March 10, 2025No Comments

The Future of Multilateralism: A New Era Under Trump’s America?

By Clémence Van Damme & Pedro Mendes - The US Desk

Introduction 

    According to John Ruggie, multilateralism refers to coordinating relations between three or more states by certain principles. He argues that NATO was predicated on two multilateralist principles, the indivisibility of threats to the collective (response irrespective of the attacker) and “diffuse reciprocity” (members expecting a rough equivalence of benefits over time). The same NATO now doubts the American commitment to respond. 

    These shared principles appear to be changing with the Trump administration. The signing of an executive order on February 4th, to review all current multilateral organisations, and determine whether American support should be withdrawn, marks the “America First” rhetoric, which saw a withdrawal of the Paris Climate Agreement, the World Health Organization, concurrently with USAid’s large cut in funding. Ultimately, are we witnessing a shift in foreign policy or a schism in American multilateralism? 

    The Erosion of Multilateralism Under Trump 

    The signing of this executive order, originated from an alleged drift from the agency's original mission, contrary to the interests of the US and its allies. In light of the broader political context, this change in stance gives rise to an increased criticism of multilateral agreements. 

    Trump’s criticism of multilateralism concerns three aspects; international organisations infringing on American sovereignty (regardless of its voluntary involvement and consistent with the Constitution), the restriction of the US’s freedom of action (in contrast with the predictability and trade-offs of the collective effort), and the cost of this multilateral involvement, which is the subject of much debate. 

    Policy-wise, the once-held belief of Ukraine’s Victory being vital, is being shattered by sharp criticism of Ukrainian leadership, the demands for a swift end to hostilities, and a semblance of peace. The possibility of a narrative that grants Russia a chance to turn the context into a political victory, undermines the “Western” model and denotes its failures. However, the latest diplomatic developments with Ukrainian leadership might even prompt Russia to escalate the conflict and risk paving the way for revisionist adversaries to challenge American primacy with renewed vigour. 

    What this means to the LIO (liberal international order) is a constant challenge to some of its core characteristics, namely, free trade and open markets being contested by tariffs, a US-led “Western” perspective permeating institutions, and organisations, being opposed by an aggressive pursuit of “vital interests”, and the political exceptionalism of the US, “the city atop a hill”, contrasting with a more unilateralist, nationalist, realist pursuit of political goals, albeit, far from isolationist. 

    Case Study: US Withdrawal from the World Health Organisation

    On January 20, 2025, the White House issued an executive order announcing the US withdrawal from the World Health Organisation (WHO). Donald Trump announced his intent to leave in July 2020 based on several concerns: the WHO’s handling of the COVID-19 pandemic, its failure to implement crucial reforms, and its lack of independence from political influence. He also cited what he called « unfairly onerous and out of proportion » financial demands.

    As the largest financial contributor, providing 34% of the WHO’s $6.8 billion budget for 2024-2025, the US’s departure threatens critical operations, including the WHO’s health emergencies program. US funding accounts for up to 40% of its operations, forming a critical « backbone » for emergency health responses in conflict zones. Additionally, specialised initiatives such as polio eradication and tuberculosis treatment face uncertain future.

    Moreover, Washington’s move will undermine US diplomatic influence. It will limit its ability to engage with nations, especially those with strained political relations, through health initiatives, ultimately risking to harm long-term security, economic interests, and geopolitical stability. This power vacuum paves the way for nations to expand their influence in global health governance. By shaping international norms in its favour and leveraging health diplomacy, countries like  China can strengthen bilateral partnerships.

    In addition, Trump’s withdrawal has strained transatlantic relations, as European nations, like Germany, view this decision as a retreat from multilateral cooperation, prompting European leaders to reconsider US leadership in global health. Furthermore, this decision sets a precedent for other right-wing governments, such as those in Argentina and Italy, which have also cited their intent to leave.

