Bill Gates

Co‑chair, Bill & Melinda Gates Foundation - Prominent critic warning of mortality surge from aid cuts

In 2025 the United States began dismantling its post-Cold War global health architecture: withdrawing from the World Health Organization, freezing most foreign aid, and abolishing USAID’s development role. On this foundation, the Trump administration unveiled an 'America First Global Health Strategy' that replaces large multilateral and NGO-run programs with tightly negotiated bilateral health compacts requiring partner governments to co-finance HIV, TB, malaria and outbreak response programs and gradually assume full responsibility. Kenya signed the first such deal on December 4, 2025, followed by Rwanda on December 5–6 with a $228 million compact; by early 2026, 15 nations had signed agreements committing over $16 billion, with the U.S. covering 100% of commodity costs in FY2026 before tapering support.

Updated Feb 5

Co-chair, Bill & Melinda Gates Foundation - Major global health philanthropist; critical of aid cuts

The United States joined the World Health Organization on June 14, 1948, three years after helping design it. On January 22, 2026, the U.S. became the first country to complete a withdrawal from the agency—walking away from 77 years of leadership in global health. Secretary of State Marco Rubio and HHS Secretary Robert F. Kennedy Jr. jointly announced the withdrawal's completion, citing the WHO's 'failures during the COVID-19 pandemic' and its inability to demonstrate independence from 'inappropriate political influence.' The U.S. departed without paying between $130 million and $278 million in disputed dues, with the administration asserting no obligation to pay prior to exit.

Updated Jan 23

Co-chair, Bill & Melinda Gates Foundation - Largest single philanthropic funder of polio eradication

Global donors used a pledging event in Abu Dhabi on 8 December 2025 to commit US$1.9 billion to the Global Polio Eradication Initiative (GPEI), temporarily stabilizing a flagship global health campaign that is facing a 30% budget cut in 2026 and a multi‑year funding gap. The largest pledges — US$1.2 billion from the Bill & Melinda Gates Foundation and US$450 million from Rotary International — narrow the shortfall in GPEI’s 2022–2029 strategy to roughly US$440 million but do not fully close it. The event comes as wild poliovirus transmission has resurged in Afghanistan and Pakistan and vaccine‑derived polio continues to spark outbreaks in under‑immunized communities worldwide.

Updated Dec 11, 2025