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Bill Clinton Was Right About Wasted HIV/AIDS Funding

Posted: 07/28/10 03:52 PM ET

"In too many countries too much money goes to pay for too many people to go to too many meetings, get on too many airplanes," proclaimed the former U.S. President Bill Clinton in a keynote address at one of those very meetings, the XVIII Annual International AIDS Conference which was held last week in Vienna. Clinton added, "Keep in mind that every dollar we waste today puts a life at risk." The meetings and airfare are only the tip of the iceberg. Dollars desperately needed to save lives of AIDS patients have never left Washington or have been wasted on unnecessary overhead around the world.

The kinds of people President Clinton had in mind are like Ninsiima Agatha, who was profiled recently in the Wall Street Journal. Ninsiima is a 20-year-old mother with two children in Uganda, a country once considered a model of success for HIV/AIDS relief efforts. Ninsiima entered a medical clinic a few months ago after finding out that her husband was HIV-positive. She was now also infected and in dire need of lifesaving treatment for her and her two children.

Without access to life-saving drugs, she knew her health would quickly deteriorate, and perhaps more importantly, she would likely pass the disease on to the baby she was breast-feeding. Tragically, however, the clinic had reached its quota of patients under its contract with the U.S. government. The article explains, "Ms. Agatha, sprawled on a hospital bed with a toddler and an infant, could barely move. 'I feel desperate,' she said."

AIDS Healthcare Foundation, the largest global AIDS organization, has seen its clinics in Uganda flooded with patients turned away by U.S. funded programs.

Despite billions of dollars annually to support global HIV/AIDS initiatives, the challenges we face remain daunting. As many as 33.4 million people are already infected with HIV and another 2.7 million become infected each year. Only 4 million are currently being treated, 2.4 million of which through the President's Emergency Plan for AIDS Relief (PEPFAR). More needs to be done to place greater emphasis on treatment as opposed to bloated administrative budgets and ineffective awareness campaigns.

Legislation introduced last week -- S.3627, The HIV/AIDS Save Lives First Act of 2010 -- renews our commitment to providing life-saving treatment to the millions of patients in need. This legislation increases the percentage of U.S. bilateral funding that must go directly toward treating patients, limits the administrative overhead of both government agencies and recipients of funding, and requires funding recipients to be more cost-effective. The bill will accomplish these goals within the existing budget of the program.

This legislation sets a treatment goal for the PEPFAR program of 5 million patients by 2013 -- twice the current number receiving treatment through the program -- while devoting the necessary resources to make this goal a reality. Further, this legislation provides for and sets the goal of completely eliminating baby AIDS -- mother to child transmission -- once and for all.

A renewed commitment to saving lives has never been more critical. Despite the significant success of the United States bilateral relief efforts the global fight against AIDS is now at risk of failure. Recent news reports in the Wall Street Journal and New York Times, respectively, have featured ominous titles such as "War on AIDS Hangs in Balance as U.S. Curbs Help for Africa," and "At Front Lines, AIDS War Is Falling Apart." Terrible reports of patients once promised treatment being denied care have been confirmed by U.S. officials. The Department of Health and Human Services advises their partners to support "an equitable system of triage for total ART [antiretroviral drug treatment] slots..."

This is unacceptable. We know that HIV/AIDS is a disease that we can diagnose, treat, and prevent. Not only does treatment save lives, it is the best prevention tool we have. Treatment lowers viral loads, which reduces the likelihood of individuals spreading the disease by as much as 92 percent. Treatment reduces transmission among partners, eliminates completely mother to child transmission, and keeps those with HIV in the medical system where they can receive proper counseling and care. And the availability of treatment is integral to promoting HIV/AIDS testing and early diagnosis.

America made a commitment to lead the global war against AIDS. There is no reason to retreat. In these difficult economic times every dollar not spent saving a life or preventing a new infection is a dollar misspent. Hopefully, President Clinton's remarks and the dire situation in Africa will encourage American and world leaders to take the necessary steps to prioritize saving lives.

