Podcasts about pepfar

Healthcare can't ask communities to trust systems that haven't earned their trust. In this episode, Harold Phillips, the CEO of NMAC (formerly the National Minority AIDS Council), discusses what HIV reveals about stigma, trust, racial justice, and the communities still being left behind by healthcare. Drawing on his lived experience with HIV and decades of public health leadership, Phillips explores why healthcare must treat the whole person rather than simply the diagnosis. He explains how stigma, misinformation, and mistrust can keep people from accessing care even when effective treatments and prevention tools are available. Phillips also examines the difference between outreach and genuine community partnership, emphasizing the importance of listening to communities and using their lived experiences to shape healthcare systems and policy. Tune in to hear Harold Phillips share what healthcare leaders can learn from communities that have historically been left behind, and how those lessons can help build more equitable, trustworthy systems. IHI Spotlight - Sylvia Trent-Adams: This episode's IHI Spotlight features Sylvia Trent-Adams, President and CEO at the Institute of Healthcare Improvement, who talks about the lessons HIV has taught her about dignity, trust, equity, and person-centered care. Drawing on her experience as a nurse caring for soldiers living with or affected by HIV, she emphasizes that treating a diagnosis and truly seeing a person are not the same thing. She also discusses why healthcare organizations must listen to marginalized communities and act on what they hear, making equity an essential part of quality and safety rather than a separate initiative. About Harold Phillips: Harold J. Phillips is a nationally recognized HIV policy leader and public health strategist with over 30 years of experience advancing equity, access, and innovation in the fight against HIV/AIDS. In 2025, he was appointed CEO of NMAC, where he leads eNorts to center racial justice and community leadership in the national response to HIV. Previously, Phillips served as Director of the White House Office of National AIDS Policy (2021–2024), overseeing the implementation of the National HIV/AIDS Strategy and shaping federal policy to accelerate progress toward ending the epidemic. He also held senior roles at the Health Resources and Services Administration's HIV/AIDS Bureau, where he managed key programs including Ryan White, AIDS Education and Training Centers, and PEPFAR-funded initiatives. As a Black gay man living with HIV, Phillips brings lived experience and visionary leadership to his work. His career has been defined by a commitment to uplifting marginalized voices, modernizing HIV policy, and building sustainable systems of care. Things You'll Learn: HIV continues to reveal how stigma, misinformation, and mistrust can create barriers to healthcare access. Treating the whole person requires healthcare systems to address the social and personal circumstances that shape health outcomes. Lived experience should inform healthcare policy, system design, and shared decision-making. Genuine community partnership requires ongoing listening, responsiveness, and action, not one-time outreach or consultation. Healthcare organizations can build trust by listening to communities, adapting their services, and creating systems that center historically marginalized populations. Resources: Connect with and follow Harold Phillips on LinkedIn. Follow NMAC on LinkedIn and explore their website!

PEPFAR, or the President's Emergency Program for AIDS Relief, started in 2003 and is the largest country-to-country bilateral investment in addressing any single disease. PEPFAR is not only funding, but expertise, and has saved millions of lives since the Bush administration. Dr. Jennifer Sherwood, Director of Research in the Foundation for AIDS Research (amfAR) public policy office, talks to us about attacks to PEPFAR, the populations that are impacted, and some recent protections to PEPFAR's crucial work. Early in 2025, a pause on new funding going out into the field was announced, in combination with a stop-work order. Soon after, a PEPFAR waiver was announced, yet it included extremely specific restrictions. amfAR completed a survey across 46 different countries asking about grant status, service provision, and more. It found that nearly 80% of organizations surveyed had grant cuts or eliminations. Because of the cuts, amfAR documented 1,700 site closures, including drop-in clinics that are essential to key populations. Local organizations were also disproportionately impacted by closures and grant impacts. The term “key populations” refers to populations that are at high risk of acquiring HIV and experiencing additional, structural barriers to care. Often, this is sex workers, men who have sex with men, other gay and bisexual men, transgender individuals, and those that use or inject drugs. Programs particular to key populations were absolutely decimated, as strongly documented in amfAR's survey. These impacts are also being exacerbated by the recent expansion of the Global Gag Rule.For more information check out Babes in Bookland: https://womensmemoirpodcast.com/Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.socialBuy rePROs Merch: Bonfire store Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!

Recorded at the AIDS 2026 conference in Rio de Janeiro, Ben and Dr. mike Reid discuss how climate disruption will exacerbate existing infectious diseases, enable emerging threats, and worsen non-infectious conditions, arguing global health must anticipate and mitigate climate-health impacts. They note health was sidelined at COP Egypt 2025 and that few national climate plans include health adaptation budgets. Case studies contrast Pakistan's 2022 floods—2.6 million new malaria cases, fivefold dengue increase, and 20% of primary care facilities underwater—with Mozambique's Cyclone Idai response, where PEPFAR-supported HIV infrastructure enabled faster recovery through reliable supply chains, information systems, energy backups, and workforce support. They emphasize integrated, resilient primary care and scaled community health workforces (e.g., Ethiopia), including community-delivered mental health care, amid shrinking donor support. mike explains applying Kate Raworth's “donut economics” to climate-health financing, referencing the Bridgetown Initiative and proposing climate-health bonds, while also highlighting greener delivery, regional manufacturing, and lower-emission prevention tools like lenacapavir and cabotegravir. 00:00 Live from Rio 00:52 Climate-Driven Disease 03:26 Health Plans Missing 05:31 Resilient Systems 06:10 Pakistan Flood Case 08:00 Mozambique Cyclone Ida 11:35 Primary Care Backbone 12:27 Community Health Workforce 14:22 Conference Funding Shift 17:09 Donut Economics Explained 20:55 Cameroon Donut Priorities 22:25 Why Leaders Ignore Health 23:32 Financing Climate Health 29:57 Sustainable Global Health 32:09 One Key Investment 33:34 Rio Networking Surprise 35:02 Wrap-Up and Credits Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid's Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm's YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

For over two decades, the U.S. government has been a lynchpin in the global fight against HIV, pouring billions of dollars into treatment, prevention, and health systems strengthening through initiatives like the U.S. President's Emergency Plan for AIDS Relief, or PEPFAR. Then came Elon Musk, the foreign aid freeze, and a disruptive set of reforms to U.S. global health programs under President Donald Trump's “America First” Global Health Strategy. Against the backdrop of this tumultuous moment, the question remains: Was the old framework built to sustain solutions, or merely to sustain itself? Mark Dybul, who led PEPFAR from 2006 to 2009, joined the Theory of Change podcast to deliver a blunt assessment of the legacy and current trajectory of foreign assistance. Reflecting on the evolution of former President George W. Bush's signature global health initiative, Dybul addressed the sharp criticisms now driving a broader push for reform. While acknowledging the lifesaving impact of past initiatives, Dybul pointed to a fundamental failure in long-term strategy: The shift toward true local ownership never fully materialized. In Dybul's view, Musk's Department of Government Efficiency surfaced uneasy truths about how the U.S. government has worked with countries to end the AIDS epidemic — and the opportunities that were missed along the way. "The diagnosis was correct. That indictment was correct. I mean, to be honest, it turned my stomach that 25 years later we were spending the same amount of money as when I walked out the door. That wasn't the plan." He also pushed back on projections that PEPFAR funding cuts could cause thousands of deaths, arguing that these underestimate governments' ability to protect health programs — as well as opportunities for greater efficiency. As global health systems undergo a rapid overhaul, Dybul argues that the next 12 to 18 months represent a critical window. They must either adapt to a model centered on country sovereignty, local innovation, and mutual economic partnership, or risk watching the entire architecture collapse.

As the president's ill-conceived conflict with Iran becomes more unstable and chaotic his personal propaganda machine has run out of ways to spin it to its viewers. Last week the network was more than happy to hype up a personal vendetta Senator Rand Paul (R-KY) has against Dr. Anthony Fauci, formerly the Director of the National Institute of Allergy and Infectious Diseases (NIAID).Sen. Rand Paul (R-KY) cast himself as a noble physician battling what he believes is a corrupt mad scientist, Fauci, who was hellbent on accumulating power and wealth during one of the darkest chapters in recent American history. Although Paul is a medical doctor, he studied ophthalmology and briefly worked as an eye surgeon before following his father's path in politics.The senator might be able to surgically fix a problem in a human eye, but he has no expertise or experience with infectious diseases.Dr. Anthony Fauci is a physician-scientist and immunologist with a decades long career as a public servant. Fauci was instrumental in the U.S. government response to the HIV/AIDS epidemic. Over a period of years he helped secure research funding, speed up drug trials, and helped design PEPFAR - a U.S. initiative to treat HIV/AIDS patients all over the world.Fauci had the misfortune to run the NIAID when a new virus, SARS-CoV-2 or COVID-19, spread across the world while working with one of the most incompetent presidents in U.S. history - Donald J. Trump.During the public health catastrophe Fauci kept notes about his work on a government issued computer. Senator Paul subpoenaed the personal notes Fox News called “The Fauci Diaries” and attempted to use Fauci's writing to bolster a false narrative about the COVID-19 pandemic.Paul's pursuit of Fauci resulted in a Senate committee hearing last week where the doctor evoked his fifth amendment rights against self-incrimination over 100 times. Meanwhile Paul and his fellow GOP senators cherry picked statements from the personal notes and mocked Fauci for passages about his fascination with celebrities and his newfound fame.The focus on COVID provided the network with an easy way to avoid discussing an unpopular war while it provided Fox News viewers an opportunity to re-ride the roller coaster of conspiracy theories, snake oil remedies and vaccine avoidance that cost hundreds of thousands of American lives.In addition to the network's obsessive coverage of a senate committee hearing that gave their viewers no new information Fox News hosts continued to openly criticize Trump's handling of the war in Iran while insisting that the United States was on the brink of a communist takeover by a small group of Democratic Socialists. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit decodingfoxnews.substack.com/subscribe

