Before USAID was dismantled, one small office was trying to bring the full breadth of America into public service. Eric Smith grew up in Massachusetts with Catholic values, conservative media, and a fascination with the Founding Fathers. That mix eventually led him to USAID, where he worked to expand who gets to serve and why it mattered.

Eric explains how his team partnered with universities across the Midwest and South, including Historically Black Colleges and Universities, Hispanic Serving Institutions, Tribal Colleges, and rural schools, creating new pathways for students who rarely saw themselves in global development. These partnerships were not only about representation. They also strengthened programs that connected U.S. students to real global challenges.

He reflects on what diversity and inclusion looked like overseas, how colonial histories shaped equity conversations with mission staff, and how initiatives like Feed the Future gave American agricultural students hands-on research experience abroad and brought valuable knowledge back to farms and universities at home.

Then came the forty-eight-hour notice that shut it all down.

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In 2014, Ebola reached U.S. shores—a wake-up call that pandemics anywhere can threaten communities everywhere. In response, the United States with other countries and international organizations launched the Global Health Security Agenda (GHSA), a global partnership to prevent, detect, and respond to emerging diseases before they spread.

In this episode, former USAID Senior Public Health Advisor Ashna Kibria reflects on how the U.S. strengthened outbreak preparedness systems around the world and what’s at stake now that USAID is gone. From building early warning networks to partnering with governments, researchers, and the private sector, Ashna helped design programs that connected public health, agriculture, and environmental systems to stop outbreaks before they started. She also led efforts to combat antimicrobial resistance (AMR), one of the world’s most urgent and overlooked health threats.

Today, those global partnerships continue but with reduced U.S. coordination and support. As new outbreaks emerge, the world is reminded that health security depends on shared responsibility, not isolation.

Listen to learn how USAID’s partnerships once formed a quiet frontline against pandemics—and what it means now that those defenses have shifted to others.

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Dr. George Siberry, former Chief Medical Officer in USAID’s Office of HIV/AIDS, has spent his career at the heart of the global fight against HIV. A pediatrician by training, George began his journey translating for children with HIV in Baltimore and went on to help shape the President’s Emergency Plan for AIDS Relief (PEPFAR) approach to prevention, treatment, and care around the world. In this conversation, he reflects on the evolution of HIV and the programs created to fight it—from stigma and isolation to people-centered health—and what it takes to build systems that strengthen communities and improve health outcomes rather than treating diseases in isolation.

As USAID’s dismantling leaves critical partnerships fractured and PEPFAR’s future uncertain, George speaks candidly about grief, loss, and the work of rebuilding trust. He makes a powerful case for why America’s investments in global health were never just acts of charity—they were expressions of diplomacy, innovation, and shared humanity.

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