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"Every dollar withdrawn from women's organizations is a dollar withdrawn from survivors of conflict-related sexual violence, displaced mothers, girls forced from school, and communities struggling to survive."
At least 1 million women and girls in conflict and disaster zones around the world have lost access to humanitarian aid as a result of massive funding cuts by the US under the Trump administration and other developed nations.
A report out on Friday from the United Nations Women's Program surveyed over 800 women's organizations across 52 countries, which provide emergency supplies, shelter to women fleeing violence, financial assistance to those in need, healthcare, mental health services, childcare, and treatment for sexual violence, among other support.
Sofia Calltorp, chief of humanitarian action for UN Women, described these organizations as "the muscle and lifeblood of the humanitarian response" in some of the world's most vulnerable war zones and disaster areas, including Afghanistan, the Democratic Republic of the Congo, Sudan, and Yemen.
But according to the report, since January 2025, 90% of these groups say they cannot meet current needs, and 60% say they are reaching fewer women and girls than before.
Three-quarters of the groups say that as a result of the cuts they have been forced to reduce staff, and four in ten expect to close in the next 12 months.
At the beginning of his second term, President Donald Trump conducted a sweeping and abrupt purge of US humanitarian aid, which fell from $14.1 billion in 2024 to just $3.4 billion in 2025.
Immediately after taking office, he froze all foreign assistance. And under the leadership of the world's first trillionaire, Elon Musk, and his so-called Department of Government Efficiency (DOGE), his administration suddenly canceled most funding from the US Agency for International Development (USAID), cutting development assistance by more than $40 billion, including over $10 billion in humanitarian assistance.
The US had previously provided 40% of all global humanitarian aid, and its stripping of funds was by far the most devastating. It was made worse when other nations, including France, Germany, and the UK, also cut billions as part of what is predicted to be a collective 28% reduction in aid from Group of 7 nations by the end of 2026, according to the Women's Refugee Commission.
As a report from Refugees International found, the Trump administration's cuts were especially targeted at programs that served women and girls around the world. They canceled 88% of maternal and child health funding, 94% of sexual and reproductive health funding, and 80% of gender-based violence prevention funding.
"Every dollar withdrawn from women's organizations is a dollar withdrawn from survivors of conflict-related sexual violence, displaced mothers, girls forced from school, and communities struggling to survive," Calltorp said.
The effects on the women who benefit from these programs have been swift and brutal, especially as global conflicts become more widespread and deadly.
While cases of conflict-related sexual violence doubled in 2025, nearly two-thirds of the women's groups surveyed said that the number of safe spaces and gender-based violence services has been significantly reduced or completely eliminated in their communities.
"Behind these numbers are devastating consequences," the UN said in a statement. "A woman seeking refuge from violence might show up at the door of a shelter that has shut down; a pregnant woman may have to walk for hours to reach a health clinic; or a mother may be denied food for her children."
“If I had funding, I would have supported her… helped her heal and rebuild her life."
The report contains testimony from leaders of some of the organizations bearing the burden of the cuts. To protect them from harm, the report did not include their names or the organizations they worked for.
A representative from one women-led organization in Sudan told UN Women that the cuts have forced them to scale back their services and resources.
As a result, one 17-year-old survivor of sexual violence went untreated for four days. She became pregnant before later attempting suicide and died after six months.
“If I had funding, I would have supported her… helped her heal and rebuild her life," said a representative from the organization.
Nine out of 10 organizations said they'd seen increases in poverty among women they serve, 8 in 10 have seen increases in girls dropping out of school, and 7 in 10 have seen an increase in forced marriage.
“Due to a lack of outreach workers in one neighborhood, within a few months we observed a sharp rise in adolescent pregnancies," said the representative of one organization in the Democratic Republic of the Congo.
Another group in the DRC said that they were forced to put more than 1,500 women-led households on waiting lists for aid.
"The most affected groups are single mothers and their children, for whom postponing support has worsened food insecurity and malnutrition," the group said.
"The cuts to women’s organizations are happening at the same time we are seeing women’s rights being eroded—and these two things are so deeply connected," Calltorp said.
Nearly two-thirds of the organizations also said that their staff was working without pay so they could continue providing support to the women and girls who needed them despite the cuts.
"These sacrifices are a testament to their commitment, but the expectation cannot be that women absorb these costs," Calltorp said.
She called for "immediate action from donors and the humanitarian community to prioritize funding for women’s organizations," adding, "We will not and cannot allow them to become another casualty of war."
"Come with me on a reporting trip," said New York Times columnist Nicholas Kristof. "You'll see the dying children themselves."
As Elon Musk continues to claim that "not a single" child has died as a result of his foreign aid cuts at the beginning of the second Trump administration, journalists—including ones who witnessed the consequences of the policy firsthand—are correcting the record.
Since being called out by Rep. Ro Khanna (D-Calif.), who cited a journal's projection that 4.5 million children under 5 could die by 2030 as a result of the Department of Government Efficiency's (DOGE) sudden termination of most of the United States Agency for International Development's (USAID) programs—including an 88% cut to children's health aid awards—last year, the newly minted trillionaire has repeatedly asserted that the claim that he is responsible for the deaths of kids is "a total lie."
"There is not even a single dead child!" Musk wrote on his social media platform X last Monday. "If there were, it would be worldwide headline news!"
