The Dictatorship
Somalia’s crumbling hospitals show the toll of aid cuts and war
MOGADISHU, Somalia (AP) — To save the life of his badly malnourished 3-year-old son, farmer Yusuf Bulle had to travel from a remote area of southern Somalia to the capital, Mogadishu, where a rare health unit presented the only hope.
After 15 days at Banadir Hospital, the child was deemed out of danger.
“Where I come from, there is no hospital,” Bulle said. “That’s why I am here.”
One of the world’s poorest countries faces a crisis of health care exacerbated by the Trump administration’s dismantling of the U.S. Agency for International Development this year. The loss of USAID funding has disheartened many Somalis who believe they can’t depend on their own government, which focuses mostly on defeating the al-Qaida-linked al-Shabab.
Somalia’s deputy health minister, Mohamed Hassan Bulaale, told The Associated Press that the U.S. cuts led to over 6,000 health workers losing their jobs while up to 2,000 health facilities were affected — a massive hit in a country that the Center for Global Development this year said was among the world’s most likely to suffer as donors draw back.
Bomb and gun attacks by the militants — including against health centers — have reduced in frequency and intensity in recent months, leading some to see success in President Hassan Sheikh Mohamud’s “total war” against al-Shabab.
But hospital administrators, civic leaders and others say the latest push to defeat al-Shabab has come at the expense of health care and other public services.
Relying on outside money
Somalia’s Ministry of Health was allocated $91 million of a national budget exceeding $1 billion this year, with those funds tied mostly to projects backed by outside groups. That’s a significant improvement from last year’s $52 million, but almost all of that increase came from donors, said Mahad Wasuge, who runs the Somali Public Agenda think tank.
And as the United States has shown, donor money comes and goes.
Even with major setbacks in overall foreign support this year, including from other key benefactors such as Britain, “security remains the first priority” for Somali authorities, Wasuge told the AP.
Many areas outside Mogadishu don’t have functioning public hospitals, he said, with people forced to trek through often insecure areas to receive care at the ones still functional.
Such facilities in the capital include Banadir Hospital, built with Chinese support in 1977, and De Martino Hospital, established in 1922 by Italian colonialists.
During an AP visit, officials at those hospitals said much of their work would stop without assistance from the United Nations and international groups.
Even at Banadir, Mogadishu’s main public referral hospital, expectations of the Somali government aren’t high. The unit looking after malnourished children depends entirely on donor funds channeled through the humanitarian group Concern Worldwide, said supervisor Dr. Mohamed Haashi.
After 37 people employed in the unit lost their jobs with this year’s U.S. aid cuts, Concern Worldwide still pays the salaries of 13 others in addition to milk and food for mothers and babies, Haashi said.
‘Donors are fatigued’
At De Martino Hospital, director Dr. Abdirahim Omar Amin said he worries what will happen when contracts with two other humanitarian groups expire at the end of 2025.
The hospital was looking after dozens of children suffering from diphtheria, an infectious disease of the throat preventable by vaccination but now spreading in rural areas. Parents are not taking their kids for routine vaccinations because they are afraid of militant attacks, Amin said.
In the medical lab, Amin pointed to the equipment and said everything was acquired with donor funds.
“Now it looks like donors are fatigued,” he said.
Most services at the hospital are provided free of charge, thanks largely to funding from the International Rescue Committee and Population Services International. Patients with conditions not deemed urgent are asked to cover some costs.
“The Ministry of Health is supposed to give support to this hospital because this hospital belongs to the Ministry of Health,” Amin said. “I hope, even if (the humanitarian groups) left, the Ministry of Health will replace their position.”
Bulaale, the deputy health minister, said the government is working with some partners in “developing a contingency plan” after the loss of USAID funding. He didn’t elaborate.
In some ways, De Martino Hospital’s history mirrors Somalia’s scars. It once sheltered displaced people after the fall in 1991 of Siad Barre, a dictator whose removal triggered fighting by warlords from different clans. Many public facilities across Somalia were destroyed in years of civil war.
Somalia’s federal government, now based in a heavily fortified area near the airport in Mogadishu, struggles to assert itself despite support from African Union peacekeepers, U.S. airstrikes targeting al-Shabab and security consultants from nations jockeying for influence in a country with strategic access to the Indian Ocean and Gulf of Aden.
The countries include Turkey, which bankrolls a hospital with intensive care capabilities in Mogadishu.
“Even the limited number of public hospitals that started functioning properly lately are heavily dependent on donor money,” said Wasuge, the civic leader. “They don’t get direct government budget that allows them to provide better health care services.”
‘No national health care plan’
The Banadir and De Martino hospitals are where the most needy people are referred for care. De Martino, Mogadishu’s main referral hospital for COVID-19 patients during the pandemic, receives the “most vulnerable” wherever they come from, director Amin said.
Amina Abdulkadir Mohamed, a jobless woman who was at De Martino recently to give birth, said she went there because she knew she would not be asked for money.
“I was told there is free medication,” she added.
