Vilela had not been politically active before. Eventually, in her grief, she started doing research, discovering that her daughter was one of thousands of casualties of America’s health-care system. She came across the grim statistic that an estimated 35,000 Americans lose their lives from lack of healthinsurance annuallyOne day, while surfing YouTube, she came across avideo in the United States’ lacking social welfare systems. Vilela thought there must be some mistake. Why would a healthy 22-year-old be in cardiac arrest? reports is tied to domestic objectives. “Historically, the ESF is used primarily as a means of helping political allies in ways that we want to provide funding to them but with less emphasis on development outcomes,” Steven Radelet, the former chief economist at USAID, toldForeign Policy.