 
 
 
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schatsie
Wall Street is Worse than Vegas
07:37 PM on 08/01/2010
If we had single payer in this country and could reduce our expenditures from $6000 per person a year to the $3000 per year that the EUROS spend and cover everyone...... think about it, we could spend a trilllion dollars overseas.....
02:28 PM on 08/01/2010
I just read Headlines now why read the same old rehashes Sht ? Dam I am a Btch.

Yep, I guess it is a waste, passing out and selling Billions of pieces of Latex to control this Pandemic. And it keeps on getting worse and worse.
zanzy
your micro bio is empty, just like our democracy.
02:40 AM on 08/01/2010
I think Sen. Coburn gets all his campaign money from Pharma. PLease we need prevention, early diagnosis (VCT) and treatment. ARV are too expensive. Sen colburn why don't you fight to get the cost of ARVs down.
Demidan
2+2=5,(that's a Orwell reference you addlepate.)
09:04 AM on 08/01/2010
ARV unfortunately are not too expensive, only here in the US . In Africa a years worth of AVRs has dropped to aprox. $300, and those are not generics. Generics can cost as little as $.55 a Day! The reason the costs are so high is greed, nothing more.

http://www.nytimes.com/2003/03/01/opinion/01RAMP.html
http://www.thebody.com/content/art32203.html
schatsie
Wall Street is Worse than Vegas
07:38 PM on 08/01/2010
$300 dollars a year is a death sentence when the average income of the bottom 80% in Africa is $500 per year.....
01:20 AM on 08/01/2010
AIDS is a preventable disease at least for adults. It is unfortunate that children get it because of the lack of responsibility of their parents, but I would rather see more money being spent on breast cancer research. Safe sex or no sex is the best form of prevention available yet people all over the world choose to engage in risky behaviors that cause the disease. If people truly value their lives then they should consider the consequences of their actions beforehand. Distribution of contraceptives and information about HIV may be the most effective use of the resources available.
07:13 AM on 08/01/2010
Tighten the screws in your head before you post. This isn't a morality issue. It is a health issue. And, yes, people are sexually active and need contraceptives, but shrub made sure they didn't have access because of pandering to the morality police.
01:24 PM on 08/01/2010
I'm not saying it's a morality issue, but if people want to throw their lives away for a few nights of unprotected sex they shouldn't come begging for help like it is our moral obligation to help them. Again, it is unfortunate that the disease can be spread by innocent means such blood transfusions, breast feeding, and health care, but the majority of cases are transmitted through unprotected sex. Many of the same people who feel sorry for AIDS victims will say how stupid smoking is because it can give you lung cancer. I'm only saying that it is equally stupid to have unprotected sex with an untested partner.
Demidan
2+2=5,(that's a Orwell reference you addlepate.)
09:10 AM on 08/01/2010
Most people in the third world, do not know that they can pass on the HIV virus with breast feeding.

OH BTW, less funding for HIV/AIDS means more of it around the world, AND more drug resistant strains,(Which means more and more people die!).

Grow up and think past your own front yard please.
02:50 PM on 07/29/2010
Sorry for posting four times. I thought it was only twice. Damn computer.
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ramal
One's only real life is the life one never leads.
02:04 PM on 07/29/2010
While the commitment to fighting world-wide AIDS by the United States Government is quite noble, I do hope that everyone is aware that back here in this country many states, due to budgetary constraints, are reinstituting waiting lists for life-saving HIV medications for our own citizens. This is a penny wise and pound foolish policy that will ultimately cause deaths here. A law needs to be passed by Congress giving immediate Medicare priviliges to all HIV positive people in this country. Charity begins at home.
Demidan
2+2=5,(that's a Orwell reference you addlepate.)
09:21 AM on 08/01/2010
We need to import drugs from India for about 55cents a day for a start.
peowlemeow
Democrat,non-military,undereducated,semi-retired.
11:03 AM on 08/01/2010
India dilutes and flat out dispenses placebos as real drugs.Try watching "Bad Medicine" on BBC,you'll never want to do business with India again.They disgust the living hell out of me.
schatsie
Wall Street is Worse than Vegas
07:42 PM on 08/01/2010
But we are importing drugs from India and China for 55 cents a day,,,It is just that there are so many middle men and they are SOOOOOO expensive....think Walmart and your friendly Perscription coverage.....
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karela
08:34 AM on 07/29/2010
Does Senator Coburn's bill still disallow the distribution of condoms in HIV ravaged countries as the Bush administration did? Help people who have it but also help them not to get it in the first place. No ideology in programs funded by Americans.
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02:52 PM on 07/29/2010
Your facts are false. Bush allowed condoms, but more heavily stressed abstinence (100% prevention method) as well as 'be faithful' which stressed one partner.

