Hillary Clinton

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Without more money, it’s the end of the beginning of the end of AIDS | 

Tomorrow is World AIDS Day and most organizations that had something to say about this have already said it.

Most said: “We can end AIDS.”

Flickr, by Roger H. Goun

Secretary of State Hillary Clinton

Secretary of State Hillary Clinton called for creating an “AIDS-free generation” and on Thursday released the Obama Administration’s blueprint aimed at describing how we can achieve this. Unfortunately, as the Washington Post noted:

The document, however, contains no specific targets or a schedule for achieving them. It also doesn’t estimate how much more money it would cost to reach the “tipping point” in high-prevalence countries, or where the money would come from.

Michele Sidibé, head of UNAIDS (the UN’s program on HIV/AIDS), also released a report and a suggested game plan for ending the AIDS pandemic.

The UNAIDS report celebrated major gains in reducing new HIV infections in many countries, some of them in sub-Saharan Africa, and called for “Getting to Zero” in terms of new HIV infections worldwide. Most of these gains have been in preventing mother-to-child transmission of HIV in newborns.

UNAIDS

Michel Sidibé

“It is becoming evident that achieving zero new HIV infections in children is possible,” said Sidibé. “I am excited that far fewer babies are being born with HIV. We are moving from despair to hope.”

Others celebrated some of the scientific gains such as more conclusive evidence that getting people on anti-HIV treatment also prevents the spread of disease by significantly reducing viral loads in HIV-infected persons.

And though a vaccine still seems a distant hope, researchers have made progress and are making headway on the basic immunology in ways that have recently also moved the vaccine community from despair to hope.

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A Positive Trend, new HIV infections vs people getting treatment to prevent AIDS

We can end AIDS. It’s true.

It is also true to say we can end hunger and extreme poverty, if only we put enough resources, talent and political will into those efforts. But we don’t.

And until we put in the effort needed to truly suppress HIV/AIDS, calling for an end to the global AIDS pandemic will be, despite some amazing progress made in the past decade, wishful thinking. Continue reading

What’s the haps in Busan | 

Flickr, juanjolostium

Busan street market

Busan is the second largest city in South Korea and one of the world’s biggest port cities.

If you knew that, maybe you already know about the big “high-level” meeting there this week featuring folks like Secretary of State Hillary Clinton, UN Secretary General Ban Ki-moon, former British Prime Minister Tony Blair and thousands of other top officials from around the world.

But you probably didn’t. I suspect many Americans likely haven’t even heard of Busan, or much about the Fourth High Level Forum on Aid Effectiveness conference going on there through tomorrow.

This may stem from the fact that many, if not most, Americans fail to understand why civilized, developed nations do foreign aid and overseas development — let alone why top world leaders, activists and others would attend such a wonky sounding meeting in some far-flung Asian city.

My job is to help you understand. It can be difficult, I agree, in part because the language of foreign aid and development is, frankly, awful. Deadly. Dull. Yes it is. But what we’re talking about here is not. This is often about life and death, peace versus war, hope versus despair. How we get a better world.

So I’ve been following the discussions at this meeting, remotely, and largely via The Guardian’s excellent coverage. As Sec. Clinton said in Busan, we do foreign aid and development because it is in our national interest to do so:

“Countries with growing economies are less likely to send refugees streaming across their borders or traffic in arms, drugs or people.”

That’s the standard U.S. political sound-bite anyway: Foreign aid makes us safer.

True enough, but isn’t this a sad state of affairs — that this is the case American politicians think they have to make?

Given the push right now by some in Congress to cut foreign aid (which is only about 1 percent of the budget), it often seems like our leaders shy away from saying this is about helping the world’s poorest. Why is that such a tough case for our government to make? It’s not a tough case for British conservatives or most European leaders to make. I wonder ….

This is the moral imperative angle, which I would say actually has a lot of support in the greater Seattle area where a substantial humanitarian aid and development community is big and getting bigger.

At the Busan meeting, Oxfam is among a number of organizations trying to shame governments and donors to keep their promises on foreign aid. Here’s a great video Oxfam made to make its case for how best to improve foreign aid:

But there are other non-shaming arguments to be made as well in favor of aid and development, such as the economic one. Here’s one such, initially confusing, case that was made by Tony Blair, writing in the Washington Post, on how improving foreign aid can help put an end to foreign aid:

Fifty years ago, the scene in Busan, South Korea, would have been a familiar image of international aid: sacks of grain stacked precariously on a crumbling dockside. The backdrop would have been a country emerging from war and dependent on outside assistance to meet the most basic needs. But when national and development leaders gather in Busan this week to discuss the future of aid, they will see a very different place: the fifth-busiest commercial port in the world, transporting advanced technologies around the globe. This, writ small, is the Korean miracle — the transformation of a country from aid-dependent to aid donor.

