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Jon Cohen, senior correspondent with Science, reports on how countries that suffer high rates of HIV/AIDS are coping now that USAID funding has dried up, and how local governments, especially in places like Lesotho, are attempting to figure out solutions. Plus, Wafaa El-Sadr, MD, Columbia University professor of epidemiology and medicine and director of ICAP, a global health center at the school of public health, discusses ICAP's work in implementing PEPFAR (the President's Emergency Plan for AIDs Relief) in sub-Saharan Africa, and discusses the future of PEPFAR under the Trump administration.
James Fitzpatrick, Army veteran and the director of the Center to Advance Security in America (CASA), an organization dedicated to improving the safety and security of the American people. CASA uncovered evidence that the U.S. Government is funding foreign prostitution and sex workers through the PEPFAR program. That includes over $80M to an organization called LVCT Health, which is based in Kenya. They fund orgs such as Bar Hostess, which highlights itself as an organization “working in bars and sex workers in Kenya.
Have a comment? Send us a text! (We read all of them but can't reply). Email us: Will@faithfulpoliticspodcast.comLaunched in 2003, PEPFAR has saved over 25 million lives and stood as one of America's most celebrated bipartisan achievements. But under the Trump administration's second term, this global health initiative faces near-total collapse. In this urgent conversation, Peter Wehner—a veteran of three Republican administrations and a key PEPFAR advocate—explains how executive orders, the gutting of USAID, and MAGA-driven misinformation have jeopardized millions. Wehner, a senior fellow at the Ethics and Public Policy Center and contributor to The Atlantic and The New York Times, also reflects on the unraveling of U.S. soft power, the erosion of moral clarity in the evangelical world, and how Christians should respond to mass suffering abroad.From the devastation of Africa's healthcare infrastructure to the ideological reshaping of the GOP, this episode is a powerful wake-up call for anyone concerned with human dignity, public health, or the soul of American politics.
Jenny Dyer, founder of the 2030 Collaborative and artist and music producer Charlie Peacock were part of a coalition of experts, artists, and policymakers such as Bono, Senator Bill Frist, and many others that were instrumental in building the awareness around the AIDS epidemic in Africa, and the consensus needed to keep the President's Emergency for AIDS Relief Plan or PEPFAR, which has saved over 26 millions lives from HIV/AIDS since its inception in 2003 moving forward. Dr. Dyer and Charlie joined Strategerist host Andrew Kaufmann to discuss PEPFAR's success and how art can truly help change the world.
American evangelical Christians ought to care about the dismantling of PEPFAR. Russell reads a piece from his newsletter every Monday on the podcast but there's more to be found in the weekly email! Sign up here. Learn more about your ad choices. Visit podcastchoices.com/adchoices
This episode is sponsored by: My Financial CoachYou trained to save lives—who's helping you save your financial future? My Financial Coach connects physicians with CFP® Professionals who specialize in your complex needs. Whether it's crushing student loans, optimizing investments, or planning for retirement, you'll get a personalized strategy built around your goals. Save for a vacation home, fund your child's education, or prepare for life's surprises—with unbiased, advice-only planning through a flat monthly fee. No commissions. No conflicts. Just clarity.Visit myfinancialcoach.com/physiciansguidetodoctoring to meet your financial coach and find out if concierge planning is right for you.____________In this episode, Dr. Tyler Evans, joins host Dr. Bradley Block to unpack the dangerous implications of the Trump administration's public health funding cuts. Referencing historical pandemics like cholera, Hong Kong flu, and COVID-19, Dr. Evans illustrates how slashing programs such as PEPFAR ($6 billion), Ryan White (part of HRSA's $1.7 billion cut), and refugee health ($2 billion) dismantles global disease surveillance and response systems. These cuts, he warns, could allow outbreaks in regions like Central Africa to spread to American cities, overwhelming hospitals and disrupting economic stability. Dr. Evans critiques the politicization of health policy, including Medicaid reductions and attacks on evidence-based HIV initiatives, which exacerbate poverty and disease spread. Despite these challenges, he finds hope in humanity's ability to unite across divides, urging physicians to frame global health investments as personal and economic protection for their patients. With another pandemic likely within five years, this episode empowers physicians to advocate for resilient public health systems.Three Actionable Takeaways:Connect Global to Local Risks – Educate patients that funding global health programs like PEPFAR prevents diseases from reaching their neighborhoods, ensuring hospital access.Emphasize Economic Stability – Highlight how public health cuts threaten financial markets and personal 401(k)s by causing pandemic-driven instability, advocating for prevention.Push for Evidence-Based Policy – Counter divisive rhetoric by promoting programs like Ryan White to community members, emphasizing their role in community health.About the Show:The Physician's Guide to Doctoring covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Tyler Evans is an infectious disease and public health physician and CEO and co-founder of Wellness and Equity Alliance. He has led initiatives at Curative Incorporated, Marin County Health, and New York City's COVID-19 response, overseeing delivery of over 2 million vaccine doses nationwide. His work with Doctors Without Borders and the AIDS Healthcare Foundation spans HIV/AIDS, refugee health, and global infectious diseases. Dr. Evans is the author of Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19, set for release in August 2025.Website: https://www.tylerevansmd.com/LinkedIn: https://www.linkedin.com/in/tyler-b-evans-md-ms-mph-aahivs-dtmh-fidsa-767ba738/About the host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Physician's Guide to Doctoring podcast, focusing on personal and professional development for physiciansWant to be a guest? Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.
