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All foreign assistance programs will now be managed by the secretary of state.
A cable from the U.S. State Department Tuesday showed that the Trump administration is eliminating the entire international workforce of the foreign aid agency that has provided lifesaving assistance in the Global South for over six decades.
"The Department of State is streamlining procedures under National Security Decision Directive 38 to abolish all USAID overseas positions," read the cable, referring to the U.S. Agency for International Development. The document was obtained by The Guardian.
USAID was one of the first targets of the so-called Department of Government Efficiency (DOGE), whose former leader, billionaire Elon Musk, has baselessly called the agency a "criminal organization."
Secretary of State Marco Rubio announced in March that 5,200 of the agency's 6,200 international initiatives had been eliminated and that the few remaining programs were now under the control of the State Department.
The announcement by Rubio on Tuesday means all foreign assistance programs will be managed by the department, with the administration firing hundreds of foreign service officers, contractors, and local employees across more than 100 countries.
USAID officials and international humanitarian experts have warned since the Trump administration first moved to freeze foreign assistance in January that cuts to the agency would leave at least 1 million children without treatment for malnutrition, leave 200,000 more children paralyzed from vaccine-preventable polio over next decade, and cause up to 160,000 deaths from malaria.
But President Donald Trump has persistently claimed the agency is "run by a bunch of radical lunatics" and Rubio has said USAID operates "independent of the national interest."
"Everything they do has to be aligned with U.S. foreign policy," said Rubio earlier this year.
The announcement of the elimination of USAID's entire workforce came as government watchdog Public Citizen released a new report on Trump's stop-work order affecting the agency in January. The order "likely affected 32 USAID-funded clinical trials conducted across 25 countries and as many as 94 thousand participants."
According to the report:
Due to the stop-work order, said Nina Zeldes, a health researcher at Public Citizen's Health Research Group, "researchers were unable to safeguard the welfare of participants and uphold their ethical obligations."
Public Citizen said that "the sudden, medically uncalled-for suspension of the clinical trials was a serious violation of research ethics, potentially jeopardizing the health of trial participants and the integrity of the trials."
The Center for Global Development also published an analysis Tuesday of estimates that have stated the White House's proposal of cutting global health and humanitarian aid funding by two-thirds would put 1 million lives at risk.
Researchers Charles Kenny and Justin Sandefur found that it was "implausible" that cuts to U.S. foreign assistance would only impact so-called "waste" and would preserve lifesaving assistance, as the administration has claimed.
"Using our estimates of costs per life saved for U.S. global health and humanitarian assistance based on available empirical evidence, we can calculate the potential number of lives at risk from such cuts," wrote Kenny and Sandefur. "The calculation suggests the cuts could lead to 675,000 additional deaths from HIV, and a combined 285,000 deaths from malaria and tuberculosis."
Nearly 300 UNRWA workers have been killed in Israeli attacks since October 2023, and dozens of other agency staffers have alleged torture during Israel Defense Forces detention.
As the International Court of Justice this week weighs an Israeli ban on a United Nations agency that provides lifesaving aid in Gaza, the program's leader called out attacks on its workers while the United States defended Israel—the recipient of billions of dollars in U.S. military assistance.
The ICJ is holding a week of hearings in The Hague, Netherlands following the U.N. General Assembly's December passage of a Norwegian-led resolution asking the tribunal, which is also known as the World Court, for an advisory opinion on Israel's legal obligation to "ensure and facilitate the unhindered provision of urgently needed supplies essential to the survival of the Palestinian civilian population."
Among the 38 nations and three regional blocs scheduled to address the 15 ICJ judges, only the United States and Hungary have so far defended Israel, whose forces have killed nearly 300 United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) workers during their nearly 19-month annihilation of Gaza.
"An occupational power retains a margin of appreciation concerning which relief schemes to permit," U.S. State Department legal adviser Joshua Simmons argued before the court Wednesday, referring to Israel's 58-year occupation of Palestine, which the ICJ ruled an illegal form of apartheid in a June 2024 advisory opinion.
"Even if an organization offering relief is an impartial humanitarian organization, and even if it is a major actor, occupation law does not compel an occupational power to allow and facilitate that specific actor's relief operations," Simmons continued, noting "serious concerns about UNRWA's impartiality, including information that Hamas has used UNRWA facilities and that UNRWA staff participated in the October 7th terrorist attack against Israel" in 2023.
"Given these concerns, it is clear that Israel has no obligation to permit UNRWA specifically to provide humanitarian assistance," Simmons added. "UNRWA is not the only option for providing humanitarian assistance in Gaza."
