"Is [the U.S. Agency for International Development] a good use of resources?" James Macinko, a health policy researcher at UCLA, asked in an NPR interview this month. "We found that the average taxpayer has contributed about 18 cents per day to USAID." That "small amount," Macinko estimated, had prevented "up to 90 million deaths around the world."
Macinko was referring to a study he coauthored, which was published in the prestigious medical journal The Lancet. In addition to estimating that USAID programs had saved 90 million lives from 2001 to 2021, Macinko and his colleagues project that if the Trump administration's USAID cuts continue through 2030, an estimated 14 million people could die who otherwise would have lived.
In the same NPR story, Brooke Nichols, an infectious disease mathematical modeler and health economist at Boston University, gushed about the study. "Putting numbers to the lives that could be lost if funding isn't restored does something very important," she said. "I like [the study's] statistical approach; it was really well done and robust."
