On his first day in office, President Trump decided to freeze all U.S. foreign aid. Soon after, his administration effectively dissolved USAID—the federal agency that delivers billions in food, medicine, and other aid worldwide. Many of its programs have been canceled. Now, as USAID officially winds down, we try to assess its impact. What was good? What was not so good? We meet people around the world wrestling with these questions and trying to navigate this chaotic moment.

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Prologue: Just one box of a specially enriched peanut butter paste can save the life of a severely malnourished child. So why have 500,000 of those boxes been stuck in warehouses in Rhode Island? (13 minutes)
Act One: USAID was founded in 1961. Since then, it has spent hundreds of billions of dollars all over the world. What did that get us? Producer David Kestenbaum talked with Joshua Craze and John Norris about that. (12 minutes)
Act Two: Two Americans moved to Eswatini when that country was the epicenter of the AIDS epidemic. With support from USAID, they built a clinic and started serving HIV+ patients. Now that US support for their clinic has ended, they are wondering if what they did was entirely a good thing. (27 minutes)
Act Three: When USAID suddenly stopped all foreign assistance without warning or a transition plan, it sent people all over the world scrambling. Especially those relying on daily medicine provided by USAID. Producer Ike Sriskandarajah spoke to two families in Kenya who were trying to figure it out. (8 minutes)

Transcripts are available at thisamericanlife.org

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The Enduring Struggle

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