As he had , President Trump was very busy on Monday; in addition to getting sworn into office, he signed dozens of executive orders and rescissions of Biden policies, including withdrawing the U.S. from the World Health Organization (WHO).
"The United States [implemented] its withdrawal from the World Health Organization in 2020 due to the organization's mishandling of the COVID-19 pandemic that arose out of Wuhan, China, and other global health crises, its failure to adopt urgently needed reforms, and its inability to demonstrate independence from the inappropriate political influence of WHO member states," Trump said in the . "In addition, the WHO continues to demand unfairly onerous payments from the United States, far out of proportion with other countries' assessed payments. China, with a population of 1.4 billion, has 300% of the population of the United States, yet contributes nearly 90% less to the WHO."
However, President Biden rescinded Trump's WHO withdrawal as soon as Biden took office in January 2021. Trump's action on Monday reversed Biden's decision to have the U.S. re-join the WHO. "The Presidential Letter to the Secretary-General of the United Nations signed on January 20, 2021, that retracted the United States' July 6, 2020, notification of withdrawal is revoked," Trump's order reads. "The Secretary of State shall immediately inform the Secretary-General of the United Nations, any other applicable depositary, and the leadership of the WHO of the withdrawal."
Trump's action did not sit well with Tom Frieden, MD, MPH, president and CEO of Resolve to Save Lives, an organization that works on prevention of both infectious and chronic diseases. "The decision to withdraw the United States from the World Health Organization makes Americans -- and the world -- less safe," Frieden, who served as CDC director under President Obama, said in a statement. "WHO can and should be strengthened, as it remains the only organization in the world with the reach, relationships, and infrastructure to improve global prevention and response to pandemics and other global health emergencies. The plain truth is that WHO is irreplaceable."
"Real reform requires engagement, not abandonment," he continued. "We cannot make WHO more effective by walking away from it. This decision weakens America's influence and increases the risk of a deadly pandemic."
In addition to the WHO executive order, Trump signed several other executive orders Monday that were health-related, including his intention to withdraw from the Paris climate accord. "In recent years, the United States has purported to join international agreements and initiatives that do not reflect our country's values or our contributions to the pursuit of economic and environmental objectives," Trump said in the .
"It is the policy of my administration to put the interests of the United States and the American people first in the development and negotiation of any international agreements with the potential to damage or stifle the American economy. These agreements must not unduly or unfairly burden the United States ... The United States Ambassador to the United Nations shall immediately submit formal written notification of the United States' withdrawal from the Paris Agreement under the United Nations Framework Convention on Climate Change."
Trump also rescinded a number of executive orders signed by President Biden. These included:
- An preventing and combatting discrimination based on sexual orientation or gender identity
- An promoting development of worker health and safety standards during the COVID pandemic
- An allowing a special enrollment period for the Affordable Care Act's health insurance exchanges during the COVID pandemic
- An requiring applicable government agencies to consider how to expand access to affordable health coverage
- An requiring the HHS secretary to consider ways to lower prescription drug costs for enrollees in Medicare and Medicaid
Trump also rescinded an that Biden had issued in May 2023 that revoked a COVID-19 vaccination requirement for federal workers. That order noted that "Since September 2021, COVID-19 deaths have declined by 93%, and new COVID-19 hospitalizations have declined by 86%. Considering this progress, and based on the latest guidance from our public health experts, we no longer need a government-wide vaccination requirement for federal employees or federally specified safety protocols for federal contractors." It was unclear why Trump nullified this order, since it appeared to be in line with Trump's thinking on COVID-19.
The Trump administration wasted no time in detailing the actions being taken. "Today, after being sworn in as the 47th President of the United States, President Donald J. Trump began taking aggressive and decisive action to make good on the promises he made to the American people during the campaign," the Trump-Vance transition team said in a press release. "And he's just getting started."
Disclosure: Tom Frieden of Resolve to Save Lives is a cousin of story author Joyce Frieden. She did not speak to him for this story.