I understand the need for charity, and we should be doing it to support these countries.

But I don't see how to logically make the connection that when you pull that charity back, you are now responsible for any crisis.

That is exactly the argument that people who are against foreign aid make.

Like I will help you walk and feed your dog if you can't all the time, but if I stop doing that and your dog gets sick, that's not my fault and I'm not a bad person.

It is not charity, these are to protect the US against these diseases. Do you think it will stay there and will not come to US shore?

How you pull it back matters.

Why you were doing it in the first place matters, too.

You're mixing up different "you"s. If the American legislature got together and passed a law saying the American people just don't want to do so much foreign aid anymore, that would be a hard call.

But that's not what happened. Elon Musk, a random rich guy who was not himself financing the charity, appointed himself dictator of all American spending programs. He promised his patron that he would make the government run more efficiently, but found himself unable to. Then he went around randomly breaking charitable programs in an attempt to prove that his failed government efficiency initiative was producing meaningful outcomes. That's why he is accountable (and will be held accountable) for the people his decisions have killed.