We don’t have to figure out a solution to anything in other sovereign nations. Nor, can or should we really impose any functional, non-corrupt government on people who are unable or unwilling to do it themselves, unless you’re willing to go back to full-blown colonialism. The people in the country need to figure it out themselves and decide they want to have a functional government and make it happen. We can’t do it for them.

You’re conflating national building with mitigation of disease. I agree: medical aid is not a substitute for local medical infrastructure and can threaten its development. But aid is not guaranteed to do that. Also, disease is intrinsically bad.