Multiple journalists have been quick to respond that, in fact, the deaths of children and other people directly attributed to the termination of USAID programs by the agency he headed have been widely documented by major news outlets.
"Independent analyses estimate that your actions to dismantle USAID and drastically reduce lifesaving foreign aid have already killed 700,000 people," wrote Atul Gawande, the former USAID global health chief and longtime New Yorker writer, who cited models from Boston University epidemiologist Brooke Nichols.
In a lengthy thread posted on Thursday, Gawande cited nearly two-dozen examples in which news outlets named people who died as a direct result of cuts to health programs they relied upon, including:
These are just a few of the numerous other examples cited by Gawande, who added that part of the reason verifying deaths has been challenging is that DOGE's cuts also "destroyed" USAID's data and auditing systems, which meant that figures and overall mortality effects would take another year to fully tally.
However, he said he and a team of reporters had already compiled individual reports of more than 1,200 people whose deaths can be directly attributed to the cuts.
Even after being presented with direct evidence to the contrary, Musk continued to insist on Sunday that critics of his cuts to USAID "cannot cite a single name of someone who died out of the 'millions' they falsely claim have died. Not a single name!"
New York Times columnist Nicholas Kristof, whose reporting on the impacts of the sudden aid cuts was a finalist for a Pulitzer Prize, responded that he could give Musk a list of "many, many names of people who have died because of your aid cuts."
He listed the names of just a few of the people whose cases he had witnessed firsthand, which are recounted in greater depth in his reports. As Kristoff wrote:"I could go on and on," Kristof continued, "In almost every village you go to in South Sudan, Uganda, Liberia, Sierra Leone or other countries I reported in, you find people dying because of aid cuts."
He issued a "challenge" to Musk: "Come with me on a reporting trip, and we'll talk to these moms and dads, and you'll see the dying children themselves. I think if you see the kids whose lives are at stake, maybe you'll change your mind."
"Someone confident he did nothing wrong shows up and clears his name," Khanna said. "Elon Musk is doing the opposite because he genuinely believes the law does not apply to him."
In the face of lawsuit threats from the richest man in the world, Rep. Ro Khanna on Monday renewed his call for Elon Musk to testify before Congress and defend his dramatic cuts to foreign aid against the claim that they are killing millions of children.
Earlier this week, Musk threatened to sue Khanna (D-Calif.) for defamation and said he “should be in prison” after the congressman said that the trillionaire’s Department of Government Efficiency (DOGE) had “possibly sentenced” 4.5 million children “to death” through its dismantling of the United States Agency for International Development (USAID) last year at the start of the second Trump administration.
Khanna's assertion was based on the findings of a July 2025 Lancet study, which found that DOGE's cancellation of roughly 83% of the programs run by USAID—including 88% cuts to child health aid, 87% cuts to epidemic and disease surveillance, and 94% cuts to family planning assistance—could result in the deaths of 14 million people by 2030, including 4.5 million children under five.
"That number is not mine," Khanna explained in a Substack post on Monday. "It comes straight from the first comprehensive analysis of its kind into what American foreign aid actually does. Over the past two decades, The Lancet found USAID-funded programs helped prevent more than 91 million deaths, 30 million of them children."
While at the time Musk boasted that he was "feeding USAID into the wood chipper," he claimed on Tuesday that all DOGE actually did was "require... contact information of the recipients to confirm that funding was not fraudulent. No validated medical funding was stopped."
He added that "anything that appeared to be legitimate lifesaving funding continued and is now administered by the State Department."
This is broadly not true. While some funds were restored, according to an April 2025 analysis by KFF, about 80% of USAID identifiable global health awards—including ones for polio vaccination, HIV treatment, malaria, and tuberculosis prevention—were still listed as terminated after the review.
In another video posted Tuesday, Musk claimed that when organizations requested that their lifesaving aid be restored, he rebuffed them because they refused to let him personally speak with the children whom they serve. This, he claimed, was evidence of an "enormous amount of fraud and graft."
Khanna said on Monday that if Musk's actions were truly harmless as he claims, he "should sit before the House Oversight Committee," of which the congressman is a member, and "testify, under oath, about what he did."
He said Musk's belligerent response to being called to testify was damning.
"He could have shown up and made his case. He could have argued the study was wrong. Instead, he called me 'an evil liar.'" Khanna said. "When that did not work, he reached for something uglier. He announced he would sue me. He called for my arrest. He said I belong in prison."
"The richest man in human history answered a request to testify by trying to put the person who asked behind bars. Someone confident he did nothing wrong shows up and clears his name," Khanna continued. "Elon Musk is doing the opposite because he genuinely believes the law does not apply to him."
The congressman accused Musk of attempting to use his wealth, and the threat of "years of litigation, paid for by the deepest pockets on the planet," to scare him "into silence."
"It won’t," Khanna said.
"Here is my answer to Elon Musk. I have already challenged him to a televised debate on the rule of law," he said. "Come testify before the Oversight Committee and answer under oath, the way every other person who has held this kind of power has had to."
"The Dems should have a leader who Elon Musk is threatening to sue and wants imprisoned," said one political observer. "That's the right guy."
The recently crowned world's first trillionaire Elon Musk threatened Rep. Ro Khanna with legal action on Monday after the California Democrat pointed out the life-ending potential of foreign aid cuts made by the Department of Government Efficiency.
During an appearance on the "I've Had It" podcast on Saturday, Khanna (D-Calif.) said that there must be consequences for Musk, who in February 2025 used DOGE to curtail programs and cut funding for the United States Agency for International Development (USAID).