This isn’t rocket science. It should be obvious that it is in our economic interest to help other countries improve their lot. Yet, again, for some reason, even this remains a hard sell in the U.S. Continue reading

Clinton calls for “AIDS-free generation,” signs Ellen DeGeneres up to help | 

In a speech at the National Institutes of Health today, Secretary of State Hillary Clinton said it is time for the world to “usher in an AIDS-free generation,” calling it a new “policy priority” for the U.S.

Clinton said scientific advances have made it possible to strive for a generation in which “virtually no children” are born with HIV. She added that a “wide range of prevention tools” can help prevent the spread of the virus and that access to treatment can prevent people who are HIV-positive from passing the virus on to others.

Flickr, Gobierno de Guatemala

“Now, HIV may be with us well into the future. But the disease that it causes need not be. This is, I admit, an ambitious goal, and I recognize I am not the first person to envision it,” Clinton said, according to a transcript of today’s speech, which was described by the State Department as the first in a series of remarks from Obama administration officials leading up to World AIDS Day.

“Now we know beyond a doubt if we take a comprehensive view of our approach to the pandemic, treatment doesn’t take away from prevention. It adds to prevention,” Clinton said. “So let’s end the old debate over treatment versus prevention and embrace treatment as prevention,” she added. Continue reading

How should U.S. respond when Somali militants threaten famine relief? | 

UN

Somali mother cradles her malnourished, ill child

The Al-Shabaab Somali militants affiliated with Al Qaida have vowed to continue their attacks on civilians after taking responsibility for a suicide bombing in Mogadishu that has killed anywhere from 70 to 100 people.

The UN refugee agency says this is likely to make the already difficult famine relief effort harder. An estimated 750,000 are at risk of dying from starvation and malnutrition.

CNN reports ‘scores dead’ and that many of those killed were students:

A truck filled with explosives barreled into a government complex in the heart of Somalia’s restive capital Tuesday, a brazen strike killing dozens of people, including students registering for an education program.

As the Boston Globe reports, many had thought the capital city was safe after the militants fled in August: Continue reading

If Congress de-funds NPR, let’s create NGR — National Global Radio | 

photobucket

Okay, these might not be the best of times to be at NPR — unless you are an adherent of the PT Barnum school of promotion that believes: “Any publicity is good publicity.”

Now, I have my own opinion of everything from the Juan Williams’ sacking to the secret videotaping of an unfortunately outspoken NPR fund-raiser (not a journalist, mind you … an important distinction), to Vivian Schiller’s forced resignation as CEO in the probably vain hope it will reduce the political heat on NPR right now.

But given everything that’s going on, I probably shouldn’t offer my opinion. Continue reading

The Guardian on mixing up defense and development | 

The Guardian examines the uneasy, risky, issues involved when we too closely try to combine foreign aid with foreign policy in the context of what’s happening now in Egypt.

Over the last two weeks, images emerged from Egypt revealing foreign aid as a crucial protagonist in the ongoing protests…. What the development economist William Easterly had called “the dirty secret” of the international aid system – the nonchalance of donors in the face of government repression in recipient countries – is now (nearly) front page news.

To be sure, US aid in Egypt has gone to fund programs focused on health, education and trade, but the vast majority of the multibillion-dollar US aid package to Egypt has been spent on military and domestic security initiatives. Whether intentional or not, foreign aid to Mubarak’s regime is widely seen to have strengthened the government’s ability to confront popular movements.

The British news organization also has this story on a report by Oxfam contending military goals are distorting foreign aid priorities and also endangering aid workers.

As I’ve noted here before, there’s a push by the Obama Administration, specifically Secretary of State Hillary Clinton, to “re-invent” foreign aid. This push is aimed at making it dovetail even more with our foreign policy and security issues, which in Egypt is widely viewed as having been about propping up a dictatorship.

Perhaps it’s worth considering re-inventing foreign aid so that it is focused less on our international political and military agendas and more on simply providing assistance to those in need.

Is foreign aid about helping poor people, or propping up dictators? | 

Egypt, now in political revolution, is one of the largest recipients of U.S. foreign aid, getting more than a billion dollars annually.

USAID

U.S. foreign assistance map

As this data from USAID’s excellent new Foreign Assistance Dashboard shows, nearly all of it has gone for “peace and security” — which is, of course, a euphemism for military spending.

Supporting Egypt’s outgoing (soon, yes) dictatorial president Hosni Mubarak has been the primary motive for that aid, partly because of Egypt’s relatively friendly stance as an Arab nation toward us and toward Israel. Continue reading

Going Scrooge on foreign aid? | 

Flickr, art.crazed Ronald Searle)

Ebenezer Scrooge

Because of the hard economic times, or maybe it’s the holiday spirit, a number of folks are saying we need to cut U.S. foreign aid — as if it is some huge financial extravagance we can no longer afford.

The reality is, it’s not huge at all (see pie chart below) and not really an extravagance.

Nevertheless, on Fox News, Bradley Blakeman, a professor of politics at Georgetown University and former adviser to President George W. Bush calls for cuts to foreign aid, saying “Charity Begins at Home.” Continue reading