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      Judge pauses Trump’s order restricting healthcare for transgender youth

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      A federal judge on Thursday temporarily blocked Donald Trump’s recent executive order aimed at restricting gender-affirming healthcare for transgender people under age 19.The judge’s ruling came after a lawsuit was filed earlier this month on behalf of families with transgender or non-binary children who allege their healthcare has already been compromised by the president’s order. A national group for family of LGBTQ+ people and a doctors organization are also plaintiffs in the court challenge, one of many lawsuits opposing a slew of executive orders Trump has issued as he seeks to reverse the policies of former president Joe Biden.Judge Brendan Hurson, who was nominated by Biden, granted the plaintiffs’ request for a temporary restraining order following a hearing in federal court in Baltimore. The ruling, in effect for 14 days, essentially puts Trump’s directive on hold while the case proceeds. The restraining order could also be extended.Trump’s executive order “seems to deny that this population even exists, or deserves to exist”, Hurson said.Shortly after taking office, Trump signed an executive order directing federally run insurance programs to exclude coverage for gender-affirming care. That includes Medicaid, which covers such services in some states, and Tricare for military families. Trump’s order also called on the Department of Justice to vigorously pursue litigation and legislation to oppose the practice.The lawsuit includes several accounts from families of appointments being canceled as medical institutions react to the new directive.Attorneys for the plaintiffs argue Trump’s executive order is “unlawful and unconstitutional” because it seeks to withhold federal funds previously authorized by Congress and because it violates anti-discrimination laws while infringing on the rights of parents.Like legal challenges to state bans on gender-affirming care, the lawsuit also alleges the policy is discriminatory because it allows federal funds to cover the same treatments when they are not used for gender transition.Some hospitals immediately paused gender-affirming care, including prescriptions for puberty blockers and hormone therapy, while they assess how the order affects them.Trump’s approach on the issue represents an abrupt change from the Biden administration, which sought to explicitly extend civil rights protections to transgender people. Trump has used strong language in opposing gender-affirming care, asserting falsely that “medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex”.Major medical groups such as the American Medical Association and the American Academy of Pediatrics support access to gender-affirming care.Young people who persistently identify as a gender that differs from their sex assigned at birth are first evaluated by a team of professionals. Some may try a social transition, involving changing a hairstyle or pronouns. Some may later also receive puberty blockers or hormones. Surgery is extremely rare for minors. More

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      Trump tariffs: what are reciprocal tariffs and how will they affect US consumers?