In this episode of Redefining Global Health in the 21st Century, Ben chats with authors mike Reid and Eric Goosby about how funding shocks become life-and-death realities, starting with a case from Zambia after the January 2025 U.S. pause and cuts to PEPFAR that left many without antiretrovirals and destabilized HIV services in a system heavily dependent on U.S. support. They describe behind-the-scenes efforts to warn political leaders, on-the-ground resilience and improvisation, and the emotional toll of what they view as an abandonment of dialogue. The discussion explores whether donor dependency was a design choice, the roles donors should play (equity gaps, global public goods, and underwriting transitions), and options such as co-investment requirements, government-to-government funding, debt-to-health swaps, public financial management support, domestic resource mobilization (including sin taxes), and potential roles for development finance and sovereign wealth funds, while stressing the need to define a clear destination for health financing and country ownership. 00:00 Welcome and Book Intro 00:29 Zambia Funding Shock 02:26 Why Zambia Matters 05:58 Scrambling After PEPFAR Pause 07:58 Resilience and System Fragility 09:58 Eric Goosby Reaction 15:37 Dependency by Design 18:44 Colonial Debt Reality 22:25 What Solidarity Looks Like 26:10 Donor Funding Roles 30:21 Accountability and Oversight 32:50 Co Investment and Direct Funding 35:37 Debt Relief as Co Investment 36:46 Debt for Health Swaps 37:46 Modernizing Gavi and Global Fund 41:26 Local Accountability and Trust 45:26 Post Aid Era Roadmap 48:19 Building Country Ownership 53:46 Sovereign Wealth Fund Ideas 58:04 New Finance Tools and Taxes 01:00:04 Defining the Destination 01:04:03 Call to Action and Thanks Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid's Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm's YouTube home. Redefining Global Health in the 21st Century: The Podcast (Playlist on Youtube) https://bit.ly/rgh-book A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

Host Ben Plumley speaks with Solange Baptiste Simon and Othoman Mellouk of the International Treatment Preparedness Coalition (ITPC) about their packed treatment pre-conference and concerns that treatment is being sidelined amid heavy focus on PrEP and prevention. They argue the prevention-versus-treatment framing is false, emphasizing a continuum from testing to prevention to treatment, and describe on-the-ground chaos as HIV services are integrated into broader chronic care with overstretched health workers and communities. They discuss a “strange” AIDS 2026 marked by funding cuts and reduced PEPFAR influence, uneven country leadership, and a shift from scientific innovation to challenges of financing, manufacturing, regulation, and equitable delivery of long-acting technologies. They caution against product-driven responses, stress human rights and stigma realities, and conclude that community power, involvement, and resourcing remain central to sustainable solutions. 00:00 Welcome and Guests 01:08 Treatment Preconference Highlights 03:13 Prevention vs Treatment Debate 05:00 Continuum of Care Reality 07:34 Clinic Integration Chaos 10:07 Conference Avoiding Hard Truths 14:58 Post PEPFAR Future 18:39 Product Hype vs Access 22:58 Fiscal Space and Priorities 25:13 Beyond Biomedical Fixes 30:19 2030 Targets Reality Check 32:29 Crossroads and Policy Choices 36:15 Community Hope and Closing 38:23 Final Thanks and Signoff Guests: Solange Baptiste Simon Executive Director, ITPC Othoman Mellouk Access to Medicines & Diagnostic Lead, ITPC ITPC Global https://itpcglobal.org AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026 #ITPC

On the first full day of AIDS 2026 in Rio, the A Shot in the Arm podcast (with the International AIDS Societies Young Leaders Program) captures excitement about new HIV science alongside anxiety over PEPFAR-related funding cuts and debate about reliance on a single donor. Guests include Florence, a Botswana-Harvard lab research scientist studying HIV/HBV coinfection and occult hepatitis B, reporting mutation findings (notably in the HBx region) and urging more inclusive OBI screening and greater HBV visibility at AIDS conferences; Bernard, a Nigerian doctor practicing emergency medicine in Russia, proposing integrating HIV awareness into existing emergency/ambulance systems to reduce stigma and cost; and returning guest Maggie Duncan, who presents work improving the Intact Proviral DNA Assay for measuring HIV reservoirs across subtypes. They discuss partnerships, private sector roles, long-term post-2030 HIV response, stigma, and unequal access to technologies and reagents. 00:00 Welcome From Rio 00:30 Conference Mood Check 01:08 PEPFAR Tensions 02:13 Meet The Guests 02:30 Florence HBV HIV Research 06:04 Clinical Coinfection Basics 07:08 Bernard Emergency Integration 10:18 Stigma Sparked A Pivot 11:45 Maggie Reservoir Assay 13:53 Florence Poster Deep Dive 19:18 Partnerships And Funding 22:58 Private Sector Debate 27:18 Beyond 2030 Future Outlook 31:27 Access Equity And Stigma 34:47 Closing Thanks Guests: Florence Gaone, IAS Young Leader: Research Scientist, Botswana Harvard Health Partnership Bernard Adorbe, IAS Young Leader: Medical doctor- Hospital of Emergency Medical Services, Rostov on don, Russia Maggie Duncan, IAS Young Leader: PhD Student at the Faculty of Health Sciences, Simon Fraser University Vancouver Canada AIDS 2026 https://www.iasociety.org/conferences/aids2026 Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health. #hivaids #HIV #AIDS #globalhealth #AIDS2026

A new report is detailing the impact of cuts to USAID and the program known as PEPFAR, which has been credited with saving over 26 million lives since 2003. The study from the HIV/AIDS non-profit amfAR found that more than 1,700 treatment sites have closed in the wake of funding cuts. William Brangham discussed more with Dr. Atul Gawande, the assistant administrator of USAID under President Biden. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Guest: Prof Linda Gail-Bekker | Director at Desmond Tutu Health Foundation The International AIDS Conference is underway in Rio. Africa Melane speaks to Director at Desmond Tutu Health Foundation, Prof Linda Gail-Bekker about the key breakthroughs, major discussions and what the conference could mean for South Africa's HIV response. Early Breakfast with Africa Melane is 702’s and CapeTalk’s early morning talk show. Experienced broadcaster Africa Melane brings you the early morning news, sports, business, and interviews politicians and analysts to help make sense of the world. He also enjoys chatting to guests in the lifestyle sphere and the Arts. All the interviews are podcasted for you to catch-up and listen.Thank you for listening to this podcast from Early Breakfast with Africa Melane For more about the show click https://buff.ly/XHry7eQ and find all the catch-up podcasts here https://buff.ly/XJ10LBUListen live on weekdays between 04:00 and 06:00 (SA Time) to the Early Breakfast with Africa Melane broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3NSubscribe to the 702 and CapeTalk daily and weekly newsletters https://buff.ly/v5mfetcFollow us on social media:702 on Facebook: https://www.facebook.com/TalkRadio702702 on TikTok: https://www.tiktok.com/@talkradio702702 on Instagram: https://www.instagram.com/talkradio702/702 on X: https://x.com/Radio702702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalkCapeTalk on TikTok: https://www.tiktok.com/@capetalkCapeTalk on Instagram: https://www.instagram.com/CapeTalk on X: https://x.com/CapeTalkCapeTalk on YouTube: https://www.youtube.com/@CapeTalk56See omnystudio.com/listener for privacy information.

