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Africa’s Good Friend

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Posted on Feb 27, 2009
Bush and Tantoh
AP photo / J. Scott Applewhite

After speaking on his efforts to fight HIV/AIDS, President Bush hoists 4-year-old Baron Mosima Loyiso Tantoh, son of HIV-positive Manyongo Mosima “Kuene” Tantoh of South Africa, who met with Bush at the White House in 2007.

By Gbemisola Olujobi

Linda, a 24-year-old sex worker in Kigali, Rwanda, didn’t want to be tested for HIV because she feared she would find she would soon die. Her fear was not unfounded. Being aware of one’s HIV-positive status was a first step toward dying of AIDS in Rwanda, as in most parts of Africa. Anti-retroviral drugs were expensive and hard to come by. But that was before PEPFAR.

Then-President George W. Bush launched PEPFAR—the President’s Emergency Plan for AIDS Relief—in 2003, committing $15 billion over five years to combat HIV/AIDS globally. PEPFAR has been hailed as the largest international health initiative in history to fight a single disease. Through the program, the U.S. joins with local communities and organizations to support HIV/AIDS treatment, care and prevention activities.

About 1.4 million HIV-positive people have received anti-retroviral drugs through PEPFAR, an increase from the 50,000 who received U.S.-funded drugs before the initiative was launched. In addition, according to White House figures, PEPFAR has provided care to about 6.7 million people affected by HIV/AIDS, including 2.7 million orphans and other children. Drugs from PEPFAR to prevent mother-to-child HIV transmission have prevented an estimated 152,000 pediatric HIV cases.

PEPFAR has 15 focus countries—Botswana, Cote d’Ivoire, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia and Vietnam—and 12 of them are in Africa. It is estimated that, so far, PEPFAR has supported lifesaving anti-retroviral treatment for over 1.3 million people in sub-Saharan Africa alone.

In July 2008, Bush authorized PEPFAR to continue for five more years (fiscal years 2009-2013) when he signed the Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis and Malaria Reauthorization Act. The act was named in honor of the two late members of the U.S. House, one Republican and one Democrat, who authored the original 2003 act. In 2007 Bush proposed to double America’s initial commitment and provide an additional $30 billion. He also called on Congress to pass reauthorizing legislation to maintain PEPFAR’s founding principles.

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As a result of the “PEPFAR Effect” in Rwanda, Linda agreed to be tested and became aware of her HIV status. She is HIV positive but upbeat. “They said they could make us well, that they have these drugs. So I got tested and I have the drugs,” she said.

In Rwanda, PEPFAR is delivering anti-retroviral treatments to over 44,000 people. U.S. funding for HIV/AIDS there grew from $39 million in fiscal year 2004 to $103 million in fiscal year 2007.

Dr. Agnes Binagwaho, head of Rwanda’s National AIDS Council, says “the impact is huge. The average life expectancy of Rwandans has improved by four years because of PEPFAR.” According to Binagwaho, the program is the major contributor to a tenfold increase over the past four years in the number of Rwandans on anti-retroviral drugs, to nearly 50,000 people. Presently, about 70 percent of Rwandans who need the drugs receive them.

Others who like Linda owe their lives to “George Bush and the Americans” include Kunene Tantoh of South Africa and her child, Baron. Indeed, Bush named Tantoh as one of the five people that made his year 2007 special.

When Tantoh arrived at the Mothers to Mothers-To-Be Clinic in Cape Town, South Africa, in 2003, she had just discovered she was pregnant—and HIV positive. Mothers Centers, which receive PEPFAR seed money, give HIV-positive women information and support to keep their unborn babies free of HIV.

A normal person’s CD4 count, which measures immune cells, is between 500 and 1,500. Tantoh’s count was 2. She was not expected to survive. But with the treatment and nurture she received at the Mothers Clinic, she survived and gave birth to Baron, who is HIV negative. Tantoh became a mentor to other mothers and now serves as a site coordinator at the largest Mothers to Mothers-To-Be facility in South Africa.

PEPFAR may indeed turn out to be Bush’s major redeeming value as he continues to be criticized at home and abroad for his relentless war-making in Iraq and Afghanistan. The New York Times has argued that PEPFAR could be his “most lasting bipartisan accomplishment.”

