How can the government balance workforce reduction with maintaining public health safety?

There exists a fundamental tension between reducing the size of government agencies and ensuring essential health security functions remain intact. The core challenge is determining how much staff can be cut while still maintaining critical surveillance, research, and protective activities that keep the country safe from various health threats. The Trump administration's approach of significantly shrinking the HHS workforce raises serious concerns about whether it's possible to simultaneously reduce personnel and effectively monitor constant threats entering the country, particularly regarding disease surveillance and emergency response capabilities for threats like avian flu and Ebola.