“When the compact was received, the health ministry studied it . . . and [it] was brought to cabinet, and we flagged several things,” says John Dramani Mahama, president of the Republic of Ghana, regarding the health compact the United States offered to replace the funding Ghana lost due to the shutdown of the U.S. Agency for International Development (USAID). “It says that we shall give the United States our pathogen profile,” he recalls. “It also says we should give our medical records. . . . And then it says we would have to put up a certain amount of money as part of the program into health care, and then it also says that any medications or any medical products that shall be brought into our country, our food and drugs administration has absolutely no rights to inspect. I mean, it was humiliating.”