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Zimbabwe rejected a lopsided health deal that demanded sensitive biological data and strategic resources in exchange for aid, without guarantees of access to resulting medical innovations. The arrangement was asymmetrical, requiring extended data sharing while the U.S. offered no reciprocal epidemiological data or equal partnership. Conditioning financial assistance on concessions affecting national security and data sovereignty turns cooperation into unequal exchange that no sovereign nation should accept.
The proposed agreement would have delivered extraordinary benefits to 1.2 million Zimbabweans receiving HIV treatment through U.S.-supported programs and represented the largest potential health investment by any international funder. The co-funding model prioritized sustainability and shared ownership while building on over $1.9 billion in U.S. health support since 2006 that directly enabled Zimbabwe to reach critical UNAIDS goals. Rejecting the agreement is regrettable and impacts vulnerable populations.