The Trump administration has drafted a plan to end the President's Emergency Program for AIDS Relief (PEPFAR), which has saved 26 million lives. PEPFAR would be replaced by bilateral relationships aimed at outbreak detection and market creation for American drugs. The plan anticipates a 42 percent budget cut from the current $4.7 billion. While PEPFAR was supported under previous administrations, some Republicans propose ending it due to perceived dependency among developing countries. The transition aims to emphasize U.S. trade over aid and rapid response capabilities for health threats.
PEPFAR would be replaced by 'bilateral relationships' with low-income countries focused on the detection of outbreaks that could threaten the United States and the creation of new markets for American drugs and technologies.
With targeted investment, PEPFAR's H.I.V. control capabilities in these countries could be transformed into a platform for rapid detection and outbreak response to protect Americans from disease threats like Ebola.
We believe that the transition of PEPFAR can become the premier example of the U.S. commitment to prioritizing trade over aid, opportunity over dependency and investment over assistance.
The documents assume a 42 percent reduction in PEPFAR's current budget of $4.7 billion, which Secretary of State Marco Rubio has said is his goal.
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