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      Donald Trump has once again threatened to impose a wave of tariffs on US imports, stepping up his bid to overhaul the global economic order.On Thursday, the US president said he plans to introduce “reciprocal” tariffs, ensuring the US imposes the same taxes on its imports from the rest of the world that American goods face in other countries.“It’s fair to all,” said Trump. “No other country can complain.”The latest announcement follows a string of others from the Trump administration, promising tariffs on both America’s close allies and economic rivals. But most have yet to be enforced.Here’s what we know about Trump’s tariffs so far:What are the tariffs has Trump announced?No new tariffs were announced on Thursday. Instead, the president ordered his officials to investigate which countries the US should target with import duties.The White House has previously said it would place a 25% tariff on goods from Canada and Mexico, introduce a 10% levy on Canadian energy exports, and amend duties on steel and aluminum from all over the world.So far, the only new duty that has come into force under Trump is a a new 10% tariff on goods from China..What is a tariff and why does Trump want to use it against certain countries?A tariff is a tax levied on foreign goods imported into a country. The US is currently the largest goods importer in the world – in 2022, the value of imported goods in the US totalled $3.2tn.Before entering office, Trump threatened tariffs on the US’s three biggest trading partners: China, Mexico and Canada. Specifically, he said he wanted to see a 25% tariff on Mexico and Canada and a 10% tariff on China, until the countries deal with immigrants and illegal drugs coming into the US.Trump sees tariffs as a powerful bargaining chip – but it comes with a high price.Trump frames tariffs as a policy that can apply pressure on US manufacturers and importers to produce goods domestically.“All you have to do is build your plant in the United States, and you don’t have any tariffs,” Trump has said. But the global economy has been intertwined for decades. US farmers, for example, would not be able to produce the number of avocados Mexico produces for many years.What this means is that importers will probably push the cost of tariffs on to consumers, causing prices to rise.What is a reciprocal tariff?On the campaign trail and in the White House, Trump has repeatedly raised the prospect of a wave of “reciprocal” duties: taxing imports from certain countries at the same rate those countries impose on goods from the US.The president and his allies have pitched this as a great rebalancing of the global economy, which they claim has been tilted against the US for too long.How will US consumers be affected by the tariffs?Tariffs on imports often make prices go up.Canada, for example, is a major exporter of crude oil, while Mexico exports many fresh fruits and vegetables. Mexico is also the largest auto parts exporter to the US. China is a major exporter of chips used in electronics like phones and laptops.It’s not just the imports that consumers buy directly. When tariffs push up the price of imports, that includes imported materials used to make other products domestically in the US. Higher prices for materials will eventually make their way to consumers.Americans have been bracing for the impact tariffs will have on prices. In a November Harris/Guardian poll, nearly two-thirds of Americans said they expected prices to go up if Trump implements broad tariffs.Which federal laws give Trump the power to enact tariffs?US federal law gives the president broad powers to enact tariffs without congressional approval.Trump has the power to declare a national economic emergency to enact his tariffs. This would invoke the International Emergency Economic Powers Act (IEEPA), which gives the president the power to manage imports during a national emergency.Trump can also apply tariffs under section 232 of the Trade Expansion Act, which gives the president power to impose tariffs on certain industries. This is what Trump used in 2018, when he hit Canada, Mexico and the European Union with tariffs on aluminum and steel.Have a question about Trump tariffs? Wondering how they affect inflation, prices or the economy? We’re here to help. Email callum.jones@theguardian.com and we may answer your question in a future story More

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      Trump proposes nuclear deal with Russia and China to halve defense budgets

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      Donald Trump said that he wants to restart nuclear arms control talks with Russia and China and that eventually he hopes all three countries could agree to cut their massive defense budgets in half.Speaking to reporters in the Oval Office on Thursday, Trump lamented the hundreds of billions of dollars being invested in rebuilding the nation’s nuclear deterrent and said he hopes to gain commitments from the US adversaries to cut their own spending.“There’s no reason for us to be building brand-new nuclear weapons. We already have so many,” Trump said. “You could destroy the world 50 times over, 100 times over. And here we are building new nuclear weapons, and they’re building nuclear weapons.”“We’re all spending a lot of money that we could be spending on other things that are actually, hopefully, much more productive,” Trump said.While the US and Russia have held massive stockpiles of weapons since the cold war, Trump predicted that China would catch up in their capability to exact nuclear devastation “within five or six years”.He said that if the weapons were ever called to use, “that’s going to be probably oblivion”.Trump said he would look to engage in nuclear talks with the two countries once “we straighten it all out” in the Middle East and Ukraine.“One of the first meetings I want to have is with President Xi of China, President Putin of Russia. And I want to say: ‘Let’s cut our military budget in half.’ And we can do that. And I think we’ll be able to.”Trump in his first term tried and failed to bring China into nuclear arms reduction talks when the US and Russia were negotiating an extension of a pact known as New Start. Russia suspended its participation in the treaty during the Biden administration, as the US and Russia continued on massive programs to extend the lifespans of or replace their cold war-era nuclear arsenals.skip past newsletter promotionafter newsletter promotionOutlining his vision for a shake-up in the world order, Trump also said he would “love” to have Russia back in the G7, from which it was suspended in 2014 after Moscow annexed Ukraine’s Crimea peninsula.“I think it was a mistake to throw him out,” Trump said, referring to the Russian president, Vladimir Putin.In his first term, Trump also called for Russia to be readmitted, but he found little support among other western countries.Trump revealed Wednesday he expected to meet Putin separately for Ukraine peace talks, in a sudden thaw in relations.In their first confirmed contact since Trump’s return to the White House, the US president said he had held a “highly productive” conversation with his Russian counterpart, who ordered the bloody 2022 invasion of Ukraine. More

