• 8 months ago
At a Senate Appropriations Committee hearing prior to the Congressional recess, Sen. Mitt Romney (R-UT) questioned USAID Admin. Samantha Power about prioritization.

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Transcript
00:00 Senator Romney.
00:04 Thank you, Mr. Chairman.
00:05 Like Senator Menendez indicated, I am sometimes overwhelmed by the degree of starvation,
00:14 the migration as associated with climate change, and the problems in the world are so enormous.
00:22 How do you decide where to intervene and where to spend the money?
00:26 How do you prioritize all the things?
00:30 Because we don't have enough money to get everybody out of poverty, to solve all the
00:35 hunger problems of the world, to solve all the migration problems of the world, to solve
00:39 all the awful things that are going on in the world.
00:42 We're not there.
00:43 There was a time when the U.S. economy was like half that of the world.
00:46 Today, it's like 15%.
00:49 So we simply can't do everything we'd like to do.
00:51 How do you decide where to spend the resources?
00:55 What is your priority for tackling the various challenges?
01:01 Thank you.
01:02 I don't have time, I think, to do justice to the full sort of way that we do prioritization.
01:08 We are also 90% earmarked, so some of that prioritization is taken out of our hands,
01:16 but it's only really by sector, so your question is still very valid in terms of what we do.
01:21 Even if we have X amount for malaria and X amount for TB, where do you do it?
01:26 And there, I think, governance and where that dollar is likely to go further matters a great
01:32 deal, particularly if we're working with state and local government.
01:35 USAID has just, last year, launched an office of the chief economist to actually bring -- we've
01:43 done measurement evaluation learning about particular programs for a long time, but we're
01:47 now bringing a best-by mindset, literally doing cost-effectiveness studies, randomized
01:53 control trials.
01:54 For example, a programmatic intervention where we hire a contractor or give a grant to an
02:01 organization, how does that compare against giving cash in a particular community?
02:05 And seeing there's some studies that show that through cash benchmarking, that actually
02:11 giving just small amounts of cash allows, for example, somebody to start a business
02:17 or get the access to capital that they need locally.
02:21 So we want to make sure we do a cost-effectiveness filter through the work that we do everywhere.
02:26 We of course look at the nexus with U.S. security, pandemic prevention, lab surveillance, global
02:34 health security.
02:35 That's an example of investments that have really increased, although unfortunately are
02:39 down in the '24 budget that was just passed.
02:44 That's an investment in our lives.
02:46 The same with our clean energy work.
02:48 Of course, it's one thing to have the Inflation Reduction Act here and be lowering emissions
02:53 over time, but we know that there are many big players like South Africa, Indonesia,
02:58 countries in which we work, where their emissions affect Americans just as much as ours do.
03:02 Yeah, I guess I would – I actually would hope to have a more clear priority that, yes,
03:11 there has to be an enormous humanitarian need, but there also has to be a very clear U.S.
03:16 interest in intervening in that particular area.
03:21 And yeah, we don't want to waste money and so forth, and you mentioned those things,
03:25 but there has to be some prioritization.
03:27 My impression is that the Chinese, for instance, their economy is about the same size as ours,
03:33 particularly if you look at purchase power parity.
03:37 Their economy is larger than ours on that basis.
03:39 But they're not spending anywhere near what we are in the world other than to support
03:44 Chinese interests.
03:46 Hopefully we will apply the same metric to decide where we're going to be spending our
03:50 funding.
03:51 Is there – has there been work done at USAID to compare – here's what China does, and
03:58 if there is, I'd love to see a report or something – if there's work like that
04:01 that's around to say here's how they do it.
04:03 I know they do things with debt.
04:05 They loan the money.
04:06 We say no, we don't do it with debt.
04:07 We give them money, except we borrow the money from others to give the money away.
04:12 Which is smarter, us borrowing to give it away or them just loaning it?
04:17 And I think we may have something to learn from a country that says they're going to
04:22 make those investments where there's humanitarian need and where it's in their national interest,
04:27 and two, to do it in a way that's economically the most frugal.
04:31 Yeah, I mean, I think that there's a fair point there, of course, around prioritization.
04:37 But you know, the PRC does not – is not, as you're noting, is not motivated by the
04:45 humanitarian imperative that moves so many Americans.
04:50 The service impulse, the kind of compassion that we have shown, which –
04:53 The challenge is that –
04:54 No, no, I understand, but I'm just talking specifically about humanitarian –
04:57 The needs in the world are so enormous –
04:59 I understand.
05:00 – that when you look at those needs, you have to say, you know, we have more interest,
05:02 for instance, in Haiti than we might in some place far, far away, in part because it's
05:07 in our neighborhood, all right?
05:08 So we're going to show priority there.
05:10 We have interest in Ukraine –
05:11 Yeah.
05:12 – but we also know that the old Soviet Union did some really bad things that we fought
05:16 for decades, and so we want to keep that from happening again.
05:19 I mean, there are national interests that would strike me as being high in the priority.
05:24 I know my time is up, so, Mr. Chairman, I will stop.
05:28 Ambassador Power, if there's something you want to say, fine, but I'll pull back.
05:32 Thank you.
05:33 Just simply to say that I believe that that filter is applied.
05:41 I also believe that we play a long game, and had we been narrowly transactional in the
05:48 way that the Chinese are 40 years ago, many of the countries that are now huge sources
05:57 of – huge markets for U.S. goods would not be markets for U.S. goods.
06:02 Many of the diseases that have been prevented would not have been prevented had we just
06:06 gone, again, in that what matters in the here and now, and what is our national security
06:11 matrix on this particular day or this particular year.
06:14 So I think we have to have the right balance between absolutely looking for that nexus,
06:21 making sure that our dollars go where they're intended, looking out for things that are
06:26 happening in the hemisphere that have a direct bearing or things that relate to disease or
06:29 the health of Americans for sure, but we're also making investments now whose payoff may
06:36 not be evident for some years in the future.

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