美國計劃大幅削減全球衛生支出
U.S. plans significant cuts to global health spending
Updated at: September 18, 2026 at 01:30 AM
2025年，美國政府啟動了「美國優先全球衛生戰略」（America First Global Health Strategy），這是一項正在重塑國際發展的重大政策轉變。
In 2025, the U.S. government launched the 'America First Global Health Strategy,' a major policy shift that is reshaping international development.
這項新方針優先考慮國家經濟利益與雙邊協議，背離了由美國國際開發總署（USAID）等組織所管理的傳統多邊模式，而該署自此已被拆解。
This new approach prioritizes national economic interests and bilateral agreements, moving away from the traditional multilateral models managed by organizations like the U.S.
根據此項戰略，美國正在實施大幅度的資金削減，預測顯示至2030年，對18個國家的衛生援助可能會減少59%。
Agency for International Development (USAID), which has since been dismantled.
這項政策還引入了嚴格的「共同融資」（co-financing）要求，迫使受援國在衛生計畫上投入巨額資金，這往往與其當地的需求產生衝突。
Countries like Rwanda and Liberia face the most significant decreases.
這種轉變引發了政府與國會之間，針對數十億美元遭凍結資金的激烈鬥爭。
The policy also introduces strict 'co-financing' requirements, forcing recipient nations to invest heavily in health programs, often in ways that clash with their local needs.
隨著美國的撤退，其他全球強權正準備擴大在那些曾依賴美國支持以對抗愛滋病、肺結核及瘧疾等傳染性疾病地區的影響力。
Critics argue that these actions are not only undermining global health security by risking a surge in preventable diseases but also creating a geopolitical vacuum.