"There needs to be accountability for Elon Musk," Khanna emphasized. "You know, they’re celebrating that he created 4,400 millionaires, but they don’t talk about the 4.5 million children around the world who he possibly sentenced to death by dismantling USAID.”
A peer-reviewed study published by The Lancet in July 2025 estimated that proposed cuts to USAID could lead to as many as 14 million preventable deaths by 2030 worldwide, including the deaths of 4.5 million children under the ages of five years old.
Musk, who earlier this month became the world's first trillionaire, wrote in response to Khanna's interview that it was "time to sue this liar."
It's not clear how Khanna's statement could be defamatory given that it was based on research published by a prestigious medical journal.
Musk, in a separate reaction to Khanna's remarks about USAID, later added that the US lawmaker "should be in prison."
On Monday afternoon, Khanna posted a video in which he challenged Musk to debate him on the impact the DOGE cuts have had on people throughout the Global South who had previously benefited from USAID.
"The world's richest person has spent all day... going after me," Khanna said. "Why? Because I cited an academic study that his DOGE cuts may lead to the deaths of millions of children overseas. You know, Elon, I thought you were a free speech guy. Why not debate me on these issues instead of threatening lawfare?"
"You're not going to be able to intimidate me," Khanna added.
.@elonmusk let's debate. You game?
I am for free speech, not lawfare. pic.twitter.com/gThLggxiOW
— Ro Khanna (@RoKhanna) June 22, 2026
Mehdi Hasan, editor-in-chief of Zeteo News, said that Khanna’s willingness to directly take on Musk exhibited qualities that Democrats could use more of in leadership positions.
"He is picking/making the right enemies on the right, and really pissing them off," Hasan wrote of Khanna. "The Dems should have a leader who Elon Musk is threatening to sue and wants imprisoned. That's the right guy."
"Now in its third consecutive year of famine, Sudan received nothing."
Elon Musk's vault to trillionaire status following the public debut of his rocket company SpaceX came on the heels of an analysis showing the devastating impact of his destruction of the US Agency for International Development on millions of people in countries facing or on the brink of famine.
The analysis, authored by Council on Foreign Relations expert and longtime aid worker Sam Vigersky, noted that Musk's targeting of USAID during his tenure as head of the Department of Government Efficiency (DOGE) resulted in the transfer of the Food for Peace program to the US Department of Agriculture (USDA), an agency "without international humanitarian or disaster-response expertise."
Vigersky found that the USDA this year chose just seven countries to receive American grain under the Food for Peace program: the Democratic Republic of Congo, Ethiopia, Guatemala, Haiti, Kenya, El Salvador, and Rwanda. The latter two countries, Vigersky noted, "do not meet an emergency threshold" for assistance.
"Meanwhile, the country facing the largest hunger crisis in the world—Sudan—did not make the list. Now in its third consecutive year of famine, Sudan received nothing. In fact, more than 40% of Sudan’s community kitchens, a lifeline for the displaced, have closed in the past six months as funding dried up, according to Islamic Relief," Vigersky reported. "Afghanistan, Lebanon, and Yemen were also passed over. Millions of people in those countries live one step from famine, according to the Integrated Food Security Phase Classification (IPC), the UN-backed monitoring system that uses a standardized five-point scale (five being famine) to measure the severity of food insecurity."
Experts assessing the global impact of USAID's decimation at the hands of billionaire US President Donald Trump and the world's first trillionaire, who bragged publicly about "feeding USAID into the wood chipper," estimate that hundreds of thousands of people have already died as a result of the large-scale loss of humanitarian assistance—and millions more will die in the coming years if swift action is not taken to restore aid.
"The impacts of the cuts were immediate and tragic," Nicholas Enrich, a former USAID employee who became a whistleblower, wrote in The Boston Globe on Friday. "Health clinics and emergency ambulance services shuttered overnight. Clinical trials were deserted. Thousands of healthcare workers lost their jobs. Lifesaving food and medicine was left to expire in warehouses. According to conservative estimates, in the year since USAID was dismantled, 750,000 people have died as a result of the cuts. For the first time in a generation, more children died in one year — 2025—than in the previous year."
Oxfam has estimated that a 10% tax on Musk's $1 trillion fortune would generate enough revenue to end extreme poverty worldwide for a year.
“After the sudden and devastating pullback from US assistance in 2025, governments are now being pressured to accept agreements with contingencies that jeopardize human rights."
The Trump administration is requiring African nations to agree to a series of "troubling conditions" to restore lifesaving health aid, according to a Human Rights Watch report on Monday.
The administration's abrupt shuttering of the US Agency for International Development (USAID) last year shut off billions of dollars and caused havoc across Africa's healthcare system, resulting in what public health models project could be hundreds of thousands of preventable deaths.
But under what has been dubbed the “America First” Global Health Strategy, the administration has negotiated secretive agreements with dozens of these countries to restore some of the funding. Most of them have been kept under lock and key by the US.
Those that have been made public have come with terms that Human Rights Watch said "raise concerns that health aid is being inappropriately leveraged to extract terms beneficial to the US in negotiations around natural resources and access to sensitive health data from recipient countries."
In March, a draft memorandum of understanding with the government of Zambia was revealed to have conditioned $1 billion for HIV, tuberculosis, malaria, and other disease prevention for millions of people, on the country's acceptance of a separate bilateral treaty that would have given US companies greater access to the country's minerals.
