They’re soon to be responsible for 20 million deaths
Anti-abortion Republicans would have you believe that they are all about preserving life. We know that isn’t true by their blood-thirsty attitude about anyone they consider an enemy but this takes it to another level:
The AIDS epidemic has killed more than 40 million people since the first recorded cases in 1981, tripling child mortality and carving decades off life expectancy in the hardest-hit areas of Africa, where the cost of treatment put it out of reach. Horrified, then-President George W. Bush and the U.S. Congress two decades ago created what is described as the largest commitment by any nation to combat a single disease.
The program, known as the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, partners with nonprofit groups to provide HIV/AIDS medication to millions around the world. It strengthens local and national health care systems, cares for children orphaned by AIDS and provides job training for people at risk.
Now, a few Republican lawmakers are endangering the stability of the program, which officials say has saved 25 million lives in 55 countries from Ukraine to Brazil to Indonesia. That includes the lives of 5.5 million infants born HIV-free.
At the Catholic-run Nairobi orphanage, program manager Paul Mulongo has a message for Washington.
“Let them know that the lives of these children we are taking care of are purely in their hands,” Mulongo says.
The issue of abortion has been a sensitive one since PEPFAR’s inception in 2003. But each time the program came up for renewal in Congress, Republicans and Democrats were able to put aside partisan politics to support a program that’s long been seen as the vanguard of global aid.
“Most eras in countries are measured by loss of life in war and famine and pandemic,” said Tom Hart, president of the ONE Campaign, a nonpartisan organization that worked with Bush, a Republican, to create the program. “This era has been measured in lives saved.” The campaign has published a letter from dozens of faith leaders to Congress calling PEPFAR “a story of medical miracles and mercy.”
But the bipartisan support is cracking as the program is set to expire at the end of September. The trouble began in the spring, when the Heritage Foundation, an influential conservative Washington think tank, accused the Biden administration of using PEPFAR “to promote its domestic radical social agenda overseas.”
The group pointed to new State Department language that called for PEPFAR to partner with organizations that advocate for “institutional reforms in law and policy regarding sexual, reproductive and economic rights of women.” Conservatives argued that’s code for trying to integrate abortion with HIV/AIDS prevention, a claim the administration has denied.
In language echoing the early, harsh years of the epidemic, Heritage called HIV/AIDS a “lifestyle disease” that should be suppressed by “education, moral suasion and legal sanctions.” It recommended halving U.S. funding for PEPFAR, saying poor countries should bear more of the costs.
Shortly after that, U.S. Rep. Chris Smith, a longtime supporter of PEPFAR who wrote the bill reauthorizing it in 2018, said he would not move forward with reauthorization this time unless it barred nongovernmental organizations that used any funding to provide or promote abortion services. The threat from the New Jersey Republican threat comes with weight: He chairs the U.S. House Foreign Affairs subcommittee with jurisdiction over the program’s funding.
Because that proposal faces stiff opposition from congressional Democrats, Smith, with support from prominent anti-abortion groups, wants to cut PEPFAR’s usual five-year funding to one year if that ban is not included. He said that would allow lawmakers annually to revisit contracts with partners they believe may support or provide abortion services.
“It’s a false narrative that says that you can’t do (the program) year by year as we try to protect the unborn child,” Smith told The Associated Press.
Supporters of the program say that under existing U.S. law, partners are already prohibited from using its funding for abortion services. The head of PEPFAR, John Nkengasong, told the AP he knew of no instance of the program’s money going directly or indirectly to fund abortion services.
He warned that any instability in the flow of U.S. funding for PEPFAR could have dangerous implications for health globally, including in the United States. The key to controlling AIDS, he said, is the assurance that infected people have a pill to take each day.
Without that, the virus could come back, ”and about 20 million lives might be lost in the coming years,” he said. “The fragile gains that we’ve achieved will be lost.”
This was the one truly good thing George W. Bush ever did and it goes some way to mitigate at least some of his otherwise awful legacy. Now they’re going to toss that on the garbage heap along with anything else the Republicans ever did that might be considered decent. (There isn’t much.) I don’t know if Chris Smith is vulnerable in his N.J. district but if he is the Democrats should move heavily against him,
The “America First” Republicans don’t believe in any kind of foreign aid to anyone they don’t like. I’m sure they’d send it to Russia if they could, but African countries (or “shit-hole” countries as Trump referred to them)? No way.