Tom Bollyky @tombollyky.bsky.social · 08/06/2026Of the $3.6 billion contributed to UN’s Ebola Response Fund in West Africa epidemic, China gave $47 million(~1%) while United States donated $1.8 billion(49%) They are doing even less now The greatest risk to Americans isn't China will supplant US as leader in global health. It's that no one will 022
Reposted by Tom BollykyChad P. Bown @chadpbown.com · 04/06/2026SCIENCE, SUPPLY CHAINS, GEOECONOMICS, AND POLICY INCENTIVES The Pharma Choke Point: How to Reduce U.S. Dependence on Chinese Pharmaceutical and Biotechnology Supply Chains Important new study from @tombollyky.bsky.social, @rushdoshi.bsky.social, @prof-yadav.bsky.social & Olivia Kosloffcfr.orgThe Pharma Choke Point | Council on Foreign RelationsThe U.S. pharmaceutical supply chain faces a threat equal to the rare-earths challenge already posed by China’s exploitation of its dominance of those critical minerals. The authors provide a model th... 042
Reposted by Tom BollykyPrashant Yadav @prof-yadav.bsky.social · 04/06/2026A new report by @cfr.org @tombollyky.bsky.social @rushdoshi.bsky.social @prof-yadav.bsky.social , Olivia Kosloff & Elena Every on the risks of China weaponizing pharma supply chains as a tool of economic or political coercion. www.cfr.org/reports/the-...cfr.orgThe Pharma Choke Point | Council on Foreign RelationsThe U.S. pharmaceutical supply chain faces a threat equal to the rare-earths challenge already posed by China’s exploitation of its dominance of those critical minerals. The authors provide a model th... 011
Reposted by Tom BollykyAmit Chandra, MD @amitchandramd.bsky.social · 04/06/2026Interesting report via the @cfr.org and @tombollyky.bsky.social launched today: "U.S. dependence on China for essential medicines is structural...That dependence is not simply the result of market conditions but rather decades of Chinese state investment." www.cfr.org/reports/the-...cfr.orgThe Pharma Choke Point | Council on Foreign RelationsThe U.S. pharmaceutical supply chain faces a threat equal to the rare-earths challenge already posed by China’s exploitation of its dominance of those critical minerals. The authors provide a model th... 042
Reposted by Tom BollykyStanford Medicine, Infectious Diseases @stanford-med-id.bsky.social · 01/05/2026Our very own Dr. Paul Bollyky (far right) has been elected to the Association of American Physicians (AAP), one of academic medicine's highest honors. Congrats to him and colleague Nigam Shah, celebrated at the AAP Induction Dinner the past weekend! 053
Reposted by Tom BollykyChad P. Bown @chadpbown.com · 07/04/2026Spent last year deep in supply chain security for my book—pharma near the top of the list for policymakers globally. Excited to dig into Trump's latest tariff announcement with @tombollyky.bsky.social, one of the leading voices on trade, security, and public health. 172
Reposted by Tom BollykyPeterson Institute for International Economics @piie.com · 07/04/2026🚨NEW @trade--talks.bsky.social episode!! @tombollyky.bsky.social joined @chadpbown.com to explain the problems facing the US pharma market, Trump's new 100% tariffs & pricing deal with the UK, & impact on American drug prices & supply chain security. Here or wherever you get podcasts:tradetalkspodcast.com209. Will Trump’s pharmaceutical tariffs lower prices and secure supply chains?Thomas J. Bollyky (CFR) joins to explain the pricing and supply chain implications of Trump’s new tariffs on pharmaceutical products as well as the US-UK deal. 031
Reposted by Tom BollykyMadhu Pai, MD, PhD @madhupai.bsky.social · 15/11/2025The new America First Global Health Strategy goes back to the future Meaning, the strategy is a seriously regressive one @tombollyky.bsky.social www.thelancet.com/journals/lan...thelancet.comThe new America First Global Health Strategy goes back to the futureAfter months of effectively dismantling the architecture of US global health engagement by closing the US Agency for International Development, reducing its annual global health awards by an estimated... 0124
