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'Things Are Not Okay': US Threatens to Withhold HIV Funding Unless Zambia Allows Plunder of Its Minerals
"The State Department is threatening Zambia with an embargo on essential medicines in order to plunder its minerals," said one HIV prevention advocate.
Mar 17, 2026
The US State Department is threatening to strip HIV/AIDS and other disease prevention funds for more than a million people in the African nation of Zambia in a bid to extort the country for greater access to its mineral wealth.
The New York Times reported Monday on the draft of a memo prepared for Secretary of State Marco Rubio, which states that "we will only secure our priorities by demonstrating willingness to publicly take support away from Zambia on a massive scale."
The Trump administration is considering whether to "significantly cut assistance" from the President’s Emergency Plan for AIDS Relief (PEPFAR), which provides daily HIV treatment to around 1.3 million Zambians and other funds for tuberculosis and malaria medications that save tens of thousands of lives each year.
At the time that PEPFAR was created, under the administration of President George W. Bush, HIV was killing around 90,000 people per year in Zambia. That number had been reduced to 16,000 in 2024, according to data from the Joint United Nations Program on HIV/AIDS (UNAIDS).
"Things are not okay," said Justin Wolfers, an economics professor at the University of Michigan and a Brookings Institution fellow.
Threats to cut PEPFAR are part of a broader push by the Trump administration to wield desperately needed foreign medical aid as a tool of coercion against impoverished nations, whose health systems have been thrown into turmoil by the Trump administration's massive cuts to the US Agency for International Development (USAID) last year.
According to the Times, 24 African nations have signed memoranda of understanding (MOU) under the Trump administration's so-called "America First Global Health Strategy" in order to unlock some US funding that has been cut.
Many of the deals require nations to increase their own health spending in order to restore just a fraction of what the US previously provided:
"According to an analysis by the nonprofit Partners in Health, health funding under the agreements would drop by 69% to Rwanda, 61% to Madagascar, 42% to Liberia, and 34% to Eswatini, where a quarter of adults live with HIV," the Times reported in January.
Meanwhile, the deals have come with other, often ideological, strings attached. Kenya's memorandum requires it to provide data guaranteeing that no funding is being used for abortion care, and to direct funds to certain Christian faith-based providers, even though they refuse services like HIV care to LGBTQ+ people.
Nigeria's agreement likewise requires more than $200 million to over 900 Christian faith-based healthcare facilities across the country and emphasizes protecting Christian victims of violence from the Islamist group Boko Haram, even though the majority of the group's victims are Muslim.
Some countries have rejected the deals, calling them one-sided and exploitative. Last month, Zimbabwe walked away from a deal that would have provided $367 million over five years because it required the country to give the US unfettered access to citizens' health data and biological samples.
The deal offered to Zambia is similar to those offered to other countries in that it requires the government to commit $340 million in health spending in exchange for $1 billion from the US over five years, less than half of what it received under previous US administrations. It also demands that Zambia provide citizens' health data to the US for 10 years, longer than the deals agreed to by other nations.
But the deal also stipulates that, to receive any funding, Zambia must provide US corporations with easier access to the nation's vast mineral wealth.
Zambia has some of the world's largest reserves of minerals such as copper, lithium, and cobalt, which are essential to green energy technology. The Trump administration says the country has given China greater access to its mines than it has given to the US.
Zambia would also be required to share mining databases with US experts and renegotiate a massive 2024 contract with the Millennium Challenge Corporation, a US-based foreign assistance agency, to reduce mining regulations.
After the terms of the deal leaked to The Guardian last month, Asia Russell, director of the HIV advocacy organisation Health GAP, derided it as a proposal for the "shameless exploitation" of Zambia.
In February, Zambia rejected the deal, with a spokesperson for the Ministry of Health saying it "did not align with the position and interests of Zambia."
Now the Trump administration is using HIV treatment funding in an effort to force its leaders back to the table and make an example of them for other countries that may seek to go their own way.
The memo describes threats to AIDS funding as a way to demonstrate the "use of sticks" to other countries with which it seeks to negotiate.
