It means helping people is imperialism and imperialism is bad, so actually it's a good thing these people are starving. At least now they can finally pull themselves up by their own bootstraps.

Or something, I don't know. I don't understand these people.

It's a half-baked narrative meant to make you tune out caring how abruptly stopping aid hurt actual human beings, and to support the denial that these actions aimed destroying America's stature in the world have anything to do with fiscal responsibility or taking care of our own. Trillions of dollars in new inflation have since shown the latter to be an abject lie, but the fascist movement relies on constant isolated "questioning" to feel superior and justified while never actually following through with a full analysis.

My best guess is that it means if red state Americans start dieing of malaria they will go to hell since even a tiny amount of dispensation bought by humanists was not selfish enough for them.

Why don't you look it up... why'd there be so much opposition to USA-ID in Africa, India, Brazil and South East Asian countries if it was preventing 14M deaths.

I believe the technical jargon for it is "soft power" - bribing locals to do what you can't force them to do, militarily.