As United Nations negotiators attempt to draft a manifesto for combating tuberculosis, more than 100 members of Congress are urging President Trump to ensure the U.S. makes a “meaningful” contribution to what they called a “crucial” effort.

In a letter sent on Wednesday, the bipartisan group of lawmakers emphasized the need for the U.S. to take the lead in eradicating a public health scourge as a U.N. meeting nears to address the problem. Their missive, however, was also sent as a contentious, behind-the-scenes struggle takes place at the U.N. that pits the U.S. against dozens of other countries over issues  that affect the poorest nations, in particular.

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