This article reviews the possible impacts of future U.S. aid to the Philippines based on current diplomatic issues between the governments. Patrick Fine, FHI 360 Chief Executive Officer stated, “We think this scenario [removing assistance] is highly unlikely,” mentioning an August 2016 independent evaluation issued by the U.S. Agency for International Development (USAID) regarding its work in the health sector in the Philippines. The evaluation’s conclusions and recommendations point to new engagements for USAID.