Bolivia is one of the few South American countries that continues to recognize Nicolas Maduro as the president of Venezuela, breaking with most OAS members. Morales often railed against US imperialism at the UN, most notably at a UN Security Council meeting in 2018 in front of President Trump.

The US Congress funded National Endowment for Democracy (NED) has a strong presence in Bolivia. In 2018, the NED spent nearly one million dollars on programs in Bolivia, with titles like, „Democratic Development From A Private Sector Perspective,“ „Strengthening Democratic Values,“ and „Building Political Party and Civil Society Capacity for a More Participatory, Competitive Electoral Process.“