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cover of episode Can a deal be done to keep the US in the WHO?

Can a deal be done to keep the US in the WHO?

2025/1/24
logo of podcast Medicine and Science from The BMJ

Medicine and Science from The BMJ
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Larry Gostin
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Larry Gostin: 我认为特朗普政府退出世界卫生组织的决定是灾难性的,因为世界卫生组织是全球最重要的卫生机构。尽管世界卫生组织需要改革,但没有美国的支持,全球卫生安全将受到严重威胁。我认为美国退出将导致中国获得更大的影响力。我正在与美国和世界卫生组织的高级官员合作,试图达成一项关于世界卫生组织改革的协议,以促使美国改变退出决定。我认为美国应该利用其在世界卫生组织的影响力,促使其他国家增加资助,而不是减少自己的资助。美国参与世界卫生组织对美国和世界都有好处,例如全球疾病监测、疫苗接种和科学交流。退出世界卫生组织将使美国在获得救生医疗技术方面落后。世界卫生组织需要进行更深入的改革,以提高透明度和问责制。美国优先不是美国孤立,美国孤立在全球卫生领域只会让我们变得脆弱和虚弱。我正在考虑采取法律行动来阻止美国退出世界卫生组织,但最高法院的保守派立场使这一努力面临挑战。

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US President Donald Trump has signed an executive order to withdraw the US out of the WHO. This would cut funding for the UN’s medical agency by one-fifth.

Will they really exit, or can a deal be made? Lawrence Gostin hopes so, and as a professor of law at Georgetown, and director of the World Health Organisation Collaborating Center on National and Global Health Law, he is working with senior US and WHO officials to try and understand what reforms could be made to WHO what would allow a such a deal to be be struck.

Gostin also believes that the president cannot withdraw from the WHO with an executive order, but instead requires congressional approval - and is exploring the options for legal challenge to the move.

 

00:00 Intro

01:01 US history with the WHO

03:31 Executive order

06:35 WHO’s relationship with China

11:14 Funding

12:47 Benefits to US from the WHO

18:05 H5N1 threat

19:43 World benefits from US involvement

21:57 A deal to be made?

24:55 Legal action?

26:37 Administration responses

 

Read Professor Larry Gostin’s co-written opinion piece on the dangers of a US withdrawal from the WHO here: https://www.bmj.com/content/388/bmj.r116