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    Lobbyists linked to Donald Trump paid millions by world’s poorest countries

    Some of the world’s poorest countries have started paying millions to lobbyists linked to Donald Trump to try to offset US cuts to foreign aid, an investigation reveals.Somalia, Haiti and Yemen are among 11 countries to sign significant lobbying deals with figures tied directly to the US president after he slashed US foreign humanitarian assistance.Many states have already begun bartering crucial natural resources – including minerals – in exchange for humanitarian or military support, the investigation by Global Witness found.USAID officially closed its doors last week after Trump’s dismantling of the agency, a move experts warn could cause more than 14 million avoidable deaths over five years.Emily Stewart, Global Witness’s head of policy for transition minerals, said the situation meant that deal making in Washington could become “more desperate and less favourable to low-income countries”, which had become increasingly vulnerable to brutal exploitation of their natural resources.Documents show that within six months of last November’s US election, contracts worth $17m (£12.5m) were signed between Trump-linked lobbying firms and some of the world’s least-developed countries, which were among the highest recipients of USAID.Records submitted under the US Foreign Agents Registration Act reveal some countries signed multiple contracts, including the Democratic Republic of the Congo (DRC), which has endured mass displacement and conflict over its mineral wealth for years.The DRC is primed to sign a mineral deal with the US for support against Rwanda-backed rebels, providing American companies access to lithium, cobalt and coltan.The DRC – a former top-10 USAID recipient – signed contracts worth $1.2m with the lobbyists Ballard Partners.The firm, owned by Brian Ballard, lobbied for Trump well before the 2016 US election and was a leading donor to the US president’s political campaign.Somalia and Yemen signed contracts with BGR Government Affairs – $550,000 and $372,000 respectively.A former BGR partner, Sean Duffy, is now Trump’s transport secretary, one of myriad links between the US president and the lobbying firm.The government of Pakistan, a country that struggles with extreme poverty but is extremely rich in minerals, has signed two contracts with Trump-linked lobbyists worth $450,000 a month.Pakistan is now tied up in deals with multiple individuals in Trump’s inner circle, including the president’s former bodyguard Keith Schiller.Access to key natural resources has become a priority for Trump, particularly rare earth minerals. These are considered critical to US security, but the global supply chains for them are dominated by China.Other nations are offering exclusive access to ports, military bases and rare earths in exchange for US support.Although Global Witness said the revolving door between governments and lobbyists was nothing new, the organisation said it was concerned by the broader, exploitative dynamics driving new deals.Stewart said: “We’re seeing a dramatic cut in aid, combined with an explicit rush for critical minerals, and willingness by the Trump administration to secure deals in exchange for aid or military assistance.“Dealmaking needs to be transparent and fair. It is vital to recognise the role that international aid plays in making a safer world for all, and that aid should retain its distinct role away from trade.” More

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    The UN is our best defence against a third world war. As Trump wields the axe, who will fight to save it? | Simon Tisdall