Reposted by Tom BollykyEric Topol @erictopol.bsky.social · 14/11/2025"The new America First Global Health Strategy" Check out the lede Yet "The world still faces dire health threats that countries cannot fight alone" www.thelancet.com/journals/lan... @thelancet.com by @tombollyky.bsky.social 26819
Reposted by Tom BollykyCouncil on Foreign Relations @cfr.org · 05/09/2025Secretary Kennedy’s Senate hearing illustrated that the United States’ scientific reputation—long considered a global gold standard—is at risk of eroding. @tombollyky.bsky.social writes: "There is no question that the events of the last week have put the health and lives of Americans at risk."on.cfr.orgWhy Stakes Are High in the U.S. Vaccine DebateSecretary Kennedy’s Senate hearing on Thursday illustrated that the United States’ scientific reputation—long considered a global gold standard—is at risk of eroding. 55019
Tom Bollyky @tombollyky.bsky.social · 28/08/2025This article is indeed great, well worth your time bsky.app/profile/drew... 150
Tom Bollyky @tombollyky.bsky.social · 28/08/2025this is a disaster -- Monarez fired, 4 leading CDC officials (Houry, Dasakalakis, Jernigan, Layden) resign www.nytimes.com/2025/08/27/h...nytimes.comCDC Director Susan Monarez Resists Ouster as Other Officials ResignHealth Secretary Robert F. Kennedy Jr. is said to have demanded that the director, Susan Monarez, either quit or be fired. Her lawyers say she won’t resign. 020
Tom Bollyky @tombollyky.bsky.social · 27/08/2025Botswana's President Duma Boko declared a public health emergency on Monday, saying the national medical supply chain had failed A Botswana govt spokesperson ft did not immediately respond to questions about whether US aid cuts contributed to the crisis www.reuters.com/business/hea...reuters.comBotswana declares public health emergency as clinics run out of medicineBotswana's President Duma Boko declared a public health emergency on Monday, saying the national medical supply chain had failed, leaving hospitals and clinics short of medicine and other vital stock. 021
Tom Bollyky @tombollyky.bsky.social · 07/06/2025A (very) early Saturday morning CNN interview on President Trump's budget request for #globalhealth video.snapstream.net/Play/ym1g305...video.snapstream.netCNN Newsroom - Tom BollykyPowered by SnapStream Cloud Sharing 000
Reposted by Tom BollykyHelen Branswell 🇨🇦 @helenbranswell.bsky.social · 28/05/2025BREAKING: In a serious blow to US pandemic flu preparedness, HHS has cancelled a contract with Moderna to test and license prototype vaccines for #H5N1 #birdflu and other potential pandemic viruses. In a pandemic, mRNA is the fastest way to vaccine doses. www.statnews.com/2025/05/28/m...statnews.comHHS cancels nearly $600 million Moderna contract on vaccines for flu pandemicsHHS has notified Moderna that it is canceling a nearly $600 million contract for vaccines for flu strains that could trigger future pandemics. 1161450912
Tom Bollyky @tombollyky.bsky.social · 20/05/2025Secretary Kennedy has made chronic disease his top priority, yet, under his watch, HHS shuttered the CDC Office on Smoking, a top driver of cardiovascular disease, cancer and premature death in the United States www.nytimes.com/2025/05/15/h...nytimes.comTrump Budget Cuts Hobble Antismoking Programs 000
Tom Bollyky @tombollyky.bsky.social · 12/05/2025Today's executive order is not the first time that the President has proposed that the way to cut US drug prices at home is to raise them abroad. Read this from @akesselheim.bsky.social, @drjoshs.bsky.social and me in the @nytimes.com on why this won't work www.nytimes.com/2018/05/14/o...nytimes.comOpinion | What Trump Should Actually Do About the High Cost of Drugs (Published 2018) 200
Reposted by Tom BollykyCatherine Rampell @crampell.bsky.social · 01/04/2025At FDA, I'm told Center for Tobacco Products's office of compliance and enforcement was slashed by 50%. All CTP contractors too. All pending CTP compliance cases will be affected. (Note that CDC's Office on Smoking & Health division was eliminated entirely - so there seems to be a theme here.) 617944
