We’ve been providing foreign aid for, what, like 70-80 years now? Have the dysfunctional governments fixed themselves yet? How long should it take? 100 years? 500 years?

Maybe providing aid is just propping up dysfunctional governments by doing their job for them and it would be better in the long run if they were allowed to collapse and be replaced with something that was forced to be functional.

It’s globally useful to eradicate/reduce disease in a region irrespective of whether or not the region’s government becomes stable. Viruses and bacteria mutate and do not care about borders.

I have no fantasies that aid will magically make countries stable.

If it is globally useful then the burden should be spread equally among all the countries on the globe. If the US is providing this service, other countries should compensate us for it.

Again, the US is not an outlier on foreign aid, especially now.