    The United Nations and its agencies have long struggled with funding shortfalls. Now an entrenched problem is becoming an acute crisis in the shadow of Donald Trump’s executioner’s axe. The US is the biggest contributor, at 22%, to the UN’s core budget. In February, the White House announced a six-month review of US membership of all international organisations, conventions and treaties, including the UN, with a view to reducing or ending funding – and possible withdrawal. The deadline for decapitation falls next month.Trump’s abolition of the US Agency for International Development (USAID), and scrapping of most aid programmes, has already badly damaged UN-led and UN-backed humanitarian operations, which rely on discretionary funding. Yet Trump’s axe symbolises a more fundamental threat – to multilateralism and the much-battered international rules-based order. The basic concept of collective responsibility for maintaining global peace and security, and collaboration in tackling shared problems – embodied by the UN since its creation 80 years ago last week – is on the chopping block.The stakes are high – and Washington is not the only villain. Like the US, about 40 countries are behind in paying obligatory yearly dues. Discretionary donations are declining. The UN charter, a statement of founding principles, has been critically undermined by failure to halt Russia’s illegal war of aggression in Ukraine (and by last month’s US-Israeli attack on Iran). China and others, including the UK, ignore international law when it suits. The number and longevity of conflicts worldwide is rising; UN envoys are sidelined; UN peacekeeping missions are disparaged. The security council is often paralysed by vetoes; the general assembly is largely powerless. By many measures, the UN isn’t working.A crunch looms. If the UN is allowed to fail or is so diminished that its agencies cannot fully function, there is nothing to take its place. Nothing, that is, except the law of the jungle, as seen in Gaza and other conflict zones where UN agencies are excluded, aid workers murdered and legal norms flouted. The UN system has many failings, some self-inflicted. But a world without the UN would, for most people in most places, be more dangerous, hungrier, poorer, unhealthier and less sustainable.The US is not expected to withdraw from the UN altogether (although nothing is impossible with this isolationist, ultra-nationalist president). But Trump’s hostile intent is evident. His 2026 budget proposal seeks a 83.7% cut – from $58.7bn to $9.6bn – in all US international spending. That includes an 87% reduction in UN funding, both obligatory and discretionary. “In 2023, total US spending on the UN amounted to about $13bn. This is equivalent to only 1.6% of the Pentagon’s budget that year ($816bn) – or about two-thirds of what Americans spend on ice-cream annually,” Stewart Patrick of the Carnegie Endowment for International Peace noted. Economic development aid, disaster relief and family planning programmes would be gutted.The impact is potentially world-changing. Key UN agencies in the firing line include the children’s fund, Unicef – at a time when the risks facing infants and children are daunting; the World Food Programme (WFP), which could lose 30% of its staff; agencies handling refugees and migration, which are also shrinking; the International court of justice (the “world court”), which has shone a light on Israel’s illegal actions in Gaza; and the International Atomic Energy Agency, which monitors Iran’s and others’ nuclear activities.Trump is already boycotting the World Health Organization, the Palestinian relief agency (Unrwa) and the UN Human Rights Council, and has rescinded $4bn allocated to the UN climate fund, claiming that all act contrary to US interests. If his budget is adopted this autumn, the UN’s 2030 sustainable development goals may prove unattainable. US financial backing for international peacekeeping and observer missions in trouble spots such as Lebanon, Democratic Republic of the Congo and Kosovo, currently 26% of total spending, will plunge to zero.The withdrawal of USAID support is already proving lethal, everywhere from Somalia and Sudan to Bangladesh and Haiti. UN officials describe the situation in post-earthquake, conflict-riven, aid-deprived Myanamar as a “humanitarian catastrophe”. Research published in the Lancet found that Trump’s cuts could cause more than 14m additional deaths by 2030, a third of them children.The WFP, the world’s largest food aid supplier, says its projected $8.1bn funding deficit this year comes as acute hunger affects a record 343 million people in 74 countries. And other donor states are failing to fill the gap left by the US. So far in 2025, only 11% of the $46.2bn required for 44 UN-prioritised crises has been raised. The UK recently slashed its aid budget by £6bn, to pay for nuclear bombs.UN chiefs acknowledge that many problems pre-date Trump. António Guterres, the secretary general, has initiated thousands of job cuts as part of the “UN80” reform plan to consolidate operations and reduce the core budget by up to 20%. But, marking the anniversary, Guterres said the gravest challenge is the destructive attitude of member states that sabotage multilateral cooperation, break the rules, fail to pay their share and forget why the UN was founded in the first place. “The charter of the United Nations is not optional. It is not an à la carte menu. It is the bedrock of international relations,” he said.Guterres says the UN’s greatest achievement since 1945 is preventing a third world war. Yet respected analysts such as Fiona Hill believe it’s already begun. The UK and other democracies face some pressing questions. Will they meekly give in to Trump once again? Or will they fight to stop this renegade president and rogue states such as Russia and Israel dismantling the world’s best defence against global anarchy, forever wars and needless suffering?Will they fight to save the UN?

    Simon Tisdall is a Guardian columnist More

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    Ordinary Zambians lose out twice: to global looting and local corruption | Letters

