

Lawfare Archive: The PEPFAR Reauthorization Battle, with Emily Bass
Feb 9, 2025
Emily Bass, a prominent writer and activist with over two decades in HIV/AIDS advocacy, joins the discussion to highlight PEPFAR's incredible impact over the last 20 years, saving millions of lives. She dives into the alarming political climate threatening the program's reauthorization and shares insights from her book "To End a Plague." The conversation underscores the dire implications for global health if the program expires, emphasizing its critical role in addressing not only medical but also social barriers in HIV treatment.
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PEPFAR's Origin
- In 2003, protease inhibitors transformed HIV from a death sentence into a manageable condition.
- However, access to these drugs was limited by wealth and resources, creating disparities.
PEPFAR's Holistic Approach
- PEPFAR's impact in Africa extends beyond antiretroviral treatments.
- It addresses systemic issues by working with local groups and building healthcare services.
PEPFAR's Legislative Structure
- PEPFAR's initial authorization was unusual due to its specific structure, strategy, and oversight.
- This framework facilitated confidence and bipartisan support, leading to successful reauthorizations.