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It depends on the country.

Israel, the largest recipient of US AID receives it primarily in military spending. This is a win-win for the United States and Israel since over 80% of it must be spent by Israel on US defense firms, helping to prop up those companies in the United States and give actual exposure to these technologies while providing Israel with the latest state-of-the-art military hardware.

Egypt, the second-largest recipient of US AID in the world, needs the US AID because otherwise its economy would entirely collapse. Egypt has massive rice and grain shortages, inefficient farming, and domestic strife.

Most other countries in the Middle East that receive US AID, including the Palestinian Authority, need it to feed their citizens and perform basic governmental functions.

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