When America, through the government or independent humanitarian efforts provides drugs or support to other countries it's with the expectation of nothing in return (at least at face value in the government's case). Krakoa is trading these drugs to America in exchange for recognition on the world stage, it's an admittedly peaceful way of achieving the same thing NK tries to do with military arms and threatening it's neighbor. I'm not saying it's a bad or evil thing, just that it's not altruistic and shouldn't be presented as such - Krakoa certainly doesn't make that attempt.
The truth is that Krakoa has effectively made nearly all other first world countries second world now, and America and Europe at large have to be stressing about that, that's why it's a trade to recognize Krakoa on the world stage. It's actually an interesting development, I'm not knocking it beyond how it's framed sometimes.