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USAID Folded Into State Department as Lancet Projects 14 Million Additional Deaths

The agency’s formal fold into the State Department follows a Lancet forecast of 14 million avoidable deaths by 2030.

Congolese refugees look through a corrugated metal fence at the final batches of food delivered by the now-dismantled United States Agency for International Development (USAID) in a storage and food delivery area at the Musenyi refugee site in Giharo, on May 7.
FILE - Former President George W. Bush attends a baseball game, May 15, 2025, in Arlington, Texas. (AP Photo/LM Otero, File)
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Overview

  • The Trump administration canceled 83 percent of USAID programs and directed Secretary of State Marco Rubio to absorb the remainder into the State Department.
  • A Lancet analysis published June 30 projects over 14 million more deaths by 2030 if the funding cuts remain in place, including roughly 4.5 million children under five.
  • From 2001 to 2021, USAID-funded efforts prevented nearly 92 million deaths across 133 countries, underpinning advances in HIV/AIDS treatment, malaria control and tuberculosis care.
  • The abrupt suspension of food kitchens, health clinics and medical distributions has deepened humanitarian crises in vulnerable regions such as Sub-Saharan Africa and Haiti.
  • Former Presidents Obama and Bush condemned the dismantling as a “colossal mistake,” and major donors including Germany, the UK and France have announced cuts to their own aid budgets.