U.S. plans significant cuts to global health spending
美國計劃大幅削減全球衛生支出
更新於: 2026年9月18日 上午01:30
In 2025, the U.S. government launched the 'America First Global Health Strategy,' a major policy shift that is reshaping international development.
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。
This new approach prioritizes national economic interests and bilateral agreements, moving away from the traditional multilateral models managed by organizations like the U.S.
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。
Under this strategy, the U.S. is implementing steep funding cuts, with projections showing a potential 59% reduction in health aid to 18 nations by 2030.
如盧安達與賴比瑞亞等國正面臨最顯著的削減。
Countries like Rwanda and Liberia face the most significant decreases.
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。
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.
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。
This transition has triggered a fierce battle between the administration and Congress over billions of dollars in frozen funds.
批評者認為，這些行動不僅冒著可預防疾病激增的風險，削弱了全球衛生安全，還造成了地緣政治真空。
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.
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。
