Again, do you think the head of USAID could have just told the head of CIA "no we're not doing this"?
What makes you think they were informed at all? That's kind of the entire MO of CIA - they don't inform other agencies what they are doing when it concerns national security, they just go and do it.
If you're a midlevel program manager (or whatever role label they have) at USAID you should be noticing that vaccines are not being given out. If USAID doesn't have the capability to monitor its programs to the point where that level of accountability exists, then it shouldn't exist.
"do you think the head of USAID could have just told the head of CIA "no we're not doing this"?"
>>If USAID doesn't have the capability to monitor its programs to the point where that level of accountability exists
If you think CIA hasn't thought about this and addressed it some other way, then I guess the assumption we're working with is that CIA is literally incompetent at their actual job.
You're barking at the wrong tree. Be angry at CIA for doing this shit, not at USAID for running a program that got hijacked by them.