Most U.S. Aid to India Funded U.S. Health Programs

Washington: The United States has provided $720 million in assistance to India over the past four years, with a strong focus on health and democratic participation, according to an analysis of US government data. Under the Biden administration, 64% of the aid—$462 million—was allocated to healthcare programs, including efforts to combat HIV/AIDS, largely managed by the now-defunct USAID.

India ranked among the top five recipients of US aid in South and Central Asia, receiving significantly more than China’s $49.7 million but trailing behind Bangladesh’s $1.89 billion and Pakistan’s $970 million. However, in 2022, India received $20 million more than Pakistan, totaling $250 million in aid, primarily directed toward post-COVID recovery efforts.

In addition to healthcare, $20.1 million was designated for democratic participation and civil society initiatives in India, including voter turnout efforts. In the 2024 election year alone, $5.5 million was allocated for such programs, with $6.1 million spent in 2023. While the total commitment over four years reached $20.1 million, the final beneficiaries remain unspecified.

The role of USAID in India has sparked political debate, with some officials questioning its influence on social policies and election-related initiatives. Economic advisor Sanjeev Sanyal pointed to USAID’s past involvement in India’s National Family Health Survey, which was discontinued two years ago. Meanwhile, business magnate Elon Musk has been vocal about reducing federal spending and has criticized USAID’s operations.

Former US President Donald Trump also questioned the aid allocation, stating, “Why are we giving $21 million to India? They have a lot more money. They are one of the highest taxing countries in the world in terms of us; we can hardly get in there because their tariffs are so high.”

Despite the debate, US assistance continues to play a role in India’s healthcare advancements and civic engagement efforts, reflecting the broader strategic partnership between the two nations.