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Think Global Health

Trump's Executive Orders and China's Global Health Influence

January 31, 2025

 

Editor's Note

Shortly after assuming office last week, President Donald Trump signed a tranche of executive orders that included withdrawing the United States from the Paris Agreement and the World Health Organization (WHO) as well as pausing the disbursement of overseas development assistance.  

To kick off this week, CFR Senior Fellow David P. Fidler unpacks how those orders will shape U.S. global health engagement over the next four years, noting that Trump's second term "signals the beginning of the end" of U.S. global health leadership.  

The U.S. withdrawal from the WHO is also prompting concerns that the move could pave the way for Beijing's expanded influence in global health governance. Expecting China to fill the WHO funding gap, however, "fundamentally misreads Beijing's approach to global health leadership," argues CFR Senior Fellow Yanzhong Huang. Although China could still play a larger role in global health governance, Huang suggests the country will exert its influence through its Silk Road Initiative and bilateral aid rather than write checks to Geneva.  

Moving to Sudan, Tim Bishop and Christina Wille from Insecurity Insight illustrate how the country's ongoing civil war threatens its already weak food system, putting millions more at risk of famine and disease.  

To wrap up the issue, medical interpreter Eunice Chung draws on her experience to advocate for more Chinese dialectal interpreters to improve health outcomes for the hundreds of thousands Chinese immigrants with limited English proficiency in the United States. 

Until next week!—Caroline Kantis, Associate Editor 

 

This Week's Highlights

GOVERNANCE

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President Trump Begins Changing U.S. Global Health Policy 

by David P. Fidler

Initial executive orders include directives that transform U.S. foreign policy on global health 

Read this story

 

GOVERNANCE

Image

U.S. WHO Exit Could Expand China's Influence

by Yanzhong Huang

Donald Trump's executive order could inadvertently pave the way for China to reshape global health governance 

Read this story

 

Figure of the Week

Read this story

 

Recommended Feature

MIGRATION

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The United States Needs More Medical Interpreters 

by Eunice Chung

Equitable access to interpretation services could help improve health outcomes for Chinese migrants 

Read this story

 

What We're Reading

Robert F. Kennedy Jr. Struggles to Answer Questions on Medicare and Medicaid at Confirmation Hearing (AP News)

CIA Now Favors Lab Leak Theory to Explain COVID's Origins (New York Times)


CDC Ordered to Stop Working With WHO Immediately, Upending Expectations of an Extended Withdrawal (AP News)

United States Reports First Outbreak of H5N9 Bird Flu in Poultry (Reuters)

 

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