Mohamed Adam Dini, who represents Somalia’s Puntland state in the national assembly, described the federal government’s priorities as “deficient” because of its overwhelming focus on ending “anarchy.”
“A lot of diseases have been spreading” unchecked, Dini said, adding: ”There is no national health care plan, as we don’t have a national political plan.”
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For more on Africa and development: https://apnews.com/hub/africa-pulse
The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.
The Dictatorship
Funding for Trump’s White House ballroom jeopardized by Senate ruling
President Donald Trump faces a serious new hurdle to secure taxpayer funding for his exceedingly controversial proposed White House ballroom after the Senate parliamentarian ruled against a $1 billion provision in a bill to fund his pet project.
The parliamentarian, Elizabeth MacDonough, said over the weekend that Republicans cannot include the ballroom funding provision in a larger partisan bill because it is a technical violation of Senate rules, according to the ranking Democrat on the Senate Budget Committee who released the parliamentarian’s findings.
“A project as complex and large in scale as Trump’s proposed ballroom necessarily involves the coordination of many government agencies which span the jurisdiction of many Senate committees,” MacDonough concluded, according to Sen. Jeff Merkley.
The administration has estimated that $220 million of the $1 billion would go toward building the new ballroom in the East Wing, which was demolished last October to make way for the new structure Trump has envisioned.
The parliamentarian in her ruling said the provision violated the Byrd rule, which is meant to curb extraneous spending in proposed budget reconciliation bills. A violation of the Byrd rule also means the provision would be subject to a 60-vote filibuster threshold, effectively killing it since Democrats are in opposition.
“The president started talking about this thing with $100 billion, then $200 billion, and he was going to pay for it,” Sen. Mark Kelly, D-Ariz., said. “And now it’s a billion — or $100 million, $200 million — and now a billion dollars, and he wants the American people to pay for a gilded ballroom when they cannot afford to drive their kids to a soccer game.”
Some Republicans disagreed with the parliamentarian’s interpretation of Senate rules. Ryan Wrasse, a spokesman for Senate Majority Leader John Thune, pushed back against the ruling.
“Redraft. Refine. Resubmit. None of this is abnormal during a Byrd process,” Wrasse wrote on X on Saturday.
It was not immediately clear whether Republicans would be allowed under Senate rules to resubmit the provision — the budget resolution only allows language to originate from the Senate Judiciary Committee.
“As drafted, the provision inappropriately funds activities outside the jurisdiction of the Judiciary Committee,” the ruling reads.
Trump previously said that the ballroom would be privately funded and cost around $400 million. The ballooning cost has provoked open criticism from Republicans, from vulnerable moderates to hardline conservatives, in what could become a potential revolt.
Mychael Schnell and Syedah Asghar
Peggy Helman is a desk associate at MS NOW.
The Dictatorship
Mike Johnson rejects ‘new term Christian nationalism’ as ‘derogatory’
Ahead of an all-day prayer event backed by the White House on Washington’s National Mall Sunday, Republican House Speaker Mike Johnson doubled down on Christianity as a core part of the American identity — over the objections of religious freedom advocates.
“The naysayers who have created this new term ‘Christian Nationalism’ as a pejorative, a derogatory term, are trying to silence the influence and voices of Christians,” Johnson said in an interview with Fox News before the event commemorating the nation’s 250th anniversary. “And I think that’s wildly inappropriate.”
In addition to the speaker, the evangelical-style festival — dubbed the “National Jubilee of Prayer” — featured Defense Secretary Pete Hegseth and Secretary of State Marco Rubio and several conservative Christian leaders and right-leaning pop-culture figures. They included Franklin Graham, son of the late evangelist Billy Graham, Jonathan Falwell, son of the late Liberty University founder Jerry Falwell, and Sadie Carroway Robertson of “Duck Dynasty” fame.
The White House, in a statement posted to social media Sunday, said “thousands of Americans are gathering on the National Mall TODAY for a powerful day of prayer, praise, and patriotism as we chart the course for America’s next 250 years and rededicate ourselves to ONE NATION UNDER GOD.”

In between returning from his official trip to China and issuing fresh threats to IranPresident Donald Trump wrote on Truth Social. “I HOPE EVERYBODY AT REDEDICATE 250 IS HAVING A GOOD TIME. IF THERE IS ANYTHING I CAN DO TO HELP, JUST HAVE OUR BEAUTIFUL, BOTH INSIDE AND OUT, RACHAEL C.D., GIVE ME A CALL. I’M BACK FROM CHINA!!!,” an apparent reference to Rachel Campos-Duffy, Fox and Friends co-host and wife to Transportation Secretary Sean Duffy.
Hegseth, who has led Christian prayer servicesat the Pentagon during his tenure, recounted a story of President George Washington at Valley Forge in a video message.
“Amid all the bleak nights, the loss and despair, the lack of proper support, George Washington performed a profound act: he prayed,” Hegseth said. “And on this day of ‘Rededicate 250,’ let us follow George Washington’s example. Let us pray as he did. Let us pray without ceasing. Let us pray for our nation on bended knee. And let us ask our lord and savior Jesus Christ as Washington did on that momentous day.”
