Why would any relief agency reject U.S. food aid? Beginning in 2009, CARE will do just that, forgoing $45 million a year in U.S. food aid because of its disagreement with monetization, the process of selling U.S. food abroad in order to raise needed cash for development projects and administrative costs. CARE maintains that the sale of U.S. food in the fragile markets of recipient countries competes with the sale of food produced by local farmers, causing prices to drop and lowering farmers’ income.