One year ago, the Trump administration in the United States of America (US) issued a series of executive actions that upended global health and humanitarian programmes around the world, and severely damaged global cooperation and solidarity on these issues. Clinics shut their doors. Lifesaving medicines were stranded at ports. Health workers lost their jobs. The human costs have been catastrophic.
Throughout 2025, Médecins Sans Frontières (MSF) witnessed the immense toll of these actions. As we mark this moment and remember those who have been affected, we warn that the harmful consequences of the administration’s drive to reshape US foreign assistance have only just started to unfold. MORE