Says Dr. Alex Coutinho, a top AIDS expert in Uganda, “When I’ve traveled in the U.S., I’m amazed at how little people know about what PEPFAR stands for. Just because it has been done under Bush, it is not something the country should not be proud of.”


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By Franc, March 4 at 4:38 pm #
(Unregistered commenter)

Unfortunately, PEPFAR’s flawed prevention policies including directives for abstinence and be-faithful programs, and fails to integrate HIV prevention services into family planning services. In their version of this legislation, H.R. 5501, the House of Representatives also includes ideological constraints on the provision of care. Specifically, the House requires family planning clinics to abide by the global gag rule and not provide or refer for abortions to be eligible for HIV funding.

Although initially PEPFAR may have helped thousands, I believe that giving vital aid should never be conditional on poor people accepting ideology.

It’s a form of bribery and blackmail!

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By Santayana, March 4 at 12:16 pm #
(Unregistered commenter)

We should also remember that Bono and Bobby Shriver created Project (RED) to provide anti-retroviral drugs for Africa, and did so with no silence clauses, gag orders, or strings attached. As for Bush doing something worthwhile, let’s credit the man. Now he spends one less day face down on Satan’s griddle. And Hitler loved puppies. What’s the point?

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By msgmi, March 3 at 12:56 pm #
(Unregistered commenter)

Bono lobbied his heart out and for once Bush delivered.

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By mg, March 2 at 2:37 pm #
(Unregistered commenter)

Thanks to Mr. Wexler, and Louise, for the counterpunch. It seems nothing the man did was for good. Too much in the way. He was the best worst President we ever had!

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By Reubenesque, March 2 at 1:09 pm #

AMEN, W.W.W.!  This photo of ‘Wrongworst’ can’t be pushed down the ‘Reports’ stack soon enough!

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By William W. Wexler, March 2 at 12:34 pm #

Sorry, but calling Bush Africa’s good friend over his role in AIDS prevention is naive and inaccurate.  Depending on the motivation, it could just be called an outright lie.

The truth about Bush and AIDS relief is that his interest is in Big Pharma, not ending the devastation of the disease.  Under the Bush AIDS relief plan, it was illegal to sell the cheaper generic drugs, so only the high profit drugs were available.  So although AIDS medications reached around 2 million people, the 25 million who got none could have if it wouldn’t have been for Bush’s restriction on generics.

Further, aid was contingent on “economic austerity” measures from these poor governments, which complied in part by cutting health services to the people who needed them most.

According to a joint report issued by 39 NGOs, Bush’s Africa AIDS relief plan allows 5 people to become infected for every 2 it helps, based on its ideological (religious) approach.  Among recommendations in a letter written to Senators Reid, Lugar, and Biden are:

1) Remove all requirements and language governing distribution of funds for prevention of sexual transmission. The original PEPFAR legislation contained an earmark requiring that 33 percent of all funding for prevention activities be allocated to abstinence-only-until-marriage programs despite any evidence supporting this practice.

2) Remove the refusal clause (the so-called “conscience clause.”) The Global AIDS Act of 2003 includes a refusal clause or so-called “conscience clause” allowing organizations to receive scarce public funding to carry out prevention programs that are based on their own philosophy, even if it is in conflict with evidence-based interventions.

3) Remove the “prostitution pledge.” Though to date both the House and Senate have been disinclined to address it, imperatives of both public health and human rights compel us to remind you of the enormous negative impact of the anti-prostitution pledge. Current law requires groups fighting HIV/AIDS overseas to pledge their opposition to prostitution and sex trafficking before receiving U.S. money.

4) Include explicit language strengthening the linkages between reproductive health services and HIV prevention.

These are highlights from the letter, which was signed by 39 NGOs.  You can get the list here:
http://www.rhrealitycheck.org/blog/2008/07/11/forty-ngos-urge-change-bush-aids-policy

I am not sure what the motivation was for writing this article.  If it was legacy-building for Bush, forget it.  Bush was the worst president in America’s history and his approach to every single problem was to evaluate it for its political ideology first and business impact second.  His disregard for US and international law is famous, and he should and probably will be prosecuted for war crimes including an illegal invasion and occupation of a sovereign state, torture, and a raft of other charges including illegal wiretapping, disregard of Article VI paragraph 2 (Supremacy Clause),  and outing a CIA operative for political purposes.

