Healing the sick and preventing disease worldwide are more than merely altruistic goals: they contribute directly to the economic and physical prosperity of the U.S. as a whole. Here are three U.S. benefits of global health initiatives:

1. Prevention is cheap, while intervention is expensive. The Ebola crisis in West Africa between 2014 and 2016 incurred enormous costs worldwide to contain the spread of the virus. According to the Centers for Disease Control and Prevention (CDC), the U.S. alone spent a whopping $2.37 billion responding to the epidemic. By contrast, the U.S. spends no money at all treating smallpox, because preventative measures such as vaccines and education have eradicated the disease entirely. Moreover, the cost of effective aid is surprisingly low. The less than one percent of the U.S. federal budget that goes to foreign aid has resulted in a 60% reduction in reported deaths from malaria.

2. Healthy populations overseas keep Americans healthy. The modern highly globalized environment, which includes growth in short term travel and international transport of goods, makes communicable diseases likelier than ever before to become cross-continent pandemics. Investing in global health helps to ensure U.S. citizens are kept safe from exposure to diseases with the potential to become epidemics. This is a well-known fact in the medical world, as the concept of community immunity, more commonly known as herd immunity, prevents infectious diseases from reaching those even with the most vulnerable immune systems. Each case of Ebola, SARS (severe acute respiratory syndrome), influenza or any other similar virulent infection prevented in Africa is one less threat to an American citizen at risk. The physical health of the American people is one more of many U.S. benefits of global health initiatives.

3. Healthy people make good consumers of American products. Every person living in extreme poverty can result in an opportunity to create a productive member of economic society. As people emerge from struggling with subsistence living and gain access to more money, they create demand for products and services that can be created in America. This directly results in a financial boon to the local U.S. economy. Foreign aid is not just charity; it is an investment in the expansion of the free market. In fact, global health experts estimate that for every one dollar invested in global health, the U.S. is repaid 20 dollars.

Recent political shifts in the U.S. and England have caused concern among philanthropists that the issue of foreign aid, which has long been bipartisan, is at risk of being politicized. Bill Gates told USA Today on February 14: “If you interpret America First (the campaign tagline of President Trump) in certain ways, it would suggest not prioritizing the stability of Africa and American leadership.” Despite these fears, hope remains among experienced proponents of global health initiatives that these new administrations will view global health initiatives as long term investments in their home countries.

– Dan Krajewski

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