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Getting Foreign Aid Right| National Catholic Register

Pharmacist Joseph Njer Airo inspects boxes of antiretroviral drugs labeled "USAID," from the last donation before the funding cuts inside the medical stockroom of Migosi Sub-county Hospital on April 24, 2025 in Kisumu, Kenya. Kisumu has one of the highest HIV rates in Kenya, with around 17.6% of the adult population are living with the virus, nearly five times the national average of 4.5%. In 2025, Kisumu has become a focal point of a growing healthcare crisis, as funding cuts from the United States Agency for International Development (USAID) ripple through the local health system.

<p><&excl;-- BEGIN THEIA POST SLIDER --><&sol;p>&NewLine;<p> <br &sol;>&NewLine;<&sol;p>&NewLine;<div>&NewLine;<p>COMMENTARY&colon; USAID was certainly in need of deep reform&period; Most of the federal government is&period; But there’s a difference between effecting genuine reform and playing Demolition Derby&period;<&sol;p>&NewLine;<&sol;p><&sol;div>&NewLine;<div>&NewLine;<p>Rhetorical restraint is not prominent in Washington these days&period; Given the volatile personalities involved and the escalatory effects of social media&comma; one hesitates to declare that the apogee of apoplexy has been reached — or ever will be&period; <&sol;p>&NewLine;<p>Elon Musk’s denunciation of the U&period;S&period; Agency for International Development as a &OpenCurlyDoubleQuote;radical left political psy op” and a &OpenCurlyDoubleQuote;criminal organization” did raise the bar to new heights&comma; however&period;<&sol;p>&NewLine;<p>I am no uncritical celebrant of U&period;S&period; foreign aid programs&period; The Catholic University of America’s <a href&equals;"https&colon;&sol;&sol;firstthings&period;com&sol;a-pro-life-and-pro-family-u-s-foreign-aid-strategy&sol;">Jakub Grygiel<&sol;a> was certainly on-target in arguing that &OpenCurlyDoubleQuote;funding &OpenCurlyQuote;net-zero emissions goals’ in Vietnam” made no sense&semi; the &OpenCurlyDoubleQuote;woke imperialism” of aid programs that &OpenCurlyDoubleQuote;undermined the stability of states we are supposed to help&comma; &lbrack;through&rsqb; DEI directives &lbrack;and the promotion of&rsqb; an ever-mutating spectacle of sexual preferences” was even worse&period; Such foolishness&comma; Professor Grygiel rightly noted&comma; makes for lose&sol;lose situations&colon; recipient countries are harmed&comma; and so is America’s reputation in those countries&period; <&sol;p>&NewLine;<p>Nonetheless&comma; there were good things that USAID did well — and by doing good things well&comma; USAID made friends for the United States around the world&period; Food aid programs were&comma; and are&comma; one example&period; PEPFAR was&comma; and is&comma; another&period;<&sol;p>&NewLine;<p>The President’s Emergency Program for AIDS Relief was one of the noblest accomplishments of the George W&period; Bush administration&period; Overseen by the Department of State&comma; PEPFAR is — or&comma; must we now say&comma; was&quest; — largely run by USAID through partnerships with governments and healthcare organizations in 55 African&comma; Asian&comma; and Latin American countries&period; With bipartisan congressional support through four presidential administrations&comma; American taxpayers&comma; through PEPFAR&comma; have helped save some 25 million lives while preventing untold millions of HIV infections and contributing to increased health security in some of the world’s most impoverished regions&period; <&sol;p>&NewLine;<p>According to the current administration&comma; lifesaving programs were to be exempt from the ransacking&comma; indeed demolition&comma; of USAID by Elon Musk’s DOGE operatives &lpar;the same geniuses who&comma; until corrected&comma; thought a Pentagon website mentioning the B-29 &OpenCurlyDoubleQuote;Enola Gay” was an exercise in LGBT advocacy&rpar;&period; We must hope that that exemption remains the administration’s intention&period; At