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Last month’s decision by the Trump Administration to substantially cut funding for the United Nations Relief and Works Agency (UNRWA) has cast a dark shadow over the lives of the 5 million refugees it supports, and marks a turning point in US relations with the agency which the US government was instrumental in creating and shaping. Jo Kelcey reviews this history and writes, “Early plans for UNRWA show an unquestionably strong American influence. They also reveal the dissonance of US policy in the Middle East.”