    Your editorial (The Guardian view on Zambia’s Trumpian predicament: US aid cuts are dwarfed by a far bigger heist, 10 January) highlights research by Prof Andrew Fischer, and the exploitation of Zambia’s commodity resources via illicit financial schemes. Many Zambians have raised the issue of this looting for years, but have met coordinated resistance. Consequently, Zambia’s treasury loses billions of dollars in revenue. These losses are driven by well-known multinationals working in concert with certain insiders close to the Zambian state.Your editorial also says: “The US decision to cut $50m a year in aid to Zambia … is dreadful, and the reason given, corruption, rings hollow.” Alas, I disagree and wish to place this in context.The aid cut followed large-scale theft of US-donated medical supplies by individuals connected to and within the Zambian state. Even before Donald Trump assumed office, Michael Gonzales, the US ambassador, confronted Zambian authorities about this. US officials engaged in 33 meetings with senior members of the Zambian government and officers from the Zambia police service and other law enforcement agencies. US officials urged the Zambians to take action to ensure medicines reached the country’s poorest citizens. The president’s inner circle ignored the warnings, ultimately leading to the aid cut. The Zambian government’s reaction was to dismiss these legitimate concerns, saying diplomats should stay out of Zambia’s internal affairs.This response is inadequate, as the issues go beyond mere bureaucratic inefficiency and touch on profound state corruption.The government’s refusal to confront this reality is disappointing and has led to more suffering, where ordinary people who benefited from this aid will be most affected.Emmanuel MwambaZambia’s high commissioner to South Africa (2015-19) As a Zambian and UK citizen, I am both enraged and heartbroken by Prof Andrew Fischer’s research exposing the systematic plunder of my country’s wealth. While Donald Trump cuts our aid, citing “corruption”, the real thieves operate with complete impunity under the guise of legitimate business.The figures are devastating: $5bn extracted in 2021 alone. This isn’t corruption in the traditional sense, it’s legalised theft orchestrated by multinational corporations that exploit our resources while leaving us in poverty. How can we be called corrupt when the very system designed to “help” us facilitates our exploitation?I think of my fellow Zambians struggling to access basic healthcare, education and clean water while billions flow to Swiss bank accounts. We sit on some of the world’s most valuable mineral deposits, yet we’re drowning in debt. This isn’t coincidence – it’s by design.Foreign direct investment is often foreign direct extraction in disguise. Companies like Glencore and First Quantum Minerals have treated Zambia like a cash machine, using complex financial structures to strip our wealth while paying minimal taxes. When confronted, they simply leave or settle for pennies in the pound.This global economic architecture, which enables legal plunder, must be challenged. African countries need new models of resource governance that prioritise our people over foreign shareholders. We need transparency requirements exposing these shadowy financial flows, progressive taxation capturing fair value from our resources, and regional cooperation preventing companies from playing us against each other.The west’s moralising about corruption while facilitating this systematic theft is breathtaking hypocrisy. Until the international community addresses the structural violence of this extractive system, their aid will remain what it truly is – a drop in the ocean compared with the torrent of wealth flowing out of Africa.Fiona MulaishoLondon More

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    The Guardian view on Britain’s new aid vision: less cash, more spin. The cost will be counted in lives | Editorial

    Last week, the government justified cutting the UK’s development budget from 0.5% to 0.3% of gross national income – the lowest level in more than 25 years – by claiming Britain’s role is now to “share expertise”, not hand out cash. With a straight face, the minister responsible, Jenny Chapman, told MPs on the international development committee that the age of the UK as “a global charity” was over. But this isn’t reinvention – it’s abdication, wrapped in spin. No wonder Sarah Champion, the Labour MP who is chair of the committee, called Lady Chapman’s remarks “naive” and “disrespectful”. Behind the slogans lies a brutal truth: lives will be lost, and Britain no longer cares. Dressing that up as the “new normal” doesn’t make it less callous.Kevin Watkins of the London School of Economics analysed the cuts and found no soft-landing options. He suggests charting a sensible course through this wreckage, noting that harm from the cuts is inevitable but not beyond mitigation. Dr Watkins’ proposals – prioritising multilateralism, funding the global vaccine alliance (Gavi) and replenishing international lending facilities – would prevent some needless deaths. Ministers should adopt such an approach. The decision to raid the aid budget to fund increased defence spending was a shameful attempt to cosy up to Washington. The cuts were announced just before Sir Keir Starmer’s White House meeting with Donald Trump, with no long-term strategy behind them. It’s a deplorable trend: globally, aid levels could fall by $40bn this year.The gutting of USAID, the world’s biggest spender on international development, by Elon Musk, was less fiscal policy than culture-war theatre. Foreign beneficiaries don’t vote, and liberal-leaning aid contractors lack clout, so dismantling USAID shrinks “globalism” while “owning the establishment”. But the real casualties lie elsewhere. Memorably, Bill Gates said the idea of Mr Musk, the world’s richest man, “killing the world’s poorest children is not a pretty one”. Countries that built health systems around USAID now face a reckoning. It wasn’t just cash – it sustained disease surveillance, logistics and delivery. Ironically, much of it never left American hands, absorbed by US private interests.In the UK, University of Portsmouth researchers say aid increasingly serves foreign policy, not development. It’s not just ineffective – it’s cynical. Aid should change lives, not wave flags. All this as poor nations’ debt crisis deepens. Without global reform, the Institute for Economic Justice warns, African nations face a cycle of distress blocking investment in basic needs. The UK recasts withdrawal as progress – holding up Ethiopia and Zimbabwe as model partners. But Georgetown University’s Ken Opalo makes a cutting point: in diplomacy, when the music stops, those who outsourced ambition get exposed. Aid dependency, he argues, has hollowed out local ownership. With little planning, many governments now face a choice: take over essential services or cling to a vanishing donor model.Politicians should choose their words carefully. The former Tory development secretary Andrew Mitchell rightly criticised Boris Johnson’s “giant cashpoint in the sky” remark for damaging public support for aid. Labour ministers are guilty, too. Britain has replaced moral leadership with metrics, and compassion with calculation. The policy’s defenders call it realism. But without vision, it’s just surrender – leaving the world’s poor to fend for themselves, forced to try to survive without the means to do so. More