A leaked State Department memo, prepared for Secretary Marco Rubio, put the exploitative terms plainly: “We will only secure our priorities by demonstrating willingness to publicly take support away from Zambia on a massive scale.”
After the details of that agreement were met with backlash, the text of agreements with several other countries—Ethiopia, Kenya, Mozambique, Nigeria, and Uganda—were suddenly removed from the State Department’s Freedom of Information Act Library.
A Human Rights Watch assessment of the agreements with those five countries—as well as agreements with Rwanda and Liberia that were leaked—revealed that in order to restore a portion of the more than $800 million collectively stripped from them by the US, they'd have to agree to several coercive measures that jeopardize the reproductive and privacy rights of their citizens.
“The agreements show the US intends to condition vital health assistance for millions of people on acquiescence to troubling conditions,” said Julia Bleckner, senior health researcher at Human Rights Watch. “After the sudden and devastating pullback from US assistance in 2025, governments are now being pressured to accept agreements with contingencies that jeopardize human rights.”
All seven of the agreements require the governments to provide the US with "broad access to data and information" to monitor compliance with the Helms Amendment, which forbids the use of US foreign assistance to pay for abortion care.
The agreements with Mozambique, Rwanda, and Liberia require them to provide “any data” requested by the US to ensure compliance with the amendment, while Uganda's permits the US to conduct unannounced spot checks of health facilities and clinics.
"By making a broad package of health aid contingent on broad and potentially invasive surveillance of Helms compliance, the agreement could encourage a more restrictive regulation of abortion than national law mandates and give rise to further violations of the right to healthcare,” says the report.
The agreements also give the US permission to directly audit clinics, laboratories, and health programs to ensure compliance with the conditions. Six of them require clinics to provide access to "any data" requested by the US at a sample of facilities it chooses.
Agreements with five countries also mandate that they share biological specimens taken from patients and associated information related to novel infectious diseases, which HRW described as part of an effort to undermine a global pathogen access and sharing system being created by the World Health Organization, from which Trump has removed the US.
HRW said in a news release:
The agreements raise serious concerns about use of people’s private health data, without clear limits, uniform safeguards, or meaningful protections for patient confidentiality, including in several countries with weak or absent domestic data protection laws. The agreements contain no prohibition on this data being shared with US pharmaceutical companies without patient consent.
“Governments negotiating health assistance agreements with the United States face difficult choices,” Bleckner said. “They should be wary of terms asking them to sign away their populations’ rights and push for the inclusion of civil society representatives and multilateral global health organizations like the Global Fund in deliberations.”
These are the human costs of the American people electing politicians whose military death cult keeps getting more Pentagon funding from Congress, displacing programs sustaining life.
A skeptical friend reading The New York Times asked me why columnist Nicholas Kristof keeps writing columns about recurring poverty in less developed countries. My answer is simple. Because he keeps going to these remote areas populated by brutalized human beings living in dire impoverishment and sickness.
At no small risk to himself (Kristof caught malaria in the Congo), he goes to where the most deprived people on Earth live for his stories. He does what few columnists are willing or able to do by exposing how children, the elderly, and entire families are dying under the most unimaginable cruelty.
I suspect that what keeps Kristof going is that he sees how inexpensively many of these mortalities and morbidities can and have been prevented. For example, a $4 vaccine can prevent cervical cancer, which kills over 900 women worldwide every day!
Knowing all this has led to his sharp denunciation of Tyrant Donald Trump and DOGE Director Felon Elon Musk’s immediate and illegal closure of the Agency for International Development (USAID). Soon after the failed gambling czar re-disgraced the White House on January 20, 2025, the world heard Musk’s sadistic boast, “We spent the weekend feeding USAID into the woodchipper.”
Nicholas Kristof, it is time to break the unspoken reluctance of The New York Times editorial page—replete with specific editorial and op-ed denunciations of bully Trump’s many crimes—and raise the cry of IMPEACHMENT.
Why on Earth would these callous corporatists criminally destroy an agency with an average budget of $23 billion a year (about 10 days of the Trump-bloated Pentagon war budget) to save the lives of millions of babies, children, women, and men? Especially when much of this spending goes right back to US contractors who ship the food, medicines, drinking water, wheelchairs, medical devices, and other materials to poverty-stricken nations.
The Trump-Musk cabal sadistically exuded glee, declaring they were saving taxpayer money. The money spent by USAID is a small price to pay for preventing the atrocities they visited on those most in need of humanitarian assistance on the planet. Given the reputation of the US’ invasive military empire all over Asia, Africa, and South America, war criminal Trump failed to understand the benefit that such aid—often called “soft power”—does to improve Uncle Sam’s tarnished reputation.
In his latest column, dated May 10, 2026, and titled “The Children America Abandoned,” Kristof makes the following points:
“A year after some of the world’s richest men cut aid for the world’s poorest children, …” Trump and Musk retained “some lifesaving programs, particularly for HIV/AIDS…” However, Trump’s “71% cut in humanitarian aid from 2024 to 2025…” led to the loss of “750,000 lives worldwide” in Trump’s first year, citing a study by a Boston University researcher. The prestigious British medical journal The Lancet projected that at present official development assistance (ODA) defunding rates, 9.4 million lives will be lost worldwide, including 2.5 million among children 5 years and younger, by 2030.
