THE WASTE MUSK CREATED. Nicholas Kristof of NY Times reports from Africa.
Excerpts from original NY Times article
I’ve been traveling through Sierra Leone and Liberia to gauge the impact of Trump’s closing of U.S.A.I.D., to see how bad things have gotten. Here’s what I see: Children are dying because medicines have been abruptly cut off, and risks of Ebola, tuberculosis and other diseases reaching America are increasing — while medicines sit uselessly in warehouses…
Join me in the village of Kayata, Liberia, where in April a pregnant mother of two, Yamah Freeman, 21, went into labor. Freeman, a lively woman known for her friendliness to all, soon hemorrhaged and began bleeding heavily, so villagers frantically called the county hospital to summon an ambulance. U.S.A.I.D. previously supplied ambulances to reduce maternal mortality, but this year the U.S. stopped providing fuel, leaving the ambulances idle. Ambulance crew members said they’d be happy to rescue Freeman, if someone would only come and buy them gas.
It’s more than 10 miles through the jungle on a red mud path from Kayata to the hospital, but villagers were determined to try to save Freeman’s life. The strongest young men in the village bundled her in a hammock and then raced down the path, shouting encouragement to her as she lay unconscious and bleeding. They didn’t make it: She died on the way, along with an unborn son.
So when I hear glib talk about waste and abuse in U.S.A.I.D., I think of how we American taxpayers purchased ambulances for Liberia at a cost of more than $50,000 each and then abruptly cut off gasoline funds, leaving a young mom to bleed to death…
Come also to the village of Vonzua in western Liberia, where a woman named Bendu Kiadu is mourning her child Gbessey, who was just 1 year old.
Gbessey caught malaria in March. In normal times, a community health worker would have administered simple medicines for malaria, and the United States noted just last year that it provided “vital” and “critical” support to fight malaria in Liberia. But the closing of U.S.A.I.D. led to the collapse of some supply chains, so health workers had no malaria medicine to offer Gbessey.
Kiadu rushed the child to a clinic, but it, too, had run out of malaria medicine. The next day, Gbessey died…
How often does this happen? The Trump administration is also dismantling data collection, making it difficult to count the deaths it is causing. By one American economist’s online dashboard, about 350,000 people worldwide have died so far because of cuts in American aid. My guess is that the figure isn’t so high, partly because it takes time for children to weaken and die, but that the rate of deaths will accelerate.
We can’t save every child in the world, I realize, and it’s fair to note that not every U.S.A.I.D. program was brilliant and lifesaving. The agency could have used reforms. Yet it’s also true that at a cost of only 0.24 percent of gross national income, we provided humanitarian aid that saved about six lives every minute around the clock, based on rough estimates from the Center for Global Development. That is what we have undone.
One of America’s most heroic achievements in the past half-century was turning the tide of AIDS and saving, so far, some 26 million lives through the President’s Emergency Plan for AIDS Relief, or PEPFAR, started by President George W. Bush in 2003. In particular, PEPFAR made much less common the horror of H.I.V.-positive women inadvertently infecting their babies during childbirth.
And now mother-to-child transmission may be rising again…
In Totota, Liberia, midwives are caring for three pregnant women with H.I.V. but have only enough medicine to prevent mother-to-child transmission for one of them. They don’t know what they will do or what to tell H.I.V.-positive people worried about whether antiretrovirals will continue to be available.
“I asked my supervisor what to do,” said Telmah Smith, one of the midwives. “And he said, ‘Pray that U.S.A.I.D. will come back.’”
Some readers may think: Of course it’s sad that children are dying, but why is it our job to save their lives?
To those unmoved by moral arguments, I’d note that President John F. Kennedy created U.S.A.I.D. in 1961 to advance our interests as well as our values. Aid programs also protect Americans from a threat that aircraft carriers are helpless to combat: disease. U.S.A.I.D. and the World Health Organization (which the United States is now withdrawing from) track outbreaks of diseases like Ebola to extinguish them before they can spread.
So aid cuts are at a level where they undermine our national interest as well as corrode our souls. They are a braid of recklessness, incompetence and indifference — and “indifference” is generous, for the disregard is so deliberate that it bleeds into cruelty.