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CLIMATEWIRE | When EPA announced its intent to roll back more than two dozen regulations last month, Administrator Lee Zeldin said it was necessary because pollution limits were “suffocating” the nation’s economy.

But 12 of the 31 rules on the chopping block protect Americans’ ability to breathe by curtailing air pollutants like fine particulate matter and ozone. According to one review of EPA’s analyses, those rules would collectively prevent more than 100 million asthma attacks through 2050.

The regulatory rollback isn’t the Trump administration’s only move that will affect American lungs. Just this month, the Department of Health and Human Services completely eliminated the Centers for Disease Control and Prevention’s asthma office, which provides funding and advice to state and local health officials on how to prevent the the inflammatory lung condition.

“I don’t say this lightly, but these are programs that were keeping people alive,” said Laura Kate Bender of the American Lung Association. “And now we have this double whammy where on the one hand, we are seeing the threat of a slew of air pollution rollbacks and lax enforcement at EPA, and on the other hand, they are cutting programs that were helping people manage their lung disease.”

The rollbacks and cuts contradict the Trump administration’s stated goals of reducing childhood chronic diseases, including asthma. Asthma was mentioned twice in President Donald Trump’s February executive order that directed federal agencies to act “urgently” to end chronic childhood diseases through “fresh thinking” on “environmental impacts” to health, among other things.

Asked how EPA reconciles its directive to tackle asthma with rolling back regulations that prevent the disease, EPA spokesperson Molly Vaseliou said only that “the Trump Administration is taking steps in the right direction to ensure EPA adheres to the agency’s core mission of protecting human health and the environment and powering the great American comeback.”

The costs of a regulatory rollback

Elizabeth Hauptman remembers the joy she felt two years ago when EPA finalized a carbon rule meant to reduce pollution from fossil fuels.

Now a field consultant for Moms Clean Air Force, Hauptman started paying attention to air pollution regulations when her then-toddler son, Oscar, started having difficulty breathing. In the years since he was diagnosed with asthma, Oscar, now 15, has been to the intensive care unit twice and had to sit out sports practices more times than Hauptman can count on poor air quality days.

She had been hoping the carbon rule would save more kids like Oscar from struggling to breathe. But now the rule is one of 12 air pollution limits EPA announced it would reconsider in March on its “biggest deregulation action in U.S. History.”

Hauptman worries EPA’s actions will only make asthma attacks more common — for her son and others.

“My son is growing up in a world where he has to check the air quality index like some kids check their favorite sports scores, and that should not be normal,” she said. “This is not just about policy — it’s about playgrounds and bedtime stories without wheezing.”

In 2035 alone, EPA estimated, the rule would prevent 1,200 premature deaths, 870 hospital and emergency room visits, 1,900 new asthma diagnoses and 360,000 asthma attacks severe enough to require an inhaler.

Those calculations are part of the cost-benefit analysis EPA is required by law to conduct whenever it issues new regulations. They often measure the benefits of reducing air pollution in terms of avoided asthma symptoms,

emergency room visits and hospitalizations.

“My son is growing up in a world where he has to check the air quality index like some kids check their favorite sports scores, and that should not be normal. This is not just about policy — it’s about playgrounds and bedtime stories without wheezing.” —Elizabeth Hauptman, field consultant

For example, EPA estimated that another regulation targeted in Zeldin’s rollback — the “good neighbor” rule — would prevent 179,000 asthma attacks and 5,000 new diagnoses of the disease in 2026. The rule limits smokestack emissions from power plants that create ozone pollution and smog in downwind, neighboring states.

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