The end of USAID was among the biggest early controversies of President Donald Trump’s second term. The world watched in horror as Elon Musk’s DOGE took a chainsaw to U.S. foreign assistance, placing millions of lives at risk with brutal across-the-board cuts.

But few people realize how much has changed since then. Behind the scenes, aid money was largely restored—for now. And instead of making grandiose fraud accusations, Secretary of State Marco Rubio has begun embracing aid in public, laying out promising plans to address problems long recognized by technocrats.

Rachel Bonnifield is a leading global health expert and proud member of the NGO ecosystem denounced by Trump officials—yet she admires much of their new strategy. She joins The World Unpacked to make a surprising case for many Trump reforms, while also warning of risks, including the potential for more disruptions in the coming months.