圖像加註文字，民主黨在2024年大選期間大力針對這份文件展開競選攻勢這些方法在特朗普第二任期初期顯而易見，例如新成立的「政府效率部」（DOGE）積極裁員，以及將美國國際開發署（USAID）劃歸國務院管轄。
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Patients are being told to assume their appointments and treatments will go-ahead, unless they are told otherwise.
Earlier research has suggested that 10% of aerosols in the atmosphere are already contaminated by space debris.