Contribution
It is a pleasure to serve under your chairship, Mrs Hobhouse.
I thank the hon. Member for Melksham and Devizes (Brian Mathew) for leading the debate. He and I have talked often about his previous job before he came here. I put on the record my thanks to him for what he did. His heart is in this debate, as was clear in his comments. This is a huge issue: since Trump signed the initial executive order in January, there has been a moral obligation on countries like ours to do our best to pick up what may be lost in terms of humanitarian safety, so it is great to be here to discuss that impact.
The United States is the world’s largest aid donor, providing 20% of all aid. In addition, in 2023 it was the largest single donor in areas including population, reproductive health and humanitarian aid. In March 2025, the Secretary of State, Marco Rubio, stated that 82% of all USAID programmes would be ended. I will try to be respectful, but I have to say that if the richest country in the world cuts back on aid to that extent, it reflects badly on that country; I think there is something wrong there.
My hon. Friend the Member for East Londonderry (Mr Campbell) and I are Christians, and we tithe our money so 10% of our income goes to charities and Christian work. We are not better than anybody else— I make that quite clear—but we do that because we feel we are morally supposed to. The reflection on the USAID programme is absolutely unbelievable and incomprehensible for a country with so much money.
I was telling my hon. Friend about a conversation between two American ladies—I do not know who they were—that I overheard in my hotel in Waterloo this morning. I heard one say to the other, “Oh, by the way, I had to get my leg done and it cost $100,000.” I nearly spilt my coffee on the floor—$100,000 and there was not another word about it. The US as a country has an obligation to others across the world, and it needs to play its part. I say that with respect and in all honesty.
The decisions that began in January have ultimately raised concerns about the continuity of global health and developmental support work. As my party’s health spokesman, my interest is piqued by the potential for humanitarian and health aid to be ultimately affected as a result. I understand that the Government have made some exceptions with waivers, but hundreds of thousands of people will undoubtedly be impacted because of those decisions.
According to The Independent, 912,730 women per week are being denied contraception. HIV vaccine trials in South Africa have been halted. Food and shelter programmes in refugee camps have been reduced or stopped early. US withdrawal has led to an increase in influence from outside actors such as China—let us beware China using its money to fill the space and therefore get what it wants. Up to half a million children could be at risk of outbreaks of malaria and cholera, which can be prevented in normal circumstances with aid.
Not only are such decisions impacting people across the globe, but closer to home the staff are ultimately out of employment as well. There is a disregard for the number of jobs that it could impact. The Minister has compassion and interest in this issue, and I do not think any of us will be disappointed in her response to our requests. In any discussions that she and the Government have with the US on this matter, the UK must work with other countries to meet development goals and ensure that those struggling across the globe are not left with nothing.
The UK has a stellar reputation for supporting countries facing poverty. In Northern Ireland we have several charities, non-governmental organisations and churches— I work with them all the time in my constituency of Strangford and in Newtownards—that are pivotal in supporting people in poverty. Charities such as Challenge Ministries, Mission Africa, Self Help Africa and Children in Crossfire come out of the churches and what they do. Their continued efforts reflect our commitment to supporting the nations who need help, and we must ensure that to some extent we continue to do that in the long term.