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China Shifts Aid Strategy to Compete with U.S.

2/25/2026

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Story summary
  • Under U.S. President Donald Trump, the United States adopts a more transactional aid model with its America First Global Health Strategy.
  • China responds to criticism of aid effectiveness by shifting toward smaller projects and greater involvement with the United Nations.
  • Experts say China aims to increase its global influence through these shifts.
  • Experts warn that China may not be ready to assume the United States' leadership in global health.