The opinions expressed by Dr. Beyrer are his own and not those of his employer. In this episode, Therese Markow and Dr. Chris Beyrer discuss the importance of USAID, highlighting its role in global health and development, particularly through programs like PEPFAR, which has saved 25 million lives and prevented millions of HIV infections. Dr. Beyrer emphasizes that the economic and security benefits of USAID, whose support amounts to less than 1% of the total US federal budget, have had important benefits at home in the United States. It protects us from infectious diseases like Ebola and MPOX. Cuts to USAID could lead to a resurgence of HIV, polio, malaria, and other diseases. Finally, Dr. Beyrer advocates for listeners to become informed, to understand what is happening, and to engage in their citizenship rights for the benefit of all. Key Takeaways: By law, USAID was only allowed to buy food from US farmers, but stopping USAID has thrown farmers into crisis due to the unstable purchasing now. Until January 20, 2025, USAID was supporting about 21 million people worldwide on antiviral therapy. It was also one of the biggest funders and supporters of HIV prevention because treatment is not enough - you must reduce new infections to get out from under the treatment burden. The only group right now that we are supporting PrEP for is pregnant or lactating, breastfeeding mothers who are at risk for HIV. Everybody else who is on PrEP has been abruptly halted. 2025 could be the year that we see the beginning of the second wave of the AIDS pandemic. "These programs really save lives. They have saved millions of lives. We know that; we've documented it carefully. It is so important to be informed, to stay informed, to understand what is happening, and really to engage. Now, more than ever, engage in your citizenship rights." — Dr. Chris Beyrer Connect with Dr. Chris Beyrer: Professional Bio: https://globalhealth.duke.edu/people/beyrer-chris Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.
Dr. Jan Hontelez and Professor Till Barnighausen join Sundus Ahmad to discuss their modelling study which predicted changes in HIV deaths and new infections due to the PEPFAR funding freeze.Read the full article:https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(25)00165-8/fulltext?dgcid=buzzsprout_icw_podcast_Jun_25_eclinmContinue this conversation on social!Follow us today at...https://thelancet.bsky.social/https://instagram.com/thelancetgrouphttps://facebook.com/thelancetmedicaljournalhttps://linkedIn.com/company/the-lancethttps://youtube.com/thelancettv
Welcome to a world where medicine meets politics: a space that brings together scientific research, government wrangling, public push-back and healthcare conspiracies…Dr Anthony Fauci was the Director of America's National Institute of Allergy and Infectious Diseases for nearly four decades, during which time he not only helped study, treat and prevent viruses such as HIV/AIDS and Covid-19; he also advised seven US Presidents, from Ronald Regan through to Joe Biden.Along the way, Tony Fauci's picked up a public profile and taken a fair amount of flack; not least because of his complicated relationship with President Donald Trump. But he's also made great strides in medical research and policy, from working with activists who initially challenged him on the government response to HIV/AIDS - to spearheading the USA's PEPFAR project to share vital medication with developing nations.In a candid conversation with Professor Jim Al-Khalili, Tony discusses his childhood in Brooklyn, the dark early days of the HIV/AIDS epidemic, lessons from the Covid-19, his hopes and fears for the future of American health policy – and his reaction to that pre-emptive pardon from President Biden.Presented by Jim Al-Khalili Produced for BBC Studios by Lucy Taylor
Activist Zackie Achmat spoke to Clarence Ford on how the PEPFAR cuts’ have had a dire impact on HIV services in SA putting more lives are at risk. Views and News with Clarence Ford is the mid-morning show on CapeTalk. This 3-hour long programme shares and reflects a broad array of perspectives. It is inspirational, passionate and positive. Host Clarence Ford’s gentle curiosity and dapper demeanour leave listeners feeling motivated and empowered. Known for his love of jazz and golf, Clarrie covers a range of themes including relationships, heritage and philosophy. Popular segments include Barbs’ Wire at 9:30am (Mon-Thurs) and The Naked Scientist at 9:30 on Fridays. Thank you for listening to a podcast from Views & News with Clarence Ford Listen live on Primedia+ weekdays between 09:00 and 12:00 (SA Time) to Views and News with Clarence Ford broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/erjiQj2 or find all the catch-up podcasts here https://buff.ly/BdpaXRn 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.
A Lancet study warns of consequences for HIV prevention if PEPFAR loses funding, potentially millions of new pediatric HIV cases and increased AIDS-related deaths. Medicare Part D is highlighted, with research linking subsidy loss to higher mortality rates. A report from BMJ notes a 3.1% decline in U.S. drug overdose deaths, signaling a possible peak in the fentanyl crisis.
