Executive Order 14187 represents a significant expansion of executive power over healthcare and medical institutions, raising concerns about authoritarian governance, constitutional overreach, and democratic erosion. The order's use of broad definitions and mandatory compliance directives reflects a pattern of consolidating authority, bypassing legislative oversight, and potentially undermining the rule of law. While not overtly authoritarian, the centralization of medical policy decisions under executive control and the suppression of scientific autonomy pose risks to democratic norms and institutional independence.