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    ‘It’s back to drug rationing’: the end of HIV was in sight. Then came the cuts

    This year the world should have been “talking about the virtual elimination of HIV” in the near future. “Within five years,” says Prof Sharon Lewin, a leading researcher in the field. “Now that’s all very uncertain.”Scientific advances had allowed doctors and campaigners to feel optimistic that the end of HIV as a public health threat was just around the corner.Then came the Trump administration’s abrupt cuts to US aid funding. Now the picture is one of a return to the drugs rationing of decades ago, and of rising infections and deaths.But experts are also talking about building a new approach that would make health services, particularly those in sub-Saharan Africa, less vulnerable to the whims of a foreign power.The US has cancelled 83% of its foreign aid contracts and dismantled USAid, the agency responsible for coordinating most of them.Many fell under the President’s Emergency Plan for Aids Relief (Pepfar) programme, which has been the backbone of global efforts to tackle HIV and Aids, investing more than $110bn (£85bn) since it was founded in 2003 and credited with saving 26 million lives and preventing millions more new infections. In some African countries it covered almost all HIV spending.View image in fullscreenThere is a risk, says Lewin, director of Melbourne University’s Institute for Infection and Immunity and past president of the International Aids Society, of “dramatic increases in infections, dramatic increases in death and a real loss of decades of advances”.There is no official public list of which contracts have been cancelled, and which remain. It appears that virtually no HIV-prevention programmes funded by the US are still in operation, save a handful principally providing drugs to stop pregnant women passing on the infection to their babies. Countries report disruption to the most basic measures, such as condom distribution.Some treatment programmes have been spared, but not those whose focus conflicted with the Trump administration’s war on “gender ideology” or diversity, equity and inclusion (DEI), such as those working with transgender communities. Doctors, nurses and other healthcare workers have been laid off, while worried patients are hoarding drugs or stretching supplies, according to UNAids surveillance. UNAids itself has lost more than half of its funding.Even programmes that have survived the cull have faced turmoil since February, with instructions to stop work rescinded but with no certainty that funding will continue.View image in fullscreenIn only one example, the Elizabeth Glaser Paediatric Aids Foundation says it has had to halt HIV treatment for 85,000 people in Eswatini, including more than 2,000 children, and tests for thousands of pregnant women and babies to prevent transmission and begin life-saving medication.Access to drugs represents an “immediate crisis”, Lewin says. “If people with HIV stop the medications, then not only do they get sick themselves, which is tragic, but they also then become infectious to others.”As clinics on the frontline of treating the disease scrabble to secure access to basic drugs, scientists at this month’s Conference on Retroviruses and Opportunistic Infections in San Francisco were hearing that HIV might soon be preventable with a once-a-year injection.The drug lenacapavir was already generating huge excitement in the field, after trial results showed that a six-monthly jab could prevent HIV. New results from the manufacturer Gilead suggest that a tweak to the formula and how it is given could see its protective effects last even longer.Nevertheless, Lewin says, the mood at the meeting, packed with many of the world’s leading HIV specialists, was “dire”.As well as programme cancellations, there are “huge concerns around science and what’s going to happen to the [US] National Institutes of Health, [whose] funding of science has been so significant on every level”, she says.Some scientists in receipt of US funding have been told to remove their names from DEI-linked research, she says, even though DEI is fundamental to the HIV response.View image in fullscreen“I don’t mean that in a sort of touchy-feely way, I mean that’s what we need to do: you need to actually get those treatments to these diverse communities.”In 2022, 55% of all new HIV infections were within “key populations”, such as gay men, other men who have sex with men, sex workers, transgender people, prisoners and people who inject drugs.Prof Linda-Gail Bekker, of South Africa’s Desmond Tutu Health Foundation, has seen US funding for three trials of potential HIV vaccines involving eight countries cancelled and only reinstated after an appeal to the US supreme court.“We’re running around like chickens without heads to at least get one going, because the vaccines are sitting in the fridge and will expire,” she says.She led the lenacapavir trial that showed it offered 100% protection to young women in sub-Saharan Africa, but now worries about HIV/Aids prevention “falling off the radar completely”.The global community had been making headway towards the United Nations’ goal of ending Aids by 2030, she says, with a five-year plan to use “amazing new innovative tools and scale them up”, which would have led to “less dependence on foreign aid and more self-reliance” as new infections fell and attention shifted to maintaining treatment for people with HIV.“All of that is hugely at risk now because, without these funds, our governments will have to step up but they will concentrate on treatment,” she says. “We know they will do that, because that is what we did for the first 30 years.”Efforts to control Aids were entering “the last mile”, which was always likely to be more expensive, she says. “The people who were happy to come into health facilities, they would have come into health facilities.”It would be difficult to rely on government funding to reach the remaining groups, she says, not only because of fewer resources but also because in some countries it means targeting groups whose existence is illegal and unrecognised, such as sex workers or sexual minorities, and young girls may be reluctant to use government clinics if they are not supposed to be sexually active.“I feel like the odds are very stacked against us,” says Bekker, adding: “We’re obviously going to have to re-programme ourselves [and] formulate a different plan.”Pepfar had pledged funding to the Global Fund to Fight Aids, Tuberculosis and Malaria, to deploy 10m doses of lenacapavir in low-income countries. While the Global Fund has promised to maintain its commitment, it might receive fewer than the planned number of doses, Bekker fears.“Six months ago, I was saying the best thing we can do with lenacapavir is offer it to everybody in a choice environment. [Now] I think we’re gonna have to say who needs [injectable] prep,” she says, “and the rest have to do the best they can.“How do we make that decision? And what does that look like? It is back to sort of rationing.“When we started ARVs [antiretroviral drugs] way back in 2000,” Bekker recalls, “you would go, ‘you get treatment; you don’t, you don’t, you don’t’.“It feels terrible … but you have to get over that. You have to say it will be infection-saving for some people. And we’ve got to make it count.”View image in fullscreenFor Beatriz Grinsztejn, president of the International Aids Society, the disruption is critical and threatens many vulnerable people. But, she adds, it could present “an important opportunity for ownership – otherwise we are always left in the hands of others”.She worries about the impact of cuts to funding on younger scientists, with their potential loss from the research field “a major threat for the next generation”. But, she adds, the HIV community is “powerful and very resilient”.There have already been calls for new ways of doing things. It is “time for African leadership”, members of the African-led HIV Control Working Group write in the Lancet Global Health. There are now plans for Nigeria to produce HIV drugs and tests domestically.Christine Stegling, deputy director of UNAids, says it began “a concerted effort” last year to develop plans with countries about how their HIV programmes could become more sustainable domestically “but with a longer timeframe … now we are trying to do some kind of fast-tracking”.Governments are determined, she says, but it will require fiscal changes either in taxation or by restructuring debt.The goal of ending Aids by 2030 is still achievable, Stegling believes. “I think we have a very short window of opportunity now, in the next two, three months, to continue telling people that we can do it.“I keep on reminding people, ‘look, we need to get back to that same energy that we had when people were telling us treatment can’t be available in the global south, right?’ And we didn’t accept it. We made it happen.“We have national governments now who are also very adamant, because they can see what can happen, and they want to make it happen for their own populations.” More

