HEALTHFuture unclear for hugely effective US health program
<https://links.morningbrew.com/c/dA9?mbcid=33185295.1969929&mid=e3b72b545d242166fe653b02ca21b520>[image:
Images photographed on the site of the Coptic Hospital, 2 December 2006 in
Nairobi, Kenya. The Coptic hospital is run through donations and is a
benificary of the PEPFAR project]
<https://links.morningbrew.com/c/dA9?mbcid=33185295.1969929&mid=e3b72b545d242166fe653b02ca21b520>*Brent
Stirton/Getty Images*

The most impactful government program you don’t know about is facing an
uncertain future.

PEPFAR—an acronym for the President’s Emergency Plan for AIDS Relief—was
created by former President George W. Bush in 2003 and is credited with
saving 25 million lives around the world. Through the program, the US
government has invested more than $100 billion in treatment for HIV-AIDS
and related illnesses by providing training, medical infrastructure, and
antiretroviral drugs. PEPFAR remains the largest commitment
<https://links.morningbrew.com/c/dAa?mblid=639b9ed5cc04&mbcid=33185295.1969929&mid=e3b72b545d242166fe653b02ca21b520>
by
a country to confront a single disease, according to KFF.

Since its inception, PEPFAR has been renewed every five years with
bipartisan support. But that wasn’t the case in 2023, as lawmakers let the
program expire at the end of September.
What’s the holdup?

House Republicans delayed $1 billion
<https://links.morningbrew.com/c/dAb?mblid=86a23be446da&mbcid=33185295.1969929&mid=e3b72b545d242166fe653b02ca21b520>
in
funding for PEPFAR, alleging the money was being used to fund abortions
overseas, something HIV policy experts and advocates have denied.

*A blow to the US’ global reputation: *The Biden administration is
concerned that letting this program lapse will hurt the US’ image abroad,
especially in the many African countries that have benefited from PEPFAR.

*What’s next?* PEPFAR’s future was already clouded due to gridlock in the
House, but newly elected Speaker Mike Johnson could present another
obstacle. Johnson is staunchly anti-abortion and a longtime ally of
conservative advocacy groups that have said renewing the program in its
current form will be seen as a vote to support abortion abroad.—*DL*


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