the outset&comma; however&comma; a blunderbuss approach to reorienting U&period;S&period; foreign aid has created chaos at the receiving end of PEPFAR funds — suspension of local workers&comma; interrupted supply chains&comma; breakdowns in the distribution of already-acquired medications — and that chaos resulted in unnecessary deaths&period; Moreover&comma; while treatment programs continue under PEPFAR funding&comma; prevention programs seem to have been stopped&comma; leading to the possibility of 2&comma;000 new infections a day&period; In dealing with HIV&sol;AIDS&comma; each leg of the prevention&sol;testing&sol;treatment triad has to function if PEPFAR is to continue to work as it has in the past&comma; saving lives and winning America innumerable friends in the process&period;<&sol;p>&NewLine;<p>&OpenCurlyDoubleQuote;Soft power” foreign aid programs like PEPFAR are an indispensable part of any serious U&period;S&period; approach to world politics&period; To dismiss these programs as a matter of America playing the world’s &OpenCurlyDoubleQuote;<a href&equals;"https&colon;&sol;&sol;www&period;foxbusiness&period;com&sol;video&sol;6345561069112">Sugar Daddy<&sol;a>” — as opined by Kentucky Sen&period; Rand Paul — is strategically myopic to the point of blindness &lpar;ironic&comma; in that Sen&period; Paul was an ophthalmologist before entering public life&rpar;&period; Xi Jinping’s China&comma; eager to position itself as the true champion of Third World development&comma; has spent more than <a href&equals;"https&colon;&sol;&sol;greenfdc&period;org&sol;china-belt-and-road-initiative-bri-investment-report-2023&sol;">&dollar;1 trillion<&sol;a> on its &OpenCurlyDoubleQuote;Belt-and-Road Initiative&comma;” creating badly needed infrastructure in poor countries while tying those countries to Beijing through loans and credits&period; That play for hegemony will doubtless be expanded into areas such as healthcare and food relief if the United States abandons the field — and abandons it to the power that administration officials claim is the primary threat to American and global security in the 21st century&period;<&sol;p>&NewLine;<p>USAID was certainly in need of deep reform&period; Most of the federal government is&period; But there’s a difference between effecting genuine reform and playing Demolition Derby&period; Shock-and-awe approaches to hidebound federal bureaucracies may make for great news clips and soundbites&comma; but they risk eliminating the good along with the waste&period; So here’s a suggestion for a reform of U&period;S&period; foreign aid that makes it great again&period;<&sol;p>&NewLine;<p>Texas A&amp&semi;M’s <a href&equals;"https&colon;&sol;&sol;bush&period;tamu&period;edu&sol;faculty&sol;anatsios&sol;">Andrew Natsios<&sol;a>&comma; who ran USAID from May 2001 until January 2006&comma; and Ambassador <a href&equals;"https&colon;&sol;&sol;en&period;wikipedia&period;org&sol;wiki&sol;Mark&lowbar;Green&lowbar;&lpar;Wisconsin&lowbar;politician&rpar;">Mark Green<&sol;a>&comma; USAID administrator from August 2017 until April 2020&comma; are two of the finest public servants I’ve known in my 40 years in Washington&period; Both are Republicans&semi; both are adults&semi; and both are fiscal conservatives who understand the connection between foreign aid and a coherent national security strategy&period; Let Secretary of State Marco Rubio give these two men a mandate to reshape USAID or a successor agency in the next six months — with precision tools&comma; not sledgehammers&period; <&sol;p>&NewLine;<p>Doing so might help improve America’s moral standing in the world&comma; which could use a boost right now&period;<&sol;p>&NewLine;<&sol;p><&sol;div>&NewLine;<p><br &sol;>&NewLine;<br &sol;><a href&equals;"https&colon;&sol;&sol;www&period;ncregister&period;com&sol;commentaries&sol;weigel-getting-foreign-aid-right-usaid">Source link <&sol;a><&sol;p>&NewLine;<p><&excl;-- END THEIA POST SLIDER --><&sol;p>&NewLine;

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