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US Global Health Leadership: The First Year of the Second Trump Administration

Published online by Cambridge University Press:  27 January 2026

Lawrence O. Gostin
Affiliation:
Georgetown University , United States O’Neill Institute for National and Global Health Law, Georgetown University Law Center , United States
Alexandra Finch
Affiliation:
O’Neill Institute for National and Global Health Law, Georgetown University Law Center , United States
Benjamin Mason Meier*
Affiliation:
O’Neill Institute for National and Global Health Law, Georgetown University Law Center , United States The University of North Carolina at Chapel Hill , United States
*
Corresponding author: Benjamin Mason Meier; Email: bmeier@unc.edu

Abstract

The second Trump administration has shaken the foundations of US leadership in global health, with this column assessing rapid shifts in global health governance. By analyzing how the administration’s anti-science ethos, foreign assistance cuts, and multilateral disengagement have undermined global solidarity, the column considers the destabilizing impacts on global health and examines how other states, regional bodies, and international organizations are responding to this US decline. This examination reveals both strains for global health promotion and resilience within a changed governance landscape.

Information

Type
Columns: Global Health Law
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of American Society of Law, Medicine & Ethics

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Footnotes

About This Column

Benjamin Mason Meier and Lawrence O. Gostin serve as the section editors for Global Health Law. Professor Meier is a Professor of Global Health Policy at the University of North Carolina at Chapel Hill and a Senior Scholar at the O’Neill Institute for National and Global Health Law. Professor Gostin is Distinguished University Professor at Georgetown University and the Founding Linda D. & Timothy J. O’Neill Professor of Global Health Law at Georgetown University Law Center and Director of the World Health Organization Collaborating Center on National and Global Health Law. This column features timely analyses and perspectives on law, policy, and justice in global health.

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