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    The Guardian view on Starmer’s aid cuts: they won’t buy security, but they will undermine it | Editorial

    Politics is about choices. Some are forced on governments by circumstance. Others are self‑imposed. Labour’s decision to cut the aid budget to “pay” for increased defence spending is firmly in the latter category. It is also wrong – forcing the world’s poor to pay for Britain’s safety. This is a false economy. Cutting aid will make the world more unstable, not less. The very crises that fuel conflict – poverty, failed states, climate disasters and mass displacement – will only worsen with less development funding. Labour’s logic is self‑defeating: diverting money from aid to defence does not buy security; it undermines it.The numbers tell the story. Despite government attempts to inflate the amounts involved, the extra £5bn‑£6bn for defence is tiny relative to Britain’s GDP. The UK could easily absorb this through borrowing – especially in a global financial system where sterling is heavily traded – or, if the government prefers, through a modest wealth tax. Yet Sir Keir Starmer has chosen to frame this as a zero-sum game, where aid must give way to security. Why? Because this is not about economic necessity – it’s about political positioning. Labour wants to prove that it can be fiscally disciplined even when the numbers don’t demand it. It wants to neutralise Tory attacks, even when the real battle is over priorities, not affordability.It is also a move that aligns with Donald Trump’s worldview. The US president wants to close down the US government’s main overseas aid agency, treating it as an expensive indulgence rather than a pillar of foreign policy. Sir Keir is set to go to Washington this week. A UK prime minister that echoes Mr Trump’s “America first” instincts on defence and aid may find the meeting more congenial. If so, Sir Keir may be taking the idea that “the meek shall inherit the earth” a little too literally.Labour doesn’t just believe in fiscal discipline, it believes that it must believe in fiscal discipline and it constructs a justification for that belief. The problem is this: by accepting Conservative trade‑offs, Labour locks itself into an orthodoxy that it may later need to break. In a volatile world, Britain – outside the EU – must boost high-value exports and cut reliance on fragile supply chains. Even under Joe Biden, the UK was kept out of the US-EU Trade and Technology Council, which strengthened transatlantic industrial policy. Yet when does Downing Street admit Britain’s real limit is productive capacity – not budget deficits?Britain’s fiscal constraint is artificial, but its resource constraints are real. Energy, food and manufacturing are matters of national security, not just market functions. Without investment, dependence on key imports makes Britain vulnerable to supply-chain shocks and price inflation. That should make the announcements by Labour’s Ed Miliband and Steve Reed matter. If every pound spent requires a cut elsewhere, neither would have had much to say.Sir Keir often presents himself as a pragmatist rather than an ideologue – claiming to be adapting to circumstances rather than adhering to dogma. But such pragmatism is itself a belief system, one that treats capitalism’s rules as unchangeable, markets as beyond politics, and history as a one‑way street where past mistakes justify permanent, crippling caution. In doing so, he isn’t just rejecting alternatives – he’s rewriting history to suggest they were never an option to begin with.Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here. More

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    Trump and Musk’s attack on USAid is causing global chaos. Millions of lives are now at risk | Devi Sridhar

    Amid the daily troubling news coming from the United States are the ongoing and increasingly damaging efforts by President Donald Trump, supported by secretary of state Marco Rubio and Elon Musk, to shut down the US Agency for International Development (USAid). Musk has called it a “criminal organization” and said that it was “time for it to die”. The agency website is down, so little official information is available. But in the week since funding to the agency was frozen, and the majority of staff placed on leave, thousands of public health and development programmes worldwide have been thrown into turmoil, and now face an uncertain future.USAid is the main federal agency that works to provide foreign aid assistance to the poorest countries and people in the world. On Friday, a US judge prevented around 2,000 USAid employees from being placed