For decades, the United States has occupied a great authority to determine the direction of global health policies and programs. Health policy experts say President Donald Trump issued three executive orders on his first day in his post that may indicate the end of that era.

Trump In order to withdraw From the World Health Organization, it means that the United States may not be on the table in February when the next World Health Organization will hold. Who is formed by its members: 194 countries that set health priorities and continue agreements on how to share important data, treatments and vaccines during international emergency situations. With the missing United States, he will waive power for others.

“The withdrawal from the World Health Organization leaves a gap in the global health leadership gap that China will fill,” said Kenneth Bernard, a visitor of the Hoover at Stanford University who worked as a senior official in the George W. Bush administration. “[This] It is clear that it is not in the interest of America. “

The executive orders of the withdrawal from the World Health Organization and the reassessment of the American approach to international assistance are cited “ill-treatment in the Covid-19” and says that American aid serves “to destabilize world peace.” At work, they repeat the priorities placed in Project 2025“A delegation of leadership”, which is a conservative policy plan from the Heritage Foundation.

The 922 -page report says that the United States “must be ready” to withdraw from the World Health Organization, noting its “clear failure”, and is reforming international aid in the Ministry of Foreign Affairs.

“The Biden administration has distorted the agency by treating it as a global platform to follow up on an exciting political and cultural agenda that enhances abortion, climate extremism, sexual extremism, and interventions against perceived regular racism,” she says.

As one of the world’s largest health care financiers – through international and national agencies, such as the World Health Organization and the United States Agency for International Development (the US Development Agency) – the United States may reduce efforts to provide health care to save life and break up fight Without a way to do this.

“This not only makes Americans less safety, but also makes citizens of other countries less safe,” said Tom Polici, Director of World Health at the Council of Foreign Relations.

He added, “The United States cannot celebrate itself from across national health threats,” referring to the policies that prevent travelers from countries that have disease outbreaks. “Most evidence about the travel ban indicates that it provides a false sense of safety and the behavior of countries from taking the measures they need to take a local to ensure their safety.”

Less than 0.1 percent of GDP

Technically, countries cannot withdraw from the World Health Organization up to a year after an official notice. But Trump’s executive order is cited by his termination notification from 2020. If Congress or audiences pushed back, the administration can argue that more than a year has passed.

Trump Suspended To the World Health Organization in 2020, a measure that does not require congressional approval. The United States’ contributions to the agency reached its lowest level of $ 163 million during that first year of the Covid-19s, and failed for Germany and the Gates Foundation. Former President Joe Biden regained US membership and payments. In 2023, the country gave the World Health Organization $ 481 million.

For 2024, said Suery Moon, co -director of the World Health Center at the GENEVA Institute for Graduate Studies, said that the BIDEN administration has paid Bienenium dues for the period from 2024 to 25 early, which will cover some payments this year.

“Unfortunate payments” are mentioned in the executive order as a cause of clouds from the World Health Organization. The country’s dues are a percentage of their GDP (GDP), which means that as the richest country in the world, the United States generally pushed more than other countries.

The World Health Organization’s money represents about 4 percent of the US World Health budget, which in turn is less than 0.1 percent of US federal expenses every year. At about $ 3.4 billion, the World Health Organization budget is approximately a third of the centers of diseases control and prevention centers (CDC), which received $ 9.3 billion in basic financing in 2023.

The World Health Organization supports the programs of the World Health Organization for programs for preventing polio, tuberculosis, HIV, malaria, measles and other diseases, especially in countries that are struggling to provide local health care. It also responds to health emergencies in conflict areas, including places where the US government does not work – in parts of Gaza, Sudan and the Democratic Republic of the Congo, among other things.

In January 2020, World Health Organization The world was alerted to danger From the outbreak of Covid through the highest alarm: a general healthy emergency of international anxiety. Over the next two years, it has examined diagnostic tests and potential drugs for Covid, and they were regularly updated to the public, and the countries advised steps to maintain the safety of citizens.

Experts cited experts at the agency, but many analyzes show that internal problems explain that the United States has one of the highest death rates in the world due to Covid.

Polici said: “All countries have received a public health alert in public health emergency from international interest on January 30,” Polici said. “South Korea, Taiwan and others responded strongly to that – the United States did not.”