No, it’s not “cool” to bash Bush.  But it’s ignorant and dishonest to apologize for him.  After the outright atrocious, dangerous, and lawless government we’ve suffered for the last 8 years, I’m not going to stand by and let his legacy be whitewashed by half-truths about a feel-good AIDS relief package, either.  This approach was ineffective, dishonest, and ideological and it ended up costing people’s lives… just like everything else Bush did.

-Wexler

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By SteveL, March 1 at 8:34 pm #

Guess we needed to see Bush’s smiling face once again.

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By Gambetti, March 1 at 5:59 pm #
(Unregistered commenter)

Wow all I can read from these comments are words of pure IGNORANCE. So none of you were there when he rescued us from Silicon Valley crash? or maybe you were not there when he gave us tax cuts so we could use that money on the economy? Or what about the relief he gave in tax cuts on investing in stocks that helped us keep afloat for as long as we did. He had this planned for awhile. He also previously gave aid for the fight again Malaria in Africa and cut the spread by 65%. I see hating Bush is cool but if you are American he was still your president. He also had the highest approval rating of any president in history. So instead of making him the scapegoat for owning up to what he did and remaining steadfast instead of wavering to your flimsy do’s and don’ts, you should maybe look at yourself in shame. Know your facts, not what other people state as facts…. nubs

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By Ibett, March 1 at 3:33 pm #
(Unregistered commenter)

Most of the monies do not get to the needed source, there are strings attached to receive aid:  NO CONDOMS, ABSTENENCE ONLY, LISTEN TO CHRISTIAN RHETORIC, this is a farce just like georgey dumbo stupid.  The only prize george bush deserves is life in prison for war crimes and demolishing our country and constitution, it is shameful.

Ibett

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By Louise, March 1 at 3:08 pm #

This comes on the heels of a week-long bash Bush conference. Or at the very least, a “we don’t know that man” celebration. How sad when the very people who so hysterically supported Bush are now hysterically trying to distance themselves from Bush. He must be feeling a twinge of abandonment. And seeing the hopelessness of looking to his base to help him, he turns instead to the rest of us. Could the reality that those loyal supporters are all completely nuts be lost on him? Could it be that Bush is not near so stupid as we all thought he was? That in fact he simply worked hard to portray himself as, dumb enough to deserve the position of leading the even dumber?

Look who his former base elevates to a mock position of authority. Newt Gingrich! Sarah Palin! Joe the plumber! Rush Limbaugh! They are so fractured and befuddled, they even celebrate Ron Paul as one of their own! And the fact that Ron Paul accepted that elevation, showed up and spoke to CPAC’s collection of burned out light bulbs is telling. Can we suppose Bush was expecting an invitation to speak? Or should we suppose one was extended and he refused.

Recognition comes late to Bush. Maybe that should be the title of his memoir.

Gbemisola Olujobi, is a recipient of the first IWMF fellowship for international women journalists. This article reports a reality in Africa we hear about, but pay little attention to. Reporting a portion of that reality is responsible journalism. That the man featured in the positive happens to be Bush is simply just what it is. PEPFAR has had positive effect on the lives of many in Africa, suffering from AIDS. So maybe this story isn’t about Bush, so much as it’s about a journalist who reminds us not everything Bush did was followed by disaster.

Or, maybe Bush really is as dumb as a board and like so many morons, accidentally does something good once in a while. I doubt Bush focused on PEPFAR any more than he focused on anything else. But it might help his staff find something to focus on.

But even PEPFAR has it’s critics. As Joshua Kurlantzick points out in the September/October 2008 Issue of Mother Jones,

“Foreign assistance to African nations hard-hit by AIDS could have been the administration’s greatest success. Then ideology interfered.”

” - while PEPFAR has done wonders for aids treatment, it has missed the boat on prevention by insisting on moralistic rather than epidemiological strategies - until recently, one-third of its prevention funding, totaling hundreds of millions of dollars, was squandered on premarital abstinence programs that research shows don’t work. - PEPFAR has revolutionized aids treatment in Africa. When it comes to prevention, however, the White House has ensured that the aids program is governed by a counterproductive moral standard.

