So instead of a global #pandemic agreement (because that'd thwart ⚚aglithacultural IP harvest of global illness), U.S. is gonna expand international aid programs—that can then be unilaterally curtailed or held hostage at any time in future, for whatever (geo)political reason seems appropriate at the time.
'Cause that couldn't possibly go wrong.
(Meanwhile U.S., having shut down last of own domestic programs, continues to lead the world in reported deaths per capita during an ongoing pandemic.)