Publication

This paper examines the US President’s Emergency Plan for AIDS Relief (PEPFAR). The author argues that escalating treatment costs coupled with neglected prevention measures threaten to squeeze out US spending on other global health needs, even to the point of consuming half of the entire US foreign assistance budget by 2016. He suggests ways to substantially restructure the PEPFAR in order to avert a crisis in which Americans would have to choose among indefinitely increasing foreign assistance spending on an entitlement, eliminating half of other foreign aid programs, or withdrawing the medicine that millions of people depend upon to stay alive.