US did not pay $278 million in 2024–2025 dues and millions more in promised funds.

As of today, the US is no longer a member of the World Health Organization—and it leaves the United Nations health agency with hundreds of millions of dollars in unpaid bills, according to reporting by Stat News.

A year ago today, the US informed the WHO of its intent to exit, setting the clock for a one-year withdrawal period mandated in a 1948 joint resolution of Congress. But, in practice, the withdrawal was immediate, with the Trump administration cutting all ties with WHO upon the announcement. In explaining his reasoning for leaving the WHO, Trump referenced his long-standing complaints about the agency’s handling of the COVID-19 pandemic, dues payments, and alleged protection of China. Trump had attempted to extract the US from WHO during his first term, but the Biden administration rescinded the withdrawal on the first day in office, well before the one-year notice period was reached.

The joint resolution also stipulated that the US would have to pay its financial obligations in full before departing. But, that too has not been honored by the Trump administration. According to Stat, the US owed the WHO $278 million in dues, which are a percentage of each member state’s gross domestic product. That dues payment covered the country’s 2024–2025 membership, as WHO runs on a two-year budget cycle.

In the past, such payments were made through the State Department’s international agencies bureau. A spokesperson for the department told Stat that there was no way the US would pay its debt.

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