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"War is driving Sudan’s needs; funding cuts are shrinking the response."
The renowned humanitarian group Doctors Without Borders said Tuesday that the Trump administration's destruction of the US Agency for International Development has contributed to the collapse of the war-torn nation's healthcare system, forcing clinics to close and leaving millions of people without access to lifesaving treatment.
The organization, known internationally as Médecins Sans Frontières (MSF), said the closure of USAID last year at the behest of President Donald Trump and the world's richest man, Elon Musk, left many healthcare providers in Sudan "unable to find alternative funding to continue providing services," leaving facilities with no option but to shut down in the midst of a worsening humanitarian catastrophe.
"War is driving Sudan’s needs; funding cuts are shrinking the response,” Muhammad Ibrahim, MSF's head of mission in Sudan, said in a statement on Tuesday. “MSF’s work in Sudan is privately funded. But when funding disappears from other health services, clinics close, patients have fewer places to go, and pressure shifts to the facilities that remain, including ours.”
MSF said its hospital in Um Rakuba, a refugee camp in eastern Sudan, is now "the only lifeline left" for locals and refugees.
"The cuts here go well beyond healthcare," emphasized Fabrizio Locuratolo, MSF humanitarian affairs manager. "Food rations are shrinking and protection programs are being dismantled, pulling away the last safety nets and leaving refugees completely exposed.”
The dismantling of USAID by Musk's wrecking crew at the so-called US Department of Government Efficiency has already killed hundreds of thousands of people—most of them children—according to experts tracking the impacts on humanitarian aid around the world. Musk and the Trump administration have continued to deny that the aid cuts have killed any children.
A study published in The Lancet earlier this year estimated that the gutting of USAID—whose surviving programs were mostly transferred to the US State Department—could result in more than 14 million additional deaths by the end of the decade. The US Department of Agriculture took over USAID's Food for Peace program—and subsequently omitted Sudan from the list of countries that would receive shipments of US grain.
MSF said Tuesday that "just as health providers faced the impending removal of US support, many European governments also reduced their assistance to people in Sudan."
The results have been horrific. MSF said that "malaria and malnutrition cases are already rising despite limited rainfall, ahead of the peak of the rainy season—and we expect numbers to increase as the rain intensifies."
"In August, our teams admitted 191 children under five with severe malnutrition to our inpatient feeding center, and nearly 22% also tested positive for malaria," the group said Tuesday. "The UN reports that 825,000 children under five are expected to suffer severe acute malnutrition and 19.5 million people faced crisis-level hunger earlier this year. Yet the UN’s $2.87 billion response plan is barely 41 per cent funded, and 37 per cent of Sudan’s health facilities are estimated to be completely out of service."
"As world leaders gather at the UN General Assembly, governments and institutional donors must protect funding for essential health services in Sudan and provide flexible transitional financing where facilities are at risk of closure," the organization pleaded.
Musk indulges in the kind of fantasy that drove Berry to distraction (and to work)—all about control and domination, all done by the few to the many, utterly ignorant of context. Immodest in every way.
Wendell Berry, who died Monday at the age of 92, was such a great man that I hardly know where to start. He was on the very short list of the best writers of our time: His essays on rural America were the words that launched 10,000 farmers markets; his poems, the staple of many happy weddings (and I’ve peed in a dozen different bathrooms where the Manifesto of the Mad Farmer’s Liberation Front was framed above the toilet). If you’ve never read his short stories of the Port William Membership, or his finest novel, Jayber Crow, you can count yourself lucky that you’ll get to encounter them for the first time.
Berry was also, of course, politically engaged. I remember standing with him 20 years ago, at a protest against the Capitol Hill power plant that I’d asked him to attend. It was a bitterly cold day, and at one point he turned to me and smiled and said, "Do you think maybe they’ll arrest us soon?" He didn’t particularly like movements, but he understood the power of moral witness; he occupied the Kentucky governor’s office, in a protest against mountaintop removal coal mining, with a toothbrush and volume of Shakespeare in his pocket.
And, perhaps above all, his life was a work of both art and politics—his decision to give up a New York lit’ry career and to return instead to the Kentucky of his boyhood, settling along the Ohio River where he and his wife Tanya farmed and he wrote, embodying the commitment to place and community that animated his writing. (His family is asking that in lieu of flowers people might send a donation to the Berry Center that is carrying on his agrarian work).
