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Keep America's Promise to Every 9/11 Responder and Survivor

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Sponsor: The Veterans Site

Thousands who survived 9/11 are still getting sick — and the program built to help them is failing.

On the left, an FDNY deputy chief in turnout gear points urgently amid smoking rubble; on the right, a rescue worker with a search dog navigates debris-strewn streets.

After the September 11 attacks, the country made a promise to the people who ran toward the destruction — and to those who had no choice but to stay.

More than two decades later, thousands of them are still getting sick, and the federal program created to treat them has been undermined by staffing cuts, bureaucratic delays, and a covered conditions list that hasn't kept pace with the science.

A Growing Health Crisis

The toxic cloud that engulfed Lower Manhattan after the towers collapsed contained asbestos, heavy metals, pulverized concrete, and combustion byproducts. The consequences have been severe. Responders and survivors face significantly elevated rates of multiple myeloma, thyroid cancer, prostate cancer, and other malignancies — with new cases continuing to emerge years after exposure.1 Research has documented elevated cancer incidence across more than two dozen cancer types among those who were there.3 And the toll keeps rising as more latent diseases surface.

Now, the FDNY and medical advocates are pushing federal health officials to recognize cardiac disease and cognitive decline — including dementia — as certified 9/11-related conditions. The scientific evidence linking Ground Zero exposure to these illnesses is growing, but without official certification, affected members cannot access federal coverage for them.7

The Program in Peril

The World Trade Center Health Program (WTCHP) was built to monitor and treat eligible responders and survivors — covering medical monitoring, illness treatment, and prescriptions at no cost to participants. For years it served that purpose. Then came the cuts.

In early 2025, federal workforce reductions created serious uncertainty about the program's ability to function at all. Administrative capacity strained as enrollment demand remained high.4 Certification processing stalled, leaving critically ill people with potentially qualifying conditions locked out of the care they needed.2

Congress acted, securing permanent funding for the WTCHP in early 2026.5 That was a necessary step. But a funding authorization does not deliver care on its own. Staffing shortfalls continue to threaten the program's operational capacity — the people and infrastructure required to actually process certifications and serve members.6

What Still Needs to Happen

Full staffing must be restored to the World Trade Center Health Program. The backlog in certification processing must be cleared so that critically ill people are not left waiting. And the list of covered conditions must expand to reflect what exposure to that toxic cloud has done to human health — including the cardiac and cognitive conditions the evidence now supports.

The people this program serves are aging. Many are seriously ill. They were told their country would not abandon them. Some have already died waiting for care they qualified for. The promise made to them was not conditional.

Sign the petition now to call on Congress and the U.S. Department of Health and Human Services to guarantee fully funded, uninterrupted federal medical care for every eligible 9/11 responder and survivor — without delay.

More on this issue:

  1. Staff, New York Cancer & Blood Specialists (3 September 2024), "The Impact of 9/11 on Cancer Rates."
  2. ABC News Staff, ABC News (1 May 2025), "As health program stalls and certifications stop, some critically ill 9/11 responders are left without care."
  3. AACR Staff, American Association for Cancer Research (AACR) Cancer Research Catalyst (9 September 2022), "The Toll of Heroism: Increased Cancer Incidence Among 9/11 Responders."
  4. Aria Bendix, NBC News (26 April 2025), "Health program for 9/11 illnesses faces uncertain future after federal staffing cuts."
  5. ABC News Medical Unit, ABC News (5 February 2026), "Congress secures long-term funding for the World Trade Center Health Program."
  6. Bill Carey, FireRescue1 (2 March 2026), "9/11 health program wins permanent funding but staffing cuts threaten care."
  7. Staff, Firehouse (2 September 2026), "FDNY Pushing Feds to Add Cardiac, Cognitive Decline to List of 9/11 Illnesses."

The Petition

To the Speaker of the United States House of Representatives and President Pro Tempore of the United States Senate, United States Congress; and Secretary of Health and Human Services, United States Department of Health and Human Services

We are writing to urge you to guarantee fully funded, uninterrupted federal medical care for every eligible 9/11 responder and survivor who is suffering from a certified or potentially qualifying 9/11-related illness.

When the towers fell on September 11, 2001, thousands of people ran toward the destruction. Firefighters, police officers, paramedics, construction workers, and volunteers spent days and weeks breathing air thick with asbestos, heavy metals, pulverized concrete, and toxic combustion byproducts. Residents and workers in Lower Manhattan had no choice but to remain. More than two decades later, the health consequences of that exposure continue to unfold — cancers of the blood, thyroid, and prostate, serious respiratory disease, and now emerging evidence linking Ground Zero exposure to cardiac conditions and cognitive decline including dementia.

The World Trade Center Health Program was created to honor the country's commitment to these individuals. At its best, it has provided medical monitoring, treatment for certified illnesses, and prescription coverage at no cost to participants. But the program has faced repeated threats — funding cliffs, and more recently, staffing reductions that strained administrative capacity at a time when enrollment demand has never been higher. Certification processing stalled, leaving critically ill people unable to access the care they qualify for. While Congress secured permanent funding in early 2026, a funding authorization alone cannot deliver care. Adequate staffing must be restored and maintained so the program can function as intended.

There is also unfinished business on covered conditions. The science connecting Ground Zero exposure to heart disease and cognitive decline is growing, yet these conditions remain outside the program's certified illness list. People suffering from them cannot access WTCHP coverage. Federal health officials have the authority to change that, and they should act on the evidence without delay.

These are not abstract policy questions. They involve real people — many of them aging, many seriously ill — who were told their country would not abandon them. Compassion and basic human decency require that promise to be kept in full, not partially.

We call on you to restore full staffing to the World Trade Center Health Program, clear the backlog in certification processing, and expand the covered conditions list to reflect what exposure to that toxic cloud has done to human health. Keeping faith with those who gave so much will ensure a stronger, more just future for all Americans.

Sincerely,