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    • News
    • 78th World Health Assembly

    Why fixing health after US cuts needs more than 'cosmetic changes'

    In the wake of a U.S. pullout from WHO and a wider defunding of public health programs, how should the sector move forward? What's needed is radical change, not just a bit less of the same, panelists at a WHA event told Devex.

    By David Ainsworth // 23 May 2025

    In the wake of a U.S. decision to slash health funding to poor countries, the global health sector must respond with radical changes, not with “cosmetic changes,” experts told a Devex health conference on the fringe of the World Health Assembly.

    Historically, the United States has funded around 40% of all official development assistance spent on health —- $12.4 billion a year.

    But this year, the Trump administration has made massive cuts, including announcing its intention to withdraw from the World Health Organization.

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    Read more from the 78th WHA:

    ► WHO secures 60% of base budget for the next two years

    ► US still wants global health cooperation, but not through WHO

    ► Live from WHA78: A look at the Pandemic Agreement

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    About the author

    • David Ainsworth

      David Ainsworth@daveainsworth4

      David Ainsworth is business editor at Devex, where he writes about finance and funding issues for development institutions. He was previously a senior writer and editor for magazines specializing in nonprofits in the U.K. and worked as a policy and communications specialist in the nonprofit sector for a number of years. His team specializes in understanding reports and data and what it teaches us about how development functions.

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