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      Top federal prosecutor resigns after being told to drop Eric Adams charges

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      The top federal prosecutor in Manhattan resigned on Thursday rather than obey a justice department order to drop corruption charges against the New York City mayor, Eric Adams.The resignation of Danielle Sassoon, a Republican who was the interim US attorney for the southern district of New York, was confirmed by a spokesperson for the office.Her resignation came days after a senior justice department official directed New York prosecutors to drop the federal criminal case against Adams, who was accused of accepting illegal campaign contributions and bribes of free or discounted travel from people who wanted to buy his influence.The US acting deputy attorney general, Emil Bove, said in a memo on Monday that the case should be dismissed so that Adams, a Democrat, could help with Donald Trump’s immigration crackdown and campaign for re-election as the city’s mayor this December.Justice department officials did not immediately respond to a request for comment, and neither did Adams’s attorney, Alex Spiro. A spokesperson for the mayor did not immediately respond.The justice department’s decision to end the case because of political considerations, rather than the strength or weakness of the evidence, alarmed some career prosecutors who said it was a departure from longstanding norms.While Bove had directed that the case be dismissed as soon as “practicable”, days went by with no public statements or actions by the prosecution team in New York.The US attorney general, Pam Bondi, said on Wednesday that she would “look into” why the charges had yet to be dismissed.Sassoon, a former clerk for the late US supreme court justice Antonin Scalia who is a member of the conservative Federalist Society, was not the one who brought the case against Adams last year. The prosecutor who did, the former US attorney Damian Williams, stepped down after Trump’s election victory last November.Sassoon was tapped to serve as acting US attorney on 21 January, the day after Trump took office.The office she led until Thursday is among the largest and most prominent prosecutor’s offices in the US, with a long track record of tackling Wall Street malfeasance, political corruption and international terrorism.It has a tradition of independence from Washington, which has earned it the nickname “the sovereign district”. More

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      Robert F Kennedy Jr sworn in as health secretary after Senate confirmation

