Federal Staffing Cuts Delay Critical Medical Care for 9/11 Survivors 25 Years After Attacks

Nearly 25 years after the September 11 attacks, survivors and first responders are waiting months — not days — to get cancer screenings and medical care they were promised by Congress. Federal staffing cuts ordered by the Department of Government Efficiency (DOGE) have created a massive backlog inside the World Trade Center Health Program, the government program that serves more than 125,000 enrolled survivors NIOSH.
Processing times for new 9/11 health claims have jumped from 30 days to 120 days since early 2026 The New York Times. Over 500 survivors have had cancer screenings canceled or delayed due to understaffing FealGood Foundation. John Feal, founder of the FealGood Foundation, put it plainly: the government "has been commercialized" and has broken its promise of 'Never Forget.'
The World Trade Center Health Program was created by the James Zadroga 9/11 Health and Compensation Act, signed into law in January 2011. Congress later extended it through 2090. The program covers no-cost medical monitoring and treatment for certified conditions tied to 9/11 exposure. Its annual budget stands at $2.7 billion NIOSH.
Between February and March 2026, the National Institute for Occupational Safety and Health (NIOSH) — which runs the program — lost 15% of its administrative staff and caseworkers. About 450 positions were cut across the HHS departments that support the program Reuters. A Government Accountability Office report found that 9/11 cases require specialized, hands-on work that cannot be handed off to general staff or automated systems GAO.
The 9/11 program covers rare cancers and breathing diseases caused by toxic dust at Ground Zero. Right now, 82,000 survivors live with at least one certified chronic illness CDC. Wait times for complex case reviews have risen 36% since January 2026. Advocates say every month of delay can be deadly.
Dr. Michael Crane of the WTC Health Program at Mount Sinai warned that "early detection is the only reason our mortality rates aren't higher." He said that when a cancer screening is delayed by four months because a clerk was fired, "you are effectively allowing a tumor to metastasize" The Lancet. The Congressional Budget Office has previously found that preventive care for 9/11 survivors saves the federal government roughly $250 million a year in emergency and late-stage treatment costs CBO.
John Feal issued a public ultimatum to the administration on June 5, 2026, demanding cuts be reversed before the 25th anniversary of the attacks this September. "They are looking at heroes as line items on a spreadsheet," Feal said Associated Press. A May 2026 Pew Research Center poll found that 72% of Americans support exempting 9/11 and veteran programs from all staffing cuts Pew Research Center.
Senator Kirsten Gillibrand of New York called the situation a "death sentence by paperwork." She said you "cannot run a medical program for 125,000 cancer-stricken survivors with a skeleton crew" CNN. Veterans groups including the VFW have joined the fight, fearing the 9/11 cuts signal what is coming next for VA staffing Wall Street Journal.
DOGE has not commented on the 9/11 program directly. Its June 2026 status report states that cuts target "middle management, not frontline services" DOGE Status Report. Some conservative outlets argue the backlog is caused by career staff resisting automation, not by the cuts themselves National Review.
But the financial math cuts against that argument. The program's costs have risen 400% since 2011, partly due to rising medical inflation and a larger enrolled population Bloomberg. Still, Congress has already committed funding through 2090. The current crisis is not about money — it is about not having enough trained people to process claims and get survivors into treatment rooms.
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