on leave, and ordered the reinstatement of about 500 more. But Trump and Musk appear to want to move forward with a plan that would see its global workforce reduced from about 10,000 staff and contractors, to just over 600.It’s hard to overstate how disruptive this has already been to humanitarian work worldwide: most programmes have just been shut overnight with staff laid off, drugs and food left in warehouses, and patients and others not able to access services. The people affected live in some of the most vulnerable countries like Ukraine, Jordan, Ethiopia, Somalia, the Democratic Republic of the Congo, and Afghanistan.Although we don’t know the full extent of the damage, specific reports suggest that vital services have been thrown into chaos. Some walk-in sexual health and HIV services in South Africa shuttered overnight without notice, Ethiopia’s health ministry has reportedly laid off 5,000 healthcare professionals who were hired with US funding, and nearly half a billion dollars worth of food aid overseen by the agency and currently in ports, transit or storage is destined to spoil.USAid’s overall contribution is immense. It is the largest humanitarian operator globally – in 2023, the US provided 42% of all humanitarian assistance or about $68bn (£55bn), of which USAid spending made up about $40bn. And yet at the same time, both foreign aid and USAid specifically make up a tiny fraction of federal government spending: less than 1%. Cutting back makes little difference to overall US government spending, but is massively destructive to programmes reliant on this funding to deliver their on-the-ground work.What does that less than 1% of federal spending buy the US public? This argument has been re-hashed in presidency after presidency, and the answers are clear.Foreign aid can reduce instability, conflict and extreme poverty, which are major causes of mass displacement. Supporting programmes that keep more places safe and stable means fewer people needing to flee persecution, dire poverty or violence. With all the concerns over illegal immigration, reducing aid could make this challenge even harder to manage. Foreign aid can support countries to grow economically and create new markets and opportunities. Think of places like India, which have managed to create a vibrant and growing middle class.In the world of global health, foreign aid is vital to support countries in managing health challenges, including outbreaks of infectious diseases. Just think back to the west Africa Ebola outbreak in 2014. Liberia, Guinea and Sierra Leone struggled to contain Ebola spreading and were reliant on international partners to assist them. It was in the interest of all countries to help them given that the global spread of Ebola was imminent. In addition, the US builds vital soft power and influence in countries in which it provides help. Russia and China have learned this lesson – and will probably step into the aid vacuum left by the US.And beyond any of those “enlightened self-interest” arguments above is the simple fact that foreign aid helps other human beings who are struggling, including some of the poorest and most vulnerable in the world. It’s good to do because it’s simply good to do. Cutting programmes overnight means that women who might have lived are more likely to die in childbirth; those with HIV face not having access to clinics for lifesaving antiretroviral treatment; and hungry children no longer get nutritional supplements and food.Foreign aid shouldn’t be a partisan issue. The largest global health programme for a single disease, Pepfar, was launched by a Republican president, George W Bush, and is estimated to have prevented 25 million Aids deaths since its creation. I think back to a poll of Americans in 2016 by the Kaiser Family Foundation, where more than 60% of respondents said that the US was spending either the right amount or too little on global health, and only about 30% thought it was spending too much. It’s not clear that the US public actually supports these drastic cuts and freezes.Perhaps many now think that the US needs to worry more about its own domestic financial troubles than sending money overseas. A recent study found that the US economy is performing better than any of its peer countries, but performs worse on other metrics like health, happiness and social trust. “Wealthy but unhappy” is what the study’s authors found. Maybe the lesson here is that Americans need to reject Trump’s discourse and embrace being part of a global community and engaging with the world through agencies like USAid. That could lead to an America that is still wealthy, but just a bit more healthy and happy.

