top of page

Explained: Life Outside the WHO and the Paris Agreement



What Actually Changes for the United States


In recent weeks, questions have resurfaced about what it would mean for the United States to operate outside major global frameworks — particularly the World Health Organization (WHO) and the Paris climate agreement.


This conversation often becomes emotional or ideological very quickly. This piece is not that.

Instead, this is a practical explanation of what these frameworks actually do, what changed for the U.S. since it has stepped away, what does not change, and what would need to be built to replace them.



What These Frameworks Actually Do


The WHO, in plain terms


The WHO is not a world government, and it does not command countries. Its power is coordination.


In practice, the WHO provides:


  • Early warning and surveillance coordination across borders

  • Technical guidance during fast-moving health crises

  • A convening table where information is shared and norms are set


Being “inside” does not mean control. Being “outside” does not mean immunity from global health risks — it means less influence over how information moves and how standards are set.



The Paris Agreement, in plain terms


The Paris Agreement is not a single policy. It is a framework.


It provides:


  • A shared reporting and target system

  • A coordination mechanism among countries

  • A powerful market signal that shapes investment, supply chains, and regulation


"Paris" is not only about emissions. It is also about where the future industrial economy is heading — and who sets the rules along the way.


What Global Frameworks Actually Do


WHO & Paris provide:


  • Coordination

  • Shared standards

  • Information flow

  • Influence over global norms



What Changes When the U.S. Steps Outside


As of late January 2026, the United States is no longer participating in two major global frameworks: the U.S. has initiated and formalized its withdrawal from the World Health Organization (WHO), ending U.S. membership and participation in WHO governance and funding mechanisms. Separately, the U.S. withdrawal from the Paris Climate Agreement took effect on January 27, 2026, following the formal notice process.


These dates matter because the consequences don’t begin “someday.” They begin immediately — through changes in access, coordination, predictability, and influence, and through how allies, institutions, and markets adjust once U.S. participation is no longer assumed.



1. Influence and timing


The U.S. would still receive information — but often later, indirectly, and with less ability to shape how that information is collected and shared.


Influence doesn’t disappear overnight, but it becomes more expensive to maintain.


2. Standards move on — with or without you


This is the most underappreciated consequence.

Health standards, reporting norms, product requirements, climate disclosures, and carbon-related trade measures do not pause because one country exits a framework.


They continue — and arrive later through:


  • Trade rules

  • Border adjustments

  • Supply-chain requirements


If you are not present when standards are written, you still encounter them — just downstream.


3. Multilateral coordination becomes patchwork diplomacy


Frameworks are replaced by:


  • Bilateral deals

  • Ad hoc coalitions

  • Private-sector coordination


This can move faster in the short term — but is often:


  • Less stable

  • More costly

  • More vulnerable to political change


4. Credibility becomes conditional


The U.S. can still lead outside these systems — but allies begin to ask whether commitments are durable or reversible.


That uncertainty carries diplomatic and economic costs.



Inside vs. Outside Global Frameworks


The practical differences become clearer when viewed side by side:


Inside


  • Direct influence

  • Early information

  • Role in setting standards


Outside


  • Patchwork agreements

  • Reduced leverage

  • Standards arriving later via trade and markets



What Does Not Change


It is important to be clear about what does not disappear.


  • The U.S. will still conduct public health policy

  • The U.S. will still engage in climate and energy policy

  • American science, industry, and innovation do not stop


This is not “withdrawal from the world.” It is a shift in how coordination happens — and who shapes it.



What Would Need to Replace These Frameworks


Leaving frameworks does not eliminate their functions. Those functions must be replaced — or absorbed — elsewhere.


That would require:


  1. A credible national coordination hub trusted internationally

  2. Robust bilateral health and emergency agreements

  3. Reliable data-sharing and rapid-response mechanisms

  4. A clear climate and energy diplomacy strategy

  5. A trade strategy that anticipates foreign standards and reporting rules


Leaving a system does not remove the need for coordination — it relocates it.



You Can Leave the Framework — Not the Function


Functions that must still exist:


  • Surveillance

  • Standards

  • Coordination

  • Trust



What to Watch Next


The real impact will show up in three places:


  1. Trade and supply chains — where foreign standards affect access

  2. Crisis response moments — outbreaks, emergencies, coordination tests

  3. Investment flows — where policy signals shape long-term decisions


This is not about taking sides. It is about understanding how power, standards, and coordination actually work in the modern world.




Read and watch more Deep Dives as an ONEST member your support keeps this work independent.


bottom of page