US accused of ‘shameless exploitation’ over proposed Zambian health aid deal

The Guardian World

by Andrew Green

February 25, 2026

AI-Generated Deep Dive Summary

The US has faced sharp criticism for allegedly exploiting Zambia in a proposed $1 billion health financing agreement, with accusations of unfair terms that could harm Zambia's interests. A leaked draft of the five-year memorandum of understanding (MOU) reveals that Zambia may be accepting conditions worse than those secured by the US in similar deals with 16 other African nations. Critics argue that the deal, brokered under the Trump administration, raises concerns about unequal partnerships and potential exploitation of Zambian resources. Key details from the leaked draft include mandatory health targets, extensive data sharing requirements, and reports of access to mining concessions, which could undermine Zambia's sovereignty over its natural resources. Advocates warn that such terms could leave Zambia vulnerable to economic and political pressures, effectively bypassing local decision-making processes. This comes amid growing scrutiny of US foreign aid policies, with critics accusing the administration of prioritizing American interests over those of partner nations. The controversy highlights broader concerns about transparency and fairness in international health financing agreements. It underscores the importance of equitable partnerships, particularly in resource-rich countries like Zambia, where foreign investments often intersect with domestic economic and political stakes. As global powers continue to negotiate such deals, questions about accountability and mutual benefit remain central to ensuring sustainable development and trust between nations. This case serves as a cautionary tale for future international collaborations, emphasizing the need for ethical practices that respect partner nations' autonomy and interests.

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Originally published on The Guardian World on 2/25/2026