I was very lucky that my wife handed me a copy of his essay collection Home Economics about 40 years ago, when we were still courting. If I hadn’t fallen under his spell I’m not sure I would have spent my life in rural America, red state and blue; I know that he taught me how to see my town and my county, and my country and my species, in new-old ways that have undergirded all my work. And I’m very glad that we became friends, visiting and writing back and forth. His droll good humor rarely faltered, in my experience. I did not agree with him at all times, nor he with me—though he had solar panels behind his house, for instance, he didn’t think they belonged on farmland, while I think they’re a boon to both farmer and planet. But we agreed on most things of real dimension, and I was always delighted to see in the mailbox a letter with the return address of Port Royal Kentucky. He was one of the last people with whom I had a true written, as opposed to electronic, correspondence. Sometimes he’d tap things out on a manual typewriter, but more often it would be in pencil, on lined yellow paper.
The most recent arrived in July, and after news about grandsons and granddaughters it contained his newest discovery, a 1940 volume titled Stops, A Handbook for Those Who Know Their Punctuation and Those Who Aren’t Quite Sure. He was recommending it to me on the grounds that it is the “only book of my acquaintance that makes grammar delightful,” but also because he’d noted that it was published by the press (now defunct) at Middlebury College, where I teach. So while the rest of us were figuring out how to enlist Claude to help with our composition, one of the best writers of our age was still enjoying sharpening his prose, just as he enjoyed sharpening the tools of his work in field and forest. “I’m writing this on the porch of the ‘camp house,’ still unwired, built, I think, in 1964, in the woods between the river and the road.” He died on that farm on Monday, surrounded by family.
I got the news about his passing even as I was trying to grapple with the latest from a man who will attract more notice when he dies, but less affection. Elon Musk is always advancing his own vision of the world, of course—in fact, he’s just pledged to spend $100 million helping Republicans this fall. Or maybe $200 million—neither would be a noticeable sum to a trillionaire, of course. Whatever good he did with his early advocacy for electric vehicles has now been undone 100 times over with his advocacy for the people who hate EVs and all the other things we need. (He’s, as of last week, building gas turbines to make more electricity for his right-wing Grok AI project, already polluting the air of Black neighborhoods in Memphis).
He offers the Nazi salute; we are at his behest settling thousands of refugees from white South Africa (and no others) in our country; his rancid racism has destroyed Twitter. It would be a pleasure never to think of him again, but because he’s the richest man in the world, one has to monitor what he says. And here’s Monday’s installment, from of course his own social media site:
Extremely severe extinction events happen every 100M years or so and just switching to sustainable energy will not be enough to stop them.
Space satellites to control temperature and massive geo-engineering will be needed or it will be game over.
The disingenuousness of this is remarkable. Extremely severe extinction events have indeed happened just five times in the last half-billion years, which means it would be extremely unlikely we’d spontaneously come across one any time soon: Human civilization is, after all, just 10,000 years old. And yet of course we face one, not because of anything nature has done, but because we’ve filled the air with carbon dioxide from burning fossil fuel, which his allies wish to continue indefinitely. “Just switching to sustainable energy” is in fact the one good, scalable weapon we have to fight that, but since he’s a part of the political movement against this idea, he is now backing an alternative: “space satellites to control temperature,” which he further explains will be accomplished by a “super-intelligent swarm” of “sentient satellites, launched into Earth-Sun Lagrange points by mass drivers on the Moon.”
This is the kind of fantasy that drove Berry to distraction (and to work)—all about control and domination, all done by the few to the many, utterly ignorant of context. Immodest in every way.
But in Musk’s case it was accompanied by another revelation that began to emerge over the weekend. It turns out that the human toll of the horrific rampaging floods on the Nepal-Tibet border may well have been exacerbated by Musk’s decision to destroy the US Agency for International Development early in the DOGE assault on our government. USAID, in collaboration with NASA, helped maintain a network of monitors high in the Himalayas and Hindu Kush. Musk, in February 2025, “spent the weekend feeding USAID into the wood chipper. Could gone to some great parties. Did that instead.” One casualty was apparently this network. As Jeremy Konyndyk, who oversaw America’s response to the 2015 Nepal earthquake, wrote this weekend on (ironically) X:
DOGE famously used keyword searches for terms like "climate" to terminate federal grants. Among the victims: a collab between USAID and NASA for flood prediction, early warning, disaster readiness, glacier inventories, and mapping dangerous glacial lakes in Nepal.