Troy Jackson has the delegates in Maine, Amish Shah beat the DCCC in Arizona, and Michigan votes August 4. The party endorsement is now a liability.Arizona was the only state holding a primary this month, and it delivered the story of the summer. Amish Shah won the Democratic nomination in Arizona's 1st Congressional District over the candidate the DCCC spent real money to boost. Brian Derrick and Glennis Meagher walk through why this might be happening, from Randy Villegas in California to Matt Dunlap in Maine, and what it means when the national party's blessing starts reading as a potential scarlet letter.Up in Maine, Troy Jackson has locked up the delegates to replace Graham Platner on the ballot against Susan Collins, and he is this week's Oath Candidate of the Week. A fifth generation logger who got into politics organizing his fellow loggers against a Canadian labor swap, Jackson starts from zero with a nominating convention set for July 25. Brian explains why this is one of the rare Senate races where an early contribution actually moves something.Then it's Michigan, where Haley Stevens and Abdul El-Sayed are twelve days from an August 4 primary that has pulled in roughly $50 million in outside spending, including the largest single race investment AIPAC has ever made. Plus Pete Hegseth on the Hill pricing the Iran war at $37.5 billion while asking for tens of billions more, Kirsten Gillibrand pressing him on why a supposedly decimated Iran is still killing American service members, and the drone company investments Joe Rogan Googled live on his own show.Also this week: a rapid fire Clickbait or Double Click on the Cyclospora outbreak and your Crunchwrap Supreme, the Tate brothers' arrest in Miami, and Zohran Mamdani's viral Netanyahu video. Plus why Kamala Harris keeps getting handed the 2028 frontrunner label, and a Good Vibe Goodbye courtesy of John Cornyn, two ambassador nominations and PEPFAR.New episodes every Thursday morning! Follow so you never miss a check in!EPISODE LINKSSupport Oath Candidate of the Week: Troy JacksonSend us a text!Watch us on YoutubeFollow us on Instagram Oh, we're on TikTok tooFollow Brian on IG Follow Glennis on IG

On The Lancet Voice, host Niall Boyce and co-host Miriam Sabin are joined by Taissa Villa, editor-in-chief of The Lancet Regional Health Americas, and Professor Marcia de Castro — Andelot Professor of Demography and chair of the Department of Global Health and Population at Harvard University — to assess the state of health across Latin America. 2024 was dengue's worst year on record. Oropouche virus has broken out of the Amazon. Venezuela's earthquake exposed a health system already gutted by a decade of political crisis. PAHO estimates the combined burden of NCDs and mental health at seven trillion dollars — roughly the region's entire GDP. And US withdrawal from PEPFAR and the Global Fund now threatens malaria elimination programs that were within reach in Mesoamerica. Yet Brazil's SUS remains the only free universal health system serving a population above 200 million, and Castro sees real grounds for hope in PAHO-led malaria elimination efforts. The Lancet Voice is part of the Lancet Group podcast offering.  Editorial team: Niall Boyce, Miriam Sabin, Jessamy Bagenal, Richard Horton, and Gavin Cleaver Podcast editing: Matteo Simonetti Visit https://www.thelancet.com/multimedia to learn more about our multimedia offering.  Find the best science for better lives at thelancet.com Follow us today at... https://thelancet.bsky.social/ https://instagram.com/thelancetgroup https://facebook.com/thelancetmedicaljournal https://linkedIn.com/company/the-lancet https://youtube.com/thelancettv

Dr. Joy Fleming introduces Dr. Holloran, President of American Bible Society in Philadelphia, who accepts the 2026 Tru316 Medallion Award. Dr. Holloran previously served as COO of Wycliffe Bible Translators in Orlando, Florida. Dr. Joy then introduces Tru316 Day Keynote Speaker Dr. Bev Nyberg, former State Department Official and former missionary to Africa. Dr. Nyberg directed the PEPFAR program providing emergency care for AIDS victims and their families in Africa, serving under President George Bush and President Barack Obama. This event was held across the street from the Liberty Bell and Constitution Hall in historic Philadelphia at the Headquarters of American Bible Society in March 2026.  The Tru316 Foundation (www.Tru316.com) is the home of The Eden Podcast with Bruce C. E. Fleming where we “true” the verse of Genesis 3:16. The Tru316 Message is that “God didn't curse Eve (or Adam) or limit woman in any way.” Once Genesis 3:16 is made clear the other passages on women and men become clear too. You are encouraged to access the episodes of Seasons 1-11 of The Eden Podcast for teaching on the seven key passages on women and men. Are you a reader? We invite you to get from Amazon the four books by Bruce C. E. Fleming in The Eden Book Series (Tru316.com/trubooks). Would you like to support the work of the Tru316 Foundation? You can become a Tru Partner here: www.Tru316.com/partner

This week on This Way Out: Emma Schulman takes to the LAPRIDE streets to hear what folks have to say about PRIDE, plus, a Rainbow Rewind featuring playwright, activist, Larry Kramer and in the news, the Supreme Courts of Nepal and Eswatini are ordering marriage equality and queer civil rights; don't bet on trans protections in the U.K.'s game of Prime Minister roulette, and don't bet on the New York Times for covering trans news; say goodbye to U.S.-funded AIDS care via PEPFAR in South Africa, but say hello to animal world DEI in the documentary Second Nature. Credits: Associate Producer/Host Lucia Chappelle, Producer Brian DeShazor, News writer Jeb Backe, feature producer Emma Schulman, NewsWrap reporters Marcos Najera and Ret, music: Purrfect the way you are by Tatsu & Lyov, Two, Three, Fall by Mice Parade from Freemusicarchive License by CC BY-NC-ND, and Kim Wilson

In “Dharma & Empire,” Mary Thanissara and Vince Fakhoury Horn trace how the structures of Empire occupy not just land but the psyche—moving from their own Irish, Palestinian, and colonial family histories to Gaza, climate, and class—and ask what a more revolutionary Dharma might require of practitioners right now.

For two decades, PEPFAR, the US program to curb AIDS/HIV, enjoyed support and financial backing from both Republicans and Democrats, saving an estimated 26 million lives in what is described as the largest ever commitment by any nation to address a single disease.Previous presidents - including Donald Trump in his first term - continued to praise and support the effort. But last week, the State Department announced that it would be ending its support for PEPFAR in South Africa. The UN has warned the decision could end up costing lives. US officials told the BBC that the funding cut was in part a response to South Africa's alleged failure to protect the white-minority Afrikaner community, an accusation Pretoria rejects.Asma speaks to the BBC's Senior Africa Producer Ed Habershon about what drove this decision and what the impact could be. Producers: Cat Farnsworth, Valerio Esposito and Aron KellerExecutive producer: Bridget HarneySound engineer: Travis EvansDigital producer: Richard KennySenior news editor: China CollinsPhoto: Bottles of antiretroviral ARV drugs used to prevent HIV. Credit: Thomas Mukoya/Reuters

Die Departement van Gesondheid sê hulle het geen formele skrywe van die Amerikaanse regering ontvang oor die volledige onttrekking van MIV/Vigs-befondsing deur Pepfar nie. Dit volg na mediaberigte hieroor. Die woordvoerder van die departement, Foster Mohale, sê die regering werk al lank aan 'n selfstandigheidsplan om die uitwerking van befondsingonttrekking te verminder. Dis sedert die aanvanklike bevriesing van buitelandse hulp en die kansellasie van USAid-toelaes in Januarie verlede jaar:

The FW de Klerk Foundation has appealed to US President Donald Trump to reconsider phased cuts to PEPFAR funding for South Africa. In a letter, Executive Director Christo van der Rheede warned the cuts would disrupt healthcare for millions and weaken the Government of National Unity. The Foundation rejected claims of "white genocide", saying violent crime affects all South Africans but hits poor township communities hardest. It urged Washington to decouple humanitarian aid from political disputes, saying current US policy risks empowering extremist factions opposed to South Africa's 1994 democratic settlement. We spoke to Christo van der Rheede, Executive Director of the FW de Klerk Foundation.

A Shot in the Arm Media launches a new nine-part series produced in partnership with the UCSF Institute for Global Health Sciences, built around the book Redefining Global Health in the 21st Century, co-authored by Dr. mike Reid (UCSF Institute for Global Health Sciences) and Ambassador Eric Goosby (former U.S. Global AIDS Coordinator and former PEPFAR Chief Medical Officer). In this prologue episode, Reid and Goosby explain why they wrote the book, what defined the “golden era” of global health since the early 2000s—the Global Fund, PEPFAR, Gavi—and why that progress now feels at risk under the Trump administration's cuts to USAID and PEPFAR. They introduce the book's central metaphor, borrowed from Cory Doctorow's concept of “enshittification,” to ask whether global health institutions are on the brink of decay, and argue that decline is a choice, not a destiny. The conversation previews the arc of the series—covering the old order, governance, financing, climate, technology and AI, and self-care for health workers—and closes with a call for honesty, bipartisanship and accountability, grounded in the legacies of Nelson Mandela and Steve Biko. 00:00 Introduction: Is the Greatest Threat to Global Health... Us? 00:49 Launching the Series: Redefining Global Health in the 21st Century 02:06 Meet the Authors: Dr. Mike Reid and Ambassador Eric Goosby 02:32 Why They Wrote This Book 03:28 Writing Through the Trump Transition 05:28 The Golden Era of Global Health 08:04 Shared Responsibility and Its Roots 10:21 What's Unraveling Now 11:34 Vancouver 1996 and the Roots of the Reckoning 12:18 Honoring Health Workers and Naming the Moral Injury 14:18 What Would Have to Change, Structurally and Politically 17:50 “Enshittification” and the Risk of Global Health Decline 20:30 Kuhn, Paradigm Shifts, and a New Vision for Global Health 22:17 Goosby's 38,000-Foot View: Aligning Need, Access and Governance 25:16 Reid on Financing, Governance, Science and New Tools 28:06 Mapping the Series and the Book's Chapters 32:11 Reform Agenda or Transformation Agenda? 35:19 Letters to My Daughters: Making Global Health Personal 37:31 Why Global Health Matters at Home 41:12 Does the Field Still Reflect Why We Got Into It? 43:18 Bipartisanship, Nelson Mandela and Steve Biko 46:18 Toward a Reckoning: Truth, Reconciliation and Accountability 51:02 “Not on Our Watch” 53:27 Holding the Administration to Account 56:32 The Book, Its Price, and Where to Find It 58:23 Sign-Off and What's Coming in Episode Two Learn more about the book: https://bit.ly/redefining-global-health More from UCSF Institute for Global Health Sciences: https://globalhealthsciences.ucsf.edu Check Out mike Reid's Substack: https://substack.com/@reimaginingglobalhealth Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! What would it take for global health to avoid decline? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health — and look out for a dedicated sub channel for Redefining Global Health in the 21st Century under A Shot in the Arm's YouTube home. Redefining Global Health in the 21st Century (Playlist on Youtube) https://bit.ly/rgh-podcast A Shot in the Arm Podcast Youtube (Main Channel) https://youtube.com/@shotarmpodcast

