USAID

WASHINGTON — President Trump has told House Speaker Mike Johnson that he won’t be spending $4.9 billion in congressionally approved foreign aid, effectively cutting the budget without going through the legislative branch.

Trump, who sent a letter to Johnson, R-La., on Thursday, is using what’s known as a pocket rescission — when a president submits a request to Congress to not spend approved funds toward the end of the fiscal year, so that Congress cannot act on the request in the 45-day timeframe and the money goes unspent as a result. It’s the first time in nearly 50 years a president has used one. The fiscal year draws to a close at the end of September.

The letter was posted Friday morning on the X account of the White House Office of Management and Budget. It said the funding would be cut from the State Department and the U.S. Agency for International Development, or USAID, an early target of Trump’s efforts to cut foreign aid.

The last pocket rescission was in 1977 by then-President Jimmy Carter, and the Trump administration argues that it’s a legally permissible tool. But such a move, if standardized by the White House, could effectively bypass Congress on key spending choices and potentially wrest some control over spending from the House and the Senate.

The 1974 Impoundment Control Act gives the president the authority to propose canceling funds approved by Congress. Congress can vote on pulling back the funds or sustaining them, but by proposing the rescission so close to Sept. 30 the White House ensures that the money won’t be spent and the funding lapses.

Trump had previously sought to get congressional backing for rescissions and succeeded in doing so in July when the House and the Senate approved $9 billion worth of cuts. Those rescissions clawed back funding for public broadcasting and foreign aid.

The Trump administration has made deep reductions to foreign aid one of its hallmark policies, despite the relatively meager savings relative to the deficit and possible damage to America’s reputation abroad as foreign populations lose access to food supplies and development programs.

In February, the administration said it would eliminate almost all of USAID’s foreign aid contracts and $60 billion in overall assistance abroad. USAID has since been dismantled, and its few remaining programs have been placed under State Department control.

The Trump administration on Wednesday appealed to the Supreme Court to stop lower court decisions that have preserved foreign aid, including for global health and HIV and AIDS programs, that Trump has tried to freeze.

The New York Post first reported the pocket rescission.

Boak writes for the Associated Press.

Food intended to feed 27,000 starving children in Afghanistan and Pakistan will soon be incinerated in the wake of President Donald Trump’s closure of the United States’ aid agency.

A senior US official on Wednesday said nearly 500 tonnes of high-energy biscuits, to be used as emergency food for malnourished young children, expired this month while sitting in a warehouse in Dubai.

Under questioning by lawmakers, Michael Rigas, the deputy secretary of state in charge of management, tied the decision to the dismantling of the US Agency for International Development (USAID), which closed its doors on July 1.

“I think that this was just a casualty of the shutdown of USAID,” Rigas said, adding that he was “distressed” that the food went to waste.

Aid officials managed to save 622 tonnes of the energy-dense biscuits in June – sending them to Syria, Bangladesh and Myanmar – but 496 tonnes, worth $793,000 before they expired this month, will be destroyed, according to two internal USAID memos reviewed by Reuters, dated May 5 and May 19, and four sources familiar with the matter.

The wasted biscuits will be sent to landfills or incinerated in the United Arab Emirates, two sources said. That will cost the US government an additional $100,000, according to the May 5 memo verified by three sources familiar with the matter.

Trump has said the US pays disproportionately for foreign aid, and he wants other countries to shoulder more of the burden. His administration announced plans to shut down USAID in January, leaving more than 60,000 tonnes of food aid stuck in stores around the world, Reuters reported in May.

The food aid stuck in Dubai was fortified wheat biscuits, which are calorie-rich and typically deployed in crisis conditions where people lack cooking facilities, “providing immediate nutrition for a child or adult”, according to the United Nations World Food Programme (WFP).

Senator Tim Kaine, a Democrat, said lawmakers had specifically raised the issue of the food with US Secretary of State Marco Rubio in March. In May, he promised lawmakers that no food aid would be wasted.

“A government that is put on notice – here are resources that will save 27,000 starving kids, can you please distribute them or give them to someone who can?

“Who decides, no, we would rather keep the warehouse locked, let the food expire, and then burn it?”

Rigas said that the US remained the world’s largest donor, and he promised to learn further details about the biscuits.

“I do want to find out what happened here and get to the ground truth,” he said.

The US is the world’s largest humanitarian aid donor, amounting to at least 38 percent of all contributions recorded by the UN. It disbursed $61bn in foreign assistance last year, just over half of it via USAID, according to government data.

The Trump administration notified Congress in March that USAID would fire almost all of its staff in two rounds on July 1 and September 2, as it prepared to shut down. In a statement on July 1 marking the transfer of USAID to the State Department, Rubio said the US was abandoning what he called a charity-based model and would focus on empowering countries to grow sustainably.

