USAID has contributed more than $7 billion to global health programs. But U.S. citizens, global health professionals and, most of all, people living in countries receiving aid from the U.S. government have a right to ask: Is this money spent as well as it could be, and does it go to people who need it the most?
It’s hard to be the leader. Whatever you decide, someone, somewhere will question your choices, and ask why you neglected any one of many alternatives. So it is with the U.S. Agency for International Development (USAID), the world’s largest government health donor.