Lawfare Archive: Why Public Health is Critical to National Security
The Lawfare Podcast
The Lawfare Institute
4.7 • 6.4K Ratings
🗓️ 24 May 2026
⏱️ 57 minutes
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Summary
From April 2, 2025: Atul Gawande is a surgeon and a public health expert. He's also the former head of global health at the U.S. Agency for International Development (USAID), an agency that the Trump administration has prioritized for dismantling since its first day in office. On today's episode, Executive Editor Natalie Orpett sat down with Gawande to discuss what USAID does, the consequences of destroying it, and why public health is so important to U.S. national security.
Editor's Note: This episode was recorded on March 27, 2025. The following day, the Trump administration announced that USAID would be dissolved by the end of this fiscal year.
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Transcript
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| 0:00.0 | I'm Marissa Wong in Turnitla |
| 0:12.0 | with an episode from the Lawfare for May 24th, 2006. |
| 0:17.0 | On May 19th, the death toll from an Ebola outbreak in Central Africa rose sharply, |
| 0:23.3 | causing the World Health Organization to express concern over the, quote, scale and speed, unquote, |
| 0:29.0 | of the epidemic. Until last year, the U.S. Agency for International Development, or U.S. aid, |
| 0:35.4 | was part of the global system for dealing with and stopping the spread |
| 0:38.5 | of Ebola. Now, dozens of former federal employees are saying that the U.S. response to the outbreak |
| 0:43.9 | has been slow and disjointed. For today's archive, I chose an episode from April 2, 2025, |
| 0:51.6 | in which Natalie Orpitt sat down with former head of global health at USAID, Atul Gawande, |
| 0:56.7 | to discuss what USAID did to protect public health domestically and globally, |
| 1:01.7 | and the potentially devastating effects of the Trump administration's plan to dismantle |
| 1:06.2 | the organization. It's the Lawfare podcast. I'm Natalie Orpat, Executive Editor of Lawfare, with |
| 1:22.1 | A Tool Gawande, a surgeon and public health expert who previously served as assistant administrator for global health |
| 1:28.7 | at the United States Agency for International Development. |
| 1:32.1 | There are multiple layers from the most distant, compassionate effects that I think are really in our national security interest |
| 1:42.4 | and have demonstrated value to the most immediate |
| 1:46.1 | ways in which you're stopping diseases, you're stopping spread of conflict. |
| 1:52.3 | Today we're talking about the dismantling of USAID, the cuts to public health funding both |
| 1:57.3 | domestically and globally, and what it all has to do with national security. |
| 2:02.7 | Okay, so Atul, I've invited you on to talk about what I think is probably a somewhat |
| 2:07.6 | unexpectedly broad topic, which is how in the first only couple of weeks of the Trump |
| 2:14.6 | administration, the policy changes, the actions that are taking |
... |
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