United States President Donald Trump has suspended nearly all operations of the US Agency for International Development (USAID) for 90 days, leaving millions of people without critical support. HIV clinics shut down overnight, cutting off life-saving treatment, while diseases like cholera and malaria are set to spread. Food aid programmes from Venezuela to the Democratic Republic of the Congo have halted, and many students can no longer continue their education. USAID’s crucial work in healthcare, human rights and education is now frozen, disrupting thousands of global projects and lives. What will be the long-term impact of this decision?