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"This isn't fiscal responsibility. It's a political decision to let preventable diseases spread—to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all."
Public health experts and other critics on Wednesday condemned the Trump administration's decision to cut off funding to the global vaccine alliance Gavi, which the organization estimates could result in the deaths of over 1 million children.
"Abhorrent. Evil. Indefensible," Atlantic staff writer Clint Smith said on social media in response to exclusive reporting from The New York Times, which obtained documents including a 281-page spreadsheet that "the skeletal remains" of the United States Agency for International Development (USAID) sent to Congress on Monday.
The leaked materials detail 898 awards that the Trump administration plans to continue and 5,341 it intends to end. A spokesperson for the U.S. State Department, which runs the gutted USAID, confirmed the list is accurate and said that "each award terminated was reviewed individually for alignment with agency and administration priorities."
The United States contributes 13% of Gavi's budget and the terminated grant was worth $2.6 billion through 2030, according to the Times. Citing the alliance, the newspaper noted that cutting off U.S. funds "may mean 75 million children do not receive routine vaccinations in the next five years, with more than 1.2 million children dying as a result."
"The administration's attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged."
Responding to the Trump administration's move in a social media thread on Wednesday, Gavi said that U.S. support for the alliance "is vital" and with it, "we can save over 8 million lives over the next five years and give millions of children a better chance at a healthy, prosperous future."
"But investing in Gavi brings other benefits for our world and the American people. Here's why: By maintaining global stockpiles of vaccines against deadly diseases like Ebola, mpox, and yellow fever, we help keep America safe. These diseases do not respect borders, they can cross continents in hours and cost billions of dollars," Gavi continued.
The alliance explained that "aside from national security, investing in Gavi means smart economics too. Every dollar we invest in lower income countries generates a return of $54. This helps countries develop and communities thrive, taking away pressure to migrate in search of a better life elsewhere."
"The countries Gavi supports, too, see the benefit in our model: Every year they pay more towards the cost of their own immunisation program, bringing forward the day when they transition from our support completely," the group noted. "Our goal is to ultimately put ourselves out of business."
"For 25 years, the USA and Gavi have had the strongest of partnerships," the alliance concluded. "Without its help, we could not have halved child mortality, saved 18 million lives or helped 19 countries transition from our support (some becoming donors themselves). We hope this partnership can continue."
Many other opponents of the decision also weighed in on social media. Eric Reinhart, a political anthropologist, social psychiatrist, and psychoanalytic clinician in the United States, said, "A sick country insists on a sick world."
Dr. Heather Berlin, an American neuroscientist and clinical psychologist, sarcastically said: "Oh yes, this will surely end well. Good thing the U.S. has an invisible shield around it to protect us from 'foreign' diseases."
Some Times readers also praised the reporting. Dr. Jonathan Marro—a pediatric oncologist, bioethicist, health services researcher, and educator in Massachusetts—called the article "excellent but appalling," while Patrick Gaspard, a distinguished senior fellow at the Center for American Progress and its action fund, said that it was "crushing to read this important story."
The newspaper noted that "the memo to Congress presents the plan for foreign assistance as a unilateral decision. However because spending on individual health programs such as HIV or vaccination is congressionally allocated, it is not clear that the administration has legal power to end those programs. This issue is currently being litigated in multiple court challenges."
Liza Barrie, Public Citizen's campaign director for global vaccines access, also highlighted that point in a Wednesday statement. She said that "the Trump administration's decision to end U.S. funding for Gavi will cost more than a million children's lives, make America less secure. It abandons 25 years of bipartisan commitment to global immunization and undermines the very systems that help prevent deadly outbreaks from reaching our own doorsteps."
"Vaccines are the most cost-effective public health tool ever developed," Barrie continued. "This isn't fiscal responsibility. It's a political decision to let preventable diseases spread—to ignore science, lend legitimacy to anti-vaccine extremism, and dismantle the infrastructure that protects us all. In their shocking incompetence, the Trump administration will do it all without saving more than a rounding error in the budget, if that."
"Congress has authority over foreign assistance funding," she stressed. "The administration's attempt to unilaterally walk away from its Gavi commitment raises serious legal questions and should be challenged. Lawmakers must stand up for the rule of law, and for the belief that the value of a child’s life is not determined by geography."
"He, like all presidents, must abide by the rule of law—and because he has not, Congress must adhere to its own obligations to carry out an impeachment investigation."
The pro-democracy group behind a campaign to impeach U.S. President Donald Trump a historic third time argued Wednesday that his administration's "blatant disregard for the judiciary branch" provides new grounds for Congress to launch an investigation.
Trump—who was impeached twice during his first term—returned to the White House in January, and since then has partnered with Elon Musk and various other billionaires to dismantle the federal government, provoking numerous ongoing legal battles.
As Free Speech for People detailed in a Wednesday statement, the new administration's recent "oversteps of the judiciary branch include: refusing to release $2 billion in foreign aid in defiance of multiple court orders; refusing to adhere to court orders that prohibit the Office of Management and Budget from implementing a freeze on all federal assistance; and refusing to adhere to a court order requiring U.S. Office of Personnel Management [acting Director] Charles Ezell to testify in person on March 13, 2025, in a lawsuit challenging Ezell and OPM's termination of thousands of employees."
Courtney Hostetler, legal director of the nonprofit, said that "the checks and balances of our three-branch government is a cornerstone of our democracy, created by our country's founders because they were rightfully afraid of how quickly, in the absence of a balanced system, our democracy might become a tyranny."