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      Robert F Kennedy Jr has taken control of America’s vast healthcare apparatus, after the Senate voted on Thursday to confirm the controversial anti-vaccine campaigner’s nomination as health secretary.The Senate voted 52 to 48, with all Republicans other than the veteran Kentucky senator and former majority leader, Mitch McConnell, backing the former environmental lawyer.Kennedy was sworn in later on Thursday by US supreme court justice Neil Gorsuch.Kennedy abandoned his independent presidential bid last year after a weak campaign and endorsed Donald Trump.The vote installs one of America’s most prominent vaccine skeptics to run its federal health infrastructure, granting oversight of the very agencies – including the Centers for Disease Control and Prevention and the Food and Drug Administration – that he has spent years battling through lawsuits and public campaigns. Kennedy will wield sweeping authority over the nation’s $2tn health system, including drug approvals for Medicare, the government health insurance scheme for older Americans.His path to the top crystallized after securing backing from the Republican senator Bill Cassidy, a physician who extracted what he called “unprecedented” commitments for collaboration from both Kennedy and the Trump campaign. The key moderate Senate Republicans Susan Collins and Lisa Murkowski also fell in line this week, having previously expressed doubts over Trump’s nomination.McConnell, the lone Republican defection, cited his own experience battling childhood polio as a primary reason for his vote against Kennedy.“I’m a survivor of childhood polio,” McConnell said. “In my lifetime, I’ve watched vaccines save millions of lives from devastating diseases across America and around the world. I will not condone the re-litigation of proven cures.”At his confirmation hearing, Kennedy equivocated and said he just wanted to ensure vaccine safety and would not stop vaccines from being available. But he has long peddled conspiracy theories and debunked claims, including that vaccinating babies against measles, mumps and rubella is linked to autism, and had previously said that “no vaccine is safe and effective”.He also tried to persuade the US government to rescind authorization for the newly developed coronavirus vaccine in 2021, despite the world having desperately waited for the shots to be developed while millions died during the pandemic. At the hearing he said “I don’t think anybody can say that” the Covid-19 vaccines saved millions of lives.McConnell said: “Individuals, parents, and families have a right to push for a healthier nation and demand the best possible scientific guidance on preventing and treating illness. But a record of trafficking in dangerous conspiracy theories and eroding trust in public health institutions does not entitle Mr Kennedy to lead these important efforts.”This was the second time in as many days that McConnell has opposed one of Trump’s nominees. On Wednesday, he voted against confirming Tulsi Gabbard as director of national intelligence, again the sole Republican to do so.Democrats – the party historically aligned with the Kennedy family legacy – have, on the other hand, totally disavowed RFK Jr as a nominee, chiefly based on his lack of subject area expertise.“Robert F Kennedy Jr is not remotely qualified to become the next secretary of health and human services,” the Senate minority leader, Chuck Schumer, said on the floor on Wednesday. “In fact, I might go further. Robert F Kennedy Jr might be one of the least qualified people the president could have chosen for the job.”skip past newsletter promotionafter newsletter promotionMost of the wider Kennedy political clan disowned RFK Jr, the son of the former US attorney general Robert F Kennedy and the nephew of US president John F Kennedy, during his presidential campaign last year.JFK’s daughter Caroline Kennedy, the former US ambassador to Australia, wrote to lawmakers ahead of the confirmation process and called her cousin a predator, saying he had enriched himself through his anti-vaccine “crusade”, while making victims of sick children and their families. She also noted that he had vaccinated his own children, something Kennedy says he now regrets having done.Kennedy has been at the center of numerous other controversies, including being accused of sexual misconduct, staging pranks with roadkill, including a dead bear cub, and claiming a previous illness was caused by having a worm in his brain, which prompted some opponents to call him a laughing stock. Kennedy has talked about his own recovery from heroin addiction. Through it all, Trump stuck with his nomination and on Thursday the Republican-controlled Senate acquiesced.Kennedy has in the past, however, been admired by Democratic leaders for his environmental advocacy. He has pledged to take on the big food manufacturers to try to loosen their grip on America’s over-processed diet and has become the face of the Trump administration’s offshoot motto “Maha”, or Make American Healthy Again.During the Senate finance committee hearing, Elizabeth Warren had raised alarm over Kennedy’s financial ties to anti-vaccine litigation, including a fee-sharing arrangement with the law firm Wisner Baum that earned him $2.5m over three years – an arrangement he initially planned to maintain while serving as secretary before amending his ethics agreement under pressure.Post-confirmation, the Democratic senator from Massachusetts, who had her own run for president in 2020, reiterated her dismay, calling the vote in favor of the incoming secretary of health and human services “a huge mistake”.“When dangerous diseases resurface and people can’t access lifesaving vaccines, all Americans will suffer,” Warren said in a statement. “And thanks to his serious, unresolved conflicts of interest, RFK Jr’s family could continue getting richer from his anti-vaccine crusade while he’s in office.”The Republican senator Lindsey Graham of South Carolina, defended his vote for Kennedy. “Every president deserves their team,” Graham said, adding: “I look forward to working with RFK Jr to improve our quality of life and health in America.” More

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      Seth Meyers on Musk and his agency’s corruption: ‘It’s so transparent’