As Konyndyk added:
Could these programs have helped foresee or mitigate this week's glacial flooding catastrophe? Hard to say with an outlier event like this. But that was their purpose.
Sadly, it's hard to anticipate or mitigate climate hazards which your ideology has decreed do not exist.
Musk’s victims already number in the millions—a Lancet study predicts 14 million by 2030 as the indirect results of shutting down America’s humanitarian work, which puts him up there in the Stalin-Mao category, and almost certainly the most deadly human of this millennium. So maybe a few thousand more people hardly matter.
But contrast what Musk did with the actions of a principal at a school along the river. When a friend upstream phoned one of his teachers a blurted warning, he immediately evacuated the entire student body, saving at least 900 lives. Given a warning, he acted (precisely what the world has not done with climate change). “I thought that even if the warning turned out to be wrong, the worst it would cost us was one day of study,” Rajendra Dawadi said. “But taking it lightly could mean the loss of hundreds of lives.”
Principal Dawadi will spend the rest of his life going to the weddings of the students whose lives he saved, and I imagine there will be no small number of babies named in his honor. Elon Musk’s name will be cursed—the richest man in human history, who used his wealth and power to kill the most vulnerable people on the planet.
Here is a recent poem of Wendell Berry’s, published in The New Yorker less than a year ago and titled "The Loved Ones":
The loved ones we call the dead
depart from us and for a while
are absent. And then as if
called back by our love, they come
near us again. They enter our dreams.
We feel they have been near us
when we have not thought of them.
They are simply here, simply waiting
while we are distracted among
our obligations. At last
it comes to us: They live now
in the permanent world.
We are the absent ones.
The end result of GOP cuts to the domestic social safety net and to foreign aid will be the cleansing of people defined by the Trump regime as being useless, needy, and inferior.
Throughout history, malicious regimes have risen to power and, thinking they are superior, have targeted groups of people they have decided are a threat to their economy, their society, or their race. These governments then proceed to disenfranchise and eliminate those they decree as inferior, the “out-groups.” This is eugenics, the discredited beliefs and practices that claim to improve the genetic quality of a specific group by eliminating the propagation of the “out-groups.” This has been accomplished in the past by forced sterilization, inhumane institutionalization, or outright euthanasia. In reality, the practice of eugenics is about preserving the power of the dominant group or government, not genetics.
The United States has a dark history of eugenics targeting people of color and those with disabilities. Though it may be less glaringly obvious today, eugenic thought and policies have been empowered by the MAGA movement. In 2024 the Trump administration defined “out-groups” both nationally and internationally, with massive funding cuts to social programs, healthcare, and research directed at reducing health disparities—efforts that they call “woke.” As ever, these actions will have the deadliest effects on their designated “out-groups”: immigrants, the elderly, the poor, those with disabilities, people with mental illness, retirees, and Black and brown people. These are all groups that the administration and MAGA Republicans see as using the social services they want to eliminate, or as not being important to the economic growth of the US. The end result is the eugenic cleansing of US citizens defined by the regime as being useless, needy, and inferior.
How did they do this? In the “One Big Beautiful Bill,” Republicans succeeded in undermining social programs such as Medicaid and the Supplemental Nutrition Assistance Program (SNAP). This greatly affects the health of those they disfavor, such as those who experience poverty and struggle for adequate healthcare and nutrition. These actions also directly harm people with disabilities, who are more likely to live in poverty and to require food assistance. Additionally, people with mental health conditions, as well as people who are unhoused, are being targeted by administration policies aimed at institutionalizing them. Institutionalization has a dark history in the US and is just one step from state-mediated sterilization and elimination.