In this episode of THE MENTORS RADIO, Host Dan Hesse talks with Ambassador Randy Tobias, former Vice Chair of AT&T, and Chair and CEO of AT&T's primary operating unit, AT&T Communications. Randy left AT&T in 1993 to become Chair, President and CEO of Eli Lilly and Company. In 2003 President George W. Bush nominated him to be the founding United States Global AIDS Coordinator with the rank of Ambassador and with the charge to develop, launch and lead what became PEPFAR, a multibillion-dollar U.S. government initiative to blunt the global HIV/AIDS epidemic, first in sub-Saharan Africa and then globally. Now in its twenty-second year, PEPFAR is credited with having saved more than 26 million lives. Subsequently President Bush named Randy Administrator of USAID and concurrently the first Director of all United States Foreign Assistance with the rank of Deputy Secretary of State. Ambassador Tobias has been recognized with a long and diverse list of honors including five honorary degrees. He has served on a number of corporate and non-profit boards, and in leadership roles with numerous organizations including as chair of the boards of trustees of both Duke University and Indiana University. He is the author of two books, Put The Moose On The Table: Lessons In Leadership From A CEO's Journey Through Business And Life, and Never Daunted: A Life and Legacy of Embracing Change, a memoir published in 2025. LISTEN TO the radio broadcast live on iHeart Radio, or to “THE MENTORS RADIO” podcast any time, anywhere, on any podcast platform – subscribe here and don't miss an episode! SHOW NOTES: AMBASSADOR RANDY TOBIAS: BIO: BIO: Ambassador Randy Tobias BOOKS: Never Daunted: A Life and Legacy of Embracing Change, by Randall L. Tobias Put the Moose on the Table: Lessons in Leadership from a CEO’s Journey Though Business and Life, by Randall L. Tobias and Todd Tobias WEBSITE: Tobias Leadership Center, University of Indiana

   In this episode of WarDocs, Dr. David Hilmers, a retired Marine Colonel, four-time NASA Space Shuttle astronaut, and dual-trained physician in internal medicine and pediatrics offers a sweeping perspective on what it means to apply hard-won lessons from space exploration, global infectious disease response, and humanitarian medicine to the pressing challenges facing military medicine today.    Dr. Hilmers traces a career that began with a chance bulletin posted in Japan advertising NASA's new astronaut program. With an aviation background and advanced degrees in electrical engineering from the Naval Postgraduate School, he applied on a whim and spent twelve years at NASA — flying the first mission of Atlantis, the first post-Challenger flight, two classified DOD missions, and a scientific mission just before starting medical school. After retiring from the astronaut corps, he fulfilled his lifelong dream of medicine, completing a dual residency before dedicating subsequent decades to sub-Saharan HIV, Ebola response in Liberia, malnutrition research, refugee health in Bangladeshi camps, and hepatitis B elimination across the Pacific.     The conversation covers the parallel demands of deep space medicine and austere combat environments — both defined by communication blackouts, limited resources, and the need for expert decision-support without a physician readily available. Dr. Hilmers describes his consultancy work for NASA on Earth-independent medical operations using mixed reality and large language models, and explains how these same AI-driven tools represent a critical force multiplier for a special forces medic, Navy corpsman, or Space Force guardian operating in denied or degraded environments.    He introduces the knapsack problem — a NASA-developed optimization framework that balances mission requirements against the mass, volume, power, and training cost of medical equipment — and argues persuasively that this model is directly applicable to the prolonged field care challenge posed by large-scale ground combat operations (LSCO). As the golden hour becomes a relic of counterinsurgency-era warfare, AI-powered kit optimization and just-in-time procedural training become existential requirements, not enhancements.     On wearable technology, Dr. Hilmers articulates a layered, agentic-AI approach to battlefield health monitoring — smart garments, sweat sensors, tactical watches, smart rings, helmet concussion dosimeters, and hearables — all operating under strict emissions control, with edge computing that pushes actionable alerts to the individual soldier without requiring eyes on a screen. The real holy grail is seamless integration into situational awareness networks that give squad leaders and brigade commanders real-time readiness data.      Dr. Hilmers closes with a frank assessment of soft power: the withdrawal of USAID and PEPFAR funding has ceded influence in the Pacific and across the developing world to China, with projected millions of preventable deaths. He calls on military medicine to lead humanitarian engagement as both a moral imperative and a strategic tool. His final advice to young military medicine professionals — dare to be more than you think you can be, and know that it is never too late to reinvent yourself — distills a life of uncommon service into a single, actionable mandate.   Chapters (00:00:00-00:01:44) Introduction: From Aviator to Astronaut to Academic Physician (00:01:45-00:06:25) AI Tools for Austere Environments: Space, Combat, and Remote Medicine (00:06:26-00:13:19) Lessons from Ebola, Refugee Camps, and Global Infectious Disease (00:13:20-00:18:49) The Knapsack Problem: Optimizing Medical Kits for Prolonged Field Care (00:18:50-00:27:16) Wearable Technology and the Digital Twin Warfighter (00:27:17-00:31:18) Bench to Battlefield: Academia, Industry, Military Collaboration and Closing Advice Chapter Summaries (00:00:00-00:01:44) Introduction: From Aviator to Astronaut to Academic Physician Dr. Hilmers recounts a career trajectory shaped by opportunism and determination. Drafted-era military service led to Marine aviation, graduate engineering degrees at the Naval Postgraduate School, and a chance NASA application while stationed in Japan. Twelve years as an astronaut on four Space Shuttle missions gave way to the long-deferred dream of medicine — a dual residency and decades of academic and humanitarian work that followed.   (00:01:45-00:06:25) AI Tools for Austere Environments: Space, Combat, and Remote Medicine Dr. Hilmers draws direct parallels between deep space medical operations and combat or remote-area medicine: limited communications, absence of ground-based expert support, and the demand for just-in-time training. His NASA consultancy work on Earth-independent medical operations using mixed reality and large language models maps directly onto the needs of a corpsman, special forces medic, or Space Force guardian in a denied environment.   (00:06:26-00:13:19) Lessons from Ebola, Refugee Camps, and Global Infectious Disease The Liberia Ebola response revealed the fatal flaw of large, fixed treatment units in an outbreak that moved dynamically across the country. That lesson produced the EZ Pod — a collapsible, helicopter-transportable isolation unit developed at Baylor. Experience in Bangladeshi Rohingya refugee camps reinforced the life-saving power of vaccination and the growing threat of climate-driven disease migration. The core lesson: enter a community to ask what is needed, not to impose solutions.   (00:13:20-00:18:49) The Knapsack Problem: Optimizing Medical Kits for Prolonged Field Care Drawn from NASA mission planning, the knapsack problem is a systematic optimization of medical kit contents against the probability, fatality, and resource cost of each anticipated condition. Dr. Hilmers argues this framework is essential as LSCO scenarios eliminate the golden hour and require prolonged casualty care in the field. AI is positioned as the engine that can dynamically optimize triage decisions, antibiotic allocation, and resource sequencing in real time.   (00:18:50-00:27:16) Wearable Technology and the Digital Twin Warfighter A layered ecosystem of smart garments, sweat sensors, tactical watches, smart rings, helmet concussion dosimeters, and hearables can create a real-time digital twin of the individual soldier and the collective readiness of a unit. The critical design constraints are EMCON compliance, MIL-SPEC durability, edge computing without internet dependency, and seamless integration into situational awareness networks from the squad level to the brigade. The holy grail is actionable data pushed to the soldier without requiring eyes off the mission.   (00:27:17-00:31:18) Bench to Battlefield: Academia, Industry, Military Collaboration and Closing Advice Effective innovation requires continuous, bottom-up communication among academia, industry, and the military — and that means all three groups must get their hands dirty in field testing. Dr. Hilmers cautions against fitting a "sexy AI application" to a problem it does not solve. His closing message to young military medicine professionals: take every opportunity the military offers, dare to exceed your own expectations, and know that reinvention is always possible.       Take Home Messages Austere Environments Share a Common Medical Playbook: Whether the setting is a spacecraft bound for Mars, a combat forward operating base, or a refugee camp in Bangladesh, the medical challenges converge: degraded communications, absent specialist support, and the need for expert clinical decision-making at the point of care. Building systems — AI tools, training protocols, or equipment kits — that address these shared demands creates solutions with broad applicability across military and humanitarian contexts.   Optimize the Kit Before the Mission, Not During the Crisis: The knapsack problem is an operational imperative. Every gram of medical equipment displaces something else, and every gap in the kit becomes a potential fatality during prolonged casualty care. AI-driven optimization of medical kit contents against mission-specific risk profiles must become a standard pre-deployment process, especially as LSCO eliminates the expectation of rapid evacuation.   Just-in-Time Training Is a Force Multiplier, Not a Substitute for Preparation: AI-enabled procedural guidance at the point of care — showing a corpsman exactly how to perform a cricothyrotomy in the moment it is required — can bridge lethal knowledge gaps in combat. This capability augments, it does not replace, rigorous pre-deployment training. The human must remain in the loop; AI is an advisor, not a commander.   Wearable Technology Only Delivers Value When Integrated Into the Fight: A smart ring that predicts illness or a helmet sensor that quantifies blast exposure generates no operational value if the data is not actionable at the point of decision. Battlefield wearables must operate under strict emissions control, function without internet connectivity, perform edge computing locally, and surface alerts to the soldier or commander seamlessly — without requiring eyes off the mission. The integration challenge is harder than the sensor challenge.   Military Humanitarian Medicine Is Both a Moral Obligation and a Strategic Asset: Soft power is not a secondary mission — it is a strategic instrument. Withdrawal from programs like USAID and PEPFAR cedes influence to adversaries in every region where that presence is abandoned. Military medicine, with its global footprint, logistical capacity, and trained personnel, is uniquely positioned to demonstrate that American warfighters can be both deadly and compassionate. Investing in military humanitarian medicine builds alliances that firepower alone cannot secure.   Dr. Hilmers Biography    David C. Hilmers, MD, EE, MPH, MSEE, is a multifaceted physician, professor, and former NASA astronaut with a diverse career spanning aerospace medicine, international humanitarian relief, and military service. A faculty member at Baylor College of Medicine since 1999, he currently works as an academic hospitalist in Houston, Texas. His clinical and research expertise focuses heavily on infectious diseases, global health, and optimizing medical care for deep-space exploration. Deeply committed to volunteer medical service, he and his wife serve as medical leaders for the NGO Hepatitis B Free. He has delivered critical humanitarian and disaster relief across more than 50 countries, providing care in conflict zones like Ukraine and Iraq, and during severe disease outbreaks.    Before his medical career, he served 20 years as a U.S. Marine Corps aviator and electrical engineer, retiring as a Colonel. He flew on four space shuttle missions and was inducted into the U.S. Astronaut Hall of Fame in 2024. Episode Keywords military medicine, David Hilmers, NASA astronaut, Marine aviator, combat casualty care, prolonged field care, LSCO, large scale combat operations, knapsack problem, AI military medicine, artificial intelligence battlefield, wearable technology warfighter, digital twin soldier, just-in-time medical training, bench to battlefield, austere environment medicine, humanitarian medicine military, Ebola response, global health military, WarDocs podcast Hashtags #MilitaryMedicine, #WarDocs, #NASAAstronaut, #CombatCasualtycare, #ProlongedFieldCare, #BenchToBattlefield, #WearableTechnology, #ArtificialIntelligence   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the "What We Are For" Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.   Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast  

