The Atlantic

The Republican Betrayal of PEPFAR

How did one of President George W. Bush’s signature triumphs become a conservative target?
Source: Aude Guerrucci-Pool / Getty

Twenty years ago, a Republican president, George W. Bush, created the most successful, life-giving global-health program in history. This year, House Republicans appear determined to undermine it. If they succeed, it will be an act of extraordinary recklessness, done even while they claim to be the pro-life party.

In 2003, nearly 30 million Africans had AIDS, including 3 million under the age of 15. In some countries, more than one-third of the adult population carried the disease. More than 4 million required immediate drug treatment, yet only 50,000 AIDS victims were receiving the medicine they needed.

“To meet a severe and urgent crisis abroad,” President Bush said in his 2003 State of the Union address, “tonight I propose the Emergency Plan for AIDS Relief—a work of mercy beyond all current international efforts to help the people of Africa.” He asked Congress to commit $15 billion over the next five years, including nearly $10 billion in new money, to turn the tide against AIDS in the most afflicted nations of Africa and the Caribbean. PEPFAR—the President’s Emergency Plan for AIDS Relief—was the largest commitment by any nation to combat a single disease in human history.

In 2007, Bush Congress to double America’s initial commitment and approve an additional $30 billion for HIV/AIDS that 1.2 million lives had been saved and that .

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