Btw..check out this article: AIDS Activists 'Rage' at Obama, 'Pine' for Bush?

http://newsbusters.org/blogs/tim-graham/2010/07/29/aids-activists-rage-obama-pine-bush-wapo-puts-10#ixzz0v5KE1bNU
07:02 AM on 08/01/2010
Is revisionism a religion?
schatsie
Wall Street is Worse than Vegas
07:43 PM on 08/01/2010
The very first thing that Bush did even before his tax cuts was an executive order to stop the information about abortions/birth control/contraceptives in US funded clinics....
05:47 AM on 07/29/2010
Circumcision is genital mutilation, plain and simple. In healthy, non-concenting individuals it is a violation of basic human rights. "Researchers" should be seeking to displace it, not finding more uses for it.

There were 32 studies on circumcision included in the 2010 AIDS Conference packet. The vast majority focus on finding the best way to convince adults to circumcise themselves, their young children, and their newborn infants. WHY aren't "researchers" seeking to find "better ways" to prevent HIV? Why can't the seem to focus on anything else?

The theme of the Vienna conference was "rights here, right now." WHY is there no concern being given to children's rights? What about the "voice of the voiceless" Mr. Sidibe was talking about?

Clinton an Gates are really plugging circumcision. But what are they going to do in the event that a population doesn't want to mutilate themselves or their children? Have they thought of plan B? Or is all they can see in their minds is a world where everyone is circumcised, like it or not?

Circumcising healthy, non-consenting infants is a violation of their basic human rights. As long as people behind the AIDS movement are endorsing and promoting genital mutilation I will not support them. I am going to tell all my friends that donate to UNAids and UNICEF to withhold all their donations. UNICEF is a SHAME. They should be PROTECTING children's rights, not using funds to violate them. Talk about a waste of funds.
07:05 AM on 08/01/2010
Great posts Joe. I agree with you.
Demidan
2+2=5,(that's a Orwell reference you addlepate.)
09:16 AM on 08/01/2010
Male circumcising drops the infection rate by 50%! Read that again! Male F-ing Circumcising Drops infection rate by 50%!

WHY are you posting that beet juice and garlic are cures???
schatsie
Wall Street is Worse than Vegas
07:46 PM on 08/01/2010
sorry but that is so circumspect, I just cannnot believe that circumcision is that effective specially in the long run.....what a bunch of hoooey probably the same people who pimped abstinence as the solution to AIDS.....and pregnancy.....
05:41 AM on 07/29/2010
There are many problems with the "studies" people are trying to use to promote circumcision, the biggest one being that their "conclusions" conflict with a few realities.

In America, for example, 80% of men are already circumcised from birth. The rates of infant circumcision are dropping, but at large, the population remains circumcised. These rates are at their highest in the East Coast, where cities such as Philadelphia and Washington DC rival HIV hotspots in South Africa. In the 1980s, when the AIDS epidemic first hit, the rate of circumcised men in America was at 90%. One needs to question how something that never worked here in our own country is suddenly going to start working wonders in Africa.

In other countries, the "protection" remains to be seen as well. AIDS is a rising problem in Israel, where the majority of the male population is already circumcised. On Wednesday, July 7th, Malaysian AIDS Council vice-president Datuk Zaman Khan announced that than 70% of the 87,710 HIV/AIDS sufferers in the country are Muslims (in other words CIRCUMCISED). The Muslim, circumcised population accounts for 70% of the incidence of HIV, but only 60% of the population, which would mean that the circumcised population is getting HIV at a much higher rate than the non-circumcised population.

