During the weeks, some major federal government authorities have repeatedly warned Secretary of State Mark Rubio and other leaders about the coming death when they carried out the Trump administration plan to stop almost all US foreign assistance around the world.
In its clear accounting, higher officials have still been calculated by the victims: a million children will not be treated from severe acute malnutrition. Up to 166,000 people die from malaria. New cases of tuberculosis will increase by 30%. Two more thousand children will be paralyzed over the next decade.
Instead of acting on repeated warnings, the staff of the highest administration, including the Director of the Foreign Assistance of the State Department, Peter Morocco thwarted the efforts of his experts to maintain the US Agency for the most important programs of international development, in accordance with internal memoirs and assessments, compiled by the heads of health.
Political President Donald Trump, along with the government’s efficiency Department Elon Musk, ahead of their plan to dismantle USAID, ignoring and interfere with staff who tried to protect rescue operations – even when the administration publicly insisted on the Internet – in accordance with the Note.
During the exchanges outlined in one of the memoirs, the DOGE engineer e -mail sent an email and said that they were not allowed to revise the programs they cancel. At another point, the chief of staff of the USAID, Joel Borkrt, Joel Borkrt told the agency staff to take advantage of the Draconian approach to approval of refusal.
Explosive notes-which include a summary exchange resume and higher-level metabolism within the USAID, as well as research internal agencies-was sent by Nicholas Enirich, acting as assistant administrator for healthcare. PROPUBLICA has also received detailed analysis of the rescue programs that are guided by the Bureau and the predicted effect of their reduction. It emerged on a vacation on Sunday.
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said the enrichment The New York Times He released the notes, which brought several other officials, learning that he had been put on vacation as thousands of others in the agency. Memats were distributed by employees and received propublica.
The documents determine several key senior politicians behind the scenes, as well as punching the administration’s claims about a thorough, intentional examination of USAID programs. The records also present the most obvious problems of the government to date, which is remembered by a high -ranking official from the Trump administration.
The USAID and Elon Musk State Department did not answer questions on this story. Rubio and Morocco did not respond to interview request.
Since the inauguration of Rubio, Musk and Morocco has taken dramatic steps to incapacitated, the largest foreign aid donor in the world, firing their staff and stopping operations. The Global Health Bureau was one of the first parts of the agency aimed at mass dismissal.
Then, last week, they dramatically canceled 10,000 foreign aid projects, which account for 90% of USAID humanitarian operations and about half of the State Department. The rescue programs that were still across the world were forced to close immediately.
After a series of court laws that challenge their constitutional powers to get rid of or place in the abandonment of thousands of employees and freeze almost all foreign assistance, Rubio and Morocco defended their actions, claiming that the president had the right to cancel the programs and that they conducted a careful inspection of the foreign aid programs to make sure that they meet the agenda. The administration states that it is implementing waste and fraud, while Moscow has publicly promised to destroy USAID.
However, According to PROPUBLICA on SaturdayOfficials across the government say this process was actually fugitive and random, so much so that contract staff supervised the individual programs and are the main contacts of the aid group, did not imagine what was canceled and why.
ENRICH notes offer additional evidence that calls into the court’s requirements in court, predicting the grave consequences that will be played for both the US and vulnerable people around the world.
One of the documents states that widespread abbreviations of foreign aid promise to rethink out the outbreaks of prevented, deadly diseases; Fuel instability in the areas destroyed by war; And the US is at risk of outbreaks of infectious diseases. “This will undoubtedly lead to the prevention of death, destabilization and threats for national security,” the statement reads.
Take tuberculosis that kills more than 1.25 million a year and is already the most fatal infectious disease on the planet. It is expected that new infections will increase by 30% more as a result of stopping, and disruptions in treatment will make people develop resistance to drugs, which will make any future treatment options much more complex and expensive, the report said.
This world splash will inevitably lead to more cases in the USAID USAID employees that there will be about 80 additional cases resistant to multiple drug tuberculosis due to USAID reduction, the memo is added. Even a few dozen cases would cost millions of US dollars; On average, almost $ 500,000 will be required to treat anyone with the most resistant forms of the disease, the note notes.
