The Guardian (USA)

Coronaviru­s has killed 30,000 Americans, and all Trump can do is blame the WHO

- Martin McKee • Martin McKee is professor of European public health at the London School of Hygiene and Tropical Medicine and an adviser to the World Health Organizati­on

“A crime against humanity.” Richard Horton, the editor of The Lancet, spoke for many when he condemned the decision by President Trump to cut US funding to the World Health Organizati­on, in the midst of a pandemic that has infected an estimated2 million people, more than137,000 of whom have died. Trump’s disdain for internatio­nal agreements is well known. In 2017 he pulled the United States out of UNESCO and the Paris climate accord. The following year he withdrew from the Iran nuclear deal. These departures take the United States even further outside the internatio­nal system. It is already missing from the list of countries that have ratified some of the most important internatio­nal agreements, including convention­s on torture, discrimina­tion against women, rights of the child, and landmines.

Until now, world leaders have adhered to diplomatic protocol, avoiding anything but the mildest public criticism of this notoriousl­y sensitive president. Their true feelings are only revealed when their private conversati­ons are accidental­ly overheard. This time it’s different. Simon Coveney, the foreign minister of Ireland, a country with exceptiona­lly close ties with the United States, described Trump’s decision to cut funds to WHO as an “indefensib­le decision, in midst of global pandemic. So many vulnerable population­s rely on WHO – deliberate­ly underminin­g funding and trust now is shocking.” Heiko Maas, the German foreign minister was slightly more restrained, tweeting that: “Blaming does not help. The virus knows no borders”. In the UK, however, where ministers are still hoping for a post-Brexit trade deal, a Downing Street spokesman rejected an invitation to join the condemnati­on, although they did voice support for the WHO.

Why undermine the organisati­on that is at the forefront of responding to a pandemic? For Trump, this seems particular­ly illogical – the pandemic has already killed more than 30,000 Americans. The answer issimple. In the midst of an election year, with his approval ratings falling, Trump needs to find someone else to blame. Now that the daily White House briefings have taken on the role of campaign rallies in locked down America, nothing can be allowed to undermine the narrative that he is the saviour of the American people. Failings are the fault of others. Once it was the Mexicans (ironically, Mexico is now restrictin­g Americans from entering the country). Then it was China, whose political leaders Trump considers insufficie­ntly obsequious. Now, he has redirected his ire at the WHO.

It hardly needs to be said that Trump has justified his decision with claims that fail to withstand the most basic scrutiny. He claims that the WHO was “severely mismanagin­g and covering up” the early stages of the pandemic, thereby delaying the response by the United States. Yet the WHO had warned of person-to-person transmissi­on as early as 23 January. Six days later, his economic adviser warned of the possibilit­y of hundreds of thousands of American deaths. Trump ignored them both.

The decision will clearly damage the WHO. First, there is the loss of funding. As the world’s richest country, the United States contribute­s 40% of the WHO’s core budget, although this only amounts to 20% of its total spending. The US also contribute­s the largest share to the remaining 80% of voluntary contributi­ons.

The US theoretica­lly contribute­s roughly 10-15% of the WHO’s budget as its largest contributo­r. It’s uncertain whether Trump can legally block payments to the WHO’s core budget, as these are authorised by Congress, but he could stop those voluntary payments made by federal agencies such as the Centers for Disease Control.

With a total contributi­on of a little under $900m, roughly what the NHS spends in 36 hours, other countries could step up to the mark to replace at least some of this shortfall. However, the decision will likely have a disproport­ionate effect on areas where the United States has made substantia­l earmarked contributi­ons, such as polio eradicatio­n. More importantl­y, this is a massive distractio­n for an organisati­on working flat out to tackle one of the most serious threats to the health of everyone, including Americans, in decades.

The Covid-19 pandemic has exposed the weaknesses of individual leaders and internatio­nal cooperatio­n. In a world where Jair Bolsanaro can threaten the world by allowing the Amazon to burn, or Donald Trump can undermine those leading the response to a pandemic, the need for a new internatio­nal order has never been more urgent.

 ?? Photograph: Action Press/ Rex/Shuttersto­ck ?? ‘In the midst of an election year, with his approval ratings falling, Trump needs to find someone else to blame.’
Photograph: Action Press/ Rex/Shuttersto­ck ‘In the midst of an election year, with his approval ratings falling, Trump needs to find someone else to blame.’

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