Elon Musk’s SpaceX IPO will probably make him the richest person to ever walk the planet. And while his mountain of horrible personal conduct could fill multiple books, one fact in particular stands out: A year ago, Musk’s actions directly led to the deaths of hundreds of thousands of people. He did it knowingly. And, worse — gleefully.

This is not a serious person, but his abuse of the world is deadly serious. In the first months of President Donald Trump’s second term, the Musk-led Department of Government Efficiency (DOGE) destroyed the US Agency for International Development, whose mission was a boon to public health around the globe. Musk called the lifesaving agency a “criminal organization” and blithely celebrated spending a weekend “feeding USAID into the wood chipper.” It was a good reference if you want everyone to think you’re the killer in Fargo. Mission accomplished, Elon.

In the months that followed, public health models would indicate Musk was a killer, at a far greater scale than any Coen brothers villain. A tracker co-created by Boston University professor Brooke Nichols projected over 780,000 deaths — mostly of children, many of infants — due to the Trump administration’s early-2025 USAID cuts, caused by malaria, tuberculosis, HIV, and more. These deaths were widely predicted from the beginning, a direct, known, and undeniable consequence of DOGE’s actions. We don’t know the precise number of deaths, but multiple experts working on identifying the scale of the tragedy have generally agreed it’s in the hundreds of thousands. Global researchers, publishing in Nature, project that the cuts to USAID could result in 163,500 child deaths yearly. Another publication in The Lancet says there could be millions more to come. Musk showed no sign of caring.

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You might think Musk’s actions gutting effective global health programs clash with his downright creepy quest to raise birth rates, but not when you consider the guy is also a huge racist. The list is too long to keep score, but a few relevant highlights: He’s stoked claims of a “white genocide” in South Africa, spent most of January posting other white supremacist talking points, and most recently has been encouraging race riots in the UK all to gin up anti-immigrant sentiments. Is there any doubt about why this guy had so much fun destroying one of the most successful global health initiatives in history, which saved millions of Black people?

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