The election of Donald J. Trump, with his mistrust of international institutions and his history of proposing deep cuts to foreign aid, has complicated a perilous landscape for global health organizations.
The reality that these organizations are unlikely to get anywhere near the amount of money they are seeking is driving debate about whether and how the current global health system should be restructured.
Global health priorities are now competing with climate change and wars for funding, and aid budgets have already been cut in major donor countries, including Britain, Germany and Japan.
Organizations that support the cornerstone health programs to vaccinate children, treat people with H.I.V. and stop the next pandemic through disease surveillance are seeking billions of dollars from high-income countries.
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