US climate reversals are fueling record heat, deaths and rising costs: Report
The United States' recent climate policy reversals come as record heat waves, rising pollution and billion-dollar weather disasters intensify. And according to the 2025 Lancet Countdown on Health and Climate Change report, these setbacks are contributing to the worsening of both national and global health.
Authored by 128 experts in medicine, public health and climate science, the report tracked 20 indicators linking climate trends to health outcomes. Twelve indicators reached record highs in 2024, underscoring what the authors call a "world in turmoil."
"As climate change intensifies, so do the health impacts it brings," Maria Walawender, a research fellow and the lead author for the Lancet Countdown, told ABC News. "We're seeing record-breaking threats to health--whether it's the suitability for the spread of dengue, the amount of our land experiencing drought, or the deaths related to heat exposure, which is now over half a million people a year."
In 2024, the U.S. experienced its warmest year on record, with average temperatures rising 2.7°F--the highest since pre-industrial times. Along with record scorching temperatures, heat-related deaths have also increased, spiking 63% globally since the 1990s and are associated with about 546,000 deaths a year, according to the report. The researchers found that roughly one-third of the country faced at least a month of extreme drought annually from 2020 to 2024, a 28% increase from the 1950s. Wildfire-risk days also hit record highs along the West Coast.

The old and young were hit hardest, according to the findings. Children under one year of age were nearly 400% more likely to experience a heatwave, and adults over 65 were nearly 390% more likely.
These climate shifts carry a steep economic cost too. The researchers found that weather-related disasters caused more than $27 billion in damages in 2024, while heat-related deaths cost $19.1 billion, approximately 0.35% of the national GDP.
"The overall theme of this report shows we're not going in the right direction," Yang Liu, another report author and the chair at the Rollins School of Public Health at Emory University, told ABC News. "There are more indicators showing negative signs than those showing positive signs. Which means, even though climate change is causing a lot of burden on health, we are not taking enough action to mitigate the impact."
Walawender added that U.S. policy rollbacks have made it harder to respond effectively.
"The United States has pulled out of the Paris Agreement. It has taken funding and support away from a lot of research on these types of issues and it's pulled out of the World Health Organization. And when taken together, that really kind of limits the financial support and the political pressure on climate-related action, but it also just limits how much we know about what's happening," she said.
Despite these setbacks, the report points to the U.S.'s potential. Clean energy growth accounted for 6% of GDP growth in 2023, and 16.2 million people now work in the clean energy sector worldwide, an 18% increase from 2022. The report urged the U.S. to restore global leadership by reinvesting in climate-resilient health systems and redirecting fossil fuel subsidies toward renewable power.
"There is so much that we can do, and that 'we' is quite inclusive," Walawender said. "We don't have to wait for a specific individual, no matter how important they are, or a specific institution to say, 'let's do it.'"
- Ogechi Nwodim, MD, MSc, is a resident physician in Emergency Medicine and a member of the ABC News Medical Unit