    Prof Devi Sridhar is chair of global public health at the University of Edinburgh More

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    The Long Wave: Why Trump’s USAid freeze endangers millions

    Hello and welcome to The Long Wave. I have been following Donald Trump’s suspension of the US Agency for International Development. USAid is the world’s single biggest aid donor, and the decision to halt its work has sent shockwaves around the world. This week, I trace the effects of its potential demise on the Black diaspora. But first, the weekly roundup.Weekly roundupView image in fullscreenFresh calls for DRC ceasefire | A summit of leaders from across Africa, including Rwanda and the Democratic Republic of the Congo, has called for an immediate and unconditional ceasefire in DRC. The Rwanda-backed M23 rebel group has seized swathes of territory in eastern DRC, leaving thousands dead or displaced.Altadena seeks justice for LA fire victims | A memorial service at the First African Methodist Episcopal church in Pasadena, led by the Rev Al Sharpton, has highlighted the Eaton wildfire’s disproportionate impact on Altadena’s Black residents in a rally for justice and equality.Liverpool waterfront’s role in slavery | Canning Dock in Liverpool, England, where ships trafficking enslaved Africans to the Caribbean were fitted out and repaired, is opening to the public so lesser-told aspects of its history can be explored. This project, alongside other redevelopment programmes, aims to shed light on the waterfront’s role in the transatlantic slave trade.Overtourism fears for Bo-Kaap | Residents of the picturesque, candy-coloured Bo-Kaap district in Cape Town, South Africa, are grappling with the impacts of tourism. Many have expressed frustration about road traffic, crowds blocking streets for photos and rising gentrification.Black hair animation makes waves | Researchers at Yale University and the University of California, Santa Cruz, have developed algorithms to capture the true form of afro-textured hair in animation and computer graphics. The development marks a huge step for the portrayal of Black characters in animated films, cartoons and video games.In depth: What is USAid and why has it been suspended?View image in fullscreenThe significance and reach of USAid’s operations came very close to home when I realised that even in the war-stricken cities of my birthplace, Sudan, USAid was providing support to soup kitchens crucial to the survival of cut-off civilian populations. The freezing of USAid’s work has severely compromised these life-saving efforts, as well as that of US-funded facilities caring for malnourished babies. In the capital, Khartoum, two-thirds of Sudan’s soup kitchens closed in the first week after the aid suspension.On Donald Trump’s first day in office, he announced a 90-day pause in the organisation’s operations because they were part of a “foreign aid industry and bureaucracy … not aligned with American interests”. USAid was established by John F Kennedy in 1961 as an independent agency of the US government. It grew to have a large remit, providing everything from humanitarian assistance to disaster relief. But it also plays a role in education, promoting democratic participation and governance, and supporting the health ministries of the countries it operates in. The range of its programmes and the number of locations in which it is active is staggering.The USAid budget was more than $40bn in the 2023 fiscal year. The suspension, which looks like a permanent dismantling, is embroiled in legal disputes. A federal judge has blocked the decision to put thousands of USAid workers on administrative leave, on the grounds that the Trump administration does not have the authority to abolish an agency established by congressional legislation. As the process unfolds, the work of the agency has been halted overnight, with severe repercussions.Sub-Saharan AfricaView image in fullscreenCountries in sub-Saharan Africa account for more than a third of US foreign assistance spending. In addition to famine relief and medical and humanitarian support in conflict areas such as Sudan, USAid assists health ministries and, most urgently, a large sexual health and HIV prevention programme. Approximately 40,000 healthcare workers in Kenya partly financed by USAid are likely to lose their jobs. The impacts on treatment available to patients, pregnant women and disease treatment are almost too vast to estimate.What is unfolding in South Africa – where patients have showed up for treatment and medication to find that clinics were closed – offers