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no bull, and the aftermath.

It's appropriation. You lose all the controls that actually everybody, including conservatives,

really liked around what PEPFAR is and what it drives for. Or, and this is what representative

Smith is proposing, you could do a one-year reauthorization. You have to remember that these plans,

these programs are long-term, they're ongoing, they're getting increasingly focused on interventions

that can achieve epidemic control, can really bring HIV, epidemic levels of HIV to an end. And

that a one-year authorization disrupts a proven planning cycle. It shakes confidence in country

governments who are trying to figure out whether the US has been it for the long haul or not.

And it also really undermines our ability to leverage and work with investments in laboratory

infrastructure, in sequencing and diagnostics that support PEPFAR and HIV, but also really support

pandemic preparedness and outbreak response. I'm Anna Hickey, Associate Editor of Communications

for LawFair, and this is the LawFair podcast, August 22nd, 2023. In 2003, President Bush created

the President's emergency plan for AIDS relief, or PEPFAR, and in the 20 years sense, the program

has been credited with saving over 25 million lives and stabilizing health systems around the world.

This fall, the program will expire if Congress doesn't act, putting millions of people at risk of

losing access to HIV AIDS treatment. I sat down with Emily Bass, a writer and activist who has

spent more than 20 years writing about and working on HIV AIDS. In 2021, she wrote to end a plague,

a book on America's War on AIDS in Africa. We discussed how PEPFAR has changed over the past two

decades. Why does that risk of expiring this fall and what the expiration would mean for the millions

...