{"id":7950,"date":"2025-02-22T05:55:44","date_gmt":"2025-02-22T05:55:44","guid":{"rendered":"https:\/\/site.itshrt.com\/worldnews\/as-the-u-s-exits-foreign-aid-who-will-fill-the-gap\/"},"modified":"2025-02-22T05:55:44","modified_gmt":"2025-02-22T05:55:44","slug":"as-the-u-s-exits-foreign-aid-who-will-fill-the-gap","status":"publish","type":"post","link":"https:\/\/site.itshrt.com\/worldnews\/as-the-u-s-exits-foreign-aid-who-will-fill-the-gap\/","title":{"rendered":"As the U.S. Exits Foreign Aid, Who Will Fill the Gap?"},"content":{"rendered":"<p> <script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<\/p>\n<div data-testid=\"companionColumn-0\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">As the reality sets in that the United States is drastically diminishing its foreign assistance to developing countries, an urgent conversation is starting among governments, philanthropists, and global health and development organizations.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">It is centered on one crucial question: Who will fill this gap?<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Last year, the United States contributed about $12 billion to global health, money that has funded treatment of H.I.V. and prevention of new infections; children\u2019s vaccines against polio, measles and pneumonia; clean water for refugees; and tests and medications for malaria. <\/p>\n<p class=\"css-at9mc1 evys1bk0\">The next largest funder is the Gates Foundation, which disburses a fraction of that amount: its<span class=\"css-8l6xbc evw5hdy0\">  <\/span>global health division had a budget of $1.86 billion in 2023.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThe gap that has been filled by the U.S. cannot be easily matched by anybody,\u201d said Dr. Ntobeko Ntusi, the chief executive of the South African Medical Research Council.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-1\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">U.S. assistance has been channeled through the United States Agency for International Development, or U.S.A.I.D., which the new Trump administration has largely dismantled, and other government agencies, including the National Institutes of Health, which is also facing substantial cuts in health research grants.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Many people are suggesting that other countries, particularly China, could move into some of the areas vacated by the United States, Dr. Ntusi said. Others are making urgent appeals to big philanthropies including the Gates Foundation and Open Philanthropy.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">This conversation is most consequential in Africa. About 85 percent of U.S. spending on global health went to programs in or for African countries.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">For countries such as Somalia, where U.S. aid made up 25 percent of the government\u2019s whole budget, or Tanzania, where the U.S. funded a majority of public health care, the loss is catastrophic. And for the major global health agencies, the situation is similarly critical.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-2\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">President Trump has already pulled the U.S. out of the World Health Organization, which is now trying make an initial budget cut of $500 million for 2026-27 to cope with the withdrawal of American funds.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-3\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\"><strong class=\"css-8qgvsz ebyp5n10\">\u201c<\/strong>Most of our neighbors on the continent, they\u2019ve been completely reliant on the U.S. to procure most of the lifesaving medications for endemic infections,\u201d Dr. Ntusi said. \u201cAnd I don\u2019t see most of the governments overnight being able to have the resources to cope. And so I think there\u2019s going to be devastating consequences on lives lost from Africans who will die of preventable infections\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">The U.S. is the largest donor to Gavi, an organization that supplies essential vaccines to the world\u2019s poorest countries, and to the Global Fund to Fight AIDS, Tuberculosis and Malaria. The U.S. contribution is required by Congress. Asked about the commitment to these and other multilateral agencies including the Pandemic Fund, a State Department spokesperson said that the programs were being reviewed to see if they aligned with the national interest, and that funding would continue only for those that met this condition.<\/p>\n<h3 class=\"css-15h6bi9 e1gnsphs0\" id=\"link-2a6dc05b\"><span>Who Steps In?<\/span><\/h3>\n<p class=\"css-at9mc1 evys1bk0\">There is no indication that additional funding will come from the other G7 countries, the European Union or other high-income nations. Britain, Germany, France, the Netherlands and Scandinavian countries have all reduced their foreign aid. Some new donor countries have come forward to support the W.H.O., including Saudi Arabia and South Korea, but their spending is dwarfed by the amount the U.S. once gave.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Of nongovernmental players, the World Bank is best placed to provide long-term support for health spending. The bank has said little so far. It could offer countries hit hard by the U.S. cutoff innovative financing such as debt-for-health-care swaps to give nations struggling under heavy debt burdens some fiscal freedom to make up lost health care funding. However, the U.S. is the largest shareholder of the bank, and the Trump administration would have influence over any such investment.