While these enormous preventable death numbers may shock most Americans, it is because USAID over decades has not been encouraged by its cautious superiors in the White House to toot its own horn for fear of enraging right-wing ideologues in Congress who have long wanted foreign aid abolished.
“A few doses of a $3 malaria vaccine can now save a Congolese child’s life,” Kristof writes. Tuberculosis is a major contagious killer in Africa, mostly among children and pregnant women. A series of regular TB drugs, consistently administered by clinics, can sharply reduce this epidemic. Again, very cost-effective.
What these clenched-jawed Trumpty Muskites ignore is that catching precursors of pandemics in African or Asian countries can prevent deadly viruses and bacteria from migrating to the United States. Without funds and diligent monitoring, the current Ebola emergency in the Congo is spreading.
These are the human costs of the American people electing politicians whose military death cult keeps getting more Pentagon funding from Congress, displacing programs sustaining life. Trump’s war crimes are used to seek an increase of a staggering 50% budget increase or $500 billion for the Pentagon. Trump wants to use deficit financing to further bloat the Pentagon budget so he can keep cutting taxes for the super rich, himself, and giant corporations for the next fiscal year.
In one of his previous columns, Kristof shows how the swollen, corrupt military spending on contractors can be better used in our domestic economy, repairing public services and building infrastructure. The last president to make this comparison was former five-star general President Dwight Eisenhower in 1953 in an address before the American Society of Newspaper Editors (See the address.) Two recent books: Prophets of War: Lockheed Martin and the Making of the Military-Industrial Complex by William D. Hartung and The Spoils of War: Power, Profit, and the American War Machine by Andrew Cockburn unmask the devastating impact of wasteful military spending on human needs.
The Democratic Party refuses to make the runaway military budget, now overconsuming half of the entire federal operating budget, a political campaign issue. Worse, they eagerly join the congressional Republicans in the yearly hoopla for ever more megadollars for the Pentagon. Serious appropriations hearings in the House and Senate are a long-ago memory for this untouchable depravity of blank checks, stealing from the many unmet necessities of the American people and their children here at home, which also cost many American lives.
So, Kristof, who has written devastating critiques of Trump, ends his column with “The truth is ugly: The world’s richest men are crushing the world’s poorest children.”
Nicholas Kristof, it is time to break the unspoken reluctance of The New York Times editorial page—replete with specific editorial and op-ed denunciations of bully Trump’s many crimes—and raise the cry of IMPEACHMENT or, in the vernacular that Tyrant Trump very often uses, say “YOU’RE FIRED!” (See, the Impeachment Symposium of April 8, 2026).
As I have said many times, with Trump, IT IS ONLY GOING TO GET WORSE, MUCH WORSE. In addition to manipulating districts, he is openly intending worse takeovers of the November elections, having said in January, “We shouldn’t even have an election” in November. What are our politicians and the mainstream media waiting for? It is time for them to summon the courage of their declared convictions!
P.S. Kristof’s most recent feature exposes the sexual violence by Israeli soldiers against kidnapped Palestinian men, women, and children, including training dogs to rape shackled prisoners (See The New York Times, May 17, 2026, “The Silence That Meets The Rape of Palestinians”).
Climate change and war are making life in Somalia almost impossible, and now that the US has shut down the US Agency for International Development, the “almost” is disappearing.
One way to think about the climate crisis is that we are systematically reducing the margin on which we live on this planet. There were always places where humans couldn’t live: the Antarctic, the centers of the great deserts, the high mountains. But now we’re systematically adding to that list, as places become dangerously combustible, or overrun by rising seas, or just plain too hot. We’re shrinking the board on which we play the sublime game of being human.
I was thinking of this on Monday because I read a truly remarkable piece in The New York Times, the kind of reporting that justifies a subscription despite all the endless disappointments. It was written by Peter Goodman, with powerful photographs from Finbarr O’Reilly.
The two of them traveled widely in recent weeks across Somalia, and what they found—well, you need to read the whole thing. But climate change and war are making life there almost impossible, and now that the US has shut down the US Agency for International Development, the “almost” is disappearing:
For nine days, they trudged across the parched soil of southern Somalia, taking turns carrying their 3-year-old daughter on their shoulders. Abdullahi Abdi Abdirahman, his wife, and their seven children sought escape from a landscape drained of life.
Another drought had killed their goats and sheep, turning their life savings to dust. So they pressed on for 140 miles toward Dollow, a dusty outpost on the Ethiopian border. They were drawn by the same things that had already attracted more than 100,000 other people: International relief organizations were clustered there, offering food, water, and healthcare.
Yet when they arrived in late January at a camp on the fringes of town, they were horrified to learn that aid groups had abandoned the area. President Trump had dismantled the US Agency for International Development, or USAID, eliminating Somalia’s primary source of assistance. From London to Berlin, governments had reduced funding for humanitarian aid. Relief organizations had been forced to choose where to focus their remaining money.
Let me get my anger out of the way first. Elon Musk, in particular, shut down USAID—boasted about “feeding it to the woodchipper” in the first weekend of his DOGE assault on the federal government. That is to say, the richest man in the world did this, under the auspices of our government. His cruelty and his self-regard—and his abject racism—know no bounds.