    Source: Image by Gerd Altmann from Pixabay (URL:https://pixabay.com/photos/trump-president-usa-america-flag-2546104/ )

    The implications of Trump’s exit exacerbate the broader decline of multilateral cooperation, reinforcing a pattern of disengagement from international agreements such as the Paris Climate Accord and the UN human rights body. This has been viewed by several observers as indicative of the US’s shift toward unilateral policies, reducing its participation in global health efforts, and further isolating it on the international stage.

    Washington has however pursued alternative bilateral agreements, such as its recent health cooperation initiative with India. This signals an effort to maintain strategic influence in global health while shifting away from multilateral frameworks.

    Conclusion: What Comes Next? 

    The change in American foreign policy within the Trump administration poses a great challenge to the multilateral order established after WWII. The US withdrawal from multilateral organisations represents a profound shift towards focused bilateral relations and transactional diplomacy, where national interests are given precedence over the principles set for cooperation. Such drastic changes, however, have deep repercussions, ranging from the global impact on health security to diplomatic soft power, and international relations as a whole. 

    All these considerations beg the question of how likely a return to multilateralism in future administrations is, and why would that approach be justified, given the damage caused by withdrawing from treaties and organisations. Trust in US commitment to these frameworks has been eroded, and other challengers have taken America’s leading role in the international arena. Such policies may change, but the amount of time China and other countries have had to set normative behaviour and relationships to fill the gap left by America’s absence makes the need to reconsider how the objectives of multilateral policies have shifted.  

    This draws attention to one of the most important problems which is: Can effective global governance exist without consistent American leadership, or are we witnessing the emergence of a new multipolar system with competing spheres of influence?

    October 14, 2024No Comments

    Mpox Crisis in the DRC: Healthcare Challenges Admist Conflict 

    By Michela Mansoldo - Human Rights Team

    Introduction

    On August 14, 2024, the World Health Organization (WHO) declared the Mpox crisis a public health emergency of international concern. This declaration comes as the outbreak spreads broadly across the overall Western and Central African region, with two-thirds of the cases recorded in the Democratic Republic of Congo (DRC). This situation exacerbates the already existing challenges within the country’s internal political system and deteriorates the ongoing human rights crisis. The Congolese population faces enormous aggravations due to ongoing armed conflict, high food insecurity, and continuous human rights abuses, particularly in the mining sector. This article will examine how the Mpox outbreak in the DRC highlights broader social challenges in the country, including the impact of the mining industry on the already burdened healthcare system.

    What is Mpox?

    Mpox is an infectious disease that spreads through close and/or sexual contact, and it poses a significant risk to individuals with weakened immune systems, especially pregnant women and children, whose contractions can be fatal. While the initial outbreak was identified in 2022, Mpox has been reported in the DRC for over a decade. The situation worsened in 2024 with the emergence of a new strain, resulting in over 26,000 cases and 833 deaths to date.

    In response to the outbreak, vaccination campaigns commenced in September 2024, but the rollout faced delays, making it challenging to keep up with the rapidly increasing case numbers. This situation raises critical questions on equitable access to healthcare in the country, where over 7 million people are internally displaced and around 25 million face food insecurity. Among the most vulnerable populations are children, especially those who are undernourished and live in refugee camps, where sanitation and access to clean water are limited.

    According to the Global Director of Health and Nutrition at Save the Children, the DRC records some of the highest levels of child insecurity globally and in 2023, violence, displacement, and killings reached alarming peaks, as reported by UNICEF. Furthermore, issues such as lack of sanitation, sexual abuse and child labour, significantly affect the contraction rate of Mpox amongst another vulnerable group in the DRC: miners.

    Cobalt Mines and Human Rights Issues

    Owning approximately 70% of the world's cobalt resources, eastern DRC has become a hotspot for conflict and exploitation. The mining industry has caused significant human rights violations in the country, triggering numerous interventions and peacekeeping efforts. The exploitation of Congolese labour dates back to the Belgian colonial period, and both internal and international actors have profited from it ever since.

