The Trump presidency: Cascading global shocks on global health

Lawrence O. Gostin

doi:10.1371/journal.pgph.0005385

journal article Open Access Nov 26, 2025

The Trump presidency: Cascading global shocks on global health

Lawrence O. Gostin

PLOS Global Public Health Vol. 5 No. 11 pp. e0005385 · Public Library of Science (PLoS)

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References

79

[1]

Executive Order No. 14,115. Withdrawing the United States from the World Health Organization. 90 Federal Register 8361; 2025 [cited 2025 Apr 4]. Available from: https://www.whitehouse.gov/presidential-actions/2025/01/withdrawing-the-united-states-from-the-worldhealth-organization/

[2]

Executive Order No. 14,169. Reevaluating and realigning United States foreign aid. 90 Federal Register 8619; 2025 [cited 2025 Apr 4]. Available from: https://www.whitehouse.gov/presidential-actions/2025/01/reevaluating-and-realigning-united-states-foreign-aid/

[3]

U.S. Secretary of State. Executive order on review of foreign assistance programs; 2025 [cited 2025 Apr 4]. Available from: https://pages.devex.com/rs/685-KBL-765/images/109160-memo.pdf

[4]

U.S. Department of State. America first global health strategy; 2025 [cited 2025 Sept 30]. Available from: https://www.state.gov/america-first-global-health-strategy

[5]

UN Office on the Coordination of Foreign Assistance, Finance Tracking Service. Coordinated plans 2024. [cited 2025 Apr 4]. Available from: https://fts.unocha.org/plans/overview/2024

[6]

Global Fund to Fight AIDS, Tuberculosis and Malaria. Government and public donors. [cited 2025 Apr 4]. Available from: https://www.theglobalfund.org/en/government/

[7]

Gavi, the Vaccine Alliance. Annual contributions and proceeds. [cited 2025 Apr 4]. Available from: https://www.gavi.org/investing-gavi/funding/donor-profiles/annual-contributions-and-proceeds

[8]

KFF. U.S. global health budget figures; 2025 [cited 2025 Apr 4]. Available from: https://www.kff.org/global-health-policy/issue-brief/u-s-global-health-budget-figures/

[9]

Centers for Disease Control and Prevention. CDC global health 2023: highlights and impact; 2024 [cited 2025 Apr 4]. Available from: https://www.cdc.gov/global-health/media/pdfs/2024/07/2023_GHC_Annual_Report.pdf

[10]

Global Health Security Agenda. About. [cited 2025 Apr 4]. Available from: https://globalhealthsecurityagenda.org/about/

[11]

National Institutes of Health, Fogarty International Center. Our role in global health. [cited 2025 Apr 4]. Available from: https://www.fic.nih.gov/About/Pages/role-global-health.aspx

[12]

World Health Organization (2025)

[13]

K Collen (2025)

[14]

D Cunningham (2025)

[15]

P Patnaik (2025)

[16]

Fletcher ER. WHO to shrink its Geneva headquarters down to just four programmatic divisions – with health systems a key pillar. Health Policy Watch; 2025 [cited 2025 Apr 23]. Available from: https://healthpolicy-watch.news/who-to-shrink-its-geneva-headquarters-down-to-just-four-divisions-with-health-systems-a-key-pillar/

[17]

HHS & State Department: The United States Rejects Amendments to International Health Regulations; 2025. Available from: https://www.hhs.gov/press-room/state-department-hhs-rejects-amendments-to-international-health-regulations.html

[18]

S Ekanem (2025)

[19]

E Knickmeyer (2025)

[20]

Faguy A. Most USAID staff laid off or placed on leave by Trump administration. BBC News; 2025 [cited 2025 Apr 4]. Available from: https://www.bbc.com/news/articles/cr42r2gw5wzo

[21]

Mandavilli A. U.S.A.I.D. memos detail human costs of cuts to foreign aid. New York Times; 2025 [cited 2025 Apr 4]. Available from: https://www.nytimes.com/2025/03/02/health/usaid-cuts-deaths-infections.html

[22]

Demirjian K, Nolen S, Crowley M, Dias E. New round of layoffs will virtually eliminate U.S. foreign aid agency. New York Times; 2025 [cited 2025 Apr 4]. Available from: https://www.nytimes.com/2025/03/28/us/politics/usaid-trump-doge-cuts.html

[23]

Department of State v. AIDS Vaccine Advocacy Coalition, No. 24A831, 604 U.S; 2025 [cited 2025 Apr 4]. Available from: https://www.supremecourt.gov/opinions/24pdf/24a831_3135.pdf

[24]

Nolen S. U.S. to halt vaccine aid in broad U.S.A.I.D. cuts. New York Times; 2025 [cited 2025 Apr 4]. Available from: https://www.nytimes.com/2025/03/26/health/usaid-cuts-gavi-bird-flu.html

[25]

(2025)

[26]

