Africa pushes back against America’s Health Bargain
WHEN US President Donald Trump dismantled USAID and ordered the reconstruction of America’s global health architecture, his administration offered African governments a simple proposition: accept Washington’s terms, and the money would flow again. Sixteen countries said yes. Then the pushback began. This week, Zimbabwe became the most dramatic casualty, formally rejecting a $367 million five-year agreement and triggering a US announcement that it would begin “winding down” health assistance in a country where 1.2 million people currently receive HIV treatment funded by Washington. In Zambia, a $1 billion deal that was meant to be signed in November remains stalled, with…
