HIV knows no borders, and the Trump administration’s new strategy leave Americans vulnerable – an HIV-prevention expert explains

By Robin Lin Miller, Professor of Psychology, Michigan State University

Protecting public health abroad benefits Americans.

In a globalized world, diseases and their social and economic impacts do not stay within national boundaries. Increased rates of untreated HIV in any part of the world increase the risk of transmission for U.S. citizens.

Changes made in the first year of President Donald Trump’s second term to address the global HIV epidemic, however, may not keep Americans safe.

In September 2025, the U.S. Department of State announced its…

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