If Zambia refuses to sign, it says, “sharp public cuts to American foreign assistance would significantly demonstrate to aid-receiving countries the seriousness of our interest in collaboration and our insistence on tangible benefits under our America First foreign policy."
Zambia has already been stripped of more than half its annual PEPFAR funding from the US since the Trump administration returned to power last year through a combination of foreign aid freezes, rescissions, and budget cuts that stripped billions from the program.
A survey of 76 HIV clinics across 32 mostly African countries that received PEPFAR funds, conducted by the International Epidemiology Databases to Evaluate AIDS (IeDEA) consortium, found that, as a result of cuts, many experienced disruptions to testing and treatment, including drug shortages and staff layoffs.
Citing modeling studies, the researchers estimated that funding disruptions to PEPFAR just last year "resulted in more than 120,000 deaths by November 2025, including more than 13,000 child deaths."
Another study by Imperial College London predicted that just the three-month disruption at the beginning of President Donald Trump's second term would result in more than 37,400 excess deaths by 2060.
In a statement posted to social media on Monday, Republicans on the House Foreign Affairs Committee defended the threats to cut PEPFAR, saying that "Just like every other country, Zambia is free to walk away from these negotiations." The REpublicans said it was "ridiculous to assume the United States should fund entire health systems for countries that turn around and give priority access to critical supply chains to China."
Russell said that "the State Department is threatening Zambia with an embargo on essential medicines in order to plunder its minerals."
While she said "Zambia’s MOU text is the first we know of that explicitly ties exploitation of mineral wealth," she noted that similar "exploitative conditions" are reportedly part of other nations' memoranda as well, but that information is scarce because they have been "negotiated in secret" and texts have not been made public.
Julius Kachidza, the chair of Zambia’s Civil Society Self-Coordinating Mechanism, said that yet another massive cut in US government funding “would be apocalyptic. It could be quite a disaster, especially to me. And the majority of people living with HIV in Zambia.”
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Stop Tyrant Trump's Lawless Attack on the Regulations Keeping Us Safe
Trump deserves Impeachment and Removal from Office. Congress should act now, before more Americans die, get sick, or are injured from the destruction of long-established, critical protections.
Feb 21, 2026
“Deregulation” is an antiseptic word loved by the giant corporations that rule the people. In reality, health and safety “deregulation” spells death, injury, and disease for the American people of all ages and backgrounds. This is especially so with the deranged dictates from the Tyrant Trump, who is happily beholden to his corporate paymasters, who are making him richer by the day.
President Donald Trump’s mindless deregulation mania got underway in January 2025 with his illegal shutting down of the US Agency for International Development (USAID), which has saved lives in poor countries—by providing food, water, medicine, etc.—for a pittance. USAID spends less in a year than the Pentagon spends in a week. International aid groups predict that the ongoing cuts could lead to 9.4 million preventable deaths occurring in poor countries by 2030 unless the vicious and cruel, unlawful Trumpian shutdown is reversed.
It turns out Trump was just warming up for his illegal violence against innocent American families in both blue and red states. He has abolished requirements for the auto industry to limit its emissions and maintain fuel efficiencies. The result: more disease-bearing gases and particulates into the lungs of Americans, including the most vulnerable—children and people suffering from respiratory diseases.
Trump wants to roll back the regulations that would require auto company fleets to average 50 miles per gallon by 2031. In 2024, the US Department of Transportation’s National Highway Traffic Safety Administration said its proposed vehicle fuel economy standards would save Americans more than $23 billion in fuel costs while reducing pollution.
Rather than faithfully execute federal laws, and ensure the well-being of the people, Dictator Donald is using his position and time in the White House to enrich himself and to get his name on anything he can get away with.
Month after month, Trump is illegally reducing or shutting down lifesaving programs without the required congressional approval. One of his major targets is the US Environmental Protection Agency (EPA). This month, his puppet EPA head, Lee Zeldin, celebrated the elimination of lethal greenhouse gases from the EPA’s regulatory controls. Zeldin and Trump are in effect telling Americans, “Let them breathe toxic air.” Plus, more climate catastrophes.
Smothering wind and solar projects while boosting the omnicidal polluting oil, gas, and coal production is another way Trump is exposing people to sickening gases and particulates. A corporate cynic once joked, “No problem, you can always refuse to inhale.”
