Nigeria already struggles with inadequate healthcare funding. This year’s budget allocates only 5.18 per cent of the total (2.48 trillion naira) to health – which is up from 1.23 trillion naira last year but still far below the 15 per cent target set by the Abuja Declaration in 2001. Without USAID, an already fragile system is weakened. This crisis forces a cruel reckoning: what happens when a nation accustomed to foreign aid is left to fend for itself? The abrupt withdrawal has revived debates among development economists. Critics argue that foreign aid fosters dependency and corruption, enriching elites while leaving ordinary citizens in poverty.