I hope you don't actually believe that USAID helped lives, it's literally a propaganda arm of the government directly intervening in the politics of other countries and being a covert operation for murder and financing dictatorships. That Americans think that sacking it costs "millions of African's lives" is the pinnacle of comedy.
Lancet is run by left-wing academic ideologues who do not practice medicine clinically, the publication advanced untested theories as policy during COVID and then recommended exceptions for BLM protesting.