Most of us understand that children are vulnerable, innocent, and must be protected and nourished. But too often in our country, and the world, that doesn’t happen—and now the US government is waging a global war on children.

It started with the closing of the United States Agency for International Development (USAID), thus removing US humanitarian and development aid to people in the worst situations in the world. The cruel closure of USAID denied and continues to deny more than 95 million people access to basic healthcare and nutrition, leading to an estimated 1.6 million additional deaths in 2025, many of which were children.

The current administration also significantly weakened the President’s Emergency Fund for AIDS Relief (PEPFAR). These cuts, plus the closing of USAID, severely limit the international efforts of humanitarian organizations which work to control mother-to-child transmission of HIV. If funding for HIV prevention and treatment continues to fall, by 2040, an estimated 3 million children will contract HIV and nearly 1.8 million will die of AIDS-related causes.

As if that were not enough, the administration pulled out of the vaccine alliance Gavi, an international organization that has paid for more than 1 billion children to be vaccinated worldwide. This allows vaccine-preventable diseases to flourish among unvaccinated and vulnerable children. Many will be permanently disabled or die.

The administration turning its back on the “sh** hole” countries will come back and bite America in the ass, with innocents suffering the most.

The administration has directed these closings of international programs overwhelmingly against Black and brown people who, according to the president, live in “sh** hole” countries. This is his program of “America First,” where “those” people don’t matter—where their children don’t matter.

Moral judgement aside, helping those suffering in other countries is actually in our best interest. Not only would this show some badly needed humanity and compassion, it is also the best public health approach to protect all of us from contagious diseases.

But too many in the United States live in a right-wing news bubble where they aren’t aware of the suffering in the “sh** hole” countries or simply don’t care. And so many don’t realize that the diseases that foreign aid was working to control (AIDS, tuberculosis, polio, Ebola, and vaccine-preventable diseases) endanger us all. They are not just “their problem,” they are also “our problem.” As these diseases spread and multiply in other countries, the nature of the US economy and international trade will bring them here. The administration turning its back on the “sh** hole” countries will come back and bite America in the ass, with innocents suffering the most. Outbreaks of vaccine-preventable diseases are not “the cost of doing business,” as the Centers for Disease Control and Prevention’s (CDC) Deputy Director, Ralph Abraham, MD, callously stated. The US has........

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