The World Mind

American University's Undergraduate Foreign Policy Magazine

Global Health in Crisis: The Ripple Effect of The U.S. Withdrawal from The WHO

Alex Dischler

Evan Vucci/AP

On his first day in office, President Donald Trump pulled the U.S. out of the World Health Organization (WHO). Within the executive order, Trump cited the WHO’s mishandling of the COVID-19 pandemic, failure to adopt reforms (i.e. including Taiwan in proceedings and doing independent scientific investigations), failure to be independent from other states (namely China), and making the U.S. pay dues that are far too high. However, pandemics don’t care about nationalism. Abandoning the WHO does nothing but make the U.S. more vulnerable while alienating allies and weakening global disease response efforts. If the goal was to protect Americans, this move does the exact opposite—it’s reckless, shortsighted, and frankly, foolish.

Global health governance

The U.S. withdrawal from the World Health Organization (WHO) disrupts global health coordination and security by weakening international responses to public health crises. The WHO plays a central role in pandemic preparedness, outbreak response, and global disease surveillance, ensuring that countries share critical information and coordinate containment measures. By leaving the organization, the U.S. risks diminished access to real-time epidemiological data, medical research, and collaborative response efforts that are essential for mitigating future health threats. During the COVID-19 pandemic, for instance, the WHO facilitated the rapid dissemination of information regarding the virus' spread and coordinated vaccine distribution efforts through COVAX (an international program aiming to expand access to COVID-19 vaccines). Without direct participation, the U.S. will face delays in obtaining crucial health data, reducing its ability to prepare for and respond to emerging outbreaks effectively. Additionally, this withdrawal could undermine global trust in the U.S. as a reliable partner in international health governance, weakening its influence in shaping health policies and emergency response strategies. Ultimately, this decision risks hampering both U.S. public health security and broader global disease response efforts, as pandemics and outbreaks require multilateral cooperation to contain and control. 

Financing WHO

As one of the largest contributors to the WHO, the U.S. has historically provided substantial financial support for global health initiatives, including disease eradication programs, vaccine distribution, and emergency response efforts. Without these funds, the WHO will struggle to maintain essential health programs (vaccinations, maternal and child healthcare, chronic disease appointments, etc), particularly in low-income countries that rely on its support for basic healthcare infrastructure and outbreak preparedness. The consequences of this financial instability will be severe. The WHO plays a critical role in coordinating immunization efforts, medical aid distribution, and epidemic response, particularly in regions with limited resources. The loss of U.S. funding will disrupt these programs, exacerbating global health disparities and weakening the world’s ability to respond to future pandemics. Reduced WHO capacity does not just affect other countries; it increases the risk of uncontrolled outbreaks that could easily spread across borders, ultimately threatening U.S. public health as well.

Eradication of disease/global health equity 

The WHO has been instrumental in combating diseases such as polio, HIV/AIDS, and malaria, coordinating international vaccination programs and treatment initiatives to limit the impact of the pathogens. The U.S., as one of the largest contributors to the WHO, has played a pivotal role in funding these programs. The withdrawal of U.S. support jeopardizes these critical initiatives, potentially leading to a resurgence of preventable diseases, particularly in low-income countries that depend heavily on WHO assistance. Moreover, the thawing of permafrost due to climate change poses additional risks. As permafrost melts, it can release ancient pathogens that have been dormant for millennia, potentially leading to new disease outbreaks. A well-funded, coordinated global health response is essential to monitor and address these emerging threats. However, the U.S. withdrawal from the WHO undermines such efforts, leaving the global community less prepared to handle these challenges.

Disease surveillance

The WHO facilitates international collaboration by coordinating research and disseminating vital information on disease outbreaks, such as tracking new COVID-19 variants. By exiting the organization, the U.S. not only forfeits access to this real-time data but also diminishes its role in contributing valuable health information, thereby weakening global efforts to monitor and control diseases. This disruption in collaboration hampers the ability of all nations, including the U.S., to respond effectively to public health crises. As noted by the American Medical Student Association, the withdrawal isolates the U.S. from a key global health body, diminishing its ability to influence international health policies and initiatives that directly affect the safety and security of its population. Moreover, the absence of the U.S. in the WHO's coordinated efforts could lead to delays in identifying and containing outbreaks, increasing the risk of widespread transmission. The Harvard T.H. Chan School of Public Health emphasizes that withdrawing from the WHO would hamper national and international pandemic preparedness efforts, potentially leading to public health disasters.

Economic/global health consequences

Pandemics have massive economic consequences, from disrupting global supply chains to forcing costly government interventions. The COVID-19 pandemic alone caused trillions in economic losses, and stimulus measures such as direct payments contributed to inflationary pressures. By weakening the WHO, the U.S. increases the likelihood that future pandemics—like the ongoing spread of avian influenza—will last longer, cost more, and require even more drastic financial interventions. Failing to contain outbreaks quickly doesn’t just put lives at risk; it directly threatens economic stability at home and abroad.

Beyond economic fallout, withdrawing from the WHO also means the U.S. is no longer bound by international health regulations (IHR), which are critical during global health emergencies. The IHR framework ensures coordinated international responses to pandemics, mandating transparency and containment measures that prevent localized outbreaks from escalating into global catastrophes. Without these obligations, the U.S. could mishandle emerging threats, increasing the risk of uncontrolled outbreaks that could devastate both public health and the economy. By abandoning international health cooperation, the U.S. is choosing short-term isolation over long-term security—putting both lives and financial stability on the line.

Military/biodefense

The WHO serves as a critical platform for early warnings about infectious diseases, facilitating rapid information exchange and coordinated responses among member nations. By exiting the organization, the U.S. forfeits access to this vital intelligence, potentially delaying its awareness of emerging health threats and compromising its ability to implement timely countermeasures. This gap in early warning systems could lead to delayed responses to outbreaks, increasing the risk of widespread transmission and endangering public health.

Moreover, U.S. military personnel deployed overseas rely on WHO-led initiatives to combat endemic diseases in their regions of operation. The WHO's efforts in disease surveillance, vaccination programs, and health infrastructure support are integral to maintaining the health of service members. Withdrawal from the WHO jeopardizes these collaborative efforts, potentially exposing military personnel to higher risks of infection. While the U.S. Department of Defense has its own health surveillance and vaccination programs, these are often implemented in conjunction with WHO guidelines and support. The absence of WHO collaboration could lead to gaps in disease prevention measures, adversely affecting the health and readiness of U.S. forces.

Ironically, many service members who may support the withdrawal are the same individuals who will face increased health risks as a result. According to a 2024 Pew Research Center survey, 63% of veteran voters identify with or lean toward the Republican Party. This not only undermines global health security but also directly endangers the well-being of U.S. military personnel, who depend on international cooperation to safeguard their health during deployments.

Modeling

The U.S. withdrawal from the WHO did not occur in isolation–it set a precedent for other nations to disengage from global health governance, further weakening international cooperation. Argentina, for example, has followed the U.S.’s lead and has withdrawn from the WHO, citing similar concerns to President Trump. This sets the stage for a potential domino effect, where countries begin prioritizing nationalist policies over collective health. The consequence is clear: a fragmented global health system wherein nations are isolationist and fail to track pandemics, diseases, and any type of healthcare-related data. This shortsighted nationalism ignores the reality that no country, no matter its power, can single-handedly end a pandemic. If more states begin to follow suit, the world will be at significant risk regarding future health emergencies, leading to higher mortality rates, prolonged economic disruptions, and general instability.