Summary and Analysis of the U.S. Executive Order to Withdraw from the World Health Organization (WHO)
1. Background and Purpose
- The United States first announced its withdrawal from the World Health Organization (WHO) in 2020, and this executive order reactivates that decision.
- Key reasons for withdrawal:
- WHO’s failure to respond to the COVID-19 pandemic.
- Lack of necessary reforms.
- Lack of independence from political influence.
- The U.S. is required to make excessively high financial contributions compared to other nations.
- Example: Although China’s population is three times that of the U.S., its financial contribution to the WHO is approximately 90% less than that of the U.S.
2. Course of Action (Actions)
- A number of implementation measures are presented, including the cessation of all U.S. activities and resource support related to the WHO.
a) Withdrawal Process
- Nullifying the decision to rejoin the WHO as of January 20, 2021.
- Restoring the withdrawal notice submitted to the WHO in 2020.
b) Revocation of Executive Order
- Repealing Executive Order 13987 of January 25, 2021 (Order on COVID-19 Response and Global Health Leadership).
c) Strengthening Health and Biosecurity
- Strengthening public health and biosecurity through the establishment of new organizations and coordination mechanisms within the U.S. National Security Council (NSC).
d) Funding and Personnel
- Cessation of all future resources and funding to the WHO, and relocation of relevant contractors and personnel to other agencies.
- Exploration of transparent global partners to replace the activities previously handled by the WHO.
e) Review of Global Health Security Strategy
- Review and replacement of the U.S. Global Health Security Strategy, developed in 2024.
3. Suspension of International Notices and Negotiations
- The U.S. Department of State shall immediately:
- Notify the Secretary-General of the United Nations and the WHO of the withdrawal.
- Withdraw from negotiations related to the WHO’s Pandemic Agreement and amendments to the International Health Regulations (IHR).
- Specify that the outcomes of negotiations shall not be legally binding within the United States.
4. Legal and Administrative Limitations
- This order does not affect the legal authority of executive branch agencies.
- It is only executable to the extent permitted by U.S. law and budget availability.
- No legal rights are created for any individual or entity based on this executive order.
Impact of U.S. Decision on the Global Community
1. Changes in Relationship with WHO
- This decision is likely to significantly damage the role and credibility of the WHO.
- The U.S. is a major contributor to the WHO budget, and the cessation of funding could have a severe impact on the WHO’s project operations.
2. Concerns about Weakened Global Health Response
- There are concerns that the U.S. withdrawal from WHO activities may lead to a leadership vacuum in the global health response.
- Difficulties are expected in data sharing and cooperation, especially in responding to global diseases like pandemics.
3. Exploration of Alternative Partners
- The U.S. needs to find new international partners and organizations to fill the void left by the WHO.
- There is a great need to quickly identify alternative organizations with credibility and transparency and rapidly establish them as infrastructure.
Conclusion
This executive order signals a major shift in the relationship with the WHO and how global health cooperation is conducted, requiring the establishment of a differentiated health diplomacy strategy by the United States. However, adverse effects resulting from the reduced role in the international community and a weakened preparedness for public health crises are also anticipated, thus the U.S. must quickly strengthen its domestic health system and establish alternative routes for global solidarity.
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