Health
United States Officially Withdraws from World Health Organization After Year of Controversial Health Policy
22 January 2026 was the United States’ final day as a member of the World Health Organization (WHO) after a year of polemic health policy decisions.
The withdrawal process began on 20 January 2025, when President Donald Trump signed an executive order to formally leave the international agency, concluding a year later as the United Nations formally acknowledged the departure. This marked Trump’s second attempt to exit the WHO, following a previous effort in 2020.
The U.S. government cited multiple reasons for leaving the WHO, including the organisation’s handling of the COVID-19 pandemic, its response to other global health crises, its failure to implement urgent reforms, and concerns about undue political influence from member states. Over the last decade, the United States contributed between $160 million and $815 million annually to the WHO, whose budget ranges from $2 billion to $3 billion.
Following the announcement, the Department of Health and Human Services, including the Centers for Disease Control and Prevention (CDC), imposed a government-wide communication pause. Agencies were prohibited from updating websites, releasing case numbers, issuing health advisories, posting on social media, and meeting with external partners. While limited communications resumed after a few weeks, U.S. health agencies remained largely disengaged from the WHO, affecting collaboration with international counterparts, including the European and African disease prevention centres.
The United States also declined to endorse the WHO’s legally binding Pandemic Agreement, signed in May 2025 in Geneva. The agreement aims to strengthen preparedness, prevent future pandemics, and ensure equitable access to medical supplies like vaccines. The Trump administration dissolved the Directorate of Global Health Security and Biodefense, which had coordinated pandemic response across U.S. agencies following the 2014-2015 Ebola outbreak.
Domestically, the U.S. shifted its public health guidance. In early 2026, Secretary of Health Robert F. Kennedy unveiled new dietary guidelines prioritising animal proteins such as red meat, poultry, seafood, and eggs, diverging from WHO recommendations that emphasise plant-based proteins. Vaccine recommendations were also reduced from 17 to 11, with immunisations for hepatitis A and B, influenza, meningococcal disease, and chickenpox removed from universal guidance. Officials cited Denmark, which recommends 10 vaccines, as a model, though critics warned against applying other countries’ policies without adaptation.
International aid was affected as well, with the closure of the U.S. Agency for International Development (USAID) after six decades of operation. In 2023, the United States provided $71.9 billion in foreign aid, including $16.1 billion for global health initiatives. A study in The Lancet warned that continued reductions could result in an additional 14.1 million deaths worldwide by 2030, including 4.5 million children under five.
The U.S. withdrawal marks a significant realignment of American health policy, distancing the country from multilateral health cooperation and raising concerns about the global response to future health emergencies.
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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