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-5\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Much of the public discussion about filling the vacuum left by the U.S. has focused on China, which has built a significant presence by financing infrastructure projects in African countries, particularly those with extensive mineral reserves or strategic ports.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThere is good reason for them to do so,\u201d said Ja Ian Chong, an associate professor of political science at the National University of Singapore. China regards foreign aid as a soft-power tool in its superpower rivalry with the United States, much as the United States did when setting up U.S.A.I.D. during the height of the Cold War with the Soviet Union. China seeks to use aid to garner more support from developing countries in the United Nations.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">While Chinese aid has largely come in loans to build infrastructure, it includes support for more varied projects. China\u2019s answer to Western development aid, a program unveiled in 2021 called the Global Development Initiative, includes <a class=\"css-yywogo\" href=\"https:\/\/www.fmprc.gov.cn\/eng\/zy\/jj\/GDI_140002\/wj\/202408\/t20240802_11465339.html\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">$2 billion<\/a> for upgrading livestock production in Ethiopia, fighting malaria in Gambia and planting trees in Mongolia, among other projects.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Mr. Chong said China\u2019s ability to fill the opening left by U.S.A.I.D. could be constrained by its own financial limitations. China\u2019s economy has stagnated because of a property crisis and rising government debt, and the country has already scaled back on big infrastructure loans. <\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-6\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">To date, China has shown little interest in supporting global health programs, or in providing grants on a scale anywhere near U.S.A.I.D. levels. AidData, a university research lab at William &amp; Mary in Virginia, <a class=\"css-yywogo\" href=\"https:\/\/china.aiddata.org\/\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">estimates<\/a> that Beijing provides about $6.8 billion a year in grants and low-cost loans.<\/p>\n<h3 class=\"css-15h6bi9 e1gnsphs0\" id=\"link-7b380090\"><span><strong class=\"css-8qgvsz ebyp5n10\">Philanthropies<\/strong><\/span><\/h3>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-7\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Philanthropies that were already working in global health have been deluged with panicked calls from organizations with frozen funds.<\/p>\n<p class=\"css-at9mc1 evys1bk0\"><strong class=\"css-8qgvsz ebyp5n10\">\u201c<\/strong>I have talked to some foundations who have all said we\u2019re being inundated with people saying, \u2018Help us, help us, help us,\u2019 and I think they\u2019re trying to patch little holes,\u201d said Sheila Davis, the chief executive of the nonprofit Partners in Health, which works with local governments to bring health care to communities in developing countries. But if a patchwork bailout can cover just 20 percent of what the U.S. was paying for, what should a new donor save? she asked. \u201cDo you choose to save one program fully and then let others go? Or what is the best strategy?\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Chief among the foundations fielding pleas for help is the Gates Foundation, which has been warning its grant recipients that it cannot make up the gap. In addition to funding global health programs, the foundation also supports health research and is a major contributor to Gavi.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-8\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">\u201cThere is no foundation \u2014 or group of foundations \u2014 that can provide the funding, work force capacity, expertise, or leadership that the United States has historically provided to combat and control deadly diseases and address hunger and poverty around the world,\u201d the foundation\u2019s North America director, Rob Nabors, said by email.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Multiple recipients of Gates Foundation funding, who declined to speak on the record because they were describing confidential conversations, said they had been told by foundation staff members that it would continue to fund research and programs in the areas it already worked, but wouldn\u2019t expand significantly, and that while some grants might be restructured to try to compensate for part of the lost U.S. funding, the foundation\u2019s work would continue to be \u201ccatalytic\u201d rather than support large-scale programming like U.S.A.I.D. did.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">John-Arne R\u00f8ttingen, the chief executive of the Wellcome Trust, which is among the largest donors to global health research, said in an email that the foundation was \u201cexploring what options might exist\u201d in the new landscape. But, he said, its help would be \u201ca drop in the ocean compared to what governments across the world need to provide.