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      Late-night hosts talked Donald Trump and Elon Musk’s bizarre Oval Office press conference and their dismantling of the Consumer Financial Protection Bureau.Seth MeyersThough Trump promised throughout his campaign to lower grocery prices as president, to date, “we still don’t have a plan for lowering eggs prices,” said Seth Meyers on Wednesday night. “But we do have a plan for building hotels in Gaza.”The Late Night host had a theory for why Trump remained so fixated on his “plan”, announced seemingly on a whim at a press conference, to expel Palestinians and build hotels: “It’s called the Gaza Strip, and the only other strip he knows is the Vegas Strip, so he thinks that can work there,” Meyers explained. “And if you think the people around him are going to say, ‘Actually, sir, it’s a different kind of strip,’ just remember that the people around him also suggest Red, White and Blueland” as an alternative name for Greenland.“This is what Trump does,” Meyers continued. “We’ve seen it for years. It’s nothing new. He’s hoping voters will pay attention to his plans for Gaza and Greenland, and ignore what he’s doing to the rest of the government.”Such as disbanding the Consumer Financial Protection Bureau (CFPB). After firing its employees, Musk tweeted “CFBP RIP” with a tombstone emoji. “First of all, don’t announce policy via emoji,” Meyers said. “Second, think about how corrupt this is: they’re eliminating the Consumer Financial Protection Bureau, the agency that stops companies from ripping you off. It’s so transparent.” Meyers noted that Musk is in the process of turning X, the social media site formerly known as Twitter that he owns, into a peer-to-peer payment and financial services app, while also dismantling the agency that oversees payments and financial services.At a press conference in the Oval Office on Tuesday, Musk defended his conflicts of interest, claiming transparency via posts to the Doge handle on X. Meyers didn’t buy it – “so to find out what our government is up to, we just have to wade through a sea of Nazis, trolls, ads for Cheech & Chong weed gummies and bots with women in bikinis offering to send us 1m units of something called Sex Coin as long as we send our social security and bank routing numbers.”Jimmy KimmelOn Jimmy Kimmel Live!, the host ripped into Trump’s proposal on Gaza. “Blob the Builder is still going all in on his ridiculous and potentially disastrous plan to force nearly 2 million Palestinians who live in Gaza to go live somewhere else,” he explained. “There seems to be no thought put into this plan outside of just what he says at the press conference.”Asked if the Palestinians didn’t want to leave, Trump answered: “They’re going someplace beautiful, they’re going to be in love with it.”“This is not what you say to people you’re evicting from the place where they live!” Kimmel exclaimed. “This is what you say to your parents when you’re about to put them in a retirement home.”In other Trump chaos, the White House banned reporters from the Associated Press because the outlet refused to call the Gulf of Mexico by Trump’s self-proclaimed new title, the Gulf of America. “They’re going to keep kicking journalists out until all they have left are Fox, Newsmax, OAN, OnlyFans and Golf Digest,” Kimmel joked.Google and Apple Maps both fell in line, relabeling the body of water for just American users. “It’s basically the equivalent of giving Trump a binky and hoping he shuts up,” said Kimmel.The Daily ShowAnd on the Daily Show, Jordan Klepper recapped an Oval Office presser hosted by Trump and Musk. “It’s good that we have Elon Musk here,” said Klepper, “because we’ve been watching him slashing programs and shuttering agencies for a month now, and we can finally ask Elon, ‘Why are you doing this?’”Musk defended his unofficial “department of government efficiency” (also known as Doge) because: “It’s incredibly important that the president, the House and the Senate decide what happens, as opposed to a large, unelected bureaucracy.”Though Musk disparaged unelected bureaucrats, Klepper had to ask: “Isn’t that you …? Am I going crazy? Because it feels like I’m watching Drake sing Not Like Us at karaoke. Like, does he not know?“Is having this one unaccountable bureaucrat in charge better than having those other unaccountable bureaucrats in charge?” he continued. “Because at least the others have to follow transparency laws. The only thing transparent about Doge is Elon’s skin.”As Klepper noted, Musk’s financial disclosures are being kept secret, the ‘efficiency’ agency is exempt from open records laws, and when someone on X posted the names of Doge employees, the account was suspended and Musk tweeted “you have committed a crime” – “which, we tried to factcheck with career officials at the FBI, but they’re all working at a Panera now”, Klepper quipped.Musk also defended himself against obvious conflicts of interest, saying: “I fully expect to be scrutinized and get a daily proctology exam.”“Well, I did the exam, and what an asshole,” Klepper retorted.Send us a tip
      If you have information you’d like to share securely with the Guardian about the impact of cuts to federal programs, please use a non-work device to contact us via the Signal messaging app at (646) 886-8761. More

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      The #Resistance is no more. But a quieter fightback to Trump 2.0 is growing | Jon Allsop

