; Whereas the effectiveness and efficiency of current United States overseas development assistance for health is often undermined by— (1) misalignment with the national health plans of the host country; (2) bypassing delivery systems with parallel inputs, leading to— (A) fragmentation of care delivery; (B) poor donor coordination across partners; and (C) weak health systems; (3) favoring technical assistance from consultants from high-income countries, especially the United States, over funding health service delivery in beneficiary countries; and (4) promoting privatization of health services, which weakens— (A) the public health system; (B) health care access; (C) health equity; and (D) financial risk protection; Whereas 98 percent of the annual $1,500,000,000,000 in health spending in aid-eligible low- and middle-income countries is mobilized domestically by the countries themselves, and only 2 percent of this spending comes from overseas development assistance for health; Whereas many of the poorest developing countries lack the tax capacity to mobilize the necessary resources to close the universal health coverage financing gap, meaning unnecessary deaths will continue in the poorest developing countries for the foreseeable future without external donor financing or dramatic increases in domestic tax capacity; Whereas the inability of many of the poorest developing countries to fully close the financing gap for universal health coverage and the provision of numerous other public goods and services is in part due to the intimate economic links between those countries and high-income countries, including the United States, which have been marked throughout history by acts of violence and coercion