On May 4, Zambian Foreign Minister Mulambo Haimbe announced that negotiations with the US regarding critical health services and minerals have been suspended due to the Trump administration’s “unacceptable” terms.

For Haimbe, this includes: first, the Trump administration’s proposed health memorandum of understanding (MOU) requires that Zambia turn over health data to the US “in violation of our citizen’s right to privacy.”

Second, the US demands “preferential treatment of US companies over Zambia’s critical minerals.” Haimbe rejects this. He contends, “the Zambian government rightfully takes the view, first and foremost, that Zambians must have a say on how her critical minerals are used, and second that no one strategic partner is to be treated preferentially to others.”

Third, and perhaps most crucially, is “the coupling of the two agreements and frameworks to one another such that the conclusion of the minerals agreement is made conditional to the conclusion of the Health MOU.” The US is effectively demanding privileged access to Zambia’s abundant supply of copper, lithium, and cobalt—all critical for the development of AI and modern technologies—in exchange for health funding.

The only ones who benefit from forcing Zambia to trade raw minerals and data for health services are tech companies and the Trump family businesses.

This is not an isolated incident. As of March 2026, at least 24 African countries have agreed to similarly controversial health agreements with the US. Zambia, Ghana, and Zimbabwe are the only African nations thus far to reject the Trump administration’s coercive demands.

In those cases, concerns about data management and control similarly derailed negotiations. Arnold Kavaarpuo, executive director of Ghana’s Data Protection Commission, explained, “The proposed data sharing agreement looked at access not only to health data sets, but also to metadata, dashboards, reporting tools, data models, and data dictionaries.” It would have allowed up to 10 US entities access to this data without any prior approval from the Ghanese government.

Similarly, the US was demanding that Zimbabwe turn over any data it collects about pathogens causing outbreaks. Zimbabwe would not, however, be guaranteed access to any vaccines, treatments, diagnostics, or medical innovations that might result from this shared data. As Ndabaningi Nick Mangwana, permanent secretary in the Ministry of Information, Publicity, and Broadcasting Services, remarked: “In essence, our nation would provide the raw materials for scientific discovery without any assurance that the end products would be accessible to our people should a future health crisis emerge. The United States, meanwhile, was not offering reciprocal sharing of its own epidemiological data with our health authorities.”

These kinds of take-it-or-leave-it proposals represent the Trump administration’s strong-arm approach to global health funding. Instead of foreign aid, President Donald Trump offers two options: a crooked deal or death.

This has been their goal from the start. Throughout his second term, President Donald Trump has taken several measures aimed at weakening foreign aid and humanitarian programs. This includes: dismantling the US Agency for International Development (USAID); withdrawing from the World Health Organization (WHO) and 66 international organizations, including the United Nations Population Fund, which addresses sexual and reproductive health; as well as diverting funds........

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