Global reproductive rights and investment in the agencies and organizations that support reproductive rights have often been used as a political football. The bodies of women, girls, and LGBTQI+ persons have been used to push and pull power for decades—and this anti-rights, anti-choice framework has become increasingly exported around the world. Beth Schlachter, Senior Director for U.S. and External Engagement for MSI Reproductive Choices, talks to us about how attacks to human rights frameworks and funding will further endanger global reproductive health and rights.Some apparatuses the U.S. have been using to redefine human rights, and therefore, redefine access to sexual and reproductive healthcare services, include the Commission on Unalienable Rights, the International Ministerial Conference on Freedom of Religion or Belief, and the Geneva Consensus Declaration. These frameworks and tools then get internationally exported. MSI has a host of programs around the world that will be impacted by these tools, frameworks, and funding attacks. MSI's programs support maternal health and access to other reproductive health services. In addition, these attacks will likely and broadly impact child marriage programs, the PEPFAR program, the Sustainable Development Goals, and more.For more information check outThe Nocturnists: https://thenocturnists.org/Support the showFollow Us on Social: Twitter: @rePROsFightBack Instagram: @reprosfbFacebook: rePROs Fight Back Bluesky: @reprosfightback.bsky.social Email us: jennie@reprosfightback.comRate and Review on Apple PodcastThanks for listening & keep fighting back!
In this episode of Going anti-Viral, Mary Fisher joins host Dr Michael Saag to discuss Communicating the Importance of Science and Research to the Public. Ms Fisher is an artist, author, and activist, who has spent a lifetime giving voice to the voiceless. Her historic speech at the 1992 Republican Convention, A Whisper of AIDS, has been named one of “forty famous speeches that have had long-term effect on society.” In this episode, Ms Fisher discusses her history of activism including her work in Africa before and after the arrival of PEPFAR and the concern for the many communities she worked with given the termination of USAID. Ms Fisher also discusses her new book Uneasy Silence: An activist seeks justice and courage over a lifetime of change where she and Dr Saag stress the importance of speaking out for scientific research given the impact it has on patient care and saving lives. 0:00 – Introduction1:17 – History of Ms Fisher's activism 4:11 – Impact of Ms Fisher's work in Africa and discussion of the quality of life before and after PEPFAR 10:05 – The impact of the elimination of USAID on people with HIV, nutrition, and other diseases 14:36 – Discussion of Ms Fisher's book Uneasy Silence: An activist seeks justice and courage over a lifetime of change20:12 – Why scientific research is important and the impact of cuts to the research budget at NIAID28:55 – The need to speak out for science, the practice of medicine, and care for those in need of careRelated Resources:Uneasy Silence: An activist seeks justice and courage over a lifetime of change Amazon A Whisper of AIDS YouTube Project Angel FoodEpisode 43 YouTube | Apple Podcasts with Dr Izukanji SikazweVoices in HIV Research and Global Health, from the Scientists, the Labs, and the Community YouTube __________________________________________________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...
This episode, we talk with Jenny Dyer, founder of the 2030 Collaborative, about her involvement raising awareness for HIV/AIDS - from working with Bono and the ONE Campaign to championing global health in Washington and beyond. Jenny breaks down how U.S. programs like PEPFAR have saved millions of lives—and why hardly anyone talks about it anymore. We dig into what's at risk as funding dries up and how churches can step in to advocate. If you're curious about how faith communities can make a real impact in global health, this episode is packed with practical ways to speak up and get involved. LINKS - (10:08) Haunted by Hopelessness: 12 Zambians share their stories as HIV drugs run out - Haunted by hopelessness: 12 Zambians share their stories as HIV drugs run out (15:57) Find your senators to contact - senate.gov (17:04) Contact your legislators through One.org and receive a template of what to say - one.org Read More From Jenny Dyer: The aWAKE Project : Uniting against the African AIDS Crisis The Mother and Child Project: Raising Our Voices for Health and Hope The End of Hunger: Renewed Hope for Feeding the World About Jenny Dyer - Jenny is the founder of The 2030 Collaborative, which focuses on promoting awareness, providing education, and encouraging advocacy for the 17 U.N. Sustainable Development Goals (SDGs). She also directs the Faith-Based Coalition for the Global Fund to Fight AIDS, Tuberculosis, and Malaria. She has previously worked for former Senate Majority Leader Bill Frist to mobilize advocacy for PEPFAR and other HIV/AIDS intervention from Christian leaders, and written many different pieces on the intersection between religion and global health. She lives in Franklin, Tennessee with her husband, John, and two boys, Rhys and Oliver. —-- The Better Samaritan podcast is produced by the Humanitarian Disaster Institute at Wheaton College, which offers an M.A. in Humanitarian & Disaster Leadership and a Trauma Certificate. To learn more and apply, visit our website. Get your application fee to the HDL M.A. program waived with code TBS25. Jamie Aten, Ph.D., and Kent Annan, M.Div., co-direct the Humanitarian Disaster Institute at Wheaton College and are the Co-Founders of Spiritual First Aid. This episode was produced by WildfireCreative Theme Song: “Turning Over Tables” by The Brilliance Subscribe: Apple Podcasts | Google Podcasts | Spotify | TuneIn | Stitcher | RSS Follow us on Twitter: @drjamieaten | @kentannan Follow on Instagram: @wildfirecreativeco @wheaton_hdi (Note to the listener: In this podcast, sometimes we'll host Evangelicals, and sometimes we won't. Learning how to “do good, better” involves listening to many perspectives with different insights and understanding. Sometimes, it will make us uncomfortable; sometimes, we'll agree, and sometimes, we won't. We thi Learn more about your ad choices. Visit podcastchoices.com/adchoices
Africa Melane is joined by Prof Linda Gail-Bekker of the Desmond Tutu Health Foundation to unpack the dual crisis facing South Africa’s HIV response: thousands of healthcare jobs lost due to US funding cuts, and a worrying rise in infections among older adults amid growing public complacency.See omnystudio.com/listener for privacy information.