Investigative journalist and public health expert Emily Bass returns to A Shot In The Arm with the most consequential update on the global HIV response in months. Drawing on a brand-new report from Physicians for Human Rights and South African partners — built from 40 oral histories — Emily walks Ben Plumley through the human cost of the Trump administration's foreign aid disruptions, the staggering waste of dismantled prevention infrastructure, and the bizarre data spin emerging from the State Department. The episode also covers Dr. mike Reed's headline-making resignation as PEPFAR's Chief Scientific Officer, the dangerous quiet around supply chain contracts and bed-net procurement, and what the new “America First Global Health Strategy” is choosing to celebrate — and choosing to obscure. Ben closes with a preview of two new initiatives: AIDS 2060, a long-horizon project from A Shot In The Arm Media, and the rebrand of MTV Staying Alive Foundation to Shuga Global. 00:00 Welcome and Setup 01:18 Global Health Upheaval 03:13 PEPFAR Data Spin 04:07 South Africa Report 05:51 Prevention Platform Collapse 09:27 Clinic Breakdown Story 12:52 Why 18 Percent Matters 16:33 Community Resilience 19:22 Research Partnerships Lost 22:12 Treatment Disruptions 25:26 Trauma to Transition 31:11 Data Blackout Returns 39:07 Prep Data Mirage 42:08 Kids Treatment Declines 44:55 Age Data Removed 47:02 Congress Pushback 52:02 Supply Chain Breakdown 59:38 Last Mile Disaster Story 01:02:16 Orderly Transition Demands 01:06:23 AIDS 2060 Vision 01:10:35 Sugar Global Storytelling 01:15:20 Africa Led Future 01:20:42 Closing Thanks Read Emily Bass' Substack: https://substack.com/@emilysbass Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

What the hell has gone wrong with the global HIV and AIDS response? Does it matter? And what do we need to do to fix it? Ben Plumley introduces AIDS 2060, a new project from A Shot In The Arm Media asking the questions the global health community has been quietly dodging for a decade. With 40.8 million people living with HIV, 1.3 million new infections every year, and the US sending the world into "septic shock" with sudden cuts to PEPFAR, the scale of the real challenge ahead is finally coming into focus. Over the coming months, we'll travel the world to gather insights from scientific, political, and community leaders — starting with an initial AIDS 2060 episode focused on San Francisco's evolving epidemic and long-term plans. Look out for that episode dropping soon! 00:00 Welcome and Big Question 00:30 Why HIV Still Matters 00:57 Funding Shock and False Optimism 01:42 Introducing AIDS 2060 02:05 Looking Ahead to Future Conferences 02:19 World Tour and First Episode 02:42 Subscribe and Closing Thanks Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

Have a comment? Send us a text! (We read all of them but can't reply). Email us: Will@faithfulpoliticspodcast.comWhat if having good intentions alone isn't enough? In this episode, we sit down with J.D. Bauman, Executive Director of Christians for Impact and author of All the Lives You Can Change, to explore a challenging question: are Christians stewarding their money, time, and influence in the most effective ways possible?J.D. breaks down the growing movement around “effective altruism” and why he believes Christians should think more critically about where they donate, how churches spend money, and whether our giving habits are shaped more by emotion than actual impact. We discuss everything from short-term mission trips and church budgets to global poverty, PEPFAR, political responsibility, and the difficult tradeoffs that come with trying to do the most good possible.The conversation gets deeply personal as Josh wrestles in real time with what this framework means for pastors, families, and ordinary people trying to balance generosity with real-world responsibilities. This is one of those episodes that may leave you uncomfortable in the best possible way.Links Mentioned in EpisodeAll the Lives You Can Change — https://bookshop.org/a/112456/9780802885135Christians for Impact — https://www.christiansforimpact.orgGiveWell — https://www.givewell.orgPEPFAR (President's Emergency Plan for AIDS Relief) — https://www.state.gov/pepfar/Guest BioJ.D. Bauman is the Executive Director of Christians for Impact, a nonprofit that helps Christians apply evidence, reason, and vocational discernment to major global challenges. He is a leading voice at the intersection of Christian ethics and the effective altruism movement and works to help believers maximize their impact through their careers, charitable giving, and public engagement. He is also the co-author of All the Lives You Can Change.Support the show

Ben Plumley is joined by Ambassador Eric Goosby, and by Dr. mike Reid to react to Reid's recently announced resignation from PEPFAR on Substack. Reid describes his growing moral dissonance with an administration he characterizes as authoritarian, citing concerns that lifesaving HIV services could be conditioned on geopolitical or commercial interests, a deprioritization of equity, reduced emphasis on evidence-based programming, and rapid changes made without deliberation or stakeholder engagement. The conversation contrasts partnership-based global health diplomacy with short-term coercive quid pro quo dynamics, the push toward country ownership and government-to-government funding, as well as ensuring marginalized populations are still able to access comprehensive HIV services. Is there a need for PEPFAR to course-correct, and if so, how? Perhaps the future will depend on what kind of new administration comes into office in 2029… 00:00 Special Episode Introduction 00:33 Resignation Goes Public 02:53 Why Reid Resigned Now 07:50 Authoritarianism And Ethics 10:39 Quid Pro Quo In MOUs 12:28 Partnership Versus Coercion 15:30 Making Global Health Matter 18:13 Domestic Policy Dissonance 20:22 PEPFAR Not Fit For Purpose 23:56 Country Ownership Fast Track 26:21 Public Health Versus Politics 28:23 Who Gets Left Behind 31:32 Science And Sustainable Transition 33:36 Can PEPFAR Recover 35:54 Shared Blame and Dependency 38:14 MOU Enforcement and Penalties 40:56 Minerals Deals and Ethics 43:37 Lessons From Past Bilaterals 44:47 Building Sustainable Systems 47:45 Doing More With Less 50:50 Efficiency Integration and Tech 52:41 New Tools and Market Shaping 54:08 Personal Next Steps 56:41 Moral Ambition and Hope 01:00:51 Final Thanks and Signoff Read mike's resignation on Substack: https://reimaginingglobalhealth.substack.com/p/stepping-away Check Out Ben's Substack: https://substack.com/@benplumley1 Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health.

