在周一晚上抵达白宫后签署的一系列行政命令中,唐纳德·特朗普总统正式将美国从世界卫生组织(世卫组织)撤出,称影响深远的疫情监测组织“剽窃”了美国
美国是世卫组织的最大资助者,该机构监测世界各地的疾病爆发。美国还为世卫组织的工作做出了重大贡献,包括在癌症预防和全球卫生安全等问题上与美国疾病预防控制中心和美国国立卫生研究院的合作。
特朗普的行政命令试图完成他在上一个总统任期内开始的工作,这次几乎肯定会成功。川普在2020年将美国从世卫组织撤出,但撤军需要提前一年通知。拜登在六个月后上任,并在特朗普的行动生效前将其撤销。
乔治·华盛顿大学法律和全球健康教授、世界卫生组织公共健康法合作中心主任劳伦斯·戈斯廷证实,这一次,美国的退出又将是一个为期一年的过程和人权。
但特朗普可能会表现得好像他已经退出了,与世卫组织脱离了关系,如果国会没有两党同意推翻特朗普的行动(这不太可能),世卫组织将在2026年前正式失去其最大的资助者。
“这些是对美国真正重要的事情,如艾滋病毒、艾滋病、根除脊髓灰质炎和应对突发卫生事件,”戈斯廷告诉美国广播公司新闻。“在我看来,这无疑是搬起石头砸自己的脚,让美国变得越来越不安全。”
周一晚上,一名记者问特朗普,他在新冠肺炎疫情期间领导国家的经历以及世卫组织在全球应对流行病方面的重要性,特朗普说,撤军是“被敲竹杠”
特朗普说:“每个人都欺骗美国,就是这样——这不会再发生了。”
该行政命令的文本描述了一种“不公平”的要求,即“美国支付繁重的款项,与其他国家分摊的款项远远不成比例”。"
“拥有14亿人口的中国,人口是美国的300%,但对世卫组织的贡献却少了近90%,”该行政命令称。
戈斯汀证实,中国支付给世卫组织的要少得多。“但中国应该支付更多并不意味着我们应该支付更少。这不是对抗中国的手段。这正在摧毁世界卫生组织,”戈斯廷说。
戈斯汀说,世卫组织拥有无与伦比的全球影响力,为美国提供了对全球卫生系统的重要见解,并允许科学研究的合作——尽管他承认一些改革是必要的,但他说,离开该组织是“灾难性的总统决定”,这将是“对世界卫生的严重伤害,但对美国来说是更深的伤害。”
Trump withdraws US from World Health Organization, finishing what he started
Among the slew of executive orders signed after reaching the White House Monday night, President Donald Trump formally withdrew the United States from the World Health Organization (WHO), saying the far-reaching pandemic monitoring organization had "ripped off" the U.S.
The U.S. is the largest funder of the WHO, which monitors disease outbreaks around the world. The U.S. also majorly contributes to the WHO's work -- including collaborations with the CDC and NIH on issues like cancer prevention and global health security.
Trump's executive order is an attempt to finish what he started in his last presidency and is all but guaranteed to succeed this time around. Trump removed the U.S. from the WHO in 2020, but withdrawal requires one year of advance notice. Biden took office six months later and revoked Trump's action before it ever took effect.
This time around, the U.S.'s withdrawal is again supposed to be a yearlong process, confirmed Lawrence Gostin, professor of law and global health at George Washington University and Director of the World Health Organization Collaborating Center on Public Health Law& Human Rights.
But Trump will likely act as if he's already withdrawn, disengaging from the WHO, and without bipartisan agreement from Congress to overturn Trump's action, which isn't likely, the WHO will officially lose its largest funder by 2026.
"And these are things that really matter to America, like HIV, AIDS, like Polio eradication and responding to health emergencies," Gostin told ABC News. "Really in my mind this is shooting yourself in the foot and making America decidedly less safe and less secure."
Trump, asked by a reporter Monday night about his experience leading the country during the COVID-19 pandemic and the importance of the WHO to mount a global response to pandemics, said the withdrawal was about "being ripped off."
"Everybody rips off the United States and that's it -- it's not going to happen anymore," Trump said.
The text of the executive order describes an "unfair" demand of "onerous payments from the United States, far out of proportion with other countries' assessed payments."
"China, with a population of 1.4 billion, has 300 percent of the population of the United States, yet contributes nearly 90 percent less to the WHO," the executive order said.
Gostin confirmed that China pays far less to the WHO. "But the fact that China should pay more doesn't mean we should pay less. This isn't leverage against China. This is gutting the World Health Organization," Gostin said.
The WHO has an unmatched global reach, Gostin said, offering the U.S. vital insight into the global health system and allowing collaborations for scientific research — and though he acknowledged some reforms are necessary, he said that leaving the organization was "a cataclysmic presidential decision" that would be a "grievous wound to world health, but a still deeper wound to the US."