Trump administration’s secrecy on health deals alarms experts, governments

11 hours ago 1

Democracy Dies in Darkness

A dearth of information has been disclosed about the agreements, fueling speculation that the “America First” approach to foreign aid is exploitative.

April 6, 2026 at 6:00 a.m. EDT19 minutes ago

Boxes of antiretroviral drugs, remnants of a final donation from the U.S. government before funding cuts, line the shelves of a hospital stockroom in Kisumu, Kenya, last April. (Michel Lunanga/Getty Images)

The Trump administration has spent the better part of a year quietly negotiating agreements with poorer nations as it seeks to scale back and reimagine U.S. foreign assistance for efforts like HIV and tuberculosis prevention through a new “America First” global health strategy.