Trump-Musk Gutting of USAID Could Lead to More Than 14 Million Deaths Over Five Years: Study

Rahma Kaki Jubarra and her sons, who are emergency level malnourished, Farah, 9 months and Jabr, three and a half, receive aid at Almanar feeding center in Mayo Mandala on the outskirts of Omdurman, Sudan on May 25, 2025.

(Photo: Carolyn Van Houten/The Washington Post via Getty Images)

Trump-Musk Gutting of USAID Could Lead to More Than 14 Million Deaths Over Five Years: Study

"For many low and middle income countries, the resulting shock would be comparable in scale to a global pandemic or a major armed conflict," said the coordinator behind the study.

A study published Monday by the medical journal The Lancet found that deep funding cuts to the U.S. Agency for International Development, a main target of the Department of Government Efficiency's government-slashing efforts, could result in more than 14 million additional deaths by the year 2030.

For months, humanitarian programs and experts have sounded the alarm on the impact of cutting funding for the U.S. Agency for International Development (USAID), which is the largest funding agency for humanitarian and development aid around the globe, according to the study.

"Our analysis shows that USAID funding has been an essential force in saving lives and improving health outcomes in some of the world's most vulnerable regions over the past two decades," said Daniella Cavalcanti, postdoctoral researcher at the Institute of Collective Health and an author of the study, according to a statement published Tuesday. Between 2001 and 2021, an estimated 91 million deaths were prevented in low and middle income countries thanks programs supported by USAID, according to the study.

The study was coordinated by researchers from the Barcelona Institute for Global Health with the help of the Institute of Collective Health of the Federal University of Bahia, the University of California Los Angeles, and the Manhiça Centre for Health Research, as well as others.

To project the future consequences of USAID funding cuts and arrive at the 14 million figure, the researchers used forecasting models to simulate the impact of two scenarios, continuing USAID funding at 2023 levels versus implementing the reductions announced earlier this year, and then comparing the two.

Those estimated 14 million additional deaths include 4.5 million deaths among children younger than five, according to the researchers.

The journalist Jeff Jarvis shared reporting about the study and wrote "murder" on X on Tuesday.

In March, Secretary of State Marco Rubio announced that the 83% of the programs at USAID were being canceled. In the same post on X, he praised the Department of Government Efficiency, which at that point had already infiltrated the agency. "Thank you to DOGE and our hardworking staff who worked very long hours to achieve this overdue and historic reform," he wrote.

Davide Rasella, research professor at Barcelona Institute for Global Health and coordinator of the study, said in a statement Tuesday that "our projections indicate that these cuts could lead to a sharp increase in preventable deaths, particularly in the most fragile countries. They risk abruptly halting—and even reversing—two decades of progress in health among vulnerable populations. For many low- and middle-income countries, the resulting shock would be comparable in scale to a global pandemic or a major armed conflict."

One country where USAID cuts have had a particularly deadly impact is Sudan, according to The Washington Post, which reported on Monday that funding shortages have led to lack of medical supplies and food in the war-torn nation.

"There's a largely unspoken and growing death toll of non-American lives thanks to MAGA," wrote Ishaan Tharoor, a Post columnist, of the paper's reporting on Sudan.

In reference to the reporting on Sudan, others laid blame on billionaire Elon Musk, the billionaire and GOP mega-donor who was initially tapped to lead the Department of Government Efficiency.

"In a less imperfect world, Musk and [President Donald] Trump would be forever cast as killers of children, and this would be front-page news for months and the subject of Sunday sermons in every church," wrote the journalist David Corn.

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