The Color Revolution tactics funded through USAID and designed to destabilize unfriendly governments abroad were eventually turned on the American public.
USAID was also a sinkhole that funneled billions of dollars into leftist NGOs.
Those who put ‘critical humanitarian aid’ in the line of fire in service of illiberal attempts to ‘manage democracy’ are the ones who bear the most responsibility for any harm than comes from these programs ultimately being defunded.
The Enemies List (that Elon sits near the top of) is just a way to offload blame for what in retrospect was extraordinary arrogance and malfeasance.
By devoting some of its budget to politically-controversial things, thus leaving even its neutral & valuable programs exposed to the risk of reactionary cancellation, USAID administrators have directly caused hundreds of thousands, possibly millions of deaths.