Tom Bollyky @tombollyky.bsky.social · 01/04/2025It's not often we have a reference to Eye of Sauron in @thinkglobalhealth.org Useful article from Ambassador Michelle Gavin on why there has been muted response from African leaders to the withdrawal of billions of dollars in US aid to the region www.thinkglobalhealth.org/article/afri...thinkglobalhealth.orgAfrica's Quiet Response to U.S. Realignment of Foreign Aid | Think Global HealthCharacterizing the end of U.S. aid as a catalyst allows African politicians to emphasize their readiness for a new era 031
Reposted by Tom BollykyAmit Chandra, MD @amitchandramd.bsky.social · 31/03/2025Excellent article in @foreignaffairs.com by @tombollyky.bsky.social and Yanzhong Huang: America's retreat from foreign assistance and global health opens doors for others to step in, but unfilled voids will threaten health security for decades to come. www.foreignaffairs.com/china/coming...foreignaffairs.comThe Coming Global Health CrisisAmerica is retreating, and China won’t fill the void. 022
Reposted by Tom BollykyCatherine Rampell @crampell.bsky.social · 01/04/2025Here's a running list I've been sent of divisions losing staff. Not comprehensive; admin has not been transparent about who/what divisions they're spiking. Layoffs include those in HIV/STD work, blood disorders, Office on Smoking and Health (eliminated entirely), work on miner’s safety (eliminated) 19360152
Reposted by Tom BollykyCNN @cnn.com · 26/03/2025State and local public health departments are bracing themselves as the CDC pulls back about $11.4 billion in grants that were allocated to state and community health departments during the Covid-19 pandemic response.cnn.comTrump administration pulls back billions in Covid-era funding for state, local health departments | CNNState and local public health departments are bracing themselves as the US Centers for Disease Control and Prevention pulls back about $11.4 billion in grants that were allocated to state and communit... 159953
Reposted by Tom BollykyAngie Rasmussen @angierasmussen.bsky.social · 25/03/2025The consequences of devastating US foreign aid: lost surveillance, research, response capacity, more people sick, more people dead. How does abandoning the world make America great? Great if difficult to read piece by @tombollyky.bsky.social & Yanzhong Huang www.foreignaffairs.com/china/coming...foreignaffairs.comThe Coming Global Health CrisisAmerica is retreating, and China won’t fill the void. 37828
Tom Bollyky @tombollyky.bsky.social · 24/03/2025China is poor match for replacing most US #globalhealth aid 20 yrs ago, biggest recipients of Chinese health aid were in Africa Today, almost none are In 2023, China’s bilateral health aid sunk to lowest levels since 2010 www.foreignaffairs.com/china/coming... 011
Reposted by Tom BollykyThink Global Health @thinkglobalhealth.org · 13/03/2025Five years ago, on March 13, 2020, President Donald Trump declared a national emergency concerning the COVID-19 outbreak. Below is a short 🧵of Think Global Health articles on how COVID continues to shape global health policy and inform ways to protect public health. 155
Tom Bollyky @tombollyky.bsky.social · 10/03/2025I like this @nytimes.com COVID in charts feature. So much has returned to prior trend. The exceptions? Time spent alone, vaccination, debt www.nytimes.com/interactive/... 0123
Tom Bollyky @tombollyky.bsky.social · 04/03/2025In 2003, Pres Bush used 301 words in State of Union to announce PEPFAR program which wld save 26 million lives For years after, DC think tanks printed SOTU bingo cards & had viewing parties to track new initiatives Card terms incl vaccines, debt relief clean energy How US ambitions have changed 020
Tom Bollyky @tombollyky.bsky.social · 25/02/2025UK aid budget to be reduced from 0.5% GDP to 0.3% by 2027. The hits keep coming for international development and #globalhealth As of 2019, ~14% of UK bilateral aid was devoted to health. The UK has also been largest govt donor to GAVI. www.reuters.com/world/uk/uk-...reuters.comUK to target 3% of GDP for defence spending, to cut aid budgetBritain will aim to spend 3% of its GDP on defence in the next parliament, due to begin in 2029, and will help to fund that increased spending by cutting its aid budget, Prime Minister Keir Starmer said on Tuesday. 000
