The comment is obscenely oversimplified on many levels, but you won't care so this is addressed to others to expose your misguided thoughts, not to you.
Global Health Impacts U.S. Interests: Foreign aid for health, like funding for disease prevention, benefits the U.S. by reducing global pandemics that could spread domestically. For example, unchecked diseases abroad (e.g., Ebola, HIV) can become U.S. public health threats. Aid stabilizes regions, reducing migration and security risks.
Moral and Leadership Role: As a global leader, the U.S. has historically supported humanitarian efforts, which enhances its soft power and influence. Cutting aid could erode this, weakening alliances and increasing global instability, which affects U.S. interests.
Corruption Oversimplification: While corruption exists, the claim that "much of the money is creamed off" ignores mechanisms like oversight, audits, and direct program funding (e.g., PEPFAR) that ensure aid reaches intended recipients. Many programs bypass corrupt systems, delivering vaccines, medicines, and training effectively.
Economic Misconception: Foreign aid is a tiny fraction of the U.S. budget (less than 1%), yet it saves millions of lives. The Lancet study likely highlights how cuts could lead to preventable deaths from diseases like malaria or tuberculosis, which aid effectively targets. The comment dismisses this impact without evidence.
Ignoring Data: The comment lacks empirical support. Studies, like those from The Lancet, use rigorous modeling to estimate deaths from reduced aid. Dismissing this as not the U.S.'s responsibility ignores evidence of aid’s effectiveness and the interconnections of global health.
The comment oversimplifies a complex issue, ignores global interdependence, and dismisses data-driven findings without counter-evidence.