Trump Officials Assumed USAID Just Did Abortions
Trump administration officials tasked with dismantling USAID in 2025 demonstrated profound ignorance of the agency’s actual functions, according to a new book by Nicholas Enrich, the agency’s acting assistant administrator for global health. During a February 5, 2025 meeting at USAID headquarters, official Joe Borkert and his team admitted they had assumed the agency “just did abortions,” revealing that Elon Musk’s cost-cutting operation DOGE had targeted the organization without understanding its humanitarian mission. Musk had previously called USAID a “criminal organization” and “radical-left political psy op” based on disinformation.
Enrich described to the Trump officials how USAID tackled emerging pandemics, diagnosed and treated tuberculosis, malaria, and HIV, and immunized millions of children against deadly diseases. His explanation prompted stunned silence before Borkert confessed his assumption about the agency’s work. A White House liaison then suggested that drug-resistant tuberculosis was too complex for non-health professionals and proposed simplifying it to “Super TB” and creating maps resembling the film “Outbreak” to visualize disease spread, treating public health crises as entertainment concepts.
When Enrich pressed the importance of USAID’s malaria response efforts, which DOGE had just shut down at the cost of thousands of jobs, even Borkert expressed frustration, saying “just because it might work at Twitter does not mean you can do it here.” Despite this acknowledgment, he ordered the USAID team to implement draconian cuts, retaining only first-priority programs and discarding second, third, and fourth-tier priorities, including lifesaving maternal health interventions designed to prevent pregnancy-related deaths.
Enrich and his colleagues left the meeting deeply disturbed, concluding that the Trump administration officials making decisions with real-world consequences “were not real policymakers, but impostors, sitting in big chairs and pretending to grapple with complex issues that required teams of experts, who they had just off-loaded.” The episode exemplifies the abuse of power and reckless dismantling of critical global health infrastructure driven by ideological cost-cutting rather than informed policy analysis.