And then the most piggish and self-involved man in the world, Donald Trump, started a war in Iran, and now the price of fertilizer is through the roof, making life much harder for the people who grow food in Africa (and those who eat it). And an El Niño is now bearing down on the planet, riding on the highest temperatures in human history, which were caused mostly by us in the Western world. All of it taken together is too much
Drought ravaged the most recent harvest. Some 6.5 million people—roughly one-third of the population—were suffering hunger at levels deemed an emergency, the UN Food and Agriculture Organization warned in February. That included more than 1.8 million children under 5 facing acute malnutrition.
Those numbers have almost certainly increased given the war. Yet the World Food Program, the largest source of aid in Somalia, has only enough funding to support 300,000 people a month through July, a fraction of the nearly 2 million people a month it was reaching in early 2025.
Humanitarian relief organizations now contemplate a surreal hierarchy of suffering.
“There are different categories of starvation,” said Hameed Nuru, the World Food Program’s Somalia director. “We are only able to reach those who are really on the verge of, if you don’t give them something now, they will not be there tomorrow.”
In some areas, children are still getting food, but not pregnant mothers. “Literally, it’s who dies first,” he said, “and who dies next.”
Somalia is, of course, a particularly apt place to do this reporting. Trump has referred to its citizens as “garbage people,” and he and Stephen Miller dispatched Immigration and Customs Enforcement to Minneapolis to hunt Somalis. As it happens, it’s on the fairly short list of places I’ve never been, but one of my closest colleagues is Somali, and she is as fine a human being as I know, so I thought of her as I read and reread this piece. But as Goodman points out in his reporting, Somalia is by no means unique.
Indeed, the news this week of a new Ebola outbreak elsewhere in Africa reminds us of another way we keep shrinking the world: There are places it’s too dangerous to go because we’ve unleashed diabolical illnesses. As Kat Lay reports:
The Global Preparedness Monitoring Board (GPMB) said in a report published on Monday that “as infectious disease outbreaks become more frequent they are also becoming more damaging”, warning that pandemic risk is outpacing investments in preparedness and “the world is not yet meaningfully safer”.
Disease outbreaks are becoming more likely due to the climate crisis and armed conflict, while collective action is being undermined by geopolitical fragmentation and commercial self-interest, the report said.
In fact, it’s more or less Musk again—he made a joke at a presidential cabinet meeting about “accidentally” cutting Ebola funding, but insisted it had been restored, something that—and this will shock you—seems not to be entirely true:
In Geneva, Prof Matthew Kavanagh, director of the Georgetown University Center for Global Health Policy & Politics, said aid cuts may have played a role in leaving the world “playing catch-up against a very dangerous pathogen”.
He said: “Because early tests looked for the wrong strain of Ebola, we got false negatives and lost weeks of response time. By the time the alarm was raised, the virus had already moved along major transport routes and crossed borders.
“This crisis didn’t happen in a vacuum. When you pull billions out of the WHO and dismantle frontline USAID programmes, you gut the exact surveillance system meant to catch these viruses early. We are seeing the direct, deadly consequences of treating global health security as an optional expense.”
That margin is thinner all the time. Consider this report from Laura Paddison about the heatwave that shook India last week: There was a day when all the 50 hottest cities on our planet were in that country:
On April 27, average peak temperatures across all 50 Indian cities on the list hit 112.5°F.
Top of AQI’s list was the city of Banda in the northern Indian state of Uttar Pradesh, which has a harsh, sub-tropical climate which often delivers brutal summers.
Even before what are typically hottest summer months, the heat has ratcheted up. On April 27, temperatures in Banda reached 115.16°F, according to AQI, the highest temperature recorded anywhere on the planet that day. The coolest Banda got, in the early hours of that morning, was 94.5°F…
Experts have warned heat in India is becoming so extreme, it may “cross the survivability limit” for healthy humans by 2050.
Across the border in Pakistan, as Asad Mumtaz Rid reports, it’s at least as bad:
In southern Pakistan throughout April and May, temperatures have risen far above seasonal norms. In Sindh, daytime temperatures have frequently crossed 44°C to 46°C, forcing residents indoors during peak afternoon hours and severely affecting outdoor labourers, transport workers, and farming communities.
The impact has been particularly severe in Karachi’s coastal settlements, where prolonged electricity outages and water shortages have compounded the effects of extreme heat. In Ibrahim Hyderi, one of the city’s largest fishing communities, residents say survival is becoming increasingly difficult.
Abdul Sattar, a fisherman with more than three decades of experience, recalled how one of his colleagues collapsed from heat exhaustion during the recent heatwave. “We gave him lemon water and rushed him to a doctor,” he said. “He regained consciousness after receiving intravenous fluids.”
There are things we can and must do to make a short-term difference. One is to provide cooling—air-conditioning—to much of the planet. As a study last week from the Rocky Mountain Institute described:
Between now and 2030, the increase in electricity demand for air conditioning systems alone will exceed that for data centers, one of the fastest-growing energy uses globally. By 2050, cooling electricity demand is expected to match the combined annual electricity consumption of the United States, China, India, Germany, and Japan today.
That’s not optional—at this point, it’s medicine. In those kinds of heatwaves cool air is as important to the human body as water, or food. But, obviously it will drive up demand for energy, which is why, as the RMI experts point out, we need to
Reduce energy use and emissions through super-efficient technologies, improved system design, and better refrigerant management, while scaling next-gen, innovative solutions that lower life-cycle costs and emissions.
All of this is possible—new heat pumps are far far more efficient at cooling air than old AC units, and we can paint roofs, plant trees, and do lots more.
