Trump Says U.S. Will Withdraw From WHO. Does He Have The Authority To Do It?
President Trump has announced that he is immediately halting the decades-long U.S. membership in the World Health Organization over its response to China's handling of the coronavirus epidemic.
In a press briefing at the White House on Friday, Trump said, "We will be today terminating our relationship with the World Health Organization and redirecting those funds to other worldwide and deserving urgent global public health needs."
Trump said the decision came because WHO has "failed to make" reforms the U.S. requested. Last week, Trump sent a letter to WHO's director-general, Tedros Adhanom Ghebreyesus, outlining his views on how the agency favors China and asking the organization to "commit to major substantive improvements within the next 30 days." It's not clear what specific reforms the U.S. has requested, because those discussions have not been made public. Nor did Trump say why he acted on the threat after one week rather than waiting a full month.
The U.S. was a major force in founding WHO in 1948 and is the organization's top funder, providing around $450 million a year, according to Trump. The level of funding the U.S. provides to WHO has been a sore spot for Trump, who complained at the briefing that the U.S. pays significantly more than China to the World Health Organization but does not wield more power in the agency.
Global health experts say the president's choice to leave the global health governing body during a pandemic is a dangerous call. "This decision is really so short-sighted and ill-advised, and all it does is put American lives at risk," says Dr. Howard Koh, former assistant secretary for health in the Obama administration and now a professor at Harvard's School of Public Health.
"I disagree with the president's decision," said U.S. Senate health committee chairman Lamar Alexander (R-Tenn.) in a statement released after the announcement. "Withdrawing U.S. membership could, among other things, interfere with clinical trials that are essential to the development of vaccines, which citizens of the United States as well as others in the world need. And withdrawing could make it harder to work with other countries to stop viruses before they get to the United States."
Dr. Tom Frieden, former head of the U.S. Centers for Disease Control and Prevention, notes: "The United States helped create the World Health Organization. And we're turning our back on it — we're turning our back on the world. That makes us less safe, it makes the world less safe.
"Every country in the world has a veto at WHO — except now, perhaps the United States will not."
It's questionable whether the president can make a unilateral decision to withdraw from WHO.
"It is an overreach of his constitutional powers," says Larry Gostin, director of the O'Neill Institute for National and Global Health Law at Georgetown University. Gostin believes that the president may need congressional approval to terminate U.S. membership in the U.N. agency.
"The only situation where he can do this is if Congress had agreed beforehand to give these powers to the president," says Kelley Lee, a professor of public health at Simon Fraser University. "It is the role of legal advisers to inform the president on what authority he can exert. He is either not receiving good advice or not listening to it."
If the president follows through, Congress could sue him in federal court over the matter, says Gostin — but Trump will still have succeeded in halting U.S. funding until the courts decide.
"It's a monumental decision," says Gostin, and one that in his view is ill-timed as the epicenter of the pandemic moves to low- and middle-income countries where WHO's efforts to stem the pandemic are crucial. "To have that disruption and delay is unforgivable," he says, "It will cost lives." [Copyright 2020 NPR]