Trump’s treachery toward coal miners, whom he praises, is shocking. He cut the funds for free testing of coal miners’ lungs, often afflicted with the deadly black lung diseases that have taken hundreds of thousands of coal miners’ lives over the past century and a half. We worked to pass the Federal Coal Mine Health and Safety Act of 1969, to control the levels of coal dust causing this disease, but Trump is unraveling it by cutting law enforcement. The Trump administration says it is “reconsidering” the long-awaited proposed silica control regulations. More unnecessary delay. In 2024, Politico reported that “Mine Safety and Health Administration projects that the final rule will avert up to 1,067 deaths and 3,746 silica-related illnesses.”
In his mass firings of federal civil servants, Trump has included the ranks of federal safety inspectors for meat and poultry plants (USDA), for occupational health and safety (OSHA), and specialized areas like you would never imagine—such as nuclear security. Tyrant Trump worsened the potential danger for workers and communities by firing most of the inspectors general—again illegally—who are the powerful watchdogs over federal departments and agencies. Many inspector general positions are still vacant.
In terms of short and long-run perils, Trump’s attacks on scientific research and discovery to reduce or prevent diseases would be enough to give him the grisly record for knowingly letting Americans die. The assault on vaccines, including for contagious diseases, is staggering, led by RFK, Jr., the secretary of Health and Human Services.
RFK, Jr. becomes more extreme by the day. His actions go way beyond any legitimate skepticism of the drug companies. He is going along with officials in states like Florida who are about to ban children’s vaccine mandates, even for polio, measles, and whooping cough. He has severely slashed, without congressional authority, budgets for basic and applied science programs underway at universities and other public institutions. His salvos are resulting in the reduction of families getting their children vaccinated, who, if contagious, could infect their classmates. The so-called powerful medical societies have not risen to their optimal level of resistance to what is fast coming, a green light for epidemics—starting with the resurgence of measles now underway in places like South Carolina.
The crazed Menace-in-Chief wanted to abolish the Federal Emergency Management Agency (FEMA) and its rescue responses to hyper-hurricanes, floods, and giant wildfires. He recklessly says the states can handle the carnage from such disasters. The real reason is that he doesn’t want to be held responsible for failing to properly respond to such disasters. Remember the criticism of George W. Bush’s response to Katrina?
Again, with Trump, it is all about him, feeding his insatiable MONSTROUS EGO, rather than saving American lives. Recently, tragic events have forced him to reconsider. He is bringing back some of the experts and rescuers he fired from FEMA earlier last year.
Rather than faithfully execute federal laws, and ensure the well-being of the people, Dictator Donald is using his position and time in the White House to enrich himself and to get his name on anything he can get away with—the John F. Kennedy Center for the Performing Arts, the US Institute of Peace, the US Treasury Department’s relief checks during Covid-19, the federal investment accounts, special visas, and a discount drug program. (See the February 16, 2026, article in the New York Times by Peter Baker titled, A Superman, Jedi and Pope).
Chronically lying; threatening violence against his opponents and people abroad; slandering anyone he feels like via the compliant mass media, including journalists and editors; and generally wrecking America as a serial law violator, Trump deserves to be told, “YOU’RE FIRED.” (This was his favorite TV show catchphrase). Trump deserves Impeachment and Removal from Office. Congress should act now, before more Americans die, get sick, or are injured from the destruction of long-established, critical protections under both Republican and Democratic administrations.
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The Trump Administration Is Waging a Global War on Children
By cutting aid abroad and the social safety net at home, while spreading vaccine skepticism, the administration is ensuring that more children will suffer and die.
Feb 15, 2026
Most of us understand that children are vulnerable, innocent, and must be protected and nourished. But too often in our country, and the world, that doesn’t happen—and now the US government is waging a global war on children.
It started with the closing of the United States Agency for International Development (USAID), thus removing US humanitarian and development aid to people in the worst situations in the world. The cruel closure of USAID denied and continues to deny more than 95 million people access to basic healthcare and nutrition, leading to an estimated 1.6 million additional deaths in 2025, many of which were children.
