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Newsletter

Think Global Health

Lower U.S. Drug Prices, Nutrition Aid Loss in Nigeria, and Diabetes in Mexico

May 16, 2025

 

Editors' Note

On Monday, U.S. President Donald Trump signed an executive order to reduce prescription drug costs by instructing the secretary of health and human services to establish a path for Americans to buy medicine at the lowest available price offered to other developed nations.   

To lead this week's coverage, CFR Senior Fellow Prashant Yadav explores how shifting U.S. policy on most-favored-nation pricing could increase costs for global health agencies, such as Gavi and the Global Fund, and impede essential medicines from reaching low- or middle-income countries (LMICs) at previously negotiated prices.  

Next, researchers from the Institute for Health Metrics and Evaluation (IHME) use a new computer simulation to quantify how U.S. foreign aid cuts will harm nutrition programs in LMICs and put lives at stake. Their predictions focus on Nigeria—home to the greatest number of annual deaths attributable to child malnutrition.

Heading back to North America, Project HOPE's Country Director in Mexico Corina Martínez Sánchez explains how poverty, inequality, and lack of access to care contribute to the nation's women being diagnosed with diabetes at higher rates than men, bucking the global trend. 

To wrap up, TGH Research Associate Alejandra Martinez interviews science journalist Liz Kalaugher on her new book, The Elephant in the Room: How to Stop Making Ourselves and Other Animals Sick. It illustrates how humans have contributed to the historic rise and spread of infectious diseases among nonhuman animals.  

Until next week!—Nsikan Akpan, Managing Editor, and Caroline Kantis, Associate Editor 

 

This Week's Highlights

TRADE

U.S. President Donald Trump shows a signed document as he signs executive orders and proclamations in the Oval Office at the White House, in Washington, D.C., U.S., May 5, 2025.

Executive Order to Lower U.S. Drug Prices Could Hurt the Poorest Countries

by Prashant Yadav

Cascading adoption of most-favored-nation drug pricing could erode affordable access to essential medicines

Read this story

 

GENDER

Project HOPE Mexico country director Corina Martínez and health promoter Yoseline Perez (left), provide a mobile health screening clinic to residents, in Tlalnepantla de Baz, Mexico. Marie Arago for Project HOPE, 2024

Women Bear Mexico's Diabetes Crisis 

by Corina Martínez Sánchez

Nearly 10% of Mexico's population lives with diabetes, and women are diagnosed at higher rates than men 

Read this story

 

Figure of the Week

Three column charts showing how cuts to U.S. funding for child nutrition programs in Nigeria
 

Recommended Feature

URBANIZATION

A mahout (an elephant keeper) walks with an elephant during a daily swim in a River at Pinnawal elephant orphanage near Pinnawala village in Rambukkana, Sri Lanka October 5, 2017.

Elephant in the Room: How Humans Harm Animal Health  

by Alejandra Martinez

Science journalist Liz Kalaugher's new book exposes how humans have contributed to the spread of pathogens among animals 

Read this story

 

What We're Reading

Pharmacists Stockpile Most Common Drugs on Chance of Targeted Trump Tariffs (NPR)

Why WHO's Pandemic Prevention Draft Agreement Takes a Nature-Centric, One Health Approach (Mongabay)

The New Leadership Team at WHO: Restructuring Update (Geneva Health Files)

How Industry Capture of Filipino Officials Helped Deadlock Global Tobacco Control Negotiations (The Examination)

RFK Jr. Turns His Food Focus to Infant Formula (Axios)

 

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