Welcome to Balance of Power, bringing you the latest in global politics. If you haven't yet, sign up here. Trade tariffs are President Donald Trump's chosen stick to compel rich governments to do his bidding. Now he's removing the carrots of US foreign assistance to poorer nations as well. The US Agency for International Development is in limbo and its fate uncertain after its website was taken offline and senior leadership put on administrative leave. Trump said yesterday that USAID is run "by a bunch of radical lunatics," while Elon Musk, whose Department of Government Efficiency was involved in a weekend standoff over access to the agency's classified systems, called it a "criminal organization." For many on the ground, the uncertainty is disastrous. A fear of retribution is keeping services from resuming after they stopped last week. A food-assistance operation run by USAID, Catholic Relief Services and the Relief Society of Tigray on in June 2021 in Mekele, Ethiopia. Photographer: Jemal Countess/Getty Images A memo aimed at clarification put life-saving HIV care and treatment services on an exemption list for now, but the interruption has already done damage. There are more than 222,000 people globally living with the virus that causes AIDS who collect refills of antiretrovirals every day. Getting people back onto treatment after a break in services often isn't easy, and without it they're at risk of becoming infectious again. For more than two decades, US funds from the President's Emergency Plan for Aids Relief, known as Pepfar, have saved millions of lives across Africa. The disruption hits critical areas like surveillance, research, communication and data collection. Dependent on Pepfar grant funding, the Orphans and Vulnerable Children program serves almost 6.5 million children and adolescents annually. The top five countries using this program are all in Africa, which — despite having spawned some of humanity's most devastating diseases ranging from from yellow fever to Ebola — has some of the fewest resources. Freezing US aid worth $72 billion to some of the world's most vulnerable countries risks fueling migration, war and piracy, according to Bloomberg Economics. And Trump has taken things further in South Africa — where about one in five people live with HIV and which depends on Pepfar for almost a fifth of its HIV-AIDS program — saying yesterday that Washington would halt all future funding to Pretoria because of its new land-expropriation law. In pulling back US assistance, Trump risks ceding more ground in the so-called Global South. It's a new reality that surely won't be lost on China. — Janice Kew Trump and Musk watch the launch of the SpaceX Starship rocket on Nov. 19 in Brownsville, Texas. Photographer: Brandon Bell/Getty Images |
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