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      In January 2017, the day after Donald Trump was first inaugurated as US president, hundreds of thousands of protesters descended on Washington for a “Women’s March” that was actually a broader-based vessel for popular rage. Not that the atmosphere was uniformly angry: I covered the march for a US radio network and found pockets of joy among the crowd. “It’s really exciting,” a teenager from New York told me. “It’s democracy in action.”The march, and parallel events around the country, was emblematic of what came to be known as the #Resistance, a loud liberal movement in opposition to Trump that took the form not only of mass protests, but court fights, adversarial media coverage (and increased consumption thereof) and grassroots organising. The movement made cult figures (not to mention merchandise) of figures seen as standing up for institutions, from the Trump-probing special counsel Robert Mueller to the supreme court justice Ruth Bader Ginsburg.Now though, as Trump’s second term is under way, a consensus has formed that the #Resistance is dead. Almost as soon as Trump won in November, media leaders swore off the term, and liberal news consumers appeared to tune out. Titans of tech and culture who criticised Trump last time around either openly backed him or grovelled at his feet; even staunch Democrats suggested that they would find areas of common ground with his new administration. Protests around the inauguration were much smaller. Ross Barkan argued recently in the New York Times Magazine that the era of “hyperpolitics” – or politics as an all-consuming social battleground – is now over.Why? The principal answer might simply be fatigue. Trump is an exhausting figure, and American politics has now revolved around him for nearly a decade. And hopes that the burst of first-term energy against him would exile him from public life proved forlorn.The opposition to Trump also appears rudderless. The institutional Democratic party might technically have a new leader – Ken Martin, a little-known apparatchik – but for now, it lacks towering political talents. Many supporters doubtless feel disillusioned after watching Joe Biden cast the last election in existential terms, then fail to do everything in his power to ensure that the Democrats won it, before welcoming Trump back with warm words and a cuppa.And, if the Democrats are palpably diminished, there is a sense that Trump stands astride the political landscape as a colossus. In 2016, he won the electoral college but lost the popular vote by nearly 3 million, making room for the conclusion that his win was a fluke or somehow illegitimate. This time, the country knew the threat he posed, and he won decisively anyway. Trump and his allies have seized on that fact to claim a huge mandate.As the influential New York Times columnist Ezra Klein has noted, Trump’s victory has percolated down into US culture. Big tech firms and other industries may have submitted to Trump’s will this time out of fear that he would otherwise use the power of the state against them. But it seems equally likely that they are using the clarity of his victory as a permission slip to distance themselves from pesky liberal imperatives (diversity! Workers’ rights!) that they never liked, while seizing on areas of interest alignment and ideological affinity. For all his populist rhetoric, Trump has always been a slasher of tax and red tape at heart.The vibes, as the saying goes, have shifted since 2017. Trump has proved to be a lasting reflection of deep currents in American public opinion, not an accident. Peppy Obama-era liberalism is discredited. The #Resistance really does appear to be dead.Get rid of the hashtag and capital letter, however, and a small “r” resistance to Trump is still visible, as the Washington Post’s Perry Bacon Jr and New York magazine’s Rebecca Traister have argued. In-person protests are kicking back into gear – albeit still on a smaller scale – as are Democratic blocking moves in Congress. There’s evidence that liberals are tuning back into the news.None of this matches the mass energy and ubiquitous liberal iconography of 2017. But the less flashy work that undergirded the #Resistance – civil society groups suing to block Trump’s policies; local-level organising – is very much in evidence again this time. The Women’s March was a headline-grabbing show of force, but the courts were the most important brake on Trump in the early days of his first term. That’s already been the case again.And Trump is more vulnerable than he might appear to be, for two main reasons. First, if it was an overreaction to think that his 2017 win was an aberration, it’s also an overreaction to see him as an electoral Goliath now; he won the popular vote last year only narrowly and with a plurality, not a majority. Second, he might be enjoying a honeymoon, but his radical and chaotic early moves in office are already likely eating up his political and cultural capital.In part, this is by design. Trump and his allies want to overwhelm their opponents, as has been well documented. But I think they also want to provoke them. Trumpism as a political project is about conquest, yes, but it’s also about conflict – it needs resistance in order to thrive. It is a politics that will keep on pushing until opponents can’t not fight back.The past few weeks might have heralded the death of a specific brand or aesthetic of oppositional politics. But the underpinning idea is alive. It might not feel exciting any more, but democracy is still in action.

      Jon Allsop is a freelance journalist. He writes CJR’s newsletter The Media Today 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

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      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