15/12/2025
Prof. Paul Kennedy writes 👇👇
Happy New Week: Below is my take on the US-Liberia MOU on Health System Strengthening
The U.S.–Liberia Health MOU: Separating Facts from Fear
In recent weeks, public discussion surrounding the U.S.–Liberia Health Memorandum of Understanding (MOU) has been dominated by fear, speculation, and misinformation. Claims have circulated suggesting that the agreement allows the United States to collect blood samples from Liberians, access personal medical records, or secretly control Liberia’s health system. Others argue that the MOU represents a loss of national sovereignty. These claims are false.
Let us be clear, factual, and calm.
What is this MOU?
The U.S.–Liberia Health MOU is a non-binding cooperation framework between the Government of Liberia and the United States Government. It does not create new laws, does not override Liberian sovereignty, and does not transfer control of Liberia’s health system to any foreign entity.
The agreement simply outlines how the two governments will continue limited technical cooperation in areas such as disease surveillance, public health preparedness, and health system coordination—at a time when traditional U.S. health funding is being reduced.
What the MOU is NOT
The MOU:
❌ does not authorize blood sample collection
❌ does not grant access to Liberians’ medical records
❌ does not give the U.S. control over health data
❌ does not replace Liberia’s laws or policies
Liberia’s health data remain governed by Liberian law, ethical review processes, informed consent requirements, and international public health norms that protect privacy and national ownership.
Why is this happening now? The real context
To understand this agreement, we must confront a difficult reality:
U.S. and USAID-funded health programs across Liberia—and many other low-income countries—are being scaled down or withdrawn.
For decades, Liberia’s health system depended heavily on donor support for:
- disease surveillance
- laboratory systems
- emergency preparedness
- health worker salaries
- outbreak response
That era is ending.
The MOU did not create this situation. It acknowledges it. Rather than allowing a sudden collapse of essential systems, the agreement provides a managed transition framework—maintaining limited cooperation while pushing Liberia to take greater responsibility for financing, governance, and sustainability of its own health system. This is not foreign control. It is donor exit management.
How does Liberia benefit?
The MOU offers several important benefits:
- Continued technical cooperation on disease surveillance and preparedness
- Protection of critical public health functions during a fragile transition
- Preservation of Liberia’s integration into regional and global health security systems
- Pressure for long-overdue reforms in domestic health financing, accountability, and efficiency
How could Liberia be hurt?
The risks are not imposed by the U.S.—they are internal.
If Liberia fails to:
- increase and protect health sector budgets
- pay health workers on time
- manage funds transparently
- strengthen legislative and civil society oversight
then clinics may close, services may decline, and communities may suffer. These outcomes would result from governance failures, not from the MOU itself.
What is the U.S. getting out of this?
The United States is not extracting biological samples or personal data.
What it gains is:
- reduced global health risk through early disease detection continued international health cooperation without long-term financial commitments
- protection against outbreaks that can spread across borders
Diseases do not respect national boundaries. Global health security is a shared interest.
Lies vs. Facts
Lie: The U.S. will take blood samples
Fact: No such authority exists in the MOU
Lie: The U.S. will access Liberians’ medical records
Fact: Health data remain under Liberian law and control
Lie: Liberia has surrendered sovereignty
Fact: The MOU is non-binding and does not override national authority
The real questions Liberians should be asking
Instead of panic or rejection, we should be asking:
Is Liberia increasing its health budget responsibly?
Are health funds transparent and well managed?
Is Parliament exercising real oversight?
Is civil society monitoring this transition effectively?
This moment demands leadership, honesty, and accountability—not slogans or fear.
The bottom line
No donor was ever meant to permanently fund Liberia’s health system. The era of emergency dependency is ending, whether we are prepared or not.
This MOU is neither a gift nor a conspiracy.
It is a mirror—forcing Liberia to confront hard choices about responsibility, sustainability, and national priorities.
Liberia’s health future will not be decided in Washington.
It will be decided in Monrovia—by our policies, our budgets, and our integrity. Let us debate with facts, not fear. Let us demand accountability, not illusions.
Let me know what your thoughts are in the comments section
✍🏽 Paul K. Kennedy
Public Health Advisor with over 15 years of experience strengthening health systems in the Caribbean, the United States, and African countries