Speaking passionately at the podium, Southern Baptist Pastor Robert Jeffress told the crowd that “these leaders who loved our country and loved our God would be called Christian Nationalists today, and it is a title they would have gladly embraced. By the way if being a Christian Nationalist means loving Jesus christ and loving America, count me in!”
Americans United for Separation of Church and State, a religious freedom advocacy organization, denounced the event as a “Jubilee of Christian Nationalism.”
“As we approach the 250th anniversary of American independence on July 4 – and President Trump’s Christian Nationalist ‘jubilee’ on May 17 – I urge everyone to celebrate the fundamentally American invention of church-state separation, which promises everyone the freedom to live as themselves and believe as they choose, as long as they don’t harm others,” the organization’s CEO, Rachel Laser, said in a statement. “Church-state separation is what enables us to come together as equals and build a stronger democracy.”
Laser said in an interview with C-SPAN Sunday that the event “should alarm all Americans who are patriotic.” Hailing the separation of church and state as a pillar of American democracy, she slammed the event as a “government-sponsored national church service on the National Mall and it’s extremely problematic. It’s violating our promise.”
“And then I just want to bring us back to something that the founders were focused on that we forget about today, which is that they were avoiding violence, bloody wars, crusades,” Laser added Sunday. “They saw what happens when you don’t have church-state separation. And I don’t think it’s a coincidence that in America we’ve become more and more violent the more we undermine church-state separation in this country.”
The government watchdog group Public Citizen also condemned the event, saying in a statement, “This highly politicized mess is not what Congress envisioned a decade ago in passing legislation creating an official commission for the 250th anniversary.”
Erum Salam is a breaking news reporter for MS NOW, with a focus on how global events and foreign policy shape U.S. politics. She previously was a breaking news reporter for The Guardian.
The Dictatorship
Trump says ‘clock is ticking’ for Iran to make a deal — or else
President Donald Trump signaled Sunday that the U.S. is prepared to resume fighting Iran, threatening that the country had “better get moving, FAST, or there won’t be anything left of them.”
Trump spoke by phone Sunday with Israeli Prime Minister Benjamin Netanyahu, an Israeli official told MS NOW, as the U.S.-Iran ceasefire was strained further by new strikes in the U.A.E. that sparked a fire at a nuclear power plant.
“For Iran, the Clock is Ticking, and they better get moving, FAST, or there won’t be anything left of them. TIME IS OF THE ESSENCE!,” Trump wrote in social media post.
Trump is expected to meet with his senior national security team on Tuesday in the White House Situation Room to “discuss options for military actions against Iran,” according to reporting by Axiosciting two American officials. MS NOW has not independently confirmed the reporting.
Iran did not take responsibility for the fresh strike in the U.A.E., but a senior Emirati official told MS NOW that the attack was an “unacceptable escalation” and a violation of the ceasefire. The official added that “this is an attack against a nuclear power plant during a ceasefire.”
In a statement, the U.A.E Ministry of Foreign Affairs called the strike an “unprovoked terrorist attack.”
“These attacks constitute a dangerous escalation, an unacceptable act of aggression and a direct threat to the country’s security,” the statement said. “The targeting of peaceful nuclear energy facilities is a flagrant violation of international law, the UN charter and the principles of humanitarian law.”
No increase in radiation has been detected at the plant and no injuries were reported, according to Emirati officials. Two of the three drones that attacked the plant were shot down.
One drone hit an electrical generator outside the inner perimeter of the Barakah Nuclear Power Plant, the Abu Dhabi Media Office said, CNBC reported. The International Atomic Energy Agency said it was following the situation closely and called for “maximum military restraint” near any nuclear power plant.
The U.A.E., a primary target of Iran since the war began, has been attacking in retaliation, according to recent reporting by The Wall Street Journal and The New York Times. Emirati officials have not confirmed that they have carried out military strikes.
The U.S. and Israel’s war with Iran has stretched into its 11th week, as domestic gas prices continue to soar amid the double naval blockade in the Strait of Hormuz, a critical oil trade route. Tehran, already crippled by sanctions before the war, faces a worsening economic crisis. Peace talks, mediated by Pakistan, have so far failed with the U.S. remaining firm on its demand that Iran abandon its nuclear program and Iran underscoring its right to enrichment.
Contrary to statements made by Trump administration officials that Iran’s missile stockpile has been destroyed, classified U.S. intelligence assessments of Iran’s military capacity have revealed that it has regained access to key missile sites and launchers.
Julia Jester contributed to this report.
Erum Salam is a breaking news reporter for MS NOW, with a focus on how global events and foreign policy shape U.S. politics. She previously was a breaking news reporter for The Guardian.
David Rohde is the senior national security reporter for MS NOW and a two-time winner of the Pulitzer Prize for International Reporting. Previously he was the senior executive editor for national security and law for NBC News.
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