20/20
Gates. Meanwhile, people are dying because of his actions.

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www.bu.edu/articles/202...

19/20
to 3% death rate or 3% to 2%, whatever you want to say. But that is huge. That is a huge scientific achievement. And Elon Musk tore that away for his own political gain. He's out here tweeting relentlessly about the stock market. He wants his stocks to do well. He's in a stock war with Bill...

18/20
But it's hard to appreciate, it's hard to realize by simply looking around. And it's the small numbers like that. Like we've reduced the death rate in some of these countries by a third. We've reduced the death rate by a third. Now, to Donald Trump, that's only going from 4% death rate...

17/20
vaccine-preventable illnesses. It takes, takes time. So we're still seeing the early death toll.

Another difficulty is that the deaths are very scattered. Suppose the sudden withdrawal of aid raises a country's under-five death rate from 3% to 4%. That would be a 1/3 increase in deaths.

16/20
When HIV or tuberculosis goes untested, unprevented, or inadequately treated, it doesn't just, you know, happen in a few weeks and we see the results manifest weeks later. Sometimes it happens for months to years before a person can pass or die. The same is true for deaths from...

15/20
measures that would prevent, I don't know, tuberculosis or the same diseases we've been listing off, but hundred different diseases that this prevents. The toll is appalling and will continue to grow. But these losses will be harder to see than those of war. For one, they unfold slowly.

14/20
of the current impact. The tracker shows that we have likely seen 202,000 adult deaths and 421,000 child deaths, 88 deaths per hour.

Now, this is a projection, that isn't an exact number, but this is based on lack of access to medicine, lack of access to very simple preventative...

13/20
witnessing what the historian Richard Rhodes termed quote "public man-made death," which he observed has been perhaps the most overlooked cause of mortality in the last century. Brooke Nichols, the Boston University epidemiologist and mathematical modeler, has maintained a respected tracker...

12/20
had been given to the governments that relied on them. No system to transition through this. Immediately, all of the upkeep, all of the cleaning that we did to prevent diseases like Ebola or tuberculosis stopped. All of the upkeep, the maintenance stopped for disease prevention.

We are now...

11/20
Within hours of being sworn in, Trump signed an executive order to pause all foreign assistance. Secretary Rubio sent a cable suspending every program outright. No program staff could be paid. No services delivered. Medicines and food already on the shelves could not be used. No warnings...

10/20
60 years of solid bipartisan backing. Trump had advanced significant parts of the agency's work in his first term. He had personally pledged to end HIV. There's no way they would do that, right?" Secretary of State Marco Rubio had been a vocal supporter. Clearly, I lacked imagination.

9/20
But all things considered, the success of the US could go downstream to other countries, and Donald Trump and Elon Musk removed that.

He says, "Many of the leaders voiced trepidation about what the incoming admin might bring, but I struck a sanguine note. USAD, I pointed out, had more than...

8/20
But I don't, I don't hate everything about America. I think America is actually a pretty successful experiment thus far with a lot of flaws in wealth inequality and our institutions are definitely oppressing minority groups. There's a lot of things we can talk about, definitely imperfect.

7/20
maybe aren't as developed as the US is at this current point. Because as much as, and this is going to make people mad, I see people commenting that are super nihilistic on like the super super far edge of the left and they're so nihilistic they just want me to hate everything about America.

6/20
American economic system long term as well.

We all share the same earth and we should want there to be a global health standard. And we were able to use the success, the relative economic success that the US has enjoyed over the past few hundred years to then help other countries that...

5/20
This was not just effing charity that we were giving out to other countries. We were getting a MASSIVE RETURN in the form of not only SOFT POWER but the helping of global health, reducing maternal death rates, reducing the amount of polio and HIV and tuberculosis, spoiler alert, helps the...

4/20
He says, "I spent my last days at USAD in meetings with civil and foreign service leaders." He talked about the work they've done to combat HIV worldwide, combat tuberculosis, combat polio, reduce maternal and child deaths worldwide, sustain Ukraine's health system after Russia's invasion.

3/20
administration, referring to Biden. In a few days, Trump would be inaugurated. I had come to the US Agency for International Development, USAD, in early 2022, leaving my surgery practice and public health research in Boston to lead the AY's global health experts."

Now, listen to this...

2/20
from someone who worked at USAD. I'm not going to read this entire article, I will link it below, but I want to go through some of the most key points that I found to be very captivating.

So, this author named Atul Gawande writes, "It was January, my final week in the outgoing...