Cutting aid abroad and shredding the social safety net at home ensures more children will suffer and die
James Alwine and Elizabeth Jacobs for Common Dreams

It started with the closing of the United States Agency for International Development (USAID), thus removing US humanitarian and development aid to people in the worst situations in the world.
The cruel closure of USAID denied and continues to
deny more than 95 million people access to basic healthcare and
nutrition, leading to an
estimated 1.6 million additional deaths in 2025, many of which were children.
The current administration also significantly
weakened the President’s Emergency Fund for AIDS Relief (PEPFAR). These
cuts, plus the closing of USAID,
severely limit the international efforts of humanitarian organizations which
work to control mother-to-child transmission of HIV. If funding for HIV
prevention and treatment continues to fall, by 2040, an estimated 3
million children will contract HIV and nearly 1.8 million will die of
AIDS-related causes.
As if that were not enough, the administration pulled out of the vaccine alliance Gavi, an
international organization that has paid for more than 1 billion children to be
vaccinated worldwide. This allows vaccine-preventable diseases to flourish
among unvaccinated and vulnerable children. Many will be permanently disabled
or die.
The administration has directed these closings of
international programs overwhelmingly against Black and brown people who,
according to the president, live in “sh** hole” countries. This is his program of “America
First,” where “those” people don’t matter—where their children don’t matter.
Moral judgement aside, helping those suffering in other
countries is actually in our best interest. Not only would this show some badly
needed humanity and compassion, it is also the best public health approach
to protect all of us from contagious diseases.



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