I'd like to see "studies" that explain these realities.
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myth buster
02:00 PM on 08/01/2010
And yet HIV infection acquired by heterosexual intercourse is minimal in this country.
schatsie
Wall Street is Worse than Vegas
07:47 PM on 08/01/2010
Are you kidding me? The highest increase rate is in Women over 50 years old.....
09:32 PM on 08/01/2010
Irrelevant! Consider that the gay male population devastated by AIDS was circumcised too. AIDS is less common among heteros largely due to where the infection first took hold in the USA, and due to the minimal sexual contact between gays and straight men/women. Most of the African spread has nothing to do with circumcision, but rather is involved with the common usage of prostitutes and "dry sex" in non-Muslim areas. Six African nations have HIGHER rates of AIDS among circumcised men, circumcision does nothing to prevent male-to-female transmission, nothing to prevent male-to-male transmission, and the so-called studies that purport to show some benefit female-to-male have been blasted out of the water. To see a real analysis of the AIDS/circumcision "studies", go to http://circumstitions.com/HIV.html - those reports were pretty much destroyed when analyzed in other countries that don't see male genital mutilation as a magic cure-all, but you won't find these devastating critiques widely spread in American media (or, tragically, in African media where the truth that circumcision is useless against AIDS is most needed).
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BBackSoon
Hello, I must be going.
02:20 AM on 07/29/2010
I know that this is an important issue, and the overhead far out paces the actual help, but it sure seems to me that Coburn is looking for something to hang his hat on. Something positive to offset all those NO votes.

Maybe I'm cynical, but, . . . No he really is trying to do one thing positive.
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03:49 AM on 07/29/2010
As soon as I saw his name on the article I hesitated but clicked anyway. You're right,
I'm cynical too.
11:06 AM on 07/29/2010
Coburn is one of the few Senators who stands on his convictions. He is the only one who term limits himself. You may not like him, but you can't say he is a typical politician who says whatever we want to hear.
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BBackSoon
Hello, I must be going.
11:20 AM on 07/29/2010
He has not term limited himself. He have vowed to term limit himself. At this time it is just a political promise.

By his convictions? Remind me, how many times has he crossed the aisle?

Just because his supposed reasons for constantly voting NO are a bit more reasonable does not say that he is not toeing the party line.
02:04 AM on 07/29/2010
Bill Gates is (according to recent articles) heavily pushing circumcision as a "prevent-all" for HIV. Since medical male "circumcision" (more properly called male genital mutilation) is demonstrably useless in preventing AIDS, throwing money at it is a waste of precious resources. How can we trust activists, foundations and government leaders that push such arrant nonsense to handle any AIDS funding properly?

Six African nations have HIGHER rates of AIDS among circumcised men, circumcision does nothing to prevent male-to-female transmission, nothing to prevent male-to-male transmission, and the so-called studies that purport to show some benefit female-to-male have been blasted out of the water by researchers outside of the US (for a real eye-opener, see the magisterial round-up at:

http://circumstitions.com/HIV.html

We remain the only Western nation pushing male genital mutilation as a snake-oil cure-all for whatever ills befall the world. Our researchers ignore their own biases, ignore "dry sex", ignore cultural and religious differences in the spread of disease - all so that the whole world will look just like them. Who would trust these fools with pocket change, let alone millions of dollars in funding? You can be rich, and still be dumb as a post (are you listening, Mr. Gates?).
12:47 AM on 07/29/2010
Condoms and anti-retroviral drugs are not the answer. Certainly, they should be a part of an overall strategy, but not the focal points. An emphasis on improving social conditions in communities heavily affected with HIV and prevention methods focused on reducing concurrency networks.
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karela
08:43 AM on 07/29/2010
You may be right about improving social conditions, BUT it makes no sense to do so without also offering condoms and drugs. Human beings are going to have sex. We're programmed for it and it is a basic biological urge. When they do, they need to be protected. And if infection does occur they need the antivirals. If it was your life and your body, would you want the medicine that keeps you alive and functioning so that you can raise your children?
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HUFFPOST SUPER USER
offred
A biocitizen is 3/5 of a corporate citizen
12:22 AM on 07/29/2010
Are US funds providing condoms and sex education, or are we still insisting that abstinence and monogamy are the only ways to prevent or slow down the spread of AIDS?
garystartswithg
el sueno de la razon produce republicans
12:43 AM on 07/29/2010
the bulk of the money goes to pharms, i don't know of many education programs other than very grass roots nonprofits not funded by hiv prevention (no irony there). hiv prevention money goes to pharms. the same happens in the united states though. i know more than a few people with hiv that have no problem spreading it, and we keep them around with govt money going to pharms that keeps them alive to spread the virus. i suppose as long as its business for pharms then capitalism works or some such rot.
01:45 AM on 07/29/2010
Not true. The US has provided over 19 billion dollars to the Global Fund to Fight AIDS, TB and Malaria. Prevention is one of the main focuses of the Global Fund and they have achieved amazing results - cutting the HIV transmission rates in half in some areas. Programs funded by the Global Fund have save an estimated 4.5 million lives since their inception in 2002.

