Earlier this year, Susan Hillis got a voice message from Pastor Billions Chondway.

Calvary greetings. Calvary greetings. Dr. Susan, how are you?

Pastor Chondway was at his home in Zambia. Dr. Hillis was at an airport in Thailand

where she had been attending a conference of Christian mission hospitals. She could hear the worry in his voice.

I had tears in my eyes and was choked up.

Pastor Chondway was urgently trying to find HIV medication for a nine-year-old orphan with AIDS.

She has no chance unless someone can get her medicine in the middle of rural Zambia. Who's going to do that?

I was thinking she's going to die. For years, the U.S. has funded global efforts to prevent and

treat HIV. When President Trump took office, the new administration stopped most foreign assistance,

including much of the program that serves orphans with AIDS.

That left Pastor Chondway scrambling.

Then by chance, it would say miracle.

He found someone who agreed to share their remaining pills with the child.

God save Diana that she doesn't develop symptoms because the dosage was too much or was less.

Since the start of the year, millions of people have faced situations like this one,

scrambling after the U.S. slashed global HIV prevention and treatment programs.

Now, the U.S. says it will support a new HIV prevention drug that the medical

community calls a game changer. Consider this. For decades, the U.S. led global efforts to end

HIV AIDS. Where will the trend lines go from here?

From NPR, I'm Ari Shapiro.

On NPR's Wild Card podcast, author Elizabeth Gilbert gets brutally honest about her tendency to make bad choices.

Whenever I see red flags, I think it's a parade in my honor.

...