How to Save Twenty Million Lives

Twenty years ago, the U.S. launched the largest, most successful global health initiative to ever address a single disease. The President’s Emergency Plan for AIDS Relief (PEPFAR) is credited with saving at least 20 million lives. New York Times columnist Nick Kristof recently called PEPFAR “the single best policy of any president in my lifetime.”

By early 2002, HIV/AIDS was devastating sub-Saharan Africa. Josh Bolten, then-Deputy Chief of Staff for Policy, assembled a team to investigate how a U.S.-led fund could help stop the epidemic. The team included our guest today, Dr. Mark Dybul.

Dybul later served as the U.S. Global AIDS Coordinator, leading PEPFAR from 2006 until the end of the Bush administration. Dybul was the Executive Director of the Global Fund to Fight AIDS, Tuberculosis, and Malaria from 2013-2017.

(00:00) Introduction

(14:49) Trials in the field

(31:00) Political coverage

(37:17) Fights within the U.S. government

(43:22) The president steps in

(51:39) Involving Congress