On the very first day of Donald Trump’s second term, he signed an executive order targeting foreign aid programs, especially the U.S. Agency for International Development (USAID).

Comprising less than 0.1% of the federal budget, USAID provides international humanitarian and development aid for poverty eradication, education, disease prevention, and medical programs. The Trump administration has cut off funding for these programs and most of the USAID staff was placed on leave or laid off.

Since January, hospitals and clinics in places like Thailand, Syria, and India have shuttered; clinical trials on HIV and maternal health have been canceled; and projects on polio, malaria, and tuberculosis prevention have been stopped.

Then, this week, the Supreme Court rejected a bid to keep some aid funds frozen. But what does that mean in practice for USAID’s global health initiatives?

Host Flora Lichtman talks about the global health implications of dismantling USAID with Dr. Atul Gawande, surgeon and former head of global health at USAID; and Dr. Salim Abdool Karim, epidemiologist and director of the Centre for the AIDS Programme of Research in South Africa.

Transcripts for each segment will be available after the show airs on sciencefriday.com.

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