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Trump's Aid Overhaul Favors Big Groups, Local Entities Suffer

4/6/2026

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Story summary
  • In April 2026, an analysis found that the U.S. President Donald Trump’s administration's foreign aid overhaul, begun in January 2025, favored large U.S.-based groups over smaller groups.
  • Despite promises to reduce reliance on major contractors, funding went to a few large organizations while local entities closed.
  • The administration froze foreign aid and began dismantling the U.S. Agency for International Development (USAID), which caused job losses among local health providers.