a small insight into what could happen next to people at the sharpest end of medical emergencies. The country is in the grip of one of the world’s largest HIV/Aids epidemics, constituting a quarter of cases worldwide.Latin AmericaView image in fullscreenUSAid’s work focuses on the challenges most prominent in any given location. In Latin America, support for those displaced by guerrilla violence, integration of migrants and the prevention of sexual exploitation have relied heavily on US foreign assistance. Almost 8 million Venezuelans have left the country in the past decade, fleeing economic crises and settling in neighbouring countries. About 3 million of them are in Colombia, the largest recipient of US foreign aid in South America. Last year, USAid funded the feeding and nutrition of a large number of refugees in Colombia, partnering with the UN World Food Programme and extending almost $50m in relief. Abandoning such vulnerable populations not only deprives them of food, but leaves them prone to exploitation and abuse by the sort of criminal gangs that prey on the displaced and hungry.skip past newsletter promotionafter newsletter promotionThe ramifications of the suspension extend to the preservation of precious and fragile ecosystems. In Brazil, USAid forged the Partnership for the Conservation of Amazon Biodiversity, an agreement that supports Indigenous people and rural communities, and in doing so protects the Amazon and helps combat the climate emergency. The loss of that support affects not just these communities and those employed by such foreign assistance programmes, but the environmental health of the planet.The CaribbeanView image in fullscreenIn the Caribbean, USAid projects are diverse and embedded in civil society, environmental protection and future proofing younger generations. In Jamaica, among the programmes that have halted is the Youth Empower Activity, which is targeted at the most at-risk people. It helps them access education, professional training and improve job prospects, with a view to increasing household income and promoting national development. Thousands of Jamaicans are enrolled in the scheme – but now a total of $54m of US funding is under threat in the country, according to government estimates.The suspension could also interrupt a USAid-funded, Caribbean-wide project to bolster food security by increasing fruit and vegetable farming, scholarships for degrees in agriculture and support for small farmers. The shutdown came days after the launch of a programme to reduce the risks to marine and coastal biodiversity – an attempt to ameliorate an environmental crisis affecting the region’s coral reefs and biodiversity. Beyond the impact on individuals, small business owners, and the environment, there is, as with all such stoppages, the loss of livelihoods of people employed by these schemes.Soft power lostView image in fullscreenDespite the large sums deployed, USAid, and US foreign assistance in general, is perceived to also benefit the United States. Although it cannot be quantified in exact numbers, supporters say such assistance contributes to the US’s soft power abroad. That soft power is twofold: the first is in a sort of preventive measure, whereby aid helps to stabilise poorer countries and pre-empt deepening crises that could compromise the US’s global security agenda. The second is that aid is seen as a bulwark to the influence of countries such as Russia and China, both of which are particularly active in Africa, for example. In maintaining a presence on the ground across the world, and strong alliances with governments and civil society organisations, the US promotes a foreign policy that aims to curtail the ability of its adversaries to create their own alliances and political footholds.Aid model under scrutinyView image in fullscreenThe speed of the suspension, and how it has plunged so many around the world into hunger and uncertainty, raises questions about the wisdom of depending so profoundly on a country that has proven to be so unreliable. Ken Opalo, a specialist in development and the author of An Africanist Perspective on Substack, wrote: “The cuts are a painful reminder that aid dependence isn’t a viable development strategy.” If the USAid suspension remains, that viable development strategy, or the stepping in of alternative funders, will not materialise overnight. In the meantime, millions of people wait to learn if their sudden change in circumstances will become permanent, subject to a huge constitutional battle thousands of miles away.

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