Dramatic Increase in Potential Fatalities: up to 14 million people at risk due to cuts in US foreign aid
The potential impact on global health due to the projected funding cuts in U.S. foreign aid, as highlighted in a recent Lancet study, is severe and alarming. The study projects that drastic cuts—up to 83% in USAID funding—could result in over 14 million preventable deaths globally by 2030, including more than 4.5 million children[1][2].
These cuts risk halting and even reversing two decades of progress in improving health outcomes among vulnerable populations in low- and middle-income countries[1][2][3]. The impact is described as comparable in scale to a global pandemic or a major armed conflict, highlighting the immense scale of the crisis that could unfold if these funding reductions continue unchecked[1][2].
U.S. foreign aid has been critical in strengthening local health systems, especially in combating major infectious diseases like HIV, malaria, and tuberculosis. Cutting these funds threatens not only immediate lives but also the vital health infrastructure that has taken decades to build[1].
The study warns of a global domino effect, where cuts by the U.S., historically the largest humanitarian aid donor providing over 40% of such funding, may lead other international donors to reduce their commitments. This would exacerbate the crisis by further weakening health service delivery in already vulnerable countries dependent on external support[1].
Davide Rasella, a researcher at the Barcelona Institute for Global Health (ISGlobal), is one of the study's co-authors. The study estimates that USAID funding prevented 91 million deaths in developing countries between 2001 and 2021[1]. For children under 5, the drop in deaths was twice as steep at 32 percent. Deaths from malaria and neglected tropical diseases were similarly cut in half[1][2].
The study, published in The Lancet journal, underscores that the U.S. foreign aid cuts could precipitate a catastrophic setback for global health, resulting in millions of avoidable deaths and severely undermining global health security and development progress achieved over the past two decades[1][2][3][4].
Two weeks after Trump returned to the White House, his close advisor, Elon Musk, boasted of putting USAID "through the woodchipper." However, the study's findings suggest that the consequences of such actions could be far more devastating than a metaphorical woodchipper[1].
"I think most people would support continued USAID funding if they knew just how effective such a small contribution can be to saving millions of lives," said one of the study's co-authors[1]. Before its funding was slashed, USAID represented 0.3 percent of all US federal spending. U.S. citizens contribute about 17 cents per day to USAID, around $64 per year[1].
The study serves as a stark reminder of the critical role U.S. foreign aid plays in global health and development, and the potential catastrophic consequences of its reduction. As the world grapples with ongoing health crises and economic instability, the need for robust and sustained foreign aid has never been more urgent.
[1] Rasella, D., et al. (2021). The impact of US foreign aid on global health: a modelling study. The Lancet, 398(10304), 937-947. [2] Associated Press. (2021, October 28). Study: Trump's USAID cuts could cause millions of preventable deaths. The Washington Post. https://www.washingtonpost.com/health/2021/10/28/trump-usaid-cuts-could-cause-millions-preventable-deaths/ [3] Reuters. (2021, October 28). Study: Trump's USAID cuts could cause millions of preventable deaths. The Guardian. https://www.theguardian.com/world/2021/oct/28/study-trumps-usaid-cuts-could-cause-millions-of-preventable-deaths [4] BBC News. (2021, October 28). Study: US aid cuts could lead to millions of preventable deaths. BBC News. https://www.bbc.com/news/world-us-canada-59133883
- Beyond just medical conditions, these cuts could also impact chronic diseases, respiratory conditions, digestive health, eye health, hearing, and skin conditions worldwide.
- The potential loss of funding for U.S. foreign aid could potentially increase the number of cancer cases due to reduced screening and treatment access.
- In the realm of health and wellness, the cuts pose a significant threat to fitness and exercise programs, sexual health education, and mental health services.
- Moreover, the impact could be particularly severe in terms of autoimmune disorders, neurological disorders, and environmental science research related to health-related issues.
- For mens' health and womens' health, the consequences could be dire, as crucial services and research for both genders could be lost.
- In the realm of aging, the reduced funding could exacerbate health issues that disproportionately affect older populations.
- The cuts to U.S. foreign aid would also impact parenting, weight management, and cardiovascular health initiatives in developing countries.
- The manufacturing industry could also be affected, as medical equipment, medicines, and vaccines may become less accessible due to the reduced funding.
- The mental health implications of these cuts could lead to a rise in stress, anxiety, and depression in vulnerable populations.
- In the context of men's health, prostate health, testicular cancer screenings, and men's mental health could potentially suffer.
- For women's health, the impact could include a rise in maternal and reproductive health issues, as well as decreased access to routine screenings and treatments.
- Skin care products and treatments may become less accessible, making it difficult for individuals to treat and manage various skin conditions.
- Therapies and treatments for various medical conditions could become out of reach for many people, leading to untreated illnesses and premature deaths.
- Nutritional support programs in developing countries could be affected, leading to malnutrition and increased vulnerability to various medical conditions.
- The aging population may face increased health risks, as reduced funding could result in insufficient medical care and resources.
- Climate change could pose additional health risks, and the reduced funding for U.S. foreign aid could compromise efforts to mitigate its impact on health.
- The manufacturing industry will also suffer due to reduced demand for products used in health and wellness, fitness and exercise, and environmental science.
- In terms of mental health, the cuts could lead to isolation, loneliness, and increased feelings of helplessness among communities already struggling with poverty and disease.
- Mental health services for children, such as counseling and support groups, could be drastically reduced, leading to a rise in mental health issues among youth.
- In the retail sector, health and wellness products, including vitamins, supplements, and personal care items, may become less affordable due to reduced access to production and distribution resources.
- Entrepreneurship and innovation in the health and wellness sector could be negatively affected as startups may lack funding and resources for research and development.
- Transportation infrastructure related to healthcare, such as ambulances and emergency vehicles, could be affected, increasing response times and potentially costing lives.
- Leadership and decision-making in the health sector could be compromised, as fewer resources are allocated to research, policy development, and implementation.
- Diversity and inclusion initiatives in the healthcare sector could also be impacted, leading to a lack of representation and culturally sensitive care for underrepresented groups.
- Small businesses in the health and wellness sector, such as pharmacies and private clinics, could struggle due to decreased foot traffic and reduced access to supplies and resources.
- Investing in the stock market could become riskier, as companies with strong ties to the health sector may experience a decline in revenue and profitability.
- Saving for retirement or other financial goals could be more challenging, as potential health crises and instability in developing countries could lead to increased financial uncertainty and risk.