Proposed US Budget Cuts Spark Global Health Concerns
擬議中的美國預算削減引發全球衛生擔憂
The U.S. government is undergoing a major policy shift, moving toward an "America First" strategy in global health.
美國政府正在經歷一場重大的政策轉向，朝向全球健康領域的「美國優先」策略邁進。
This new approach prioritizes direct, government-to-government agreements over traditional partnerships with organizations like the World Health Organization.
這種新方針將直接的「政府對政府」協議，置於與世界衛生組織（World Health Organization, WHO）等機構的傳統夥伴關係之上。
Under the plan released in September 2025, U.S. foreign aid is being restructured, with the U.S.
根據2025年9月發布的計畫，美國對外援助正在進行重組，美國國際開發署（USAID）面臨顯著的變動與裁員。
Agency for International Development (USAID) seeing significant changes and staffing cuts.
在經濟層面上，本屆政府提出了大幅的預算削減，部分請求旨在將全球健康資金刪減超過60%。
Economically, the administration has proposed deep budget reductions, with some requests aiming to slash global health funding by over 60%.
PEPFAR和瘧疾預防計畫等關鍵倡議正面臨被廢除或「歸零（ㄍㄨㄟㄌㄧㄥˊ）」的威脅。
Critical initiatives like PEPFAR and malaria prevention programs are facing the threat of elimination or "zeroing out."
儘管政府辯稱這些舉措是為了優先考慮美國國家利益與財政責任，公共衛生專家卻深感憂慮。
While the administration argues that these moves prioritize U.S. national interests and fiscal responsibility, public health experts are deeply concerned.
他們警告，削減資金並削弱與全球機構的連結，可能會中斷必要服務、導致診所關閉，並損害國際大流行（ㄉㄚˋㄌㄧㄡˊㄒㄧㄥˊ）病的應對準備。
They warn that cutting funding and weakening ties with global institutions could disrupt essential services, close clinics, and harm international pandemic preparedness.
雖然政府極力推動這些變革，但最終預算權仍掌握在國會手中，這也為未來美國在全球健康穩定上的參與程度，開啟了一場持續的政治「拔河（ㄅㄚˊㄏㄜˊ）」。
Although the administration pushes for these changes, the final budget rests in the hands of Congress, setting up an ongoing political "tug-of-war" regarding the future of U.S. involvement in global health stability.