PEPFAR, the President's Emergency Plan for AIDS Relief, has saved 26 million lives since President George W. Bush launched the program in 2003. But the Trump administration has made major changes to the way the U.S. distributes foreign aid, disrupting HIV care — and leaving many health workers uncertain about the future of PEPFAR.What do those changes to foreign assistance mean for the fight against HIV and AIDS around the world?Host Juana Summers speaks with Dr. Deborah Birx, who once was the U.S. global AIDS coordinator in charge of PEPFAR.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Vincent Acovino and Karen Zamora.It was edited by Patrick Jarenwattananon and Courtney Dorning. Our executive producer is Sami Yenigun.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy

Covid 19 was the last Public Health Emergency of International Concern (PHEIC). Our guests in this podcast think that the Trump Administration should be declared the next one. Joining Kamran Abbasi are, Fatima Hassan,  human rights lawyer and Director of the Health Justice Initiative in South Africa, and Matthew Herder, Director of the Health Justice Institute at Dalhousie University in Canada explain why they think that the actions and consequences of the Whitehouse meet the bar for WHO to delcare an emergency We examine the global consequences of recent US policy shifts, including: The withdrawal from the World Health Organization (WHO) and its implications for international health governance. Significant funding cuts to global health programs, including PEPFAR and the CDC, and how these disruptions affect life-saving HIV and TB treatments in the Global South. The rise of "unhinged nationalism" in health policy, from North American measles outbreaks to the extraction of trade concessions in exchange for medical aid. The role of US health leadership in fueling vaccine hesitancy and dismantling scientific research at the NIH.   Reading list: Trump and his administration as a public health emergency of international concern Why the expanded global gag rule is a deadly triple tripwire for recipients of US foreign aid The power of the markets: the scandal that keeps on taking

In the latest episode of our weekly podcast, we examine the funding gaps and implementation challenges facing PEPFAR and the Global Fund as they navigate new bilateral health deals and the impact of the expanded global gag rule.

It's been a huge week on the lunatic fringe. We have the SA election where One Nation basically won the whole thing while Peter Malinauskas and his stupid giant biceps are crying into some non alcoholic beer that someone served him WITHOUT AN RSA! But yeah it's South Australia so outside of the whole One Nation litmus test don't tell me you care about ambulance ramping in Adelaide because I know you don't. One can only assume Marco Rubio is channeling Trump when he says to Zambia - give us your rare earth minerals or we will kill your kids. Wish we were kidding. They are holding PEPFAR hostage for a deal. Insane. Trump is making people wear clown shoes which is bizarrely apt but not for the right reasonsAAANNNNDDD We look at Monica and Guru back in court. Monica has come back for her hat and Guru is having a crack at self rep for a defo case that is going very badly. Also sovcits and BABET!

Subscribe now to skip the ads and get all of our episodes. Derek wore his Fitbit to a CIA black site, both exposing the security state and meeting his daily step goal. This week's news: in the Iran war, Israel assassinates Ali Larijani and other senior Iranian officials (1:15), U.S. allies refuse Trump's demand that they help reopen the Strait of Hormuz by force (5:41), and the Pentagon seeks roughly $200 billion for the war (8:32) as it considers new deployments to the region (13:27); in southern Lebanon, the IDF begins its ground invasion (14:41); Israel continues killing people in Gaza during the supposed ceasefire while Rafah reopens for medical evacuations after pressure from Hamas (17:31); Afghanistan and Pakistan agree to a five-day Eid ceasefire (21:30) as the two countries dispute the circumstances Pakistani airstrike in Kabul (22:57); Trump postpones his planned trip to China as the Iran war consumes Washington's attention (25:22); in Sudan, the RSF retakes the strategic town of Bara (27:39); the Trump administration reportedly threatens to cut PEPFAR and other health aid to Zambia unless it gets favorable mineral concessions (29:37); Russia increases its support for Tehran with drone tactics, technology, and possible intelligence sharing (33:45); the United States reopens its embassy in Venezuela as normalization moves ahead (37:11), plus Delcy Rodríguez replaces Defense Minister Vladimir Padrino with intelligence chief Gustavo González López (38:21); and Trump pressures Cuba's leadership amid a grid collapse and reports of U.S. talks about political change (40:24).  Learn more about your ad choices. Visit megaphone.fm/adchoices

Derek wore his Fitbit to a CIA black site, both exposing the security state and meeting his daily step goal. This week's news: in the Iran war, Israel assassinates Ali Larijani and other senior Iranian officials (1:15), U.S. allies refuse Trump's demand that they help reopen the Strait of Hormuz by force (5:41), and the Pentagon seeks roughly $200 billion for the war (8:32) as it considers new deployments to the region (13:27); in southern Lebanon, the IDF begins its ground invasion (14:41); Israel continues killing people in Gaza during the supposed ceasefire while Rafah reopens for medical evacuations after pressure from Hamas (17:31); Afghanistan and Pakistan agree to a five-day Eid ceasefire (21:30) as the two countries dispute the circumstances Pakistani airstrike in Kabul (22:57); Trump postpones his planned trip to China as the Iran war consumes Washington's attention (25:22); in Sudan, the RSF retakes the strategic town of Bara (27:39); the Trump administration reportedly threatens to cut PEPFAR and other health aid to Zambia unless it gets favorable mineral concessions (29:37); Russia increases its support for Tehran with drone tactics, technology, and possible intelligence sharing (33:45); the United States reopens its embassy in Venezuela as normalization moves ahead (37:11), plus Delcy Rodríguez replaces Defense Minister Vladimir Padrino with intelligence chief Gustavo González López (38:21); and Trump pressures Cuba's leadership amid a grid collapse and reports of U.S. talks about political change (40:24).Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Africa Melane chats to SANAC’s Nelson Dlamini about treasury allocating R26bn to provinces to sustain HIV/AIDS treatment. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30pm. CapeTalk fans call in, to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

BACK in 2004. I took our kids back to Africa in 2004. Here's what happened. Due to a minor plane crash and having to make the trip overland, our kids went on into the Congo and I stayed behind with no plans for the week in the Central African Republic. THEN the invitations poured in! I happily taught many groups, pastors, deaconesses, school teachers, night watchmen and even high government officials! They were trilled at the positive news of Eden!NOW in 2026! We have two special events coming up! YOU are invited to our Event at the HQ of the American Bible Society on March 21 2026! We'll be presenting the Tru316 Medallion Award to ABS President Dr. Jennifer Holloran and our Keynote speaker will be Dr. Beverly Nyberg! Dr. Nyberg studied at the University of Nebraska and Trinity Evangelical Divinity School. she has been Adjunct Professor at The George Washington University and Senior Consultant at Common Root Consulting. At the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) State Dept. she for 11 years she was responsible for the US Government global programs for children affect by HIV/AIDS. PEPFAR. She also had served with the Peace Corps in Africa and provided field leadership in DR Congo with The Evangelical Free Church Mission. The Tru316 Foundation (www.Tru316.com) is the home of The Eden Podcast with Bruce C. E. Fleming where we “true” the verse of Genesis 3:16. The Tru316 Message is that “God didn't curse Eve (or Adam) or limit woman in any way.” Once Genesis 3:16 is made clear the other passages on women and men become clear too. You are encouraged to access the episodes of Seasons 1-11 of The Eden Podcast for teaching on the seven key passages on women and men. Are you a reader? We invite you to get from Amazon the four books by Bruce C. E. Fleming in The Eden Book Series (Tru316.com/trubooks). Would you like to support the work of the Tru316 Foundation? You can become a Tru Partner here: www.Tru316.com/partner