But at the most basic level we have no more important task than converting absolutely everything we can, right away, to sun and wind and batteries, so that we stop pouring carbon into the air and making the problem ever worse. And the horrible part is that we can do this, which makes the fact that we’re not doing it as fast as we can deeply and profoundly immoral. Hell, no one is even asking Americans to do with less, because that is clearly impossible. We’re just asking them to do with slightly different, and save money in the process. Here, for instance, is the latest update from former President Joe Biden’s key energy deployment expert, Jigar Shah, talking about a new method for coaxing more juice through existing transmission lines, which experts call
reconductoring with advanced conductors. Reconductoring replaces the wire on an existing line with advanced conductor technology that carries 50 -110% more current through the same towers, on the same right-of-way, in 18 to 36 months. No new permitting. No land acquisition. Montana-Dakota Utilities reconductored a 15-mile 230 kV line, increased ampacity by 77%, finished a full year ahead of schedule, and came in 40% under cost estimate. The Berkeley and GridLab 2035 study found a national reconductoring program could quadruple the rate of transmission capacity expansion at only 20% higher total system cost—saving $85 billion by 2035 and $180 billion by 2050.
But we have to do it. We have to force our leaders, state by state at the moment since DC is such a disaster area, to actually make these relatively small changes.
A way to look at the work we’re doing together is that we’re trying to build some margin back in. Every gas car that becomes an EV buys us back an inch or two, every furnace that becomes a heat pump, every solar panel and wind turbine that sprouts takes the tiniest bit of pressure off the system.
We were born onto a world with lots of margin, especially those of us who are older. The size of the game board was expanding back then, as we learned new ways to grow and store food and the like. But through shortsightedness and greed we began to shrink that buffer, and now greed and short-sightedness have become the cornerstones of government policy, along with pure and undiluted racism. It’s not like anyone is fooled. Goodman again:
As he sat beneath the shade of a mango tree, its branches sloping toward the river dividing Somalia from Ethiopia, Adan Bare Ali, deputy mayor of Dollow, said his community was suffering from troubles that had been concocted far away. The drought was worsened by climate change—primarily the result of industrial polluters in larger, more powerful nations. The war was the handiwork of foreign actors.
“The situation has become unbearable,” he said. “The American regime is led by a person who really doesn’t care about anything happening outside his gates. The Americans are not honoring their commitment to the world.”
He is right, and we are very very wrong.
"Before the second Trump administration, USAID would have been on the ground," said one public health expert.
The World Health Organization's official designation of an Ebola virus outbreak in the Democratic Republic of Congo and Uganda as a public health emergency of international concern on Sunday came just a day after the world learned that the disease was spreading at all—a highly unusual chain of events, public health experts said, and one that suggested the virus has been circulating for weeks without the outbreak being detected.
WHO Director-General Tedros Adhanom Ghebreyesus said Sunday that eight laboratory-confirmed cases, 246 suspected cases, and 80 suspected deaths had been reported in at least three health zones across Ituri Province in the DRC. In Kampala, the densely populated capital of neighboring Uganda, two lab-confirmed cases and one death were reported within 24 hours of each other.
The victims in Kampala had no apparent link to one another; both had recently traveled from Congo.
The confirmed cases in Congo include some that have been reported in Kinshasa, the capital. The fact that the disease has been able to spread to two large cities with international airports, and the "clusters of deaths across the province of Ituri" point to "a potentially much larger outbreak than what is currently being detected and reported, with significant local and regional risk of spread," said WHO.
"At least four deaths among healthcare workers in a clinical context suggestive of viral haemorrhagic fever have been reported from the affected area, raising concerns regarding healthcare-associated transmission, gaps in infection prevention and control measures, and the potential for amplification within health facilities," the agency said.
Dr. Ashish Jha, who served as the White House Covid-19 response coordinator, said the numbers being reported could make the outbreak "one of the 10 biggest Ebola outbreaks in history."
"We're just hearing about this now? That makes no sense. Those numbers take weeks to accumulate," said Jha, adding that the fact that suspected cases have been detected in capital cities as well as Bunia, the provincial capital of Ituri, "matters enormously for spread."
Tedros emphasized that the outbreak is considered "extraordinary" because there is no approved vaccine or therapeutics for Ebola caused by the Bundibugyo virus, as this strain is. WHO sent a team to investigate in Ituri after first being notified of suspected Ebola cases on May 5, but initial samples tested negative, as available field equipment was only able to detect the Zaire strain of the disease.
The US Centers for Disease Control and Prevention (CDC) and global partners "need to surge resources in," Jha said. "A slow response creates unnecessary risks to people everywhere."
WHO, which President Donald Trump withdrew the US from last year, said the public health emergency designation was made to ramp up surveillance and infection prevention in the countries where the outbreak is occurring, enhance preparedness in bordering countries, and spread awareness in the international community.
The Ebola outbreak is the second to hit Uganda since Trump slashed foreign assistance funding, including by dismantling the US Agency for International Development. Earlier this month, CNN reported that the administration plans to divert $2 billion in global health program funding to cover the cost of closing USAID.
US foreign spending dropped by 56.9% after Trump shut down the agency as well as smaller aid programs and pushed Congress to rescind previously approved foreign assistance. USAID played a critical role in responding to the 2014 Ebola outbreak in West Africa.
