No aid is truly needed. What aid can be provided is food and water. That should be very limited to drought years only.  The flow of money must stop. Africa and other nations must stand on their own feet and only support the population sizes they, themselves, can support. Any other option is criminal to American tax payers.  If people want to personally fund other efforts, that's their prerogative. That's capitalism. But it must not come from tax payers at the barrel of a gun.