Right now, the U.S. global AIDS response could best be described as rearranging deck chairs while the ship drifts entirely off course.
We are not witnessing bold reform, but an intentional unraveling of America’s legacy in global health. And it’s happening without the congressional engagement that has, historically, yielded such remarkable success.
Reimagining and realigning global health programs is not inherently bad. In fact, it was a spirit of reimagination that led to the creation of the President’s Emergency Fund for AIDS Relief, or PEPFAR, the most successful global health program in our country’s history. But we were off track on global targets related to HIV before Jan. 20. To right the ship requires a thoughtful, intentional strategy. That is not what is happening.