Following another long silence, Joel summarized what we needed to do next. My description of our lifesaving work had been helpful, and we would need to develop “a very simple way to describe it to the secretary,” he told us. “To be clear, we’re not looking for a laundry list of everything you want to do, you’re going to have to cut things, it’s going to have to be draconian. You’re only going to get things that are priority number one, that is all we’re going to be able to do, so don’t even send up the things that are priorities number two, three, or four.” At that point, Nida jumped in. Out of the corner of my eye, I had noticed her picking nervously at her hands for most of the meeting, and I knew it was just a matter of time before my oft-impatient colleague spoke up. “Can I just clarify one thing?” she asked, not waiting for a response. “This group seems very focused on what GH does to respond to infectious diseases, but we haven’t spoken much about our other lifesaving work. Just as one example, we support lifesaving care to mothers for emergency inter- ventions like postpartum hemorrhaging and eclampsia, two of the leading causes of pregnancy-related deaths. You would also consider that kind of work to fit into our ‘priority number one,’ right?” Another brief silence followed as Joel watched the clock, and it was Paul Seong who broke it. “I’d say that’s more of a number two,” he said dismissively, looking to Joel and Ken for affirmation.
In Feb. 2025 when a USAID worker asked if their “lifesaving care” for “two of the leading causes of pregnancy-related deaths” would be considered a number one priority for programs to save, a Trump official responded “I’d say that’s more of a number two.”
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