In episode 68 of Going anti-Viral, Dr Ruanne Barnabas joins host Dr Michael Saag to discuss topic of a symposium session at the upcoming the Conference on Retroviruses and Opportunistic Infections (CROI) entitled Strategic and Resilient Responses to the Funding Crisis Across Africa. Dr Barnabas is the Chief of the Division of Infectious Diseases at Massachusetts General Hospital. Her work is focused on identifying effective and scalable HIV, HPV, and infectious diseases treatment and prevention strategies that increase access across diverse communities and promote equity in health. Dr Barnabas discusses the substantial progress made in global health, particularly in HIV treatment and prevention. She also discusses the impact of funding cuts from USAID on health systems and highlights with Dr Saag the importance of the US President's Emergency Plan for AIDS Relief (PEPFAR) in delivering effective care. Dr Barnabas outlines the presentations to be given at the upcoming symposium at CROI 2026 addressing the HIV funding crisis, emphasizing community resilience, and the future of health equity.0:00 – Introduction1:29 – Overview of global health funding at the end of 20244:03 – Success of PEPFAR and USAID10:25 – Funding cuts and their consequences12:48 – Overview of the CROI 2026 symposium on the HIV funding crisis in Africa16:28 – Community perspectives and impact of new technologies18:08 – Lessons learned from funding cuts21:13 – Looking ahead: future of HIV and global health programsResources:CROI 2026: https://www.croiconference.org/Going-anti-Viral: Episode 43 - Innovations in HIV Service Delivery: Building a Path Forward with Those Left Behind - Dr Izukanji Sikazwe__________________________________________________Produced by IAS-USA, Going anti–Viral is a podcast for clinicians involved in research and care in HIV, its complications, and other viral infections. This podcast is intended as a technical source of information for specialists in this field, but anyone listening will enjoy learning more about the state of modern medicine around viral infections. Going anti-Viral's host is Dr Michael Saag, a physician, prominent HIV researcher at the University of Alabama at Birmingham, and volunteer IAS–USA board member. In most episodes, Dr Saag interviews an expert in infectious diseases or emerging pandemics about their area of specialty and current developments in the field. Other episodes are drawn from the IAS–USA vast catalogue of panel discussions, Dialogues, and other audio from various meetings and conferences. Email podcast@iasusa.org to send feedback, show suggestions, or questions to be answered on a later episode.Follow Going anti-Viral on: Apple Podcasts YouTubeXFacebookInstagram...

What has been delivered since the last State of the Nation (SONA), and what does that mean for ordinary South Africans? In his address last year, the President signalled a renewed focus on healthcare - from advancing the National Health Insurance (NHI) roll-out, to infrastructure upgrades for hospitals and clinics, to responding to the loss of major foreign health funding from PEPFAR and USAID. This episode helps you assess whether those promises moved beyond rhetoric into real change. Phumi Mashigo is joined by Matshidiso Lencoasa, budget expert with Section 27, the public interest law centre that tracks government policy and spending on essential services. The Burning Platform

The collapse of the post-war international system now underway will have a disproportionate impact on African countries that rely heavily on multilateral bodies like the UN. Beyond a pull-back of aid and humanitarian assistance, African countries must also contend with an increasingly hostile United States. Dozens of African countries have been targeted by the Trump administration for visa restrictions, trade sanctions, and regularly denigrated by the president himself. At the same time, U.S. diplomats across the continent were ordered by the State Department in January to remind African governments to express more gratitude to the U.S. for its "generosity." Judd Devermont, the former top Africa strategist at the White House during the Biden administration and now an operating partner at Kupanda Capital in Washington, joins Eric & Cobus to discuss the future of U.S.-Africa relations and China's expanding presence on the continent.

The collapse of the post-war international system now underway will have a disproportionate impact on African countries that rely heavily on multilateral bodies like the UN. Beyond a pull-back of aid and humanitarian assistance, African countries must also contend with an increasingly hostile United States. Dozens of African countries have been targeted by the Trump administration for visa restrictions, trade sanctions, and regularly denigrated by the president himself. At the same time, U.S. diplomats across the continent were ordered by the State Department in January to remind African governments to express more gratitude to the U.S. for its "generosity." Judd Devermont, the former top Africa strategist at the White House during the Biden administration and now an operating partner at Kupanda Capital in Washington, joins Eric & Cobus to discuss the future of U.S.-Africa relations and China's expanding presence on the continent.

Today, Jess, Les, Andrew, and Joshua take a step back from the headlines for a Fun Friday roundtable on the best and worst American foreign policy decisions, inspired by a recent Council on Foreign Relations article drawing on conversations with the Society for Historians of American Foreign Relations. From the Marshall Plan and Bretton Woods to PEPFAR and the peaceful end of the Cold War in Europe, the team reflects on moments when U.S. leadership, economic power, and long-term thinking paid real dividends.What separates foreign policy successes from failures? Why do some hard-power decisions look effective at first but unravel over time? And as the U.S. looks ahead, what should decision-makers keep firmly in mind before reaching for any one instrument of power?Check out the article that helped shape our Fellows' discussion: https://www.cfr.org/ten-best-ten-worst-us-foreign-policy-decisions/?utm_source=newsrelease&utm_campaign=best-worst-2026&utm_medium=email&utm_term=PressCFR%20-%20Including%20Members%20and%20Staff @NotTVJessJones@lestermunson@AndrewBorene@joshuachuminskiLike what we're doing here? Be sure to rate, review, and subscribe. And don't forget to follow @faultlines_pod and @masonnatsec on Twitter!We are also on YouTube, and watch today's episode here: https://youtu.be/FR_W1-fpr5o Hosted on Acast. See acast.com/privacy for more information.

Can Christian Americans Resist Authoritarian Drift?   Pete Wehner—The Atlantic columnist and former Reagan and Bush administration staff member—joins host Curtis Chang to ask the uncomfortable question: in Trump's America, is morality a loser that's been replaced by the "law of the jungle"—especially in U.S. foreign policy? From Venezuela to a looming Greenland/Denmark showdown that could fracture NATO, Wehner argues we're watching "might makes right" go mainstream. The antidote, he says, isn't vibes—it's resistance: stop living within the lie and start living within the truth.   00:04:23 - Explaining the U.S. Foreign Policy Shift  00:06:36 - What Is America's Moral Aspiration in Foreign Policy? 00:07:57 - Trump's "Will to Power" Ethic 00:11:34 - Do We Have Historical Amnesia? 00:16:36 - Contrasting Trump and PEPFAR  00:19:09 - The Disconnect Between Christian Identity and Policy  00:26:34 - Demagogues and Moral Erosion 00:34:19 - President Trump's Unique Amorality 00:37:10 - Primacy of Human Dignity and Christian Ethics  00:41:01 - Venezuela, Greenland, and Moral Implications 00:44:02 - The Value of Beauty and Creation 00:47:14 - What Are the Limits and Possibilities of Action   More about the Religious Landscape Study pewresearch.org/rls   Sign up for the Good Faith Newsletter   Mentioned In This Episode: Pete Wehner's article Trump's Folly More about PEPFAR (President's Emergency Plan for AIDS Relief) Anne Applebaum's Twilight of Democracy: The Seductive Lure of Authoritarianism William Galston's Anger, Fear, Domination: Dark Passions and the Power of Political Speech Jeane Kirkpatrick's essay Dictatorships and Double Standards (Commentary) Václav Havel's The Power of the Powerless David Brooks' article America Needs a Mass Movement—Now  Without one, America may sink into autocracy for decades (The Atlantic) C.S. Lewis' idea of active obedience is found in Mere Christianity Aleksandr Solzhenitsyn's "One Day in the Life of Ivan Denisovich"  Aleksandr Solzhenitsyn's Nobel Prize Lecture (literature, 1970)   More from Pete Wehner: Pete Wehner's articles at The Atlantic Pete Wehner's opinion pieces at The New York Times Follow Us: Good Faith on Instagram Good Faith on X (formerly Twitter) Good Faith on Facebook   The Good Faith Podcast is a production of a 501(c)(3) nonpartisan organization that does not engage in any political campaign activity to support or oppose any candidate for public office. Any views and opinions expressed by any guests on this program are solely those of the individuals and do not necessarily reflect the views or positions of Good Faith.    

Can Christian Americans Resist Authoritarian Drift?   Pete Wehner—The Atlantic columnist and former Reagan and Bush administration staff member—joins host Curtis Chang to ask the uncomfortable question: in Trump's America, is morality a loser that's been replaced by the "law of the jungle"—especially in U.S. foreign policy? From Venezuela to a looming Greenland/Denmark showdown that could fracture NATO, Wehner argues we're watching "might makes right" go mainstream. The antidote, he says, isn't vibes—it's resistance: stop living within the lie and start living within the truth.   00:04:23 - Explaining the U.S. Foreign Policy Shift  00:06:36 - What Is America's Moral Aspiration in Foreign Policy? 00:07:57 - Trump's "Will to Power" Ethic 00:11:34 - Do We Have Historical Amnesia? 00:16:36 - Contrasting Trump and PEPFAR  00:19:09 - The Disconnect Between Christian Identity and Policy  00:26:34 - Demagogues and Moral Erosion 00:34:19 - President Trump's Unique Amorality 00:37:10 - Primacy of Human Dignity and Christian Ethics  00:41:01 - Venezuela, Greenland, and Moral Implications 00:44:02 - The Value of Beauty and Creation 00:47:14 - What Are the Limits and Possibilities of Action   Sign up for the Good Faith Newsletter   Mentioned In This Episode: Pete Wehner's article Trump's Folly More about PEPFAR (President's Emergency Plan for AIDS Relief) Anne Applebaum's Twilight of Democracy: The Seductive Lure of Authoritarianism William Galston's Anger, Fear, Domination: Dark Passions and the Power of Political Speech Jeane Kirkpatrick's essay Dictatorships and Double Standards (Commentary) Václav Havel's The Power of the Powerless David Brooks' article America Needs a Mass Movement—Now  Without one, America may sink into autocracy for decades (The Atlantic) C.S. Lewis' idea of active obedience is found in Mere Christianity Aleksandr Solzhenitsyn's "One Day in the Life of Ivan Denisovich"  Aleksandr Solzhenitsyn's Nobel Prize Lecture (literature, 1970)   More from Pete Wehner: Pete Wehner's articles at The Atlantic Pete Wehner's opinion pieces at The New York Times Follow Us: Good Faith on Instagram Good Faith on X (formerly Twitter) Good Faith on Facebook   The Good Faith Podcast is a production of a 501(c)(3) nonpartisan organization that does not engage in any political campaign activity to support or oppose any candidate for public office. Any views and opinions expressed by any guests on this program are solely those of the individuals and do not necessarily reflect the views or positions of Good Faith.    

