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Ginkgo Bioworks

Ginkgo Bioworks

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America first global health compacts: rewiring U.S. health aid

Rule Changes

Bio‑surveillance contractor in Rwanda compact

In 2025 the Trump administration dismantled the post-Cold War global health architecture by withdrawing from the WHO, freezing most foreign aid, and abolishing USAID's development role. Through its 'America First Global Health Strategy,' the administration created bilateral health compacts requiring partner governments to co-finance HIV, TB, malaria, and outbreak response programs and gradually assume full responsibility.

Updated 6 days ago