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""A gripping page-turner that doubles as both a warning and an inspiration."" --Samantha Power, Pulitzer Prize-winning author of A Problem from Hell A civil servant discovers his breaking point when the Trump administration's cruelty and indifference threaten to violate the oath he swore to uphold.Nicholas Enrich had finally achieved his lifelong dream: becoming USAID's lead official for global health. But that dream turned out to be a nightmare in the tumultuous time after President Trump's second inauguration. In the months that followed, USAID became the first target of Elon Musk's newly created Department of Government Efficiency (DOGE). The mission to which Enrich had dedicated his career was being dismantled before his eyes--even the name of the agency was removed from the building's facade. Enrich witnessed firsthand the Trump administration's lies, how it systematically prevented USAID from providing lifesaving foreign aid, and the death and suffering around the world that resulted from careless decisions. Finally determining he could no longer keep quiet, and risking the career that he loved deeply, Enrich released a set of whistleblowing memos exposing the administration's illegal and destructive actions. Enrich was put on administrative leave, yet his memos went viral and had a sustained impact. In the days following their release, hundreds of canceled aid projects were revived, and the documents were cited in a Supreme Court case on the legality of USAID's dissolution. While his memos were too late to save USAID, Enrich was one of the first government officials to publicly blow the whistle on DOGE's reckless destruction, sounding an early alarm bell for other federal agencies that would soon find themselves in the crosshairs. Urgent and profoundly human, Enrich's story offers an astonishing behind-the-scenes look at a federal agency under siege, from the early days when Enrich and his team were unaware of what was to come to the shockingly ignorant, callous, and bigoted conversations they witnessed. Enrich reveals in this detailed, no-holds-barred account what was truly at stake when DOGE set out to dismantle one of America's most effective humanitarian institutions, and how millions of lives hung in the balance.

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9781668161982

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NICHOLAS ENRICH is a former civil servant who worked at USAID under four administrations. He served as the Bureau of Global Health's director of policy, programs, and planning until January 2025, when he was designated as USAID's acting assistant administrator for global health. On March 2, 2025, he was placed on administrative leave for exposing the Trump administration's illegitimate and dangerous dismantling of USAID. NICHOLAS ENRICH is a former civil servant who worked at USAID under four administrations. He served as the Bureau of Global Health's director of policy, programs, and planning until January 2025, when he was designated as USAID's acting assistant administrator for global health. On March 2, 2025, he was placed on administrative leave for exposing the Trump administration's illegitimate and dangerous dismantling of USAID. Atul Gawande is author of three bestselling books: Complications, a finalist for the National Book Award; Better, selected by Amazon.com as one of the ten best books of 2007; and The Checklist Manifesto. His latest book is Being Mortal: Medicine and What Matters in the End. He is also a surgeon at Brigham and Women's Hospital in Boston, a staff writer for the New Yorker, and a professor at Harvard Medical School and the Harvard School of Public Health. He has won the Lewis Thomas Prize for Writing about Science, a MacArthur Fellowship, and two National Magazine Awards. In his work in public health, he is executive director of Ariadne Labs, a joint center for health systems innovation, and chairman of Lifebox, a nonprofit organization making surgery safer globally. He and his wife have three children and live in Newton, Massachusetts.

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