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Bush’s Institute Points an Pressing Plea for Congress to Renew His AIDS Program


The institute based by President George W. Bush issued an pressing name on Wednesday for Congress to resume the worldwide AIDS program generally known as PEPFAR, a centerpiece of Mr. Bush’s overseas coverage legacy that has change into a sufferer of abortion politics on Capitol Hill.

PEPFAR — the President’s Emergency Plan for AIDS Aid — has saved an estimated 25 million lives since Mr. Bush based it 20 years in the past. The $6.9 billion program, which have to be reauthorized by Congress each 5 years, has lengthy had bipartisan assist and is usually cited as a strong instance of America’s ethical management on the planet.

But it surely faces an unsure future. The laws authorizing this system lapsed on Sept. 30 after some Home Republicans claimed, with out proof, that the Biden administration was utilizing it to advertise abortion abroad. These Republicans wish to connect abortion-related restrictions to PEPFAR that may doom its reauthorization within the Democratic-controlled Senate.

The Bush Institute, which is nonpartisan, has to this point been reluctant to step into the talk.

However in a bipartisan letter signed by greater than 30 retired ambassadors, overseas coverage luminaries and organizations — together with the Carter Middle, based by former President Jimmy Carter — the institute pleaded with Congress to reauthorize this system. It argued that along with saving lives, PEPFAR was countering the rising affect of Russia and China and burnishing America’s repute as a world chief.

“PEPFAR is a mannequin of United States management and a supply of nice nationwide pleasure,”
the letter mentioned. “It is likely one of the most profitable worldwide growth applications since World Conflict II. Abandoning it abruptly now would ship a bleak message, suggesting we’re now not in a position to put aside our politics for the betterment of democracies and the world.”

For now, not less than, PEPFAR is continuous to function. However advocates concern that, with out the underlying authorization, this system might be topic to finances cuts and even elimination sooner or later. They usually say this system is weaker with out the bipartisan imprimatur of Congress.

“The traditional conservative speaking level is that we don’t wish to fund applications that aren’t approved,” mentioned Keifer Buckingham, the advocacy director on the Open Society Foundations and a longtime PEPFAR supporter. “It’s additionally truthful to say that in international well being and international well being politics, optics matter,” she added.

Mr. Bush himself didn’t signal the institute’s letter; folks near him have mentioned he’s attempting to make use of his voice judiciously. The lead particular person signer is Dr. Deborah L. Birx, a senior fellow on the Bush Institute who ran PEPFAR beneath Presidents Barack Obama and Donald J. Trump, and in addition served as Mr. Trump’s coronavirus response coordinator.

However Mr. Bush has made no secret that he desires this system reauthorized. Over the summer season, he mentioned its future with Consultant Michael McCaul, a Texas Republican and the chairman of the Home International Affairs Committee, over lunch on the Bush household compound in Maine. In mid-September, he revealed an opinion piece in The Washington Publish urging Congress to put it aside.

At the moment, PEPFAR’s supporters on Capitol Hill thought they have been making progress towards breaking the logjam. Consultant Barbara Lee, a California Democrat who’s a number one proponent of this system, mentioned in an interview then that she was working with a freshman Republican, Consultant John James of Michigan, on a bipartisan reauthorization invoice.

However the effort was placed on maintain final month within the face of a threatened authorities shutdown, and it stays stalled as a result of the Home is in a state of dysfunction with Republicans unable to decide on a speaker.

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