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WASHINGTON —  When Microsoft cofounder Bill Gates sat down with President Trump and his aides a couple of months ago, he tried to convince the new president that public health funding was not something that could be sacrificed.

“It’s an education process,” he said.

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Those pleas seem to have fallen on deaf ears. The budget outline released by the White House Tuesday contains sharp cuts to everything — from a $76 million reduction in global health funding that includes HIV programming to grass-roots community health grants. And while it’s not clear what cuts will survive the congressional budget process, the proposal reveals a White House that, for the most part, wants a leaner public health system, and less American money used overseas.

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