Health Minister, Dr Aaron Motsoaledi has dismissed claims that the country's HIV-AIDS programme is collapsing. Motsoaledi was addressing the media earlier from Pretoria where he outlined over fifteen facts and key events and programs that government has adopted since the US pulled support funding for the country through the President's Emergency Plan for AIDS Relief, commonly known as PEPFAR. Dr Motsoaledi however admits that some jobs, funded by PEFAR has been lost but government continues to lead the fight against HIV/AIDS in the country. Here is a snippet of the MInister's address earlier...
About this episode: In 2003, George W. Bush's President's Emergency Plan for AIDS Relief (PEPFAR) was the largest commitment to a single disease in U.S. history. Renewed under every subsequent presidency since, PEPFAR has saved more than 25 million lives and prevented some 5 million perinatal infections globally. But now, policy changes that effectively end PEPFAR have the potential to completely reverse course and the world could see HIV/AIDS infections on par with a time even before effective antivirals existed. In this episode: Dr. Chris Beyrer talks about his recent Lancet essay, “On Going Backwards,” why any retreat now will make it harder to regain lost ground, and how this policy change has the potential to impact millions of lives. Guest: Dr. Chris Beyrer is the past president of the International AIDS Society and an expert in global health and human rights. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: On Going Backwards—The Lancet (Perspectives) By executive order: The likely deadly consequences associated with a 90-day pause in PEPFAR funding—Journal of the International AIDS Society Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
In this episode of Going Anti-Viral, Rebecca Denison joins host Dr Michael Saag as a follow-up discussion to her Martin Delaney presentation at CROI 2025: 40+ Years of HIV: What's Changed, What Hasn't, What Shouldn't, What Must. Ms Denison is an HIV-positive writer, educator, mother, and founder of WORLD, Women Organized to Respond to Life-threatening Diseases. Dr Saag and Ms Denison reflect on her history of living with HIV and her 40 + years as an HIV activist. They discuss the impact that recent cuts at USAID and PEPFAR are having international efforts to reduce HIV transmission and the loss in trust in healthcare practitioners since programs have been terminated. They also discuss concerns about cuts to federal funding for HIV care programs in the US and the impact of recent loss of staff expertise at federal agencies. Finally, Dr Saag and Ms Denison ask all care clinicians to share their stories to their communities as a way of becoming advocates for the importance of HIV care.0:00 – Introduction2:41 – History of Ms Denison's activism in HIV and AIDS 4:58 – Discussion of the gap in HIV care since the termination of USAID and PEPFAR contracts8:29 – The loss of trust in global HIV health care practitioners and stories of growing HIV transmission since funding for care has been terminated14:24 – Risks of funding cuts to domestic HIV care programs and Medicaid18:02 – How a younger generation of advocates can learn from the history of HIV activism19:51 – The message sent by the reorganization of HHS and the dismissal of leading HIV experts22:06 – How clinicians can be an advocates for HIV care Watch/Listen to related episodes:Special Episode YouTube | Apple Podcasts 40+ Years of HIV: What's Changed, What Hasn't, What Shouldn't, What Must. The Martin Delaney presentation at CROI by Rebecca DenisonEpisode 43 YouTube | Apple Podcasts Innovations in HIV Service Delivery with 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...
This is a free preview of a paid episode. To hear more, visit andrewsullivan.substack.comByron is a political journalist. He was a news producer for CNN in the early years, a reporter for The American Spectator, and the White House correspondent for National Review. He's currently the chief political correspondent for Washington Examiner and a contributor to Fox News. His most recent book is the 2020 bestseller, Obsession: Inside the Washington Establishment's Never-Ending War on Trump. We chewed over the recent political past and then got on to Trump, where things got stickier but still friendly.For two clips of our convo — on Clinton Derangement Syndrome in the ‘90s, and Trump bungling his gains on immigration — pop over to our YouTube page.Other topics: raised in Alabama; his dad a pioneer star in local TV news; the GOP takeover of the South; George Wallace; the Nation of Islam and AIDS; GOP fusionism in the Cold War; Mickey Kaus' courage; David Brock's war on the Clintons; Bill's triangulation and the DLC; Vince Foster; Lewinsky and impeachment; Ken Starr; Iraq and WMD; covering Dubya for National Review; that mag marginalized since Trump; Birtherism and demonizing Obama; McCain and the market crash; Obamacare; the Santorum candidacy; Pat Buchanan; Trump vs Jeb on 9/11; Trump blowing up GOP orthodoxies; Hillary in 2016; Russiagate; pardoning all January 6-ers; Trump's impeachments and McConnell; open borders under Biden; CHIPS and IRA; Trump hypocrisy on E-Verify; authoritarianism and self-deportation; Tom Homan; Bukele; the Alien Enemies Act; the SCOTUS standoff; judge shopping; DEI; Musk and DOGE; USAID and PEPFAR; Zelensky in the Oval; NATO; Chris Krebs; the tariff war; Trump's yips; and the looming empty shelves.Browse the Dishcast archive for an episode you might enjoy (the first 102 are free in their entirety — subscribe to get everything else). Coming up: Claire Lehmann on the woke right, David Graham on Project 2025, Jake Tapper and Alex Thompson on the Biden years, Robert Merry on President McKinley, Sam Tanenhaus on Bill Buckley, Walter Isaacson on Ben Franklin, and Paul Elie on his book The Last Supper: Art, Faith, Sex, and Controversy in the 1980s. Please send any guest recs, dissents, and other comments to dish@andrewsullivan.com.