    The demand for cobalt has intensified with advancements in technology and the production of batteries, yet this surge has not been accompanied by a secure and sustainable approach to extraction. In fact, cobalt is highly toxic to inhale and leads to a number of healthcare complications for artisanal workers. Although mining may appear to be one of the better-paid jobs for locals, it comes with significant social and medical obstacles.

    In mining areas, the risk of injuries is high due to the constant collapse of pits, often burying workers alive, including children. Reports indicate that tens of thousands of children are involved in the cobalt industry, which often leads them to abandon their education. Moreover, their prolonged exposure to toxic substances can severely damage internal organs, further aggravating immune responses to infections, which are very common in mining communities. Besides the rare access to sanitation facilities in mines, another issue is related to sexual abuses, which often results in the contraction of sexually transmitted and debilitating diseases. 

    This situation underscores the vulnerability of individuals with already compromised health, further exacerbating the spread of mpox in Eastern DRC, where most mines are located.

    Challenges for Healthcare

    Despite ongoing efforts to deliver vaccines, the WHO remains optimistic about eradicating Mpox. However, the situation in mining areas poses significant challenges to this vision. Key obstacles include the remote locations of some communities and a lack of awareness about Mpox among local populations. Many individuals lack basic knowledge about the diseases they may contract and the preventive measures necessary to limit their spread. In fact, with the fourth-largest population in Africa and a substantial number of displaced people, the DRC faces an even more complex health burden. Many diseases affect the population - including malaria, HIV, and tuberculosis - and only a portion of these are transmittable. Apart from Mpox, vaccination efforts against other infectious diseases remain insufficient, with geographical coverage remaining low. According to the WHO, the lack of childhood immunisation in the DRC has reached alarming levels, with nearly 2 million children classified as zero-dose or under-immunised.

    In times of emergencies, it is important to not only highlight the challenges in ensuring timely responses but also to examine the underlying causes of these issues. In the DRC, limited access to healthcare is influenced not only by geographical barriers or population density but also by the ongoing conflict. Insecurity, high population mobility, and resource exploitation are contributing factors to the spread of Mpox in the country, and they point to gaps in both governmental efforts and regional cooperation.

    Source: Russell Watkins/Department for International Development'. (https://shorturl.at/C142R)

    Root Causes and Systemic Failures

    The underlying causes of conflict in the DRC contribute to various challenges affecting healthcare stability. For instance, displacement, food insecurity, and economic uncertainty can lead to behaviors such as transactional sex, which may increase the spread of diseases. Additionally, difficulties in establishing accountability among political actors can hinder efforts to strengthen community resilience. The country's high level of militarization has also contributed to local distrust of both internal and external actors, which may extend to healthcare and humanitarian personnel.

    Effectively addressing the Mpox crisis requires a multifaceted approach. Beyond implementing measures to control the spread of the disease, integrating conflict resolution strategies into healthcare efforts is essential. To restore a system facing significant challenges and improve human rights protections in the DRC, a comprehensive reevaluation of societal issues is needed.

    Although finding definitive solutions is highly complicated, there is a large space for improvement. For instance, involving the local population in the management and participation of health programs is essential. As proposed by Bashwira, Mihigo and Duclos from the Social Science in Humanitarian Action Platform (SSHAP), initiatives such as mapping conflicts and assessing organisational patterns could prove beneficial for larger-scale responsiveness.

    Conclusions

    Access to healthcare is a fundamental human right, and global accountability plays an important role in advocating for those with limited means to voice their needs. Promoting equitable healthcare access, while also addressing the socioeconomic factors that contribute to health disparities, is essential. Implementing community-led programs can help create sustainable solutions to the challenges faced by vulnerable populations. Collaborative efforts between local actors and international NGOs can support the delivery of essential services and resources.

    In conclusion, the Mpox emergency is not solely a medical issue but is closely connected to broader societal challenges. Addressing it from a wider perspective can provide not only immediate health interventions but also contribute to reducing the underlying factors that increase population vulnerability. Through comprehensive efforts, there is potential to improve health outcomes for the Congolese people and uphold their fundamental rights.