employees tried to swipe their badges at the workplace and found they were deactivated, in messages while they waited in line to try to get into