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Latest newsNews searchHealthFinanceFoodCareer newsContent seriesFocus areasTry Devex Pro
    • Opinion
    • Opinion: The future of global health

    Hopeful signs are emerging from the US global health strategy

    Opinion: Partnerships with Gilead and Zipline signal a shift toward enterprise-driven development, focusing on innovation, measurable outcomes, and economic growth alongside health impact.

    By Mark Green // 26 November 2025

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    Devex Newswire: The US reveals its ‘America First’ global health strategy

    Global health has long been at the heart of U.S. soft power. More than 26 million lives have been saved over the past two decades through the President’s Emergency Plan for AIDS Relief, or PEPFAR, demonstrating the generosity of Americans taxpayers, but also an important investment in our economic and national security. It’s only natural, then, that the dismantling of institutions such as the U.S. Agency for International Development, alongside assistance cuts in Europe and elsewhere, have created uncertainty in many parts of the developing world.

    However, the Trump administration’s emerging global health strategy, with its emphasis on innovation and private sector collaboration, offers both reasons for hope and important new opportunities the development community can’t afford to let slip away.

    The instinct in Washington has long been to change things gradually — to commission studies, redraw boxes on organizational charts, and rename programs. But that bureaucracy-centric approach will do little to help us respond to urgent needs in many parts of the world, nor will it meet the current administration’s demand for a new model in foreign assistance that puts American leadership and private enterprise front and center.

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    More reading:

    ► State Dept grants $150M to Zipline to triple African drone operations

    ► US announces support for HIV prevention game-changer with mixed reactions

    ► The promise and pitfalls of an 'America First' global health strategy (Pro)

    • Global Health
    • Private Sector
    • Economic Development
    • Gilead
    • Zipline International Inc.
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • Mark  Green

      Mark Green

      Ambassador Mark Green served as administrator of the U.S. Agency for International Development in the first Trump administration, U.S. ambassador to Tanzania in the George W. Bush administration, and a four-term member of the U.S. Congress from Wisconsin’s 8th District. He is the author of “Stubborn Things” on Substack and LinkedIn.

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