"Trump has usurped the powers of the legislature and now tramples on the authority of the judiciary," Hostetler continued. "In just one month, he has repeatedly ignored court rulings that have and must restrain his unlawful abuses of power. He, like all presidents, must abide by the rule of law—and because he has not, Congress must adhere to its own obligations to carry out an impeachment investigation."
Although the Free Speech for People's Impeach Trump Again campaign has collected over 250,000 petition signatures and Congressman Al Green (D-Texas) recently said he would bring articles of impeachment against the president, such an effort is unlikely to go anywhere given that both chambers are narrowly controlled by Republicans.
Even if Democrats regained control of the House of Representatives in the midterms and pursued impeachment, they would also need sufficient support in the Senate to convict him. In both of Trump's previous Senate trials, he was not convicted.
Still, Free Speech for People argues that the House should launch an impeachment investigation into Trump for not only refusing to adhere to court orders, but also: planning the forced removal of Palestinians from the Gaza Strip; seeking retribution against perceived adversaries; dismantling independent government oversight; unconstitutionally usurping local, state, and congressional authority; receiving foreign and domestic emoluments; attempting to deprive Americans of birthright citizenship; dismissing criminal charges against New York City Mayor Eric Adams; abusing pardon and emergency powers; blocking efforts to secure U.S. elections; and engaging in unlawful, corrupt practices during the 2024 presidential campaign.
One top Democrat called the seven-month continuing resolution a "power grab" that "further allows unchecked billionaire Elon Musk and President Trump to steal from the American people."
House Republicans this week are aiming to pass a seven-month government funding bill that Democrats said would effectively preempt any congressional effort to rein in billionaire Elon Musk as he works in concert with President Donald Trump to eviscerate federal agencies and fire government employees en masse.
The continuing resolution (CR), which would avert a looming shutdown and keep the government funded through September, calls for increasing military spending while cutting or declining to fund key programs involving rental assistance, public health, and other critical areas.
Politicoreported that the bill would boost military spending by roughly $6 billion and slash non-military funding by $13 billion.
"The bill, for instance, does not renew $40 million in fiscal 2024 funding for more than 70 programs that help children and families," the outlet noted. "Most had been requested by Democratic senators, but not all: Republican Sen. Cindy Hyde-Smith previously secured $250,000 for a group that works to prevent child abuse in her home state of Mississippi and GOP Sen. Lisa Murkowski requested more than $5 million to help fund homeless shelters and prevent child abuse in Alaska."
Rep. Rosa DeLauro (D-Conn.), the top Democrat on the House Appropriations Committee, said in a statement that the legislation "is a power grab for the White House and further allows unchecked billionaire Elon Musk and President Trump to steal from the American people."
DeLauro continued:
By essentially closing the book on negotiations for full-year funding bills that help the middle class and protect our national security, my colleagues on the other side of the aisle have handed their power to an unelected billionaire. Elon Musk and President Trump are stealing from the middle class, seniors, veterans, working people, small businesses, and farms to pay for tax breaks for billionaires and big corporations. They have made it harder for Americans to get their Social Security benefits; shut down the Consumer Financial Protection Bureau, which has saved American families $21 billion; fired 6,000 veterans and reportedly plan to make it harder for veterans to access benefits by firing an additional 80,000 VA employees; laid off hundreds of workers who build and maintain critical nuclear weapons; and shut down medical research labs. House Republicans' response: hand a blank check to Elon Musk.
Sen. Patty Murray (D-Wash.), vice chair of the Senate Appropriations Committee, echoed DeLauro's criticism of the Republican bill, calling it a "slush fund continuing resolution that would give Donald Trump and Elon Musk more power over federal spending—and more power to pick winners and losers, which threatens families in blue and red states alike."
"Instead of turning the keys over to the Trump administration with this bill," said Murray, "Congress should immediately pass a short-term CR to prevent a shutdown and finish work on bipartisan funding bills that invest in families, keep America safe, and ensure our constituents have a say in how federal funding is spent."
In a fact sheet released over the weekend, Murray's office noted that full-year government funding bills typically provide "scores of specific funding directives for key programs and priorities" that constrain the executive branch.
But under the GOP continuing resolution, the fact sheet observes, "hundreds of those congressional directives fall away," giving the Trump administration broad discretion to "reshape spending priorities, eliminate longstanding programs, pick winners and losers, and more."
"Under this CR, the Trump administration could—for example—decide not to spend funding previously allocated for combatting fentanyl, the SUPPORT Act, and other substance abuse and mental health programs, or specific NIH priorities like Alzheimer's disease and vaccine research—and instead steer funding to other priorities of its choosing," the document states. "It could also pick and choose which Military Construction, Army Corps, or transit improvement and expansion projects to fund without direction from Congress."
A similar fact sheet released by DeLauro warns that the CR "provides a blank check to the Federal Aviation Administration (FAA) in the amount of $4 billion, enabling Elon Musk to direct contracts to Starlink and SpaceX (companies owned by Musk) at a time when unvetted and unchecked SpaceX employees have burrowed in the FAA (the same Federal agency that regulates SpaceX), with no requirement for public transparency, fair competition, or congressional approval."
"This continuing resolution is a blank check for Elon Musk and creates more flexibility for him to steal from the middle class, seniors, veterans, working people, small businesses, and farmers to pay for tax breaks for billionaires," said DeLauro.
The Republican bill is expected to get a House vote as soon as Tuesday evening. In a post to his social media platform on Saturday, Trump praised the CR as "very good" and demanded lockstep unity from his party, which has willfully ceded the power of the purse in the opening weeks of the president's second White House term.
Trump's call for "no dissent" from Republicans stems from the party's narrow majorities in the House and Senate. In the latter chamber, the bill will need at least seven Democratic votes to pass.