Just to bring some facts in here:

Musk, in a post on X on Sunday, claimed those who say DOGE’s USAID cuts resulted in deaths “cannot cite a single name of someone who died out of the ‘millions’ they falsely claim have died. Not a single name!” New York Times columnist Nicholas Kristof, who last year identified specific people he says died after USAID-backed services were disrupted, quickly responded with the names of four he said died because of the cuts, including an 8-year-old girl, and suggested the world’s richest person travel to Africa with him to “talk to these moms and dads, and you’ll see the dying children themselves.” In another post late on Monday, responding to a separate response from Kristof, Musk called Kristof “an utter piece of s— and a liar.”

A study published in March 2025 found the loss of aid funding for children facing malnutrition in low- and middle-income countries would cut off 1 million children from treatment, potentially resulting in 163,000 child deaths each year. Another study published in the Lancet in July 2025 found the funding cuts could cause the deaths of more than 4.5 million children and more than 14 million total deaths by 2030. Kristof, citing data from the Center for Global Development, found that more than 1.6 million people could die within a year without American foreign aid for HIV prevention and treatment. A tracker co-created by Boston University professor Brooke Nichols projected more than 780,000 deaths caused by the cuts, roughly 518,000 of which are children, after cuts to treatment for malaria, tuberculosis, HIV and pneumonia, among others.

https://www.forbes.com/sites/tylerroush/2026/07/01/musk-escalates-unproven-usaid-claims-in-fiery-posts-as-studies-link-doge-cuts-to-child-deaths/

So he knows the names of some people he is responsible for their death. And studies show that his action will kill several hundred thousand people.