In what UNRWA Commissioner-General Philippe Lazzarini described at the time as an act of "reverse due process," the agency fired nine employees in February 2024 following Israeli allegations that they were involved in the Hamas-led attack on Israel in which more than 1,100 Israelis were killed and 251 Israeli and foreign survivors were kidnapped.
Lazzarini admitted to terminating the staffers without due process or an adequate investigation of Israel's claims. A subsequent probe by the U.N. Office of Oversight Services "was not able to independently authenticate information used by Israel to support the allegations."
On Tuesday, Lazzarini reminded the world that "over 50 UNRWA staff—among them teachers, doctors, social workers—have been detained and abused" by Israeli forces since October 2023.
"They have been treated in the most shocking and inhumane way," he continued. "They reported being beaten up and used as human shields. They were subjected to sleep deprivation, humiliation, threats of harm to them and their families, and attacks by dogs. Many were subjected to forced confessions."
Those forced confessions spurred numerous nations including the United States to cut off funding to UNRWA. Almost all of the countries have since restored funding as Israel's claims have been debunked or questioned over a lack of evidence.
The U.S.—which has not restored funding for UNRWA—earlier this week abandoned its long-standing position that the body is immune from lawsuits, opening the door for cases by October 7 survivors and victims' relatives stemming from dubious claims of agency involvement in the attack.
In addition to accusing Israeli troops of torturing its staffers, UNRWA has also documented tortures allegedly suffered by Palestinians imprisoned by Israel, including interrupted drowning—also known as waterboarding—being shot in the knees with nail guns, sexual abuse of both men and women, and being sodomized with electric batons. The Israel Defense Forces is investigating dozens of in-custody deaths, many of them at the notorious Sde Teiman base in the Negev Desert.
While Israel's physical assault on Gaza has killed hundreds of UNRWA workers, its diplomatic war on the U.N. has seen the agency banned from operating in Palestine and U.N. Secretary-General António Guterres declared "persona non grata" in Israel after he included Israel on his 2024 "list of shame" of countries and armed groups that kill and injure children during wartime.
The U.S.-backed 572-day war waged by the far-right government of Israeli Prime Minister Benjamin Netanyahu—who is a fugitive from the International Criminal Court—has left more than 184,000 Palestinians dead, maimed, or missing in Gaza, according to the Gaza Health Ministry. Nearly all of the embattled enclave's more than 2 million people have been forcibly displaced and Israel's "complete siege" of the coastal strip has fueled widespread starvation and illness.
This week's ICJ hearing comes amid the tribunal's ongoing genocide case against Israel, which was brought by South Africa and is backed by dozens of nations either individually or via regional blocs. The court has issued three provisional orders in the case, all of which Israel has been accused of flouting.
Responding to the U.S. intervention in this week's ICJ hearings, Palestinian Ambassador to the Netherlands Ammar Hijazi toldMiddle East Eye that "everybody knows that Israel is using humanitarian aid as a weapon of war and is starving the population in Gaza because of that."
U.N. agencies and international humanitarian groups have warned in recent days of the imminent risk of renewed famine in Gaza as food stocks run out.
“ #Gaza: children are starving. The Government of Israel continues to block the entry of food and other basics. A manmade and politically motivated starvation. Nearly 2 months of siege. Calls to bring in supplies are going unheeded.” — UNRWA Commissioner-General Philippe Lazzarini
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— UNRWA ( @unrwa.org) April 27, 2025 at 1:39 AM
"The U.S. intervention is very narrow in its scope, when it highlights the rights of an occupying power but ignores the so many layers of duties of that occupying power that Israel is in violation of," Hijazi added.
Among the countries defending UNRWA during Wednesday's ICJ session were Indonesia and Russia, which is currently waging a war against Ukraine. Indonesian Foreign Minister Sugiono affirmed "the Palestinian people's right to self-determination," while Maksim Musikhin, legal director of Russia's Foreign Ministry, argued that "international law should be respected by Israel" and that UNRWA deserves a Nobel Peace Prize.
One observer called the proposal "nothing less than an assault on American diplomacy."
Secretary of State Marco Rubio's plan to streamline what he called the "bloated" State Department by slashing staff and closing or consolidating bureaus was widely criticized Tuesday as a dangerous retreat from diplomacy and soft power that would weaken U.S. standing abroad and boost adversaries.
