The dispute centers on the Department of Government Efficiency’s (DOGE) decision to terminate the majority of USAID programs, which included an 88% reduction in children’s health aid. While Musk claims that any such tragedy would be global headline news, journalists argue that the evidence is already public. Atul Gawande, a former USAID global health chief, cited models from epidemiologist Brooke Nichols suggesting that dismantling these programs has already resulted in approximately 700,000 deaths.
Concrete cases include the death of one-year-old Nyagoa in South Sudan following the closure of mobile health clinics, and the loss of five-year-old Suza Kenyaba in the Democratic Republic of the Congo after anti-malaria drug shipments were frozen. In Mozambique, the collapse of HIV treatment infrastructure led to the death of an 11-year-old girl named Paciencia. Gawande noted that verifying these losses is complicated by the fact that the cuts effectively destroyed the agency's data and auditing systems.
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