US Funding Cuts to Gavi Could Lead to Over a Million Deaths, Warns Vaccine Alliance CEO

Bill Gates has expressed alarm over recent cuts to U.S. foreign aid, stating that such reductions could jeopardize millions of lives. In a PBS interview, Gates criticized Elon Musk's aggressive cost-cutting measures, particularly at the U.S. Agency for International Development (USAID), which have severely diminished the agency's workforce and financial resources.
Gates emphasized the critical role that foreign aid plays in humanitarian efforts, including famine relief and HIV prevention. He specifically cited the President’s Emergency Plan for AIDS Relief (PEPFAR), which has saved over 26 million lives. Noting the agency's budget cuts are framed as savings, he argued that the withdrawal of support from essential health programs poses significant risks.
"The number [of lives at risk] is definitely in the millions,” Gates said, referencing the ongoing need for HIV medications that have been funded through USAID initiatives. With the recent announcement of a 90-day pause on foreign aid, Gates and others fear the implications for vulnerable populations both domestically and abroad.