As the full extent of the destruction and death the tsunami wrought in South Asia becomes clear, significant aid pledges are finally pouring in. While the U.S. is beginning to respond, little attention is being paid in the public debate to the need for effective development assistance for South Asia in the medium to long term. Comparisons of what the U.S. is doing for disaster relief relative to other nations are obscuring the need for a sober assessment of how well U.S. aid measures up compared to the actual need. The White House is drafting its 2006 budget this month, so this is an important opportunity to expose how the U.S. falls short when it comes to providing aid commensurate with its wealth.