The current administration also significantly weakened the President’s Emergency Fund for AIDS Relief (PEPFAR). These cuts, plus the closing of USAID, severely limit the international efforts of humanitarian organizations which work to control mother-to-child transmission of HIV. If funding for HIV prevention and treatment continues to fall, by 2040, an estimated 3 million children will contract HIV and nearly 1.8 million will die of AIDS-related causes.
As if that were not enough, the administration pulled out of the vaccine alliance Gavi, an international organization that has paid for more than 1 billion children to be vaccinated worldwide. This allows vaccine-preventable diseases to flourish among unvaccinated and vulnerable children. Many will be permanently disabled or die.
The administration turning its back on the “sh** hole” countries will come back and bite America in the ass, with innocents suffering the most.
The administration has directed these closings of international programs overwhelmingly against Black and brown people who, according to the president, live in “sh** hole” countries. This is his program of “America First,” where “those” people don’t matter—where their children don’t matter.
Moral judgement aside, helping those suffering in other countries is actually in our best interest. Not only would this show some badly needed humanity and compassion, it is also the best public health approach to protect all of us from contagious diseases.
But too many in the United States live in a right-wing news bubble where they aren’t aware of the suffering in the “sh** hole” countries or simply don’t care. And so many don’t realize that the diseases that foreign aid was working to control (AIDS, tuberculosis, polio, Ebola, and vaccine-preventable diseases) endanger us all. They are not just “their problem,” they are also “our problem.” As these diseases spread and multiply in other countries, the nature of the US economy and international trade will bring them here. The administration turning its back on the “sh** hole” countries will come back and bite America in the ass, with innocents suffering the most. Outbreaks of vaccine-preventable diseases are not “the cost of doing business,” as the Centers for Disease Control and Prevention’s (CDC) Deputy Director, Ralph Abraham, MD, callously stated. The US has managed to “do business” while controlling vaccine-preventable disease for decades.
But the administration’s war on children does not stop with the “sh** hole” countries. Here in the US, the “Big Beautiful Bill” made draconian funding cuts to safety-net programs. This intentionally endangers children in millions of US families because it ends access to healthcare and adequate nutrition.
Even that was not enough. Robert F Kennedy Jr., secretary of Health and Human Services, has promoted an anti-science, anti-vaccine agenda by weaponizing the CDC to reduce the availability of vaccines in the US and to keep up a constant drumbeat of anti-vaccine disinformation. The CDC is no longer a trusted source of science-based public health information; it is now a clearinghouse for Kennedy’s anti-science, anti-vaccine misinformation, conspiracies, and lies. Many parents are rightfully confused by the barrage of anti-vaccine propaganda coming from Kennedy; vaccine hesitance is rising, resulting in soaring cases of measles, whooping cough, influenza and tetanus among children. And more will come as Kennedy’s flood of misinformation and fear-mongering about vaccines continues, supported by the highest levels of the administration.
Among this group dangerous beliefs are developing, exemplified by the comments of the Kennedy-appointed Chair of the Advisory Committee on Immunization Practices, Kirk Milhoan. He recently voiced the belief that the individual freedom to refuse vaccines is greater than the freedom to choose not to be infected by contagious diseases. He questions requirements for childhood vaccines, and believes that declining vaccination rates are an opportunity to see what happens when vaccine-preventable diseases run rampant, rather than the tragedy that it is. This is not a sane or ethical experiment; history tells us the answer: The viruses and bacteria will win, and children will suffer.
Kennedy and the administration recently began this unethical experiment when they cut the number of vaccines in the childhood vaccine schedule, guaranteed to reduce vaccine use. Kennedy removed recommendations for rotavirus, Covid-19, influenza, RSV, hepatitis A, hepatitis B, and meningococcal vaccines. These are serious diseases that cause children to suffer and die.
They claim that the new recommendations allow parents the “freedom of choice” about these vaccines, after “shared decision-making,” but this has always been the case for childhood vaccines. What they say is freedom has a tragic cost, and this version of freedom effectively declares that the death of children by vaccine-preventable diseases is an acceptable cost, the cost of doing business, with that cost paid in kids’ lives.
Some may call this freedom. We call it a war on children.
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