October 1 ushered in a new era in U.S. foreign aid. What's the plan? Will it work?

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In December, State Department senior official Jeremy Lewin welcomed Rwanda Foreign Minister Olivier J.P. Nduhungirehe for the signing of a multi-year Memorandum of Understanding on global health cooperation.

The America First strategy asks for a Memorandum of Understanding as a condition for healthcare and development aid. It’s been praised for promoting self-reliance but criticized for its conditions.

(Image credit: U.S. Office of Foreign Assistance)

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