Professor and senior associate dean of engagement Janet A. Jokela discusses her article "Reflecting on the significance of World AIDS Day from the 1980s to now." Janet shares harrowing memories from her time as a medical student in the mid-1980s, recalling the fear and stigma that surrounded the early days of the AIDS epidemic. She traces the evolution of treatment from a time of hopelessness to the revolutionary arrival of protease inhibitors and the global impact of PEPFAR. The conversation highlights touching patient stories that illustrate how a diagnosis once considered a death sentence has become a manageable condition, allowing people to live full and service-oriented lives. Join us to honor those lost and celebrate the resilience of the human spirit in the face of a terrifying disease. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

From the HIV wards of New York City in the 1980s to leadership roles in Uganda during the scale-up of antiretroviral therapy through PEPFAR, Dr. Yukari Manabe has seen major transformations in infectious disease diagnostics, treatment and care. In this episode, she talks about her journey in medicine and global health and why her work in building local capacity in the Global South may be her most important legacy of all. She is the Associate Director of Global Health Research and Innovation at Johns Hopkins University.

It's one of the greatest preventable mass deaths in modern history: around two people every minute of every day, day and night, week after week, soon to be year after year. Elon Musk has called USAID — the agency administering programs like George W. Bush's PEPFAR which have saved tens of millions of lives, most in Africa — “a criminal organization,” adding that it was, “Time for it to die.” Why is the world's richest man killing the world's poorest people?See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Trump's power of persuasion is failing him on the affordability issue. He even broke MAGA creed on live TV by calling on Americans to trust the word of foreign leaders—who supposedly claim the U.S. economy is golden—over the pain they're feeling at the supermarket and at the pump. Meanwhile, NYC's mayor-elect seems to be understand the zeitgeist: We are not living in a right v. left political moment, but an insider v. outsider one. Plus, what Dems can learn from Mamdani, why the party needs to move on from its Obama and Bernie factions, and how aid programs like PEPFAR can be resurrected in a new administration. Former Obama and Mamdani advisor Patrick Gaspard joins Tim Miller.  show notes AOC's and Sen. Smith's NYT piece on social housing that Patrick referenced Tim, Andrew, and Will Saletan on Trump's White House address Exclusive $35 off Carver Mat at https://on.auraframes.com/BULWARK. Promo Code BULWARK Get 20% off your DeleteMe plan when you go to joindeleteme.com/BULWARK and use promo code BULWARK at checkout.

This is a special episode in memory of Michael Gerson. Michael J. Gerson was a White House speechwriter and senior policy adviser, a Washington Post columnist and one of America's most influential and eloquent commentators. Michael was shaped by his deep Christian faith, and his writing drew from the Christian tradition to call America to greater justice. In particular, he's remembered for linking that tradition to the global health efforts he championed, including the President's Emergency Plan for AIDS Relief, or PEPFAR.  To mark the three years since Michael passed away due to cancer on November 17, 2022, we're presenting this edited version of his comments at a Trinity Forum evening conversation held in 2016. Hearing him again reminds us of Michael's extraordinary mind, as well as his heart. “You can never be too careful when you travel. You can go in search of disease and poverty and stumble upon holy ground, and you can find resilience, courage, and faithfulness that will inspire you and challenge you for the rest of your life.”You can find the full video of the conversation on our Trinity Forum website, ttf.org. You can become a member there too. Join us in exploring timeless Christian wisdom together, so you gain clarity and courage for your own life, and help cultivate a renewed culture of hope.

HIV has been in retreat around the world. Fewer people are dying of the disease.New infections are decreasing. More HIV positive people have access to life saving medicine.Those trend lines have been moving in the right direction for decades. And US investment is one big reason.The Trump Administration dismantled foreign assistance through USAID, it continued PEPFAR — the President's Emergency Plan For AIDS Relief — but much of the work is either no longer happening or happening at a very reduced capacity.For decades, the United States led global efforts to end HIV/AIDS. That's no longer happening. Where will the trend lines go from here? For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Jeffrey Pierre. You also heard reporting in this episode from NPR's Gabrielle Emanuel from Zambia.It was edited by Courtney Dorning and Rebecca Davis.Our executive producer is Sami Yenigun.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Friday, July 25th, 2025Today, two days after signing a $1.5B deal with Paramount; South Park torches Trump and the network in the season 27 premiere; attorney for Epstein survivors Bradley Edwards tells Lawrence O'Donnell that the Epstein birthday book is with Epstein's estate and can be easily subpoenaed; Columbia University bends the knee to the Trump administration; an appeals court finds that Donald's birthright citizenship order is unconstitutional; the US quietly drafts a plan to end PEPFAR; the White House has denied Maryland's request for disaster assistance; Amy Sherald cancels her Smithsonian show citing censorship; Trump's approval rating hits a new low; and Allison and Dana deliver the good news.Thank You, PacagenFor 15% off your order and a special gift, head to Pacagen.com/DAILYBEANS and use code DAILYBEANS.Guest: John FugelsangTell Me Everything - John Fugelsang, The John Fugelsang PodcastJohn Fugelsang - Substack@johnfugelsang.bsky.social - Bluesky, @JohnFugelsang -TwitterSeparation of Church and Hate by John Fugelsang - Pre-order StoriesKhanna planning to subpoena Epstein estate for ‘birthday book' | The HillColumbia Agrees to $200 Million Fine to Settle Fight With Trump | The New York TimesU.S. Quietly Drafts Plan to End Program That Saved Millions From AIDS | The New York TimesWhite House rejects Maryland's request for disaster assistance after flooding in May, Gov. Moore says | CBS Baltimorehttps://www.nytimes.com/2025/07/24/arts/design/amy-sherald-smithsonian-censorship.html | New York TimesTrump's birthright citizenship order is unconstitutional, appeals court says | CBS NewsGood Trouble Call your Reps in the House and tell them to subpoena the birthday book! Find Your Representative | house.govFrom The Good NewsIndivisible Greater VancouverFriends Across BordersNova Scotia - Camp TidnishAPPEARANCES – DANA GOLDBERGReminder - you can see the pod pics if you become a Patron. The good news pics are at the bottom of the show notes of each Patreon episode! That's just one of the perks of subscribing! patreon.com/muellershewrote Donate to the MSW Media, Blue Wave California Victory FundMSW Media, Blue Wave California Victory Fund | ActBlueWhistleblowerAid.org/beans Federal workers - feel free to email AG at fedoath@pm.me and let me know what you're going to do, or just vent. I'm always here to listen. Find Upcoming Actions 50501 Movement, No Kings.org, Indivisible.orgDr. Allison Gill - Substack, BlueSky , TikTok, IG, TwitterDana Goldberg - BlueSky, Twitter, IG, facebook, danagoldberg.comCheck out more from MSW Media - Shows - MSW Media, Cleanup On Aisle 45 pod, The Breakdown | SubstackShare your Good News or Good TroubleMSW Good News and Good TroubleHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/ Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?The Daily Beans | SupercastThe Daily Beans & Mueller, She Wrote | PatreonThe Daily Beans | Apple Podcasts

This episode was first published as a bonus episode for our Planet Money+ listeners. Today, we're making it available for everyone! U.S. aid helped Eswatini and Lesotho, two small countries in southern Africa, in their efforts to treat and curb the spread of HIV. Will President Trump's "America First" foreign policy threaten years of progress there against the virus? In this bonus episode, we're featuring an extended conversation between Darian Woods and Jon Cohen, senior correspondent with Science magazine. They talk about Jon's reporting trip to Eswatini and Lesotho in May and the early impacts he saw of the Trump administration's foreign aid cuts. We also hear about the critical role of PEPFAR (the U.S. President's Emergency Plan For AIDS Relief) in the global response to HIV/AIDS and some other things we couldn't fit into the original episode.You can read Jon's recent article in Science magazine here.To hear more bonus episodes like this, and get Planet Money and The Indicator without sponsor messages, support the show by signing up for Planet Money+. This summer, we're also giving Planet Money+ supporters early access to new episodes. Another reason to join! Sign up via Apple Podcasts or at plus.npr.org.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy