In the comments section of his New York Times column titled “ Musk Said No One Has Died Since Aid Was Cut. That Isn’t True,” Nick Kristof wrote: “I think that President Trump and Elon Musk thought the U.S. Agency for International Development (USAID) would be an easy target and could be a practice run for raiding something harder, like Medicaid. In reporting this story, I tried to put human faces on the aid cuts and appeal to readers' consciences, but I wonder whether it's more effective to appeal to the public's sense of self interest? Which arguments do you think are most effective in reaching people and changing minds?”
As a citizen advocate who has spent more than 40 years working to improve USAID, waves of grief keep coming over me due to the reckless and shameful dismemberment of the agency. Attempts by Musk and Trump to shut down USAID amount to vandalizing America’s soul.
Here's why I say that demolishing USAID is like vandalizing America’s soul, why it is wrong to decimate an agency that Elon Musk calls “evil” and “a criminal organization” that “needs to die” and that President Trump said is run by “lunatic radicals”. Listen to the late-U.S. Senator Mark Hatfield (R-OR) who, in 1982, spoke to our deepest aspirations as individuals and as a nation. In an Oregonian op-ed Hatfield wrote, “We stand by as children starve by the millions because we lack the will to eliminate hunger. Yet, we have found the will to develop missiles capable of flying over the polar cap and landing within a few hundred feet of their target. This is not innovation; it is a profound distortion of humanity’s purpose on earth.”
USAID is not a perfect organization, but it is one key tool the U.S. has for correcting that distortion of humanity’s purpose on earth.
Here’s an example of USAID’s importance. In the mid-1980s, globally, 3.5 million children were dying each year from six vaccine-preventable diseases (listen up RFK Jr.!): diphtheria, whooping cough, tetanus, measles, polio, and tuberculosis. At the time, a dose of vaccine to prevent the greatest killer, measles, cost a mere six cents. By 2017, globally, an estimated 700,000 children died each year from these vaccine-preventable diseases—a reduction in child deaths of 80 percent.
USAID matters not only for what it does but for how it impacts other donor countries. In a New York Times interview in 2013, former UNICEF Deputy Executive Director Kul Chandra Gautam said that it was the U.S. leadership on child survival “….that led many other countries to come on board.” Will our abandonment of the world’s poorest children and their families lead other nations to follow our lead and result in an alarming rise in global child deaths?
Hearing about millions of lives saved can make our eyes glaze over and miss the impact on individuals. UNICEF’s State of the World’s Children 1986 Report concluded with the words of Maria Auxilia Paja, a mother from a rural area in South America. A trained health worker arrived in her village but only after two of Paja’s children had already died, one from a respiratory infection and the other from measles. Paja said:
“For the baby boy, I tried to get help, but as I was carrying him for help, he just died in my arms. My daughter was older. I had got used to playing with her, being with her. It’s difficult. . . . It’s sad to remember those times with my children. She was alright when she went to bed. By midnight she was sick. She died just as day broke. I am not alone. It’s happened to a lot of women.”
“Maria Auxilia Paja is indeed not alone,” the report concluded. “In the last 12 months, approximately 15 million mothers like her have been forced to watch their children die.”
Because of the work of USAID and others, 10 million of those 15 million child deaths are now prevented each year, a two-thirds reduction in global child deaths. But with five million children still dying each year from mostly preventable causes, now is not the time to retreat from the parts of the aid budget that work.
We should locate wasteful spending in all areas of government but you don’t do that by firing USAID’s Inspector General and putting Elon Musk’s army of 20-somethings in charge. The Congress should do its job; protect effective aid and remove any abuse. When the Senate approved a continuing resolution in early March to extend federal funding for the remainder of the fiscal year, they voted down, by a vote of 73-27, an amendment introduced by Sen. Rand Paul that would cut foreign assistance funding by $16 billion. Twenty-seven Republicans voted against Sen. Paul’s amendment to cut foreign aid. Maybe some in Congress are finding their conscience (and some backbone).
Andrew Natsios, a lifelong Republican who ran USAID under President George W. Bush, said that what Musk and Rubio are doing “is criminal”. I agree with Natsios and I think Hatfield would too. I look at what Musk, Trump and Rubio are doing and see a profound distortion of humanity’s purpose on earth.
Sam Daley-Harris is the author of “ Reclaiming Our Democracy: Every Citizen’s Guide to Transformational Advocacy ” (Rivertowns Books, 2025 paperback) and the founder of RESULTS and Civic Courage.
U.S. President Donald Trump speaks during a campaign rally at Pinnacle Bank Expo Center on the Nebraska State Fairgrounds on October 05, 2026 in Grand Island, Nebraska.
The President Invited Iran to Bomb My Home
I was driving home to San Diego from Los Angeles on Monday night when I heard that the President of the United States had offered both cities up to Iran as bomb targets. At a rally in Nebraska, defending his war, Trump told the crowd, “let [Iran] take out Los Angeles, let ‘em take out San Diego.” It was, he said, “a very small price to pay.”
I was coming from a Bernie Sanders rally for Proposition 40, the one-time tax on California billionaires that would send 90% of its revenue to healthcare. We desperately need it to pass because, in order to give tax breaks to billionaires, Trump signed a law that will strip health coverage from 10 million Americans; this tax will make sure we can still cover Californians. Call me crazy, but I think taxing billionaires one time so we can make sure kids in California get to see a doctor is a very small price to pay. I also think that even if Trump were joking, it is indefensible to make jokes about the potential destruction of so many lives. Human life is never a small price to pay. Human life is priceless.
Plus, the reality is: here in San Diego, we’re already paying the price for Trump’s actions, and it’s not small at all. He has gutted FEMA, tried to kill climate resiliency programs, and destroyed public health standards, while his signature law is set to cut off health insurance and food support for hundreds of thousands of San Diegans. Like plenty of American cities, San Diego is already busy finding local solutions to respond to the problems this president has recklessly created.
Not to mention, at least 19 American service members have been killed in this war already. Human rights monitors have documented more than 3,600 dead in Iran by April alone. Here at home, gas is sitting just pennies below its all-time record. Taxpayers have already spent more than $45 billion on the war, while Trump’s oil and gas portfolio has grown by roughly $15.5 million this year alone. Of course anything is a “small price” to someone paying free.99 for this war, and profiting from it. Meanwhile, We the People are paying twice: first for the war, and then for the consequences of that war. But now he wants San Diego to pay a third time, flippantly offering us up to Iran.
It is worth noticing which cities he thought to name. Were San Diego and Los Angeles strategically chosen to signify something to his audience, or were they simply the first cities that came to mind as expendable places? Either way, the effect is to normalize—-and to gauge a crowd’s reaction to–the idea of massive violence in major California cities, suitable targets because of their perceived liberal lean. So what if Iran needs to bomb a little bit of America before the war can be over? Who cares, says Trump, if they target Los Angeles and San Diego?
By the way, why didn’t he offer up San Francisco, the free-love hippie-town MAGA loves to hate (and also my birthplace)? Could it be because that’s where the tech titans live? The same ones who joined Trump for Xi Jinping’s state dinner, a guest list worth a combined $2.4 trillion?
San Diego may have fewer billionaires, but it is home to more than 115,000 active-duty service members and 230,000 veterans. One in six active-duty sailors–in the entire Navy–is stationed here. So is one in four Marines. You cannot throw a rock in this county without hitting a military family: brats and spouses and veterans are among us. I got out of the Navy last year after ten years, and eight of those were here in San Diego. When Trump says “let ‘em take out San Diego,” he’s talking about the backbone of the United States military. He’s also talking about the people fighting his war.
San Diego has not been watching this war from the sidelines. Today, the USS Abraham Lincoln returns to North Island after an almost yearlong deployment to the Middle East that featured food shortages, broken toilets, and mold in the showers after 286 days at sea without a single port call. Eight sailors in the Lincoln’s strike group attempted suicide, but in August, when a reporter asked whether the deployment had gone on too long, Trump said “not nearly long enough.” Now he has told a crowd in Nebraska that we should let Iran take out the city those sailors call home. These are sociopathic sentiments.
Last week at Quantico, Pete Hegseth closed his address to the force by telling them, “President Trump has your back and so do I.” To the contrary, President Trump has put one of the biggest military towns in the country forward as a target for our adversaries. With friends like these, the “domestic” in “against all enemies, foreign and domestic” starts to sound a lot less hypothetical.
San Diego is home to Naval Air Station North Island, Naval Base San Diego, Naval Amphibious Base Coronado, the Point Loma submarine base, Camp Pendleton, and Miramar (and I have been permanently stationed at or trained at all of them). If Iran bombed San Diego and Los Angeles, aside from the devastating loss of life, it would cripple an immense share of our national security readiness.
And for what, exactly? Trump says the war is “essentially almost over with.” This is the same man who claimed in June 2025 that Iran’s nuclear program had been “obliterated,” then launched a war over it anyway on February 28. More than seven months later, he wants us to believe two things at once: that we’ve basically won, and that we might need to sacrifice an American city or two to finish winning. If the war is almost over, why does anybody need to take out San Diego?
I wonder if Trump’s endorsed candidate for California’s 48th District here in San Diego County will respond to these remarks. He recently said “no pain, no gain,” when referring to the gas prices San Diegans are paying. Jim Desmond, would you apply that same mindset if we were bombed? Or do you have the moral courage to stand up for the people you’re running to represent?
Last November, six Democratic members of Congress, all veterans, including Senator Mark Kelly, recorded a video reminding troops of their duty to disobey unlawful orders, restating the law that says so. Trump called it “SEDITIOUS BEHAVIOR, punishable by DEATH,” and then his Justice Department went looking for an indictment, which a grand jury refused. The president treated reading the law out loud to the troops as a capital offense, but then he himself invited a foreign enemy to destroy two American cities, possibly as a punchline. Is anyone calling the latter sedition? Who is demanding accountability?
Calling our lives a small price to pay affirms a moral bankruptcy, as well as an obvious dereliction of duty to the office he holds. While we can’t impeach him or invoke the 25th Amendment ourselves, we must stop being so quiet about what we’re paying already. We can make our voices heard by calling our representatives, writing op-eds, knocking doors, phone banking, and voting in defiance of the man who threatens the safety of our city. Ballots are already arriving in mailboxes. Vote, and vote yes on 40 (and no on 41 and 42).
Trump has been harming our cities for a while, but now he is inviting our military adversaries to join him in the harm. If we have any self-respect as Americans, we must not tolerate our leaders disregarding the dignity of lives in this way. We must fight for our home.
Julie Roland was a Naval Officer for ten years, deploying to both the South China Sea and the Persian Gulf as a helicopter pilot before separating in June 2025 as a Lieutenant Commander. She has a law degree from the University of San Diego, a Master of Laws from Columbia University, and is a member of the Truman National Security Project.