“It is a red herring”

However, Trump Executive order He accuses the “abuse” epidemic and the failure of “the adoption of urgently required reforms.” The World Health Organization has made some changes through bureaucratic operations that involve inputs from the participating countries. Last year, for example, the organization approved several adjustments to its regulations to health emergencies. These provisions include transparent reports and coordinated financing.

“If the Trump administration tries to pressure for certain reforms for a year, then it is frustrated, I may find the reform line reliable,” said Moon from the Graduate Institute of Studies, from the Graduate Institute of Graduate in Geneva. “But for me, it is a red herring.”

“I don’t buy explanations,” Bernard of Stanford University. “This is not the issue of money,” he added. “There are no justifications for withdrawing who is logical, including our problems with China.”

Trump has accused the one who colludes with China’s failure to publicly investigate the origin of Kofid, which is what he hinted in the executive matter as “inappropriate political influence.”

Trump said in a video posted on social media in 2023.

On multiple occasions, the World Health Organization called for transparency from China. The agency does not have the legal authority to force China, or any other country, to do what it says. This fact also denies Trump’s warnings that a pandemic treaty under negotiations in the World Health Organization that affects American sovereignty. Instead, the agreement aims to put how countries can cooperate better in the following epidemic.

Trump calls on the United States’s executive to “stop negotiations” on the epidemic agreement. This means that the pharmaceutical industry may lose one of its greatest defenders as discussions advance forward.

In negotiations so far, the United States and the European Union have sided with pressure from the pharmaceutical industry to support strict patent rights on medicines and vaccines. They opposed the efforts made by the medium -income countries in Asia, Africa and Latin America to include licensing agreements that would allow more companies to produce medicines and vaccines when the supplies are short in the crisis. A study published in Nature Medicine Journal estimated that more than a million people could have been saved if Covid vaccines were available around the world in 2021.

“Once the United States is absent – for the best and the worst – there will be less pressure on certain locations,” Moon said. “In the negotiations of the epidemic agreement, we may see weakening the opposition towards more methods directed towards the general health of intellectual property.”

“This is a moment of geopolitical transformation because the United States makes itself less important,” said Ayadi Alkiga, head of the Coalition Delivery Alliance at the African Union.

Alakija said that the countries of Asia and Africa with emerging economies may now put more money in the World Health Organization, change policies, and to develop business schedules previously opposed by American and European countries that are fighting with the war in Ukraine. “Power turns hands,” said Alakija. “Maybe this will give us a more fair and more fair world in the long run.”

Project echoes 2025

In the short term, the World Health Organization is unlikely to recover its entire losses. Money from the United States usually represents about 15 percent of its budget. Along with Trump’s executive order that stops international aid for 90 days, a lack of money may prevent many people from obtaining life saving treatments for HIV, malaria and other diseases.

Another loss is the scientific cooperation that occurs through the World Health Organization and about 70 centers hosting it in US institutions such as Columbia University and Jones Hopkins University. Through these networks, scientists share the results despite political differences between countries.

The third executive order orders the Minister of Foreign Affairs to ensure that the administration’s programs “are in line with the first foreign policy of America.” The suspension order to international suspension of international assistance is entailed while reviewing for “consistency with the foreign policy of the United States.” This says that American aid has worked “to destabilize world peace by enhancing ideas in foreign countries that directly reflect harmonious and stable relations.”

These are executive orders on climate policies with the political agendas expressed by the 2025 project. Although Trump and his new administration may distance themselves from the Playbook Foundation Book of Heritage, CBS News reviewed the date of working in 38 basic authors of the 2025 project, and that was found 28 of them on The least worked in the first Trump administration.

One of the senior architects in the project 2025 was Russell Fion, who served as director of the administration and budget office during the first period of Trump and was nominated again. Many contributors to Project 2025 are from the first legal American Foundation, a group headed by Trump Stephen Miller’s adviser, who had complained against “wake up companies”.

Project 2025 recommends cutting international aid to programs and organizations that focus on climate change and reproductive health care, guidance resources towards “enhancing free markets’ basics”, lowering taxes, and disrupted companies as a way of economic stability.

Several experts said that the executive orders seem to revolve around ideological sites, not the strategy.

The White House did not answer questions about its executive orders about global health care. Regarding the executive thing that aid tells us to “destabilize world peace,” a spokesman for the United States Agency for International Development wrote in an email: “We refer to you to the White House.”