white house chief

WASHINGTON — President Trump on Monday directed the federal government to bolster federal research into women’s health, a move pushed by his wife, first lady Melania Trump.

The Republican president signed an executive order that creates a new women’s health division at the National Institutes of Health and a White House task force to focus on the issue. That panel was set to hold its first meeting Monday after the Trumps held a Rose Garden signing ceremony.

“Beginning today we will change the reality of women’s health,” Melania Trump said. “Previous generations fought for women’s rights. Our generation will fight to discover the cures that will ensure a woman can live her life in health and to the fullest.”

The president, who spoke after his wife, said the order will “promote new research and really go after the understudied diseases affecting women.” The order is also intended to promote diagnostic technology and improve treatment.

White House chief of staff Susie Wiles, who recently completed treatment for breast cancer, and Health and Human Services Secretary Robert F. Kennedy Jr. will lead the White House task force. Donald Trump said the task force will coordinate with various federal agencies and programs. The order does not include specific funding goals.

The initiative comes after a series of meetings the first lady had with federal health officials.

The president called it a “historic action” and praised the first lady’s work.

“She’s accomplished so much,” he said before pivoting into unscripted commentary on White House renovations, including the patio stone that now covers what was once the Rose Garden lawn.

Shifting back to women’s health, the president expressed surprise that some of the order’s requirements had not already been imposed.

“Who the hell wouldn’t have a women’s health division?” he said, after recalling that he’d asked Melania Trump, “Are you sure they don’t have that?”

The executive order calls for targeting maternal health, mental health and endometriosis. It also mentions other health concerns and diseases, including Alzheimer’s, osteoporosis, heart disease and stroke.

Melania Trump helped shape the order and the task force in consultation with physicians, White House officials, Kennedy and the Republican president. The initiative adds a new dimension to her policy portfolio as first lady.

In Donald Trump’s second term, the first lady has focused on improving foster care systems and expanding technology and artificial-intelligence access in education. In Trump’s first presidency, the first lady’s signature initiative, Be Best, focused on child well-being, safe social media use and reducing drug abuse.

The White House ceremony comes weeks before Nov. 3 elections and as Donald Trump’s job approval ratings have declined, including among women.

About 4 in 10 independent women supported Trump during the 2024 election against Democrat Kamala Harris and in the pre-presidency period, according to AP-NORC polls. That dropped to around a quarter in the opening months of this midterm election year, the period marked by Trump’s hard-line immigration crackdown in U.S. cities and the opening weeks of the Iran war.

Barrow writes for the Associated Press.

WASHINGTON — President Trump bypassed his White House chief of staff last week in selecting Katie Zacharia as his press secretary and chief messenger, triggering days of scathing headlines about her credentials and abilities before her ignominious resignation on Friday.

Susie Wiles, that senior-most aide ostensibly in charge of the president’s team, is facing his scrutiny over a different set of problems: widespread public anxiety over corruption in government under the Trump administration. The issue has surpassed the economy as the top concern of voters entering next month’s election, according a Fox News poll released this week.

Marco Rubio, the president’s secretary of State and national security advisor, has been silent on Trump’s decision to cut a deal with Moscow on diesel sales that could fuel Russia’s war against Ukraine. The president’s poll numbers have been below water across the board, but especially so on foreign policy, where over two-thirds of Americans disapprove of his job performance and support Kyiv’s fight for freedom.

Trump aides walk to board Air Force One on Tuesday: Natalie Harp, Trump’s executive assistant, left; Walt Nauta, director of Oval Office operations (in sunglasses); Chief of Staff Susie Wiles; and then-Press Secretary Katie Zacharia.

(Alex Wong / Getty Images)

And on Thursday, the president was forced to reverse a course set out by Defense Secretary Pete Hegseth and the Pentagon to live-stream the execution of a convicted mass shooter by firing squad.

In the final stretch of the 2026 midterms, nearly two weeks out from election day, a White House that has enjoyed relative stability over the past two years has returned to the state of disarray that characterized much of Trump’s early political career, anticipating sweeping losses to Democrats in the House and Senate.

Staff upheaval is expected as officials brace for a blame game over Republican performance, with some distancing themselves from what they see as a fading political movement.

Polls suggest that Republicans are likely to lose control of the House, setting up two years of relentless congressional probes through the twilight of the Trump era, and that Democrats could even flip the Senate, winning in ruby red states from Ohio to Alaska.

It is historically a time for closing arguments, when politicians deliver their final pitches to voters in neat, disciplined packages.

Yet Trump’s campaign blitz across the country in recent weeks has generated a muddled message, dismissing the importance of the election itself at the risk of depressing Republican votes, overshadowing local candidates seeking distance from his record and touting an economy unrecognizable to most Americans.

President Trump walks ahead of Katie Zacharia at the White House.

(Win McNamee / Getty Images)

The president’s selection of Zacharia, who lasted just five days on the job, raised fresh questions about his message discipline in the final stretch.

And infighting within the White House has reinforced a narrative among political pundits that Democratic gains are a fait accompli, despite Zacharia, in her first and only press briefing, foretelling of Republican energy and excitement “never seen before in the history of midterms thanks to President Trump.”

Election officials across the country fear that, anticipating inevitable losses, Trump may be laying the ground to challenge the authenticity of the election results themselves.

“You know, this is the only guy that — it’s ‘promises made, promises kept,’ but he did more things than he promised,” Trump said Thursday, referring to himself in the third person. “I think we did. We did much more than we promised.”

The extent of the coming West Wing shakeup could be extensive, reaching into a Cabinet that has had far less turnover than Trump experienced in his first term.

Zacharia is the second senior official forced out by Trump in just three days, after Kimberly Guilfoyle, the former fiancée of one of Trump’s sons who served as U.S. ambassador to Greece, was revealed by the Wall Street Journal to have asked a Trump donor to pay off her $100,000 credit card bill.

Now, the president has begun asking political allies and donors about Wiles’ job performance, according to a recent Politico report, and several top administration officials are vying for her role, anticipating her resignation after the elections next month.

The conclusion of the midterms will also kick off the start of the 2028 presidential election season, when Republican hopefuls — including many from Trump’s Cabinet — are expected to launch exploratory committees.

British Defense Secretary Wes Streeting and U.S. Defense Secretary Pete Hegseth stand for anthems at the Pentagon on Thursday.

(Finn Gomez / Getty Images)

“We have to get through the midterms first,” Trump said at the end of August, asked about Hegseth reportedly considering a run. “I bet there’s a lot of people considering it that you don’t know about. You have a lot of people.”

The party of incumbent presidents regularly loses seats in midterm elections, and it is common for presidents to shake up their staffs halfway through a term.

But the last time a term-limited Republican president faced voters in midterm elections, in 2006, Democrats swept into power in both houses of Congress — and President George W. Bush’s political capital never recovered.

That year, 37% of voters said they approved of Bush’s job performance. Polls published this month by AP and Reuters have found Trump already below that threshold.

In the GOP presidential primaries that followed, candidates jockeying to replace Bush distanced themselves from his legacy. He ultimately left office with an approval rating of 25%.