Program notes:0:47 Gun injuries and deer hunting season1:47 Other associated injuries2:47 Coincidence of hunting?3:48 Restrict hunting guns to that use4:10 Can we avoid surgery in some with cancer?5:10 Dostarlimab treatment6:10 Can help avoid surgery in few who have this mutation7:10 Look at specific pathways7:30 Lung cancer treatment8:32 71% responded9:12 Impact of Pepfar funding freeze10:12 Looked at waiver scenarios11:12 Decreased deaths and infection12:13 Takes time to resume13:06 End
Peter Selwyn, one of today's guests, has been caring for people living with HIV for over 40 years. In that time, care of people with HIV has changed dramatically. Initially, there was no treatment, then treatments with marginal efficacy, complex schedules, and a tremendous burden of side effects and drug-drug interactions. The average age at death was in the 30s. Now, more people in the US die with HIV rather than from HIV. Treatment regimens are simplified, and the anti-viral drugs are well tolerated. People are living with HIV into advanced ages. The average age at death is likely in the 60s. Nearly half of people living with HIV are over age 55. One in 10 people with newly diagnosed HIV is an older adult. Our second guest, Meredith Greene, is a geriatrician and researcher who focuses on care of older adults living with HIV, in the US and Africa. On today's podcast we discuss: Implications of aging with HIV for clinical care Loneliness and social isolation among older adults living with HIV Persistence of stigma Need to consider HIV in the differential diagnosis for older adults Screening for HIV Screening for osteoporosis in people living with HIV Dementia and cognitive impairment risk in people living with HIV When to stop anti-virals near the end of life Toward the end we speak to the moment. More older adults live with HIV in SubSaharan Africa and the global South than anywhere else in the world. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. Millions of lives are at stake. Meredith wore a shirt that said Silence=death. Eric gave me the hook during my live cover of One, by U2, a song released in 1992 whose proceeds went entirely to AIDS research. I couldn't help it, forgive me dear listeners, I had to do a longer than usual cut at the start! -Alex Smith Useful links: Peter's article on the evolution of HIV: https://link.springer.com/article/10.1007/s11524-011-9552-y Peter's book Surviving the Fall: Personal Journey of an AIDS Doctor PEPFAR: Global Health Policy | KFF Articles: Geriatric Syndromes in Older HIV-Infected Adults - PMC Loneliness in Older Adults Living with HIV Management of Human Immunodeficiency Virus Infection in Advanced Age https://pmc.ncbi.nlm.nih.gov/articles/PMC3684249/ About Act-up for those who might know the Silence=Death t-shirt reference: https://www.npr.org/2021/06/16/1007361916/act-up-a-history-of-aids-hiv-activism https://www.newyorker.com/magazine/2021/06/14/how-act-up-changed-america
Two-time Pulitzer Prize–winning journalist Nicholas Kristof (opinion columnist, the New York Times) reflects on his career of reporting from the front lines of injustice and human suffering, discussing hope, human resilience, and the urgency of responding to global injustice. An advocate for empathy-driven journalism that holds power accountable and communicates the stories of the most vulnerable, Kristof joins Mark Labberton in this episode to discuss his life's work of reporting from the world's most troubled regions—from Gaza to Congo, from rural Oregon to global centres of power. Known for his unsparing storytelling and deep empathy, Kristof shares the family roots and personal convictions that have shaped his lifelong pursuit of justice and hope. They also explore how despair and progress coexist, the role of faith and empathy in healing, and how local acts of courage can ripple globally. Grounded in gritty realism, but inspired by everyday heroes, Kristof invites us to resist numbness and embrace a hope that fights to make a difference. Stories from Gaza, Congo, Pakistan, and beyond Balancing heartbreak and hope in humanitarian reporting Why empathy must be cultivated and practiced The global impact of Christian activism and its complexities Episode Highlights “Side by side with the worst of humanity, you find the very best.” “We focus so much on all that is going wrong, that we leave people feeling numb and that it's hopeless … but people don't want to get engaged in things that are hopeless.” “Empathy is something that, like a muscle, can be nurtured.” “The worst kinds of evil and the greatest acts of courage are often just one decision apart.” “We are an amazing species—if we just get our act together.” “You can be sex positive and rape negative. I don't think there's an inconsistency there.” About Nicholas Kristof Nicholas Kristof is a two-time Pulitzer Prize–winning journalist, and is an opinion columnist for the New York Times, **where he was previously bureau chief in Hong Kong, Beijing, and Tokyo. Born, raised, and still working from his rural Oregon home, Yamhill, he is a graduate of Harvard and was a Rhodes Scholar at Oxford. He is the co-author, with his wife Sheryl WuDunn, of five previous books: Tightrope, A Path Appears, Half the Sky, Thunder from the East, and China Wakes. In 2024, he published a memoir, *Chasing Hope: A Reporter's Life.