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">A couple of small organizations, such as Founders Pledge, have started \u201cbridge funds,\u201d ranging from about $20 million to $200 million, to try to help plug immediate gaps.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">But the philanthropic sector has largely been silent about the momentous change in the landscape. Major players that have already put hundreds of millions of dollars into health care in Africa, such as the Susan T. Buffett Foundation, did not respond to questions about their plans. The Delta Foundation (co-founded by the Zimbabwean telecom billionaire Strive Masiyiwa) declined to discuss the issue.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-9\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Two executives at smaller private foundations said there was a reluctance to say anything publicly because of fear of retribution from the Trump administration, including a potential loss of charitable status.<\/p>\n<h3 class=\"css-15h6bi9 e1gnsphs0\" id=\"link-ff5c6d1\"><span><strong class=\"css-8qgvsz ebyp5n10\">African Governments<\/strong><\/span><\/h3>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-10\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">African governments are under tremendous pressure from frustrated citizens to assume responsibility for the health spending that was coming from the U.S. The issue led the agenda at a meeting of the continent\u2019s health ministers at an African Union summit last week.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In the 24 years since the Union adopted what\u2019s called the <a class=\"css-yywogo\" href=\"https:\/\/au.int\/sites\/default\/files\/pages\/32894-file-2001-abuja-declaration.pdf\" title=\"\" rel=\"noopener noreferrer\" target=\"_blank\">Abuja Declaration<\/a>, committing its 42 members to spending 15 percent of their budgets on health, only a couple of states have ever hit that target, and for a year or two at most. Average health spending by African countries is less than half that amount.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">In Nigeria, the president convened an emergency cabinet committee to make a plan for the budget shortfall, and Parliament allotted an extra $200 million to the national budget last week. But that extraordinary measure illustrates the scale of what\u2019s been lost: it\u2019s less than half of the $512 million that the U.S. gave Nigeria for health care in 2023.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<div data-testid=\"companionColumn-11\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Nigeria\u2019s health minister, Dr. Muhammad Pate, said that nearly 28,000 health care workers in the country had been paid in whole or part by U.S.A.I.D., which also covered three-quarters of the bill for drugs and test kits for the 1.3 million Nigerians who live with H.I.V.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Nigeria will quickly need to find new ways of operating, he said, including boosting manufacturing of some of those items domestically. \u201cIt may not be as fancy, but at least it will serve,\u201d Dr. Pate said.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">He also predicted that the end of U.S. aid would accelerate what he called a \u201crealignment\u201d in Africa. \u201cThe world has shifted in the last 20 years,\u201d he said. \u201cSo we have other actors: We have China, India, Brazil, Mexico and others.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Deisy Ventura, a professor of global health ethics at the University of S\u00e3o Paulo, said the change could open opportunities for other countries to exert newfound influence.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cThe retreat of the United States may open space for new leaders now,\u201d she said. \u201cIt\u2019s important for us in the global south to imagine an international coordination of emergency preparedness and response without the United States.\u201d<\/p>\n<p class=\"css-798hid etfikam0\">Berry Wang<!-- --> contributed reporting from Hong Kong.<\/p>\n<\/div>\n<aside class=\"css-ew4tgv\" aria-label=\"companion column\"\/><\/div>\n<p><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6606220950177433\"\r\n     crossorigin=\"anonymous\"><\/script>\r\n<!-- ItShrt World News -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6606220950177433\"\r\n     data-ad-slot=\"1882483372\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\r\n<br \/>\n<br \/><a href=\"https:\/\/www.nytimes.com\/2025\/02\/22\/health\/usaid-who-trump-china.html\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As the reality sets in that the United States is drastically diminishing its foreign assistance to developing countries, an urgent<\/p>\n","protected":false},"author":1,"featured_media":7951,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[984,785,337,884,407,97,98,551,397,469,983,109,111],"class_list":["post-7950","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science","tag-africa","tag-developing-countries","tag-federal-aid-us","tag-federal-budget-us","tag-foreign-aid","tag-humanitarian-aid","tag-international-relations","tag-medicine-and-health","tag-philanthropy","tag-politics-and-government","tag-united-states-agency-for-international-development","tag-united-states-international-relations","tag-united-states-politics-and-government"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>As the U.S. Exits Foreign Aid, Who Will Fill the Gap? - World News<\/title>\n<meta name=\"robots\" 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