In March 2025, when an Ebola outbreak was reported in Uganda, US officials warned that Trump's actions on foreign assistance at that point, including the termination of USAID grants, was impeding the Ugandan government's ability to procure lab supplies, diagnostic equipment, and protective gear for medical workers.
Dr. Herbert Luswata, president of the Uganda Medical Association, told The New York Times at the time that the country's ability to respond to Ebola was notably different than it had been during a previous outbreak in 2022, when dozens of medical workers volunteered to help treat patients.
The lack of funds and protective equipment had "left many afraid to help this time," the Times reported.
“With no USAID money and CDC expertise, it was like Uganda was left to die," Luswata told the Times.
Dr. Craig Spencer, an emergency medicine physician who survived Ebola in 2014, told CBS Saturday that "before the second Trump administration, USAID would have been on the ground" to respond to the current outbreak.
"The CDC would have been on the ground at a moment's notice, maybe even before a moment's notice, of a new outbreak of Ebola because we were in a bunch of countries," said Spencer. "We created relationships beforehand."
Last year, Trump megadonor Elon Musk, who was then leading efforts to slash government spending at the Department of Government Efficiency, said DOGE had "accidentally" canceled US support for Ebola prevention but claimed the funding had been "restored...and there was no interruption.”
But a number of Ebola-related contracts were in fact cut, accounting for $1.6 million out of $2.2 million that had previously gone toward the prevention efforts.
In recent weeks, public health experts have also warned that Trump's cuts to the CDC and other public health programs have left the US ill-prepared to respond to the hantavirus outbreak that originated on a cruise ship.
Jeremy Konyndyk, president of Refugees International and former leader on USAID's Covid-19 and disaster relief response work, said the current Ebola outbreak is "very worrying" and appeared to be the result of a "massive surveillance failure."
"It is really unusual for an Ebola outbreak to get to this scale before being detected; particularly in DRC, which has a lot of Ebola experience," said Konyndyk.
"I can't help but wonder," said Konyndyk, "if the drawdown of USAID and CDC health interventions by DOGE undermined some of the surveillance and detection initiatives that might have helped to catch this earlier."
WHO emphasized that the current crisis in DRC and Uganda requires "international coordination and cooperation to understand the extent of the outbreak, to coordinate surveillance, prevention, and response efforts, to scale up and strengthen operations and ensure ability to implement control measures."
"Without urgent action now, Somalia risks becoming one of the clearest examples of what happens when early warnings are ignored and humanitarian systems are allowed to erode."
A report released Thursday showing that Somalia is rapidly descending into famine underscored the harms done by the illegal dismantling of the US Agency for International Development, a department that President Donald Trump and billionaire Elon Musk targeted as part of a broader assault on the federal government.
New data from the Integrated Food Security Phase Classification (IPC) showed that more than six million people—around a third of Somalia's population—are facing acute hunger as drought and conflict combine with humanitarian aid cuts to create a devastating humanitarian emergency. Around 1.9 million children in Somalia "are now expected to require treatment for acute malnutrition in 2026," according to IPC, and regions of the country are at severe risk of famine.
"Humanitarian assistance remains a lifeline but is far from sufficient, reaching only 12% of people in Phase 3 or above," said IPC, a partnership of aid organizations and United Nations agencies. "A rapid and sustained scale‑up of multisectoral assistance—particularly in hotspot areas such as Burhakaba—is urgently needed to prevent further deterioration and loss of life."
Reuters noted that "global cuts to foreign aid, including by the United States, have substantially reduced support to Somalia." The outlet added that "impacts of the US-Israeli war on Iran are complicating efforts to respond to food shortages caused by multiple failed rain seasons and ongoing insecurity."
Mohamed Mohamud Hassan, Save the Children's Somalia director, said in a statement Thursday that the country is "in the grip of a deepening humanitarian catastrophe" and the "window to prevent famine... is closing fast."
"Children are dying from preventable causes—malnutrition, disease, displacement—while funding falls far short of what is urgently needed," said Hassan. "We call on the international community to act now, scale up lifesaving assistance, and ensure that no child dies because the world looked away."
"Somalia is once again standing at the edge of catastrophe. This is a crisis of access, affordability, and global political failure."
The US has historically been the largest contributor of humanitarian aid to Somalia, but the Trump administration's shuttering of USAID cut off much of the American food and medical aid that was flowing to the East African nation. The Trump administration's dismantling of USAID has also severely harmed Somalia's economy.
"Somalia is once again standing at the edge of catastrophe," Richard Crothers, Somalia country director at the International Rescue Committee, said Friday. "This is a crisis of access, affordability, and global political failure. Without urgent action now, Somalia risks becoming one of the clearest examples of what happens when early warnings are ignored and humanitarian systems are allowed to erode."
Experts say the closure of USAID last year is already responsible for hundreds of thousands of preventable deaths, and researchers have warned that millions more could die by 2030 if the aid is not restored.
In addition to sounding the alarm about Somalia, IPC released reports this week detailing increasingly dire hunger in the Democratic Republic of the Congo (DRC) and Sudan—countries that were also devastated by the gutting of USAID.
"USAID was the leading donor in the country and most aid agencies relied on its funding to help people survive and rebuild their lives," said Manenji Mangundu, Oxfam International's DRC country director. "Without it, agencies have been forced to make terrible triage decisions including who gets to live and who might needlessly die."
"The world cannot continue to look the other way—the situation is dire," Mangundu added.