The public knew Robert F. Kennedy Jr. would pursue a radical agenda, but it doesn’t make the new developments less terrifying.

Layoff notices began Tuesday, impacting workers across multiple agencies. The FDA will lose 3,500 jobs, the CDC 2,400, the National Institutes of Health 1,200, and the Centers for Medicare and Medicaid Services 300, according to figures released by HHS.

Top federal health leaders across the Department of Health and Human Services were effectively ousted Tuesday from their posts.