* Books by Nicholas Kristof Tightrope A Path Appears Half the Sky Thunder from the East China Wakes Chasing Hope: A Reporter's Life Helpful Resources International Justice Mission Dr. Denis Mukwege – Nobel Peace Prize PEPFAR: The U.S. President's Emergency Plan for AIDS Relief Tim Keller's Final Interview with Kristof (NYT) Show Notes A voice of conscience How a global orientation for journalism developed Kristof reflects on his humble roots in Yamhill, Oregon, as the son of two immigrants “My dad was a Armenian refugee from Eastern Europe. His family had spied on the Nazis during World War II. They got caught. Some were executed by the Nazis, others were executed by the Soviet communists, and my dad was very lucky to make it out alive and was sponsored by a family in the US in 1952.” “I think that one fundamental mistake that bleeding hearts make, whether they're bleeding hearts in journalism or in the non-profit community or in advocacy, is that we focus so much on all that is going wrong that we leave people feeling numb and feeling that it's hopeless, so there's no point in engaging. And there's pretty good evidence from social-psychology experiments that people don't want to get engaged in things that are hopeless. They want to make a difference. And so I think that we need to both acknowledge all the challenges we face but also remind people that there can be a better outcome if they put their shoulder to the wheel.” Extraordinary changes for justice and what's going right David Brooks: “A deeply flawed country that also managed to do good in the world.” ”It just breaks my heart that kids are dying unnecessarily.” On losing PEPFAR foreign aid: “I hope that this damage can be repaired and that bleeding hearts of the left and the right can work together to try to help restore some of these initiatives.” The tragedies that followed from dismantling USAID Kristof's book Chasing Hope “The fact is that I've seen some terrible things, and I think I may have a mild case of PTSD from, you know, seeing too much.” Nicholas Kristof on Gaza: “I don't see Israel and Hamas as morally equivalent, but I absolutely see an Israeli child, a Palestinian child, and an American child as moral equivalents. And we don't treat them that way.” “What human beings share is that when terrible things happen, some people turn into psychopaths and sociopaths, and other people turn into heroes.” Cowardice and malevolent tendencies Empathy can be nurtured Children dying without anti-retroviral drugs in South Sudan Empathy Project in Canada Mass literature to inspire perspective taking Uncle Tom's Cabin Black Beauty and animal rights/well-being Kristof's run for Oregon governor Eastern Congo and UNICEF “A child is raped every thirty minutes in Eastern Congo.” Dr. Denis Mukwege, Nobel Peace Prize laureate treating women brutally injured by militia rape in Bukavu, a city in eastern Democratic Republic of the Congo. Small gestures of compassion as an empathy grower for local communities “One of the lessons I think of Congo is that violence can be and inhumanity can be terribly contagious.” Genocide in Rwanda in 1994 The global sex-trafficking crisis “We don't have the moral authority to tell other countries to do better unless we clean up our own act.” The American sex-trafficking crisis: systemic failures such as foster care pipelines into trafficking “There are no statistics, but I think it's plausible that a girl in foster care is more likely to emerge to be trafficked than she is to graduate from a four-year college.” American sex-trafficking practices by PornHub and X-Videos: “Their business model is monetizing kids.” “You can be sex positive and rape negative. I don't think there's an inconsistency there, and I, I think we've just blurred that too often.” Christianity's disappointing response to injustice Nicholas Kristof's engagement with the activism and theology of the Christian church William Wilberforce's anti-slavery movement in the 1780s President Bush's establishment of PEPFAR in 2003: “This incredible program to reduce the burden of AIDS that has saved 26 million lives so far. It's the most important program of any country in my adult lifetime in terms of saving lives.” “Evangelicals are very good in terms of tithing and donating money to good causes, but they've often opposed government programs that would create opportunity and address these problems.” “Liberals are personally stingy, but much more supportive of government programs that that make a difference.” Criticizing the dismantling of global aid programs like USAID: “How can you read the Gospels and think this is good?” “I think being part of a religious community has led people to do good works together.” Christian advocacy for freedom of religion Kristof on scripture and belief: “We read the Bible and develop our religious views, and I think so often just reflects our priors rather than what the text says.” A closing example of hope: The Afghan war “We are an amazing species if we just get our act together.” Production Credits Conversing is produced and distributed in partnership with Comment magazine and Fuller Seminary.