Enrich also warned that a reduction in foreign aid would destabilize entire regions around the world. In the Democratic Republic of the Congo, it is noted that the abolition of assistance in the US has led to a breakage of medical services as permanent conflict outbreaks. They said more than 400 MPOX patients were stranded and that more than a million people are faced with a critical lack of food and water, the US supplies promised to provide. The malnutrition, cholera and measles are forecast.
Through the Sahel, the transition zone between the northern deserts of Africa and the southern Savannah, the malaria season is fast approaching. The United States has already purchased mosquito networks, diagnostic tests and treatments that cannot be delivered, according to several people who have a direct knowledge of the programs. It is expected that the canceled programs there and elsewhere will cause from 12 to 18 million additional malaria infections over the next year and is evaluated in the document.
And these infections are likely to be more mortal. Malaria, common with mosquito, especially deadly for children under 5 years. The United States paid to help deploy drugs that are very effective in preventing children from getting sick or dying. These programs have been canceled.
According to the documents and interviews, the potential of death and the spread of the disease is not new to Rubio or its main assistants, who have ordered the mass termination of almost all foreign aid programs.
USAID staff have repeatedly lobbyed to preserve the most important programs by sharing the specificity of patients submitting for individual programs, and the probable damage to their political reduction, sometimes several times. In response, the political leadership “completely prevented” Rubio staff to promise to continue rescue assistance, said Enrich.
In public statements and court submission, Rubio and Morocco stated that there was a process of release from rescue rescue programs that remain financially and online.
But behind the scenes, few employees who remained in the USAID fought for receiving basic information, such as how to give a refusal to Morocco for approval. And when the organizations received an approved refusal, they were unable to restart the work because the administration still did not pay them. (Trump’s administration refused to compensate nearly $ 2 billion with foreign aid contractors for the work they have already completed.)
The agency staff did not have the opportunity to send payments to organizations because their access to financial systems was torn, one of the memoirs said.
On February 8, world health officers learned that Rubio planned to cancel many programs that the bureau defined as salvation. Those who are in the Bureau turned to Borkert and Mark Lloida, the agency’s administrator assistant to keep these operations. (Borkert and Lloid did not answer questions on this story.)
Lloid was asked to get additional information. But on the same day the officers of the bureau also received a response from Doge. “I hear that Global Health conducts additional rewards reviews planned for abolition of Rubio Secretary and Acting Deputy Administrator,” DOJ Advisor Jeremy Levin E -mail enrich an email, one of the Enric Note reports. “This delays the timely processing of these reports of termination and unacceptable. … The Bureau should not carry out its own political and software reviews before speaking to these instructions for termination.” (Levin did not answer questions on the story.)
Enrich also stated that he received written instructions to pause, approving the abandonment of life’s rescue aid, the directive he had moved to the rest of his bureau, which worked on the definition of the programs most needed.
In the next exchange, spelled out in one of the memoirs, which illustrates the often contradictory instructions, enriched that two political appointed, Tim Miceburger and Laken Raper, together with Bokert, shouted at him during February 13, which never paused, and ordered him to develop another memory to correct ” Pause “to enter the rescue. (Miceburger and Rapier did not answer questions on this story.)
During the meeting on February 24, Miceburger and Lloida told those who did not interfere with the refusal of programs that include infectious diseases such as MPOX, polio and Ebola because they will not be approved, Enrico reports.
Then, two days later, the administration suddenly stopped about 10,000 programs across the State Department and USAID. Employees of the agency responsible for maintaining these contracts say they have not resorted to this. The enrichment immediately turned to Borkert and others to prevent them from “serious influence on life -saving,” he said in the note.
Borkert replied that many programs had been stopped by mistake. “There is a confirmation that may have been made, and we have the opportunity to cancel,” Borkert wrote to enrich. “We have to determine what it is for.”
In recent days, government officials and aid groups have stated propublica that the administration seems to be trying to cancel their broadest action engineer to find out what rescue operations have been canceled. Employees were told about the information about the abolished contracts to the heads of agencies. It is unclear what programs will be restored.
“This is an incompetent mess,” one official said.
PROPUBLICA plans to continue to illuminate USAID, the State Department and the consequences of the US foreign aid. We want to hear from you. Contact Britta Murphi’s signal at 508-523-5195 and Anna Maria Barry-Chestster by phone 408-504-8131.