The New York Times news story

When the Trump administration began its overhaul of foreign aid in January 2025, officials made no secret of their disdain for giant aid organizations and private businesses who received multimillion dollar contracts to deliver health services to poor nations. They characterized them as “beltway bandits” who charged bloated amounts of overhead.

They vowed to shut down the big U.S. players and instead channel aid through smaller organizations based in the countries receiving assistance.

But a new analysis shows that the opposite happened: In 2025, a handful of the largest, U.S.-based organizations were given huge new infusions of cash, while smaller groups in developing countries were all but shut out.

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Source : The New York Times