The Atlantic's Peter Wehner offers insights into the transformation of the GOP from the party that passed PEPFAR to the MAGA warriors of today. The Mona Charen Show is a weekly, one-on-one discussion that goes in depth on political and cultural topics. New shows drop Mondays. Find this show wherever you get your podcasts and on YouTube. Go to Hungryroot.com/CHAREN and use code CHAREN to get 40% off your first box and a free item of your choice for life. REFERENCES: Peter's recent work at The Atlantic Jesus and John Wayne by Kristin Kobes Du Mez The Closing of the American Mindby Allan Bloom The Power of the Powerless and Summer Meditations by Václav Havel The Gulag Archipelago by Aleksandr Solzhenitsyn 1984 by George Orwell
For more than 30 years Carol Adams has fed, housed, educated and cared for orphans and vulnerable children in Fort Portal in Western Uganda. Many of the children were weakened by the HIV virus but were supported for two decades by anti-viral drugs provided by USAID and its PEPFAR program.But those programs have been frozen by President Trump, putting the lives of millions in East Africa and around the world in grave danger. I recently spoke with Carol about her YesUganda.org program and the impact of the USAID freeze.Support the showEast Africa NGO is sponsored by TeaminFaith.orgMusic by Dale Enstrom
Confusion surrounding U.S. foreign assistance deepened this week as USAID reversed several program terminations—including life-saving food aid—just days after announcing them. The World Food Programme called the initial cuts a “death sentence for millions,” and organizations are now raising questions about data accuracy and decision-making inside the administration. We also look at how European governments are quietly debating whether to fill the gaps left by U.S. cuts, and what U.S. Secretary of State Marco Rubio's recent podcast appearance reveals about the administration's shifting aid priorities. To unpack these developments, Senior Reporter Adva Saldinger is joined by Global Development Reporter Elissa Miolene and Business Editor David Ainsworth for the latest episode of our weekly podcast series. Sign up to the Devex Newswire and our other newsletters: https://www.devex.com/account/newsletters Chapters 00:00 Introduction to Global Development Headlines 00:58 USAID Program Terminations and Confusion 09:06 Congressional Role and Future of Foreign Aid 12:24 PEPFAR and Bipartisan Support 16:57 European Foreign Aid Dynamics 25:20 Marco Rubio's Perspective on Foreign Aid
This week on The International Risk Podcast, Dominic Bowen is joined by Michael Sheldrick to unpack the far-reaching consequences of global aid cuts and the future of international development. Together, they explore the real-world impact of the proposed USAID reductions, including disruptions to programs like PEPFAR, and the ripple effects on health systems, livelihoods, and vulnerable communities around the world. The conversation touches on how philanthropy, remittances, and advocacy can step in where traditional funding falls short, and how storytelling and strategic reframing are essential to keep aid relevant in today's political and security landscape. From funding independent media in Ukraine to promoting workforce development in emerging economies, this episode is a timely reflection on how aid can mitigate global risks and create shared value.Michael Sheldrick is a policy entrepreneur, author and a driving force behind the efforts of Global Citizen to end extreme poverty and build climate resilience. As a Co-Founder and Chief Policy, Impact, and Government Affairs Officer, he has mobilized over $43 billion in support for healthcare, education and climate from governments, businesses, and foundations. The International Risk Podcast is a must-listen for senior executives, board members, and risk advisors. This weekly podcast dives deep into international relations, emerging risks, and strategic opportunities. Hosted by Dominic Bowen, Head of Strategic Advisory at one of Europe's top risk consulting firms, the podcast brings together global experts to share insights and actionable strategies.Dominic's 20+ years of experience managing complex operations in high-risk environments, combined with his role as a public speaker and university lecturer, make him uniquely positioned to guide these conversations. From conflict zones to corporate boardrooms, he explores the risks shaping our world and how organisations can navigate them.The International Risk Podcast – Reducing risk by increasing knowledge. Follow us on LinkedIn for all our great updates.Tell us what you liked!
“If a person is entrusted to care for a building and decides to tear it down, there's a moral imperative to disclose whether there are people inside. There are 20.6 million people and 566,000 children living inside PEPFAR.” PEPFAR is the President's Emergency Plan for AIDS Relief. And as of March 25, 2025, its congressional reauthorization has expired. For more than two decades, its website states, “the U.S. government has invested over $110 billion in the global HIV/AIDS response, the largest commitment by any nation to address a single disease in history—saving 26 million lives, preventing millions of HIV infections, and accelerating progress toward controlling the global HIV/AIDS pandemic in more than 50 countries.” Now, some estimate that over 20 million people will lose access to antiretroviral drugs, which may result in up to 1,650,000 deaths over the coming year. In this episode, Mark Labberton speaks with Mindy Belz, an award-winning journalist and longtime war correspondent, to explore the urgent moral and humanitarian implications of PEPFAR's uncertain future. Drawing on Belz's deep reporting experience in conflict zones and her time covering global health efforts, their conversation traces the remarkable legacy of the U.S. government's investment in HIV/AIDS relief, the stakes of congressional inaction, and the broader questions this crisis raises about American moral leadership, Christian charity, and global responsibility. Together they discuss: Mindy Belz's background as a journalist and war correspondent The significance of PEPFAR in the global battle against HIV/AIDS The pivotal leadership role the U.S. government has played in supporting AIDS relief efforts for the past two decades The devastating impact that losing PEPFAR would have on human life around the world, particularly in Africa And, perspectives on charity, moral conscience, and faith in American Christianity Helpful Links mindybelz.com Mindy's Article about PEPFAR: “1,650,000: How killing a global program to fight HIV/AIDS kills”: “PEPFAR contracts ended under Trump mean 20 million people on treatment now face HIV disease again. Without more reinstatements that could lead to a death toll of 1.6 million in a year's