**Title**

Tue Mar 11 2025 00:52:49 GMT+0200 (Eastern European Standard Time)
**Title**

Global Health Advocates Seek Solutions as U.S. Foreign Aid Declines


**Description**

With the U.S. cutting back on its foreign assistance, a growing concern arises over who can fill the impending healthcare gaps in developing nations.

**Summary**
As the Trump administration reduces funding for global health initiatives, experts warn that the philanthropic contributions cannot match the financial support that the U.S. has historically provided, leading to urgent discussions aboutwho will take on that role.


As the U.S. significantly reduces its foreign assistance to developing nations, the global health community is grappling with a pressing question: who will compensate for this shortfall? In 2023, the United States contributed approximately $12 billion to global health initiatives—encompassing vital programs for H.I.V. treatment, vaccines for children, clean water for refugees, and essential malaria medications. Comparatively, the Bill and Melinda Gates Foundation stands as the next largest contributor, with a global health budget of only $1.86 billion.

Dr. Ntobeko Ntusi, chief executive of the South African Medical Research Council, emphasized the unprecedented gap left by the U.S., stating, “The gap that has been filled by the U.S. cannot be easily matched by anybody.” The primary agency distributing U.S. aid, USAID, has seen its functions severely curtailed under the new Trump administration, alongside significant cuts to health research grants from other agencies like the National Institutes of Health.

Conversations are beginning about potential replacements for this funding void, with many looking to other nations, particularly China. Discussions are also gaining momentum amongst large philanthropic organizations, like the Gates Foundation and Open Philanthropy, urging them to step in where the U.S. has retreated. As the global health landscape shifts, the need for a robust solution to support low-income countries becomes increasingly urgent.

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