White House. Special message to Congress, rescissions proposal; 2025 [cited 2025 Apr 4]. Available from: https://www.politico.com/f/?id=00000197-378d-dfde-abd7-378fa2f40000

[27]

(2025)

[28]

U.S. Department of State v. AIDS Vaccine Advocacy Coalition, No. 25A269, 606 U.S; 2025 [cited 2025 Oct 1]. Available from: https://www.supremecourt.gov/opinions/24pdf/25a269_bp7c.pdf

[29]

Wong E. U.S. to cut out nongovernmental groups and take “new approach” on health aid. New York Times; 2025 [cited 2025 Sept 30]. Available from: https://www.nytimes.com/2025/09/18/us/politics/us-aid-health-ngos.html

[30]

K Moss (2024)

[31]

S Lewis (2025)

[32]

[33]

[34]

Paúl ML. Trump halts aid to South Africa, claiming discrimination against Afrikaners. Washington Post; 2025 [cited 2025 Apr 4]. Available from: https://www.washingtonpost.com/politics/2025/02/08/trump-south-africa-aid-afrikaners/

[35]

Cohen J. “A bloodbath”: HIV field is reeling after billions in U.S. funding are axed. Science; 2025 [cited 2025 Apr 4]. Available from: https://www.science.org/content/article/bloodbath-hiv-field-reeling-after-billions-u-s-funding-axed

[36]

White House. Memorandum for the Secretary of State, the Secretary of Defense, the Secretary of Health and Human Services, the Administrator of the United States for International Development; 2025 [cited 2025 Apr 4]. Available from: https://www.whitehouse.gov/presidential-actions/2025/01/memorandum-for-the-secretary-of-state-the-secretary-of-defense-the-secretary-of-health-and-human-services-the-administrator-of-the-united-states-for-international-development/

[37]

Skuster P, Sully EA, Friedrich-Karnik A. Evidence for ending the global gag rule: a multiyear study in two countries; 2024 [cited 2025 Apr 4]. Available from: https://www.guttmacher.org/report/evidence-for-ending-global-gag-rule

[38]

USA for UNFPA. Statement by USA for UNFPA on the United States government funding cuts; 2025 [cited 2025 Apr 4]. Available from: https://www.usaforunfpa.org/u-s-government-terminates-unfpas-lifesaving-work/

[39]

C Lynch (2025)

[40]

UNFPA. Statement in response to the United States decision to deny future funding to UNFPA; 2025 [cited 2025 Jul 30]. Available from: https://www.unfpa.org/press/statement-response-united-states-decision-deny-future-funding-unfpa

[41]

Skuster P, Sully EA, Friedrich-Karnik A. Evidence for ending the global gag rule: a multiyear study in two countries; 2024 [cited 2025 Apr 4]. Available from: https://www.guttmacher.org/report/evidence-for-ending-global-gag-rule

[42]

The Lancet "The devastating impact of Trump’s global gag rule" Lancet (2019) 10.1016/s0140-6736(19)31355-8

[43]

Executive Order No. 14,151. Ending radical and wasteful government DEI programs and preferencing. 90 Federal Register 8339; 2025 [cited 2025 Jul 30]. Available from: https://www.whitehouse.gov/presidential-actions/2025/01/ending-radical-and-wasteful-government-dei-programs-and-preferencing/; https://www.federalregister.gov/documents/full_text/html/2025/01/29/2025-01953.html

[44]

Executive Order No. 14,168. Defending women from gender ideology extremism and restoring biological truth to the federal government. 90 Federal Register 8615; 2025 [cited 2025 Jul 30]. Available from: https://www.whitehouse.gov/presidential-actions/2025/01/defending-women-from-gender-ideology-extremism-and-restoring-biological-truth-to-the-federal-government/

[45]

Vought RT. Testimony before the Senate Appropriations Committee hearing on a review of the president’s special message of June 3, 2025; 2025 [cited 2025 Jul 30]. Available from: https://www.appropriations.senate.gov/imo/media/doc/director_vought_testimony.pdf

[46]

Council for Global Equity (2025)

[47]

Humentum. Navigating the USG funding pause for foreign assistance programs: guidance document; 2025 [cited 2025 Jul 30]. Available from: https://humentum.org/wp-content/uploads/2025/01/Navigating-the-USG-Funding-Pause-Guidance-Document.pdf

[48]

S Mednick (2025)

[49]

W Worley (2025)

[50]

Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis

Daniella Medeiros Cavalcanti, Lucas de Oliveira Ferreira de Sales, Andrea Ferreira da Silva et al.

The Lancet 2025 10.1016/s0140-6736(25)01186-9

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Published: Nov 26, 2025
Vol/Issue: 5(11)
Pages: e0005385
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Lawrence O. Gostin

Cite This Article

Lawrence O. Gostin (2025). The Trump presidency: Cascading global shocks on global health. PLOS Global Public Health, 5(11), e0005385. https://doi.org/10.1371/journal.pgph.0005385

The Trump presidency: Cascading global shocks on global health

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