In the face of lawsuit threats from the richest man in the world, Rep. Ro Khanna on Monday renewed his call for Elon Musk to testify before Congress and defend his dramatic cuts to foreign aid against the claim that they are killing millions of children.

Earlier this week, Musk threatened to sue Khanna (D-Calif.) for defamation and said he “should be in prison” after the congressman said that the trillionaire’s Department of Government Efficiency (DOGE) had “possibly sentenced” 4.5 million children “to death” through its dismantling of the United States Agency for International Development (USAID) last year at the start of the second Trump administration.

Khanna’s assertion was based on the findings of a July 2025 Lancet study, which found that DOGE’s cancellation of roughly 83% of the programs run by USAID—including 88% cuts to child health aid, 87% cuts to epidemic and disease surveillance, and 94% cuts to family planning assistance—could result in the deaths of 14 million people by 2030, including 4.5 million children under five.

“That number is not mine,” Khanna explained in a Substack post on Monday. “It comes straight from the first comprehensive analysis of its kind into what American foreign aid actually does. Over the past two decades, The Lancet found USAID-funded programs helped prevent more than 91 million deaths, 30 million of them children.”

While at the time Musk boasted that he was “feeding USAID into the wood chipper,” he claimed on Tuesday that all DOGE actually did was “require… contact information of the recipients to confirm that funding was not fraudulent. No validated medical funding was stopped.”

He added that “anything that appeared to be legitimate lifesaving funding continued and is now administered by the State Department.”

This is broadly not true. While some funds were restored, according to an April 2025 analysis by KFF, about 80% of USAID identifiable global health awards—including ones for polio vaccination, HIV treatment, malaria, and tuberculosis prevention—were still listed as terminated after the review.

In another video posted Tuesday, Musk claimed that when organizations requested that their lifesaving aid be restored, he rebuffed them because they refused to let him personally speak with the children whom they serve. This, he claimed, was evidence of an “enormous amount of fraud and graft.”

Khanna said on Monday that if Musk’s actions were truly harmless as he claims, he “should sit before the House Oversight Committee,” of which the congressman is a member, and “testify, under oath, about what he did.”

He said Musk’s belligerent response to being called to testify was damning.

“He could have shown up and made his case. He could have argued the study was wrong. Instead, he called me ‘an evil liar.’” Khanna said. “When that did not work, he reached for something uglier. He announced he would sue me. He called for my arrest. He said I belong in prison.”

“The richest man in human history answered a request to testify by trying to put the person who asked behind bars. Someone confident he did nothing wrong shows up and clears his name,” Khanna continued. “Elon Musk is doing the opposite because he genuinely believes the law does not apply to him.”

The congressman accused Musk of attempting to use his wealth, and the threat of “years of litigation, paid for by the deepest pockets on the planet,” to scare him “into silence.”

“It won’t,” Khanna said.

“Here is my answer to Elon Musk. I have already challenged him to a televised debate on the rule of law,” he said. “Come testify before the Oversight Committee and answer under oath, the way every other person who has held this kind of power has had to.”

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