Tom Bollyky @tombollyky.bsky.social · 20/02/2025“I can’t buy medications with a waiver” Important reporting from @stephanienolen.bsky.social on why vital USAID #globalhealth programs remained stalled www.nytimes.com/2025/02/20/h...nytimes.comEmergency Food, TB Tests and H.I.V. Drugs: Vital Health Aid Remains Frozen Despite Court RulingThe Trump administration appears to be flouting a judge’s order pausing the dismantling of U.S.A.I.D. 031
Reposted by Tom BollykyCatherine Rampell @crampell.bsky.social · 16/02/2025On Friday night, HHS ordered CDC to take down all flu vaccine campaign materials from its website. Materials are starting to come down. For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now Meanwhile... 44077764000
Reposted by Tom BollykyHelen Branswell 🇨🇦 @helenbranswell.bsky.social · 14/02/2025Doing the unthinkable: The deep cuts to the #CDC's workforce today are expected to decimate the Epidemic Intelligence Service, a program that has trained public health rapid responders for decades. Envy of the world. Poof! www.statnews.com/2025/02/14/t...statnews.comCDC cuts expected to devastate Epidemic Intelligence Service, a ‘crown jewel’ of public healthMembers of the CDC's Epidemic Intelligence Service were warned Friday that many of them were about to be fired 512107354473
Tom Bollyky @tombollyky.bsky.social · 14/02/2025TRO granted against USAID stop work order The Trump Administration has “not offered any explanation for why a blanket suspension of all congressionally appropriated foreign aid...was a rational precursor to reviewing programs” t.co/br49nElzIet.cohttps://www.courtlistener.com/docket/69628254/21/global-health-council-v-donald-j-trump/ 001
Tom Bollyky @tombollyky.bsky.social · 10/02/2025A waiver for lifesaving humanitarian assistance doesn't mean much unless you have the staff to implement it @prof-yadav.bsky.social explains in detail why Sec Rubio's waiver hasn't enabled #globalhealth projects to escape overall suspension of USAID's work www.thinkglobalhealth.org/article/usai...thinkglobalhealth.orgThe USAID "Lifesaving" Waiver Is a Mirage Without Sufficient Staffing | Think Global HealthThe State Department's humanitarian waiver is essential but falls woefully short of ensuring patients receive medicines 021
Reposted by Tom BollykyNsikan Akpan @monscience.bsky.social · 10/02/2025Deep dive on the #USAID waiver: CFR Global Health Fellow @prof-yadav.bsky.social explains why the State Department's waiver is "severely misaligned" for decision-making around supply chains and delivering foreign aid.thinkglobalhealth.orgThe USAID "Lifesaving" Waiver Is a Mirage Without Optimal Staffing | Think Global HealthThe State Department's humanitarian waiver is essential but falls woefully short of ensuring patients receive medicines 0103
Reposted by Tom BollykyJen Kates @jenkatesdc.bsky.social · 07/02/2025NEW: With the Trump administration attempting to dissolve #USAID, our analysis shows that the agency obligated/implemented most (73%) bilateral global health $$ in FY23, including 60% of PEPFAR, & 100% of maternal and child health and TB programs. www.kff.org/policy-watch...kff.orgHow Much Global Health Funding Goes Through USAID? | KFFThis analysis highlights USAID's role in global health and shows that the agency provided the vast majority of the nation's global health assistance for other countries in 2023 (about $6.2 billion or ... 1126
Tom Bollyky @tombollyky.bsky.social · 07/02/2025DOJ attorney representing Trump admin also confirmed there is finalized list of 611 USAID employees to remain on job among programs that hadn't received waivers: $450 million in US food aid to feed 36 M people & water supplies for 1.6M people displaced by war in Darfur bsky.app/profile/kyle... 000
Reposted by Tom BollykyAtul Gawande @agawande.bsky.social · 06/02/2025Rubio claims that @USAID lifesaving assistance for health and humanitarian needs will continue. But his team just communicated that the entire agency will be imminently reduced from 14,000 to 294 people. Just 12 in Africa. 13727691408
