More or Less More or Less

14 million deaths or zero deaths? The impact of the USAID cuts

Aug 15, 2026 · 8m

Summary

This episode examines the potential human impact of US foreign aid cuts, contrasting Elon Musk’s claim that zero deaths resulted from these reductions with a Lancet study predicting 14 million additional deaths by 2030. Host Lizzie McNeil interviews Dr. Hannah Ritchie to analyze the data, noting that while the US is the largest aid donor, its contribution relative to national income is low. Ritchie explains the difficulty in quantifying exact death tolls due to poor data and complex global health systems, concluding that while precise numbers are uncertain, it is highly unlikely that no liv…

Topics discussed

Introduction: US aid cuts and conflicting death toll claims US foreign aid spending levels and global comparisons Challenges in calculating lives saved by aid programs Estimating lives saved: Data gaps and gross vs net estimates Critique of The Lancet study on projected deaths Conclusion: Real-world impacts and final thoughts
Listen ad-free on Castria