"In its current form, the department is bloated, bureaucratic, and unable to perform its essential diplomatic mission in this new era of great power competition," Rubio said in a statement. "Over the past 15 years, the department's footprint has had unprecedented growth and costs have soared."
"But far from seeing a return on investment, taxpayers have seen less effective and efficient diplomacy," he added. "The sprawling bureaucracy created a system more beholden to radical political ideology than advancing America's core national interests. That is why today I am announcing a comprehensive reorganization plan that will bring the department into the 21st century."
Marco Rubio says the State Department has been “beholden to radical political ideology.” Also known as democracy.
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— Mark Jacob ( @markjacob.bsky.social) April 22, 2025 at 9:45 AM
Rubio's proposal includes a 15% department-wide staff reduction, the elimination of 132 of the agency's 734 bureaus and offices, and the consolidation of many others, according to reports. Bureaus and programs expected to be eliminated or merged include the Office of Global Women's Issues; the war crimes and civilian protection divisions; and the agency's diversity, equity, and inclusion efforts, which have been banned throughout the executive branch. The position of special climate envoy will also be eliminated.
The Office of Civilian Security, Democracy, and Human Rights is slated to be replaced by a new division for the coordination for foreign assistance and humanitarian affairs that will assume responsibilities once shouldered by the embattled U.S. Agency for International Development. Already under siege by Elon Musk's Department of Government Efficiency, USAID is reeling from Rubio's announcement last month that the vast majority of its programs would be canceled.
Christopher Le Mon, a former senior department official during the Biden administration, toldThe New York Times Tuesday that the plan's human rights scaleback "sends a clear signal that the Trump administration cares less about fundamental freedoms than it does about cutting deals with autocrats and tyrants."
In a Substack post published Tuesday, Rubio accused the Bureau of Democracy, Human Rights, and Labor of becoming "a platform for left-wing activists to wage vendettas against 'anti-woke' leaders" and the Bureau of Population, Refugees, and Migration of funneling "millions of taxpayer dollars to international organizations and NGOs that facilitated mass migration around the world, including the invasion on our southern border."
Responding to this, Brandon Wu, director of policy and campaigns at ActionAid USA, said that "Secretary Rubio's rant against the Bureau of Democracy, Human Rights, and Labor as the carrier of a leftist agenda lays the administration's intentions bare: Their decimation of the State Department is part of an unhinged crusade against perceived 'woke' policies and practices, not a coherent plan for reform."
"The idea that any part of the State Department was supporting an 'invasion' of the U.S. southern border is similarly ludicrous," Wu added. "The proposed staff reductions at the State Department, when taken in conjunction with the dismantling of USAID, will hamper the diplomatic engagement with the rest of the world. This is a deeply unserious proposal that will not make the U.S. safer or stronger."
"Trump has said he wants to be a president who ends wars, but moves like this will make that much more difficult."
Dylan Williams, vice president for government affairs at the Center for International Policy, a Washington, D.C.-based think tank, called Rubio's plan "nothing less than an assault on American diplomacy" that will "further decimate U.S. influence and standing in the world, undermining our fundamental security and other critical interests."
"Coupled with the administration's intention to dramatically increase military spending, this decimation of the State Department also serves as a clear indication that it is prioritizing militarism over diplomacy," Williams said. "Donald Trump has said he wants to be a president who ends wars, but moves like this will make that much more difficult."
Democratic lawmakers also condemned Rubio's proposal, with Sen. Jeanne Shaheen (D-N.H.), the ranking member of the Senate Foreign Relations Committee, asserting that "any changes to the State Department and USAID must be carefully weighed with the real costs to American security and leadership."
"As I and many of my Democratic colleagues have made clear, we welcome reforms where needed—but they must be done with care," she continued. "Elon Musk and his team have engaged in a slash-and-burn campaign targeting federal employees, terminating critical programs at State and USAID, undermining our allies, and diminishing American leadership in the world."
"A strong and mission-ready State Department advances American national security interests, opens up new markets for American workers and companies, and promotes global peace and stability," Shaheen added. "It remains to be seen how the administration's latest proposals will achieve that goal."
Rep. Gregory Meeks (D-N.Y.), the ranking member of the House Foreign Affairs Committee, warned that Rubio's proposed reorganization "would leave the State Department ill-equipped to advance U.S. national security interests."
"The vital work left on Secretary Rubio's cutting-room floor represents significant pillars of our foreign policy long supported by Democrats and Republicans alike, including former Sen. Rubio—not 'radical ideologies' as he now claims," Meeks added. "Retreating from this work will further erode our national security and undermine our influence on the world stage."