Reposted by Tom BollykyDan Diamond @ddiamond.bsky.social · 06/02/2025NEW: Health agencies are being told to rank thousands of workers as fears of layoffs grow CDC managers must identify 40% of staff on probationary periods who aren’t “mission-critical” — by today Similar efforts underway across HHS Cuts expected With @lenasun.bsky.social @emilydavies.bsky.socialwashingtonpost.comHealth agencies told to rank some workers as fear of layoffs growsLeaders have been told urgently to rank thousands of their employees who are in probationary periods, with as many as 40 percent to be deemed not mission-critical. 69594344
Tom Bollyky @tombollyky.bsky.social · 06/02/2025US Secretary of State Rubio will not attend G20 summit in Johannesburg 001
Tom Bollyky @tombollyky.bsky.social · 06/02/2025Argentina to withdraw from the World Health Organization, citing “profound differences” & President Milei following US lead www.statnews.com/2025/02/05/a...statnews.comArgentina says it will withdraw from the World Health Organization, echoing TrumpPresident Javier Milei has ordered Argentina's withdrawal from the WHO due to profound differences with the U.N. agency, a presidential spokesperson said Wednesday. 011
Tom Bollyky @tombollyky.bsky.social · 05/02/2025Senior USAID officials were given less than an hour to provide a list of the “leanest essential personnel numbers” they would need “in order to provide essential services only" www.nytimes.com/2025/02/04/u...nytimes.comTrump Officials to Put Almost All U.S.A.I.D. Workers on LeaveMost employees overseas have been told to return to the U.S. Democrats have denounced recent moves to shrink the agency as an illegal power grab. 000
Reposted by Tom BollykyAtul Gawande @agawande.bsky.social · 03/02/2025This is not just a "pause." It is an unlawful destruction now. Foreign aid is a cornerstone of national security with diplomacy and defense. USAID's work reaches 100s of millions worldwide and America will be harmed. Here are some of the lives at stake. 432906954
Reposted by Tom BollykyNPR @npr.org · 31/01/2025BREAKING NEWS: Research and basic information on subjects ranging from tuberculosis surveillance to adolescent health disappeared from federal health agency websites.npr.orgTrump administration purges websites across federal health agenciesResearch and basic information on subjects ranging from tuberculosis surveillance to adolescent health disappeared from federal health agency websites. 25947772530
Reposted by Tom BollykySaskia Popescu @saskiapopescu.bsky.social · 24/01/2025A brilliant article from @amymaxmen.bsky.social on the impact of our exit from the WHO. “This not only makes Americans less safe, it makes the citizens of other nations less safe," said Tom Bollyky, director of CFR global health. The U.S. cannot wall itself off from transnational health threats,"cbsnews.comWhat a U.S. exit from the WHO means for global healthBy withdrawing from the World Health Organization and overhauling aid, Trump's new executive orders endanger Americans and the globe, researchers warn. The move also cedes U.S. power to other nations. 13216
Tom Bollyky @tombollyky.bsky.social · 28/01/2025The White House puts roughly 60 senior USAID officials on administrative level for actions "that appear to be designed to circumvent” recent executive orders. #Globalhealth bureau cited particularly www.nytimes.com/2025/01/27/u...nytimes.comTrump Administration Puts Dozens of U.S.A.I.D. Officials on Paid LeaveAn email to the aid agency’s employees cited actions “that appear to be designed to circumvent” an executive order by President Trump. 001
Reposted by Tom BollykyThiru Balasubramaniam @thirugeneva.bsky.social · 28/01/2025nytimes.comTrump Administration Halts H.I.V. Drug Distribution in Poor Countries (Gift Article)PEPFAR’s computer systems also are being taken offline, a sign that the program may not return, as Republican critics had hoped. 334
Reposted by Tom BollykyPhil Lewis @phillewis.bsky.social · 27/01/2025ATLANTA (AP) — US public health officials have been told to stop working with the World Health Organization, effective immediately. 1561824717
Reposted by Tom BollykyProf Gavin Yamey MD MPH @gavinyamey.bsky.social · 24/01/2025The stop-work order could be really devastating for people living with HIV in countries supported by PEPFAR, and it could fuel antiretroviral drug resistance. www.devex.com/news/exclusi... 65527