Senior officials aligned with President Donald Trump have outlined a proposal to establish a new international health organisation following the United States’ withdrawal from the World Health Organization, presenting the initiative as a more accountable and strategically focused alternative.

The proposal, currently under internal review and consultation with congressional leaders and allied governments, envisions a multilateral body centred on transparent reporting standards, rapid outbreak response mechanisms and strengthened oversight of member contributions.

Administration officials argue that the new structure would address longstanding concerns about governance practices and geopolitical influence within existing global health institutions.

Preliminary budget projections indicate that the replacement framework could require greater direct financial commitments from participating nations than previous arrangements.

However, officials contend that the increased costs would reflect enhanced operational capabilities, advanced disease surveillance systems and improved coordination with national public health agencies.

The move follows earlier decisions to disengage from the World Health Organization amid disputes over transparency and accountability during global health emergencies.

Supporters of the new plan maintain that a restructured institution would better align with American strategic priorities and promote stronger safeguards against future pandemics.

Public health experts are divided.

Some caution that duplicating existing international infrastructure could create fragmentation and inefficiencies, while others acknowledge that governance reforms may be necessary to strengthen global response capacity.

Administration representatives emphasise that discussions are ongoing and that the initiative would require collaboration with like-minded nations.

They describe the proposal as part of a broader effort to recalibrate U.S. engagement in multilateral institutions while maintaining leadership in global health security.

Further details regarding membership, governance design and funding mechanisms are expected as consultations continue.