President Trump moved quickly on Monday to withdraw the United States from the World Health Organization, a move that public health experts say will undermine the nation’s standing as a global health leader and make it harder to fight the next pandemic.In an executive order issued about eight hours after he took the oath of office, Mr. Trump cited a string of reasons for the withdrawal, including the W.H.O.’s “mishandling of the COVID-19 pandemic,” and the “failure to adopt urgently needed reforms.” He said the agency demands “unfairly onerous payments” from the United States, and complained that China pays less.The move was not unexpected. Mr. Trump has been railing against the W.H.O. since 2020, when he attacked the agency over its approach to the coronavirus pandemic and threatened to withhold United States funding from it. In July 2020, Mr. Trump took formal steps to withdraw from the agency. But after he lost the 2020 election, the threat did not materialize. On his first day in office, Jan. 20, 2021, former President Joseph R. Biden Jr. blocked it from going into effect.Leaving the W.H.O. would mean, among other things, that the Centers for Disease Control and Prevention would have no access to the global data that the agency provides. When China characterized the genetic sequence of the novel coronavirus in 2020, it released the information to W.H.O., which shared it with other nations.More recently, the W.H.O. has become a target of conservatives over its work on a “pandemic treaty” to strengthen pandemic preparedness and set legally binding policies for member countries on surveillance of pathogens, rapid sharing of outbreak data, and building up local manufacturing and supply chains for vaccines and treatments, among others.Talks on the treaty broke down last year. In the United States, some Republican lawmakers viewed the agreement as a threat to American sovereignty.Lawrence O. Gostin, a public health law expert at Georgetown University who helped negotiate the treaty, said that a United States withdrawal from W.H.O. would be “a grievous wound” to public health but an “even deeper wound to American national interests and national security.”Founded in 1948 with help from the United States, the World Health Organization is an agency of the United Nations. Its mission, according to its website, is to “confront the biggest health challenges of our time and measurably advance the well-being of the world’s people.”That includes bringing aid to war-torn areas like Gaza and tracking emerging epidemics like Zika, Ebola and Covid-19. The annual budget of W.H.O. is about $6.8 billion; the United States has typically contributed an outsize share.According to Mr. Gostin, it will take some time for the United States to withdraw. A joint resolution adopted by Congress at the agency’s founding addressed a potential withdrawal, and requires the United States to give a year’s notice and pay its financial obligations to the organization for the current fiscal year.

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It doesn’t happen often. But when it does, some residents risk losing everything.Three years ago, when Bob and Sandy Curtis moved into an upscale continuing care retirement community in Port Washington, N.Y., he thought they had found the best possible elder care solution.In exchange for a steep entrance fee — about $840,000, funded by the sale of the Long Island house they had owned for nearly 50 years — they would have care for the rest of their lives at the Harborside. They selected a contract from several options that set stable monthly fees at about $6,000 for both of them and would refund half the entrance fee to their estate after their deaths.“This was the final chapter,” Mr. Curtis, 88, said. “That was the deal I made.”C.C.R.C.s, or life plan communities, provide levels of increasing care on a single campus, from independent and assisted living to nursing homes and memory care. Unlike most senior living facilities, they’re predominantly nonprofit.More than 1,900 C.C.R.C.s house about 900,000 Americans, according to LeadingAge, which represents nonprofit senior housing providers. Some communities offer lower and higher refunds, many avoid buy-in fees altogether and operate as rentals, and others are hybrids.For the Curtises, the Harborside offered reassurance. Mr. Curtis, an industrial engineer who works as a consultant, took a comfortable one-bedroom apartment in the independent living wing. “It was a vibrant community,” he said. “Meals. Amenities. A gym.”Every day he spends time with Sandy, 84, who lives in the facility’s memory care unit, an elevator ride away. The staff members there “treat Sandy with love and care,” Mr. Curtis said. “It would have been wonderful if it could have continued.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

The positions of Robert F. Kennedy Jr. on vaccines and drug companies are well known. His approach to addiction has been far less scrutinized.In dark bluejeans and work shirt, Robert F. Kennedy Jr. stood in a Texas farm field, faced a camera and outlined his plan to combat drug addiction.“I’m going to bring a new industry to these forgotten corners of America, where addicts can help each other recover from their addictions,” he said in a 45-minute documentary, “Recovering America: A Film About Healing Our Addiction Crisis,” released in June by his presidential campaign.“We’re going to build hundreds of healing farms where American kids can reconnect to America’s soil, where they can learn the discipline of hard work that rebuilds self-esteem and where they can master new skills,” he continued.As Mr. Kennedy prepares for his confirmation hearings to become federal health secretary, he has faced intense focus for his views of vaccines, the pharmaceutical industry, nutrition and chronic disease. But there has been little discussion of his ideas to address the drug crisis, one of the country’s deadliest problems, which he refers to as a “plague.”According to the Substance Abuse and Mental Health Services Administration, a federal agency that Mr. Kennedy would oversee if confirmed, roughly 48.5 million Americans have a substance use disorder involving drugs, alcohol or both. According to the most recent provisional federal data, there were nearly 90,000 drug overdose deaths in the 12 months that ended in August 2024.The way Mr. Kennedy overcame his own addiction to heroin informs his approach to treatment generally. He often invokes his “spiritual realignment,” anchored by a belief in God, and reinforced by more than 40 years of daily 12-step-program meetings.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.