Getting Foreign Aid Right

Michel Lunanga
Pharmacist Joseph Njer Airo inspects boxes of antiretroviral drugs labeled “USAID,” from the last donation before the funding cuts inside the medical stockroom of Migosi Sub-county Hospital on April 24, 2025 in Kisumu, Kenya. Kisumu has one of the highest HIV rates in Kenya, with around 17.6% of the adult population are living with the virus, nearly five times the national average of 4.5%. In 2025, Kisumu has become a focal point of a growing healthcare crisis, as funding cuts from the United States Agency for International Development (USAID) ripple through the local health system.

COMMENTARY: USAID was certainly in need of deep reform. Most of the federal government is. But there’s a difference between effecting genuine reform and playing Demolition Derby.

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