The WFP says 319 million people have limited access to food worldwide. Of those, 1.9 million people are gripped by catastrophic hunger and on the brink of famine, primarily in Gaza and Sudan.

Former United States Presidents Barack Obama and George W Bush have delivered a rare open rebuke of the Donald Trump administration in an emotional video farewell with staffers of the US Agency for International Development (USAID).

Obama called the Trump administration’s dismantling of USAID “a colossal mistake”.

Monday was the last day as an independent agency for the six-decade-old humanitarian and development organisation, created by President John F Kennedy as a soft power, peaceful way of promoting US national security by boosting goodwill and prosperity abroad.

Secretary of State Marco Rubio has ordered USAID to be absorbed into the US State Department on Tuesday.

The former presidents and U2 singer Bono  – who held back tears as he recited a poem – spoke with thousands in the USAID community in a videoconference, which was billed as a closed-press event.

They expressed their appreciation for the thousands of USAID staffers who have lost their jobs and life’s work. Their agency was one of the first and most fiercely targeted for government cuts by Trump and his billionaire ally Elon Musk, with staffers abruptly locked out of systems and offices and terminated by mass emailing.

Trump claimed the agency was run by “radical left lunatics” and rife with “tremendous fraud”. Musk called it “a criminal organisation”.

Obama, speaking in a recorded statement, offered assurances to the aid and development workers, some listening from overseas.

“Your work has mattered and will matter for generations to come,” he told them.

Obama has largely kept a low public profile during Trump’s second term and refrained from criticising the seismic changes that Trump has made to US programmes and priorities at home and abroad.

“Gutting USAID is a travesty, and it’s a tragedy. Because it’s some of the most important work happening anywhere in the world,” Obama said. He credited USAID with not only saving lives, but being a main factor in global economic growth that has turned some aid-receiving countries into US markets and trade partners.

The former Democratic president predicted that “sooner or later, leaders on both sides of the aisle will realise how much you are needed”.

Asked for comment, the State Department said it would be introducing the department’s foreign assistance successor to USAID, to be called America First, this week.

“The new process will ensure there is proper oversight and that every tax dollar spent will help advance our national interests,” the department said.

USAID oversaw programmes around the world, providing water and life-saving food to millions uprooted by conflict in Sudan, Syria, Gaza and elsewhere, sponsoring the “Green Revolution” that revolutionised modern agriculture and curbed starvation and famine. The agency worked at preventing disease outbreaks, promoting democracy, and providing financing and development that allowed countries and people to climb out of poverty.

Bush, who also spoke in a recorded message, went straight to the cuts in a landmark AIDS and HIV programme started by his Republican administration and credited with saving 25 million lives around the world.

Bipartisan blowback from Congress to cutting the popular President’s Emergency Plan for AIDS Relief, known as PEPFAR, helped save significant funding for the programme. But cuts and rule changes have reduced the number getting the life-saving care.

“You’ve showed the great strength of America through your work – and that is your good heart,” Bush told USAID staffers. “Is it in our national interests that 25 million people who would have died now live? I think it is, and so do you,” he said.

More than 14 million of the world’s most vulnerable, a third of them young children, could die because of the Trump administration’s move, a study in the Lancet journal projected Tuesday.

“For many low- and middle-income countries, the resulting shock would be comparable in scale to a global pandemic or a major armed conflict,” study co-author Davide Rasella, a researcher at the Barcelona Institute for Global Health, said in a statement.

Bono, a longtime humanitarian advocate in Africa and elsewhere, was announced as the “surprise guest”.

he recited a poem he had written to the agency about its gutting. He spoke of children dying of malnutrition, a reference to millions of people who Boston University researchers and other analysts say will die because of the US cuts to funding for health and other programmes abroad.

“They called you crooks,” Bono said, “when you were the best of us.”

PORT-AU-PRINCE, Haiti — A video showing dozens of people marching toward the office of Haiti’s prime minister elicited gasps from some viewers as it circulated recently on social media. The protesters, who are HIV-positive, did not conceal their faces — a rare occurrence in a country where the virus is still heavily stigmatized.

“Call the minister of health! We are dying!” the group chanted.

The protesters risked being shunned by society to warn that Haiti is running out of HIV medication just months after the Trump administration slashed more than 90% of the United States Agency for International Development’s foreign aid contracts and $60 billion in overall aid across the globe.

At a hospital near the northern city of Cap-Haitien, Dr. Eugene Maklin said he struggles to share that reality with his more than 550 HIV patients.

