Aid to Fight AIDS Is Money Well Spent

The Trump administration should preserve PEPFAR, a program that supports global health and bolsters U.S. interests.

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Bottles of antiretroviral ARV drugs used to prevent HIV from replicating are arranged in the closet at the Nyumbani Children’s Home, in Karen district of Nairobi, Kenya February 12, 2025.

Thomas Mukoya/Reuters

For the past several decades, HIV/AIDS has devastated sub-Saharan Africa and the Caribbean. Unlike in the United States, where the epidemic was primarily concentrated in specific high-risk groups, these regions faced a generalized epidemic. The virus spread widely across entire populations, and young adults in their 20s and 30s experienced some of the highest mortality rates. This left many children growing up without parents, straining families, communities, and national infrastructure.

The toll of the epidemic extended far beyond individual loss. Without treatment, entire sectors of society were destabilized — security forces, health-care workers, and educators all suffered massive losses. The disappearance of men from security roles and of parents from civilian life contributed to a rise in child soldiers, weakened government institutions, and, as the workforce shrank, slowed economic development.

JE

About the Author

Jonathan Ellen

Jonathan Ellen, M.D., is a pediatrician, epidemiologist, public health researcher and former hospital CEO.

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