To run his aids initiative, Bush chose former Eli Lilly CEO Randall Tobias, who was indifferent to his own staff’s on-the-ground experience. Tobias’ reign ended with his resignation in April 2007. Turned out the man who’d been promoting abstinence around the globe was a client of the infamous DC Madam.”

In general, at least two-thirds of all foreign aid funds never leaves the United States, according to a Congressional Research Service report in 2006, The money buys U.S. products, pays U.S salaries, overhead, benefits packages, travel, American-made vehicles, office expenses, computers and other equipment. USAID awards 87 percent of its consultant dollars to U.S. based firms. In addition 30% of PEPFAR funds have been given to ideologically driven groups who inhibit prevention and treatment with an abstinence only and NO sex education policy.

During the campaign, Obama released a plan to combat global HIV and AIDS pledging that “best practice, not ideology” would drive US funding for HIV/AIDS programs. Perhaps that plan will include reducing waste in money’s held here and actually deliver more money there.

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By Inherit The Wind, March 1 at 9:53 am #

I guess the only thing I can say is that this is the broken clock syndrome: Even a broken clock is right twice a day.

Amidst all of the havoc and despair that George W. Bush wrought during his catastrophic 8 years there are few items and actions for which he cannot be condemned (amidst the cornucopia of ones for which he MUST be condemned).  This is one of them. Could it have been done better? Of course.  But at least he did it.

He also set aside the Mariana Trench as a protected area so it isn’t contaminated. That’s good—small, but good.

He also did his best to evade and avoid the Hard Right’s push for draconian immigration laws and enforcement against Mexico and illegal immigrants (primarily Mexicans and Latin Americans).  As an offshoot of that in a rare moment of political insight, he warned that the GOP was seriously alienating a critical support base: The largest minority in America, Hispanics.

Of course, even birdbrains like James Buchanan, Franklin Pierce and Warren G. Harding had minor things they did well, amidst the disasters they otherwise foisted upon the US.

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By Chris, March 1 at 2:43 am #
(Unregistered commenter)

If somebody does something good, I will focus on that. There are many people who would owe their lives to his program.

Might your own take on it be different if you were one of those people?

And this is coming from someone who regretted the day Bush was selected (obviously not elected) to be President. I don’t think any of us had a clue as to how horrible his Presidency would really be…

Hundreds of thousands of Iraqi’s dead…perhaps a million or more. Countless injured for life. Somewhere near 4500 dead American soldiers. Many thousands “wounded”...meaning paralyzed, blinded for life, brain damaged, psychologically damaged…

It’s horrible. The man who was really elected the first time out, Al Gore, would never have done any of that. And, I don’t see why he wouldn’t have given Africa the same assistance with AIDS that George W. Bush gave them.

But still, help arrived to a hurting Africa. Many people are alive today that may not have been. If George W. Bush is responsible for it, he should be credited with it.

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By Less Laugh, February 28 at 10:31 pm #
(Unregistered commenter)

I say, we give Bush the “Ignoble Peace Prize.”

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By Ching-Ching, February 28 at 7:28 pm #

At last, somethong good that Bush did.

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By Fadel Abdallah, February 28 at 5:37 pm #

Strange! Very strange indeed that Bush is viewed by some Africans as a friend of Africa when he could not be a friend of at least half of the his own American people and most of the world at large!

I would suggest that the writer of this piece lead a campaign among his African brothers and sisters to appoint Bush as a king-for-life over all the continent so per chance they would really experience Bush’s benevolence at a larger scale!

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By lOst_sOuls_rembrd, February 28 at 5:20 pm #

Is this the beginning of Bush trying to change how history will judge him?  He is a shameful human being and I will NEVER forget his part in the destruction of this country, our freedom and the many lost lives of our fellow citizens as well as human beings all over the world.

I promise to never forget and I will never stop doing my part to help others to remember.

God have mercy on us all…all over the world.

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By GB, February 28 at 1:46 pm #
(Unregistered commenter)

At first this looks good for bush but we know with everything he did in his disasterous 8 years was to line the pockets of his business friends in oil and pharmaceuticals. He stripped the family planning parts out leaving millions more in Africa vulnerable to STDs including HIV. Where was he during Katrina? We know that answer. I would love to be able to hail his acheivements but it seems his best photo ops were anywhere but where they should have been.

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