To further assure poor health for the “out-groups” the administration, in league with Secretary of Health and Human Services Robert F. Kennedy, Jr. and his HHS cronies, has methodically weakened the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA) and the National Institutes of Health (NIH). Vital disease monitoring programs have been halted, lifesaving research has been crushed, vaccine uptake has been attacked, and fact-based science and medical practices have been exchanged for conspiracy theories and the promotion of unproven supplements. All of these actions will most severely damage the health of the most vulnerable, the “out-groups.”
The administration, right-wing politicians, and the MAGA movement seem to have taken it upon themselves to eugenically cleanse the Earth of poor, non-white people.
And it doesn’t stop in the United States. Immediately after the inauguration, the Trump administration began with severe cuts to foreign aid through the elimination of US Agency for International Development (USAID) and other destructive policies. It has been predicted that this will ultimately end in the deaths of millions across the globe. It is already happening.
This is eugenics—many of the millions who die, or become permanently disabled, will be children, who will be eliminated before they can reproduce. And the greatest effects of the withdrawal of aid are directed against Black and brown people, the “out-group” who, according to the crude language of the US president, live in “shit-hole” countries—as if these countries and the human beings who live there are worthless and expendable, a burden to the US and the world.
The administration, right-wing politicians, and the MAGA movement seem to have taken it upon themselves to eugenically cleanse the Earth of poor, non-white people. Apparently, they believe they have the power and the right to reduce the world’s population by promoting terrible suffering through fatal diseases and starvation in places far out of their view.
Let’s say it outright—this is state-sponsored eugenics and it is happening in the America which was “conceived in Liberty, and dedicated to the proposition that all men are created equal.” The actions of the current administration have disgraced those principles. Even hard-core MAGA followers should be opposed to the behavior of their chosen leaders, who are resorting to eugenics, using the infliction of terrible suffering, pain, diseases, and starvation for political power, economic gain, and supremacy. And MAGA followers should remember you are not immune; a small change in status will bring you into the crosshairs of state-sponsored eugenics. We should all be alarmed.
Any self-proclaimed deficit hawk who is not all hair on fire about Trump’s budget demand is a lying hypocrite who only uses concerns about the deficit to argue against programs they don’t like.
President Donald Trump is asking for $1,500,000 million for the military for next year. That’s close to $600 billion (adjusted for inflation) more than we were spending on the military in fiscal year 2025, before Trump took office.
This increase is huge by any measure. It comes to around $4,600 per household. It is around 8% of the total budget. This spending request dwarfs sums that are often the subject of major debates in Washington.
For example, last year Democrats pushed to have the enhanced subsidies in the Affordable Care Act exchanges extended. This would have cost $30 billion a year, one twentieth of what Trump and Pentagon chief Pete Hegseth are demanding.
People may recall Elon Musk gleefully putting the US Agency for International Development into the “wood chipper” last spring. While ending this program is expected to lead to 4 million additional deaths over the next four years, it only saved around $35 billion a year. That is less than 6% of the increase in military spending that Trump is asking for.
Is the argument that in just 18 months in office, Trump has made the world so much less safe that we have to increase the defense budget by two-thirds?
The annual cost of extending the enhanced child tax credit, which cut child poverty in half, was around $100 billion a year, less than one-fifth of Trump’s proposed increase. And the annual appropriation for the Corporation for Public Broadcasting was $550 million, less than one thousandth of the additional spending for the military that Trump is demanding. (It’s in the chart, just small to see.)

People need to know that Trump’s military spending request is really big money, compared to almost anything else that ever comes up for public debate for Congress. Unfortunately, because of incompetent or corrupt budget reporting, few news accounts make any effort to put these huge numbers in a context that makes them understandable for their audience. As a result, most people will probably have little idea of what is at stake with this military request.
Any self-proclaimed deficit hawk who is not all hair on fire about Trump’s budget demand is a lying hypocrite who only uses concerns about the deficit to argue against programs they don’t like. We got along fine with the former level of military spending, which almost everyone, including Donald Trump in his first term, considered adequate.
Is the argument that in just 18 months in office, Trump has made the world so much less safe that we have to increase the defense budget by two-thirds? Most of us knew that making our former allies into enemies was not a good idea, but Trump is placing a huge price tag on this mistake. And remember, this is Trump’s own number, not his critics’.
"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.”