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Health Podcast Library
Season 2 • Episode 37

What Happened w USAID? Rhetoric, Reality & Real World Impact w Former USAID Leaders Andrew Natsios & Jeremy Konyndyk

Jul 9, 2026
1:27:04

Episode Description

One year ago, the Trump administration dismantled USAID, America's largest foreign aid agency. The administration argued the agency had become wasteful, ideological, and ineffective. Critics warned the consequences would be measured in lives lost.

A year later, what actually happened?

We speak with two individuals who know the agency and aid landscape, inside and out: Andrew Natsios, who served as USAID administrator under President George W. Bush, and Jeremy Konyndyk, a senior USAID official under the Obama and Biden administrations.

Did the warnings about the human cost of cutting aid come true? What reforms did USAID need but never receive? How much authority should a president have to reshape America's foreign aid? And what does the dismantling of USAID mean for America's role in the world?

This is a conversation about the future of U.S. foreign aid, one year after one of the most consequential changes to American foreign policy in generations.


Hosts:

Brinda Adhikari

Tom Johnson

Maggie Bartlett (producer)

Dr. Mark Abdelmalek (off)


Guests:

Andrew Natsios, former head of USAID under George W. Bush 2001-2006; author of Guns Are Not Enough: Foreign Aid in the National Interest; teaches at the Bush School of Government at Texas A and M University

Jeremy Konyndyk, president of Refugees International and a former senior USAID official who served in both the Obama and Biden administrations, leading its response to everything from Ebola to Covid-19. 

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