Please be careful not to over-generalize about AIDS funding. By doing this you're undermining efforts by groups like the Global Fund who are using the funds provided by the US to achieve amazing, almost miraculous, results.
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HUFFPOST COMMUNITY MODERATOR
Frustrated in PA
I am not frustrated, I am NOW disgusted
10:01 PM on 07/28/2010
Eight (8) years of the Global Gag rule and corrupt dictators taking kickbacks and payoffs from US Aid will increase HIV rates. Abstinence only focused programs in Africa where sexual assault rates and marriage is higher than the US will fail. It failed in the US with a more educated populace, of course it would be an utter failure in Africa. It tied workers hands and limited the information and services that could be provided.

You can give $15 billion but if it is not spent wisely or focused on prevention methods that work i.e. contraception, if money is not allotted to discuss family planning or if money is not focused on anti-virals that are proven to work rather than line the pockets of Big Pharma then yes, the crisis will continue.

Evangelicals got rich off Bush's abstinence only regs and invaded places like Uganda to convert more people. It was and is a travesty.

http://www.prospect.org/cs/articles?article=how_bushs_aids_program_is_failing_africans
10:31 PM on 07/28/2010
Absolutely.
And then they try to claim that the programs Clinton created are Bush's true legacy, while ignoring his actual initiatives.
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demsrsilly
Proud supporter of workplace freedom.
10:37 PM on 07/28/2010
PEPFAR was started in 2003. How can you claim this was started by billy clinton?

I bet you think billy's policy in Rwanda in 1994 was good as it reduced the number of aids cases in Rwanda.
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HUFFPOST SUPER USER
offred
A biocitizen is 3/5 of a corporate citizen
12:35 AM on 07/29/2010
Clinton started his AIDS initiative (CHAI) a year before Georgie did (PEPFAR).

From the William J. Clinton Foundation website:

"The Clinton Health Access Initiative (CHAI)* is a global health organization committed to strengthening integrated health systems in the developing world and expanding access to care and treatment for HIV/AIDS, malaria and tuberculosis. CHAI’s solution-oriented approach focuses on improving market dynamics for medicines and diagnostics; lowering prices for treatment; accelerating access to life-saving technologies; and helping governments build the capacity required for high-quality care and treatment programs.

"Established in 2002 by President Clinton as the Clinton HIV/AIDS Initiative, CHAI initially focused on addressing the limited access to HIV/AIDS treatment faced by developing countries, where more than 90 percent of individuals living with HIV/AIDS reside. By working in collaboration with governments and NGO partners, CHAI has been able to expand treatment access and save lives."

Georgie always was a little slow on the uptake.
08:26 PM on 07/28/2010
experts in alternative medicine know that the remedy for the AIDS/HIV situation at every level of its reality is funding for research about the known KNOWN from experience effectiveness of alternative mediicne { integrative medicine , natural medicine}

the biggest failure of the anti AIDS apparatus which Clinton spoke of is in ignoring the field of what WHO calls traditional medicine (TM)

absent prejudice in the orthodox medical community it would be a very easy matter to test the natural remedies in aids clinics

one clinic devoted to each modality

1. Maharishi Ayur Veda
2. TCM ( botanical based )
3. master herbalism and Naturopathy
4. local healers
.5. vitamin C foundation protocols
6. adding mind/body medicine to the current drug treatments or the alternative treatments above e.g. adding 20 minutes 2x daily of Transcendental meditation ( TM)