News US officially out of WHO, leaving hundreds of millions of dollars unpaid

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US did not pay $278 million in 2024–2025 dues and millions more in promised funds.


World Health Organization (WHO) chief Tedros Adhanom Ghebreyesus speaks at a press conference on the World Health Organization's 75th anniversary in Geneva, on April 6, 2023. Credit: Getty | FABRICE COFFRINI

As of today, the US is no longer a member of the World Health Organization—and it leaves the United Nations health agency with hundreds of millions of dollars in unpaid bills, according to reporting by Stat News.

A year ago today, the US informed the WHO of its intent to exit, setting the clock for a one-year withdrawal period mandated in a 1948 joint resolution of Congress. But, in practice, the withdrawal was immediate, with the Trump administration cutting all ties with WHO upon the announcement. In explaining his reasoning for leaving the WHO, Trump referenced his long-standing complaints about the agency’s handling of the COVID-19 pandemic, dues payments, and alleged protection of China. Trump had attempted extract the US from WHO during his first term, but the Biden administration rescinded the withdrawal on the first day in office, well before the one-year notice period was reached.

The joint resolution also stipulated that the US would have to pay its financial obligations in full before departing. But, that too has not been honored by the Trump administration. According to Stat, the US owed the WHO $278 million in dues, which are a percentage of each member state’s gross domestic product. That dues payment covered the country’s 2024–2025 membership, as WHO runs on a two-year budget cycle.

In the past, such payments were made through the State Department’s international agencies bureau. A spokesperson for the department told Stat that there was no way the US would pay its debt.


“The United States will not be making any payments to the WHO before our withdrawal on January 22, 2026,” the spokesperson said in an emailed statement. “The cost [borne] by the US taxpayer and US economy after the WHO’s failure during the COVID pandemic—and since—has been too high as it is. We will ensure that no more US funds are routed to this organization.”

In addition, the US had also promised to provide $490 million in voluntary contributions for those two years. The funding would have gone toward efforts such as the WHO’s health emergency program, tuberculosis control, and the polio eradication effort, Stat reports. Two anonymous sources told Stat that some of that money was paid, but they couldn’t provide an estimate of how much.

The loss of both past and future financial support from the US has been a hefty blow to the WHO. Immediately upon notification last January, the WHO began cutting costs. Those included freezing recruitment, restricting travel expenditures, making all meetings virtual, limiting IT equipment updates, and suspending office refurbishment. The agency also began cutting staff and leaving positions unfilled. According to Stat, the WHO staff is on track to be down 22 percent by the middle of this year.

In a recent press conference, WHO Director-General Tedros Adhanom Ghebreyesus said the US withdrawal is a “lose-lose situation” for the US and the rest of the world. The US will lose access to infectious disease intelligence and sway over outbreak responses, and global health security will be weakened overall. “I hope they will reconsider,” Tedros said.
 
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