**U.S. Reduction in Foreign Aid Raises Concerns Over Global Health Support**

Sat Apr 26 2025 11:35:20 GMT+0300 (Eastern European Summer Time)
**U.S. Reduction in Foreign Aid Raises Concerns Over Global Health Support**

As the United States significantly cuts foreign assistance, questions arise about alternative funding sources for global health programs.


The article examines the implications of the U.S. withdrawal from foreign aid, the potential influence of China, and the role of philanthropies in filling the resulting void.

As the United States drastically reduces its foreign assistance to developing nations, a pressing dialogue is igniting amongst global health organizations, philanthropists, and foreign governments regarding the potential void in support for critical health initiatives. This concern centers on one pivotal question: who will step in to fill the growing gap?

In 2024, U.S. contributions to global health amounted to approximately $12 billion, funding essential programs for treating H.I.V., preventing diseases through vaccinations, ensuring access to clean water for refugees, and providing malaria treatments. This funding has been critically important, yet the per-capita disbursement from secondary major funders, such as the Gates Foundation—whose global health budget stood at $1.86 billion in 2023—is significantly less.

Dr. Ntobeko Ntusi, Chief Executive of the South African Medical Research Council, emphasizes the magnitude of the U.S. contribution, stating that no entity can effectively replace it : "The gap that has been filled by the U.S. cannot be easily matched by anybody."

The U.S. foreign health assistance has been predominantly provided through the United States Agency for International Development (USAID) and other governmental bodies, including the National Institutes of Health, which now faces significant cuts to health research funding due to the current administration’s changes.

Amidst these cuts, the global community is increasingly looking towards other nations, particularly China, to potentially assume some of the responsibilities that the U.S. is vacating, as well as appealing to prominent philanthropic organizations like the Gates Foundation and Open Philanthropy for assistance.

As the situation evolves, the world watches closely to see who will take the lead in sustaining health support for developing countries and how this shift will affect global health outcomes moving forward.

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