“It’s hard to explain to them, to tell them that they’re not going to find medication,” he said. “It’s like a suicide.”

‘We can’t stay silent’

More than 150,000 people in Haiti have HIV or AIDS, according to official estimates, although nonprofits believe the number is much higher.

David Jeune, a 46-year-old hospital community worker, is among them. He became infected 19 years ago after having unprotected sex.

“I was scared to let people know because they would point their finger at you, saying you are infecting others with AIDS,” he said.

His fear was so great that he didn’t tell anyone, not even his mother. But that fear dissipated with the support Jeune said he received from nonprofit groups. His confidence grew to the point where he participated in last week’s protest.

“I hope Trump will change his mind,” he said, noting that his medication will run out in November. “Let the poor people get the medication they need.”

Patrick Jean Noel, a representative of Haiti’s Federation of Assns. of HIV, said that at least five clinics, including one that served 2,500 patients, were forced to close after the USAID funding cuts.

“We can’t stay silent,” he said. “More people need to come out.”

But most people with HIV in Haiti are reluctant to do so, said Dr. Sabine Lustin, executive director of the Haiti-based nonprofit Promoters of Zero AIDS Goal.

The stigma is so strong that many patients are reluctant to pick up their medication in person. Instead, it is sent in packages wrapped as gifts so as to not arouse suspicion, she said.

Lustin’s organization, which helps some 2,000 people across Haiti, receives funding from the U.S. Centers for Disease Control and Prevention. Though its funding hasn’t been cut, she said that shortly after President Trump took office in January, the agency banned HIV prevention activities because they targeted a group that is not a priority — which she understood to be referring to gay men.

That means the organization can no longer distribute up to 200,000 free condoms a year or educate people about the disease.

“You risk an increase in infections,” she said. “You have a young population who is sexually active who can’t receive the prevention message and don’t have access to condoms.”

‘That can’t be silenced’

On the sunny morning of May 19, a chorus of voices drowned out the din of traffic in Haiti’s capital, Port-au-Prince, growing louder as protesters with HIV marched defiantly toward the prime minister’s office.

“We are here to tell the government that we exist, and we are people like any other person,” one woman told reporters.

Another marching alongside her said, “Without medication, we are dying. This needs to change.”

Three days after the protest, the leader of Haiti’s transitional presidential council, Louis Gérald Gilles, announced that he had met with activists and would try to secure funding.

Meanwhile, nonprofit organizations across Haiti are fretting.

“I don’t know what we’re going to do,” said Marie Denis-Luque, founder and executive director of CHOAIDS, a nonprofit that cares for Haitian orphans with HIV/AIDS. “We only have medication until July.”

Her voice broke as she described her frantic search for donations for the orphans, who are cared for by HIV-positive women in Cap-Haitien after gang violence forced them to leave Port-au-Prince.

Denis-Luque said she has long advocated for the orphans’ visibility.

“We can’t keep hiding these children. They are part of society,” she said, adding that she smiled when she saw the video of last week’s protest. “I was like, whoa, things have changed tremendously. The stigma is real, but I think what I saw … was very encouraging to me. They can’t be silenced.”

A dangerous combination

Experts say Haiti could see a rise in HIV infections because medications are dwindling at a time that gang violence and poverty are surging.

Dr. Alain Casseus, infectious-disease division chief at Zanmi Lasante, the largest nongovernmental healthcare provider in Haiti, said he expected to see a surge in patients given the funding cuts, but that hasn’t happened because traveling by land in Haiti is dangerous since violent gangs control main roads and randomly open fire on vehicles.

He warned that abruptly stopping medication is dangerous, especially because many Haitians do not have access or cannot afford nutritious food to strengthen their immune system.

“It wouldn’t take long, especially given the situation in Haiti, to enter a very bad phase,” he said of HIV infections. And even if some funding becomes available, a lapse in medication could cause resistance to it, he said.

Casseus said gang violence also could accelerate the rates of infection by rapes or other physical violence as medication runs out.

At the New Hope Hospital run by Maklin in Haiti’s northern region, shelves are running empty. He used to receive more than $165,000 a year to help HIV/AIDS patients. But that funding has dried up.

“Those people are going to die,” he said. “We don’t know how or where we’re going to get more medication.”

The medication controls the infection and allows many to have an average life expectancy. Without it, the virus attacks a person’s immune system and they develop AIDS, the late stage of an HIV infection.

Reaction is swift when Maklin tells his patients that in two months, the hospital won’t have any HIV medication left.

“They say, ‘No, no, no, no!’” he said. “They want to keep living.”

Coto and Sanon write for the Associated Press and reported from San Juan, Puerto Rico, and Port-au-Prince, respectively.