time.” About PEPFAR, the “President's Emergency Plan for AIDS Relief”: Through PEPFAR, the U.S. government has invested over $110 billion in the global HIV/AIDS response, the largest commitment by any nation to address a single disease in history – saving 26 million lives, preventing millions of HIV infections, and accelerating progress toward controlling the global HIV/AIDS pandemic in more than 50 countries. From ThinkGlobalHealth: “PEPFAR Misses Reauthorization Deadline: What's Next for Global HIV Fight?” Mindy's book They Say We Are Infidels: On the Run from ISIS with Persecuted Christians in the Middle East Follow Mindy on X @mindybelz Follow Mindy on Substack: Globe Trot About Mindy Belz Mindy Belz is an award-winning American journalist. For over two decades, she has covered wars and victims of conflict in Afghanistan, Syria, Iraq, Sudan and the Balkans. She recounts some of her experiences in a 2016 award-winning book, They Say We Are Infidels. Her work appears in The Wall Street Journal, Plough Quarterly, and other publications. The New York Times calls her “one of the bravest and best foreign correspondents in the country.” Mindy currently is editor of the 2024 Christianity Today Globe project. Her news roundup, Globe Trot, is read by thousands each week and available on Substack. She speaks internationally and has taught journalism courses in Uganda, India, Hungary, and the United States. She is the former senior editor at World Magazine. A mother of four and grandmother of three, Mindy was married for 40 years to Nat Belz, who died in 2023. She lives in North Carolina. Show Notes Mindy Belz: A Journalist in the Trenches Mindy Belz and her career at World Magazine Mindy's coverage of the AIDS pandemic in East Africa and the war in Sudan The rise of Islamic extremism, Al-Quaeda, and crossing the Tigris into Iraq Her early experiences in journalism and what drew her to war reporting How she came to report from the Middle East and other conflict zones The challenges Mindy faced as a woman journalist “We've all experienced some of the conflict in the world. We've all experienced some terrorism and violence … this is a part of life in a broken and fallen world, and so learning from women, from men, from children incredible resilience in the face of terrible breakdowns is that I just consider a real privilege of my work.” Working with a Sudanese NGO—finding starving people, barely surviving “For Americans, we always get to walk away. I'm really aware in whatever hard situation I'm in, there's little voice at the back of my brain that's saying, ‘Don't forget you get to go home.'” What is PEPFAR? “ President's Emergency Plan for AIDS Relief,” developed by George W. Bush in 2003 Trendsetting program to battle HIV/AIDS Anti-viral drug program to prevent the spread (but not cure) the disease “We still don't have a real cure for HIV.” “You have 20 million people who are currently taking antiretroviral drugs that are funded under PEPFAR and most of those people just suddenly could not have access to their medicine and, and that means that we are watching even now the disease grow.” “The Trump administration has basically shuttered the program and they have done so without the oversight of Congress.” Nicholas Kristof's NYT March 15 article estimates that 1.6 million people could die over the next year. Link: “Musk Said No One Has Died Since Aid Was Cut. That Isn't True.” “The scale of the devastation is mind-bending.” What can we do? “Congress is not exercising its oversight responsibilities right now.” “If a person is entrusted to care for a building and decides to tear it down, there's a moral imperative to disclose whether there are people inside. There are 20.6 million people and 566,000 children living inside PEPFAR.” What is the role of our government? “I've also seen PEPFAR working and working incredibly. I routinely and in lifesaving ways.” Understanding moral conscience “We are needing to call our nation not to a Christian identity, which I think is the, the false attempt of Christian nationalism, but to a moral identity. That people of faith, little faith, no faith, other faiths, can enter into and share. And I think some element of that has been operational in the United States for a very long time. And now all of that is being dismantled and being labeled, as you say, by a really cheap word like charity, as though there's no wider frame than simply compassionate sentimentality, as opposed to something that's really taking the moral realities of the world and all of their urgency seriously. And not pretending that we need to be (as we've sometimes tried to be as a nation) the healer of the nations, but to say that we should actually be a force for taking these issues with great national seriousness, and not just repudiating it because it's not inside the boundaries of our own country.” “Use the influence and the economic force of the United States to fund local programs.” “ We have the resources to go and make a difference in this situation. And by doing that we set an example for others to do it.” “We have adopted an attitude of scarcity.” The impact and efficacy of antiretroviral drugs to improve the lives of people with HIV/AIDS—”To suddenly cut them off is an act of cruelty.” “This is a system, not just medication.” “If we're suddenly saving $5 billion a year, what is that going to be used for?” ”If these things are all happening by executive decision, and Congress does not have a meaningful role, then essentially the people are cut out of the conversation.” “People who become sicker with HIV will become more likely to have tuberculosis, more likely to be suffering from other diseases than side effects of the virus itself.” Where Is God in All of This? “It's a dangerous world. Go anyway.” “We have to trust that the hand of God is there and that it will meet us in the midst of those hard situations.” Production Credits Conversing is produced and distributed in partnership with Comment Magazine and Fuller Seminary.
How Can We Create Faith-Driven Solutions for a World in Need? Host Curtis Chang sits down with Dana Wichterman, a former USAID and Department of Commerce development expert, and Bill Wichterman, a former special assistant to President George W. Bush, to explore how faith-driven impact investing can help fill the gap left by reduced U.S. government aid to the “least of these.” They unpack practical ways Jesus followers can align their financial resources with their values, support global humanitarian efforts, and drive lasting change. Discover how people of all income levels can turn generosity into powerful, faith-fueled action. Good Faith Live “Watch Party”: Russell Moore, David French, & Curtis Chang: Trump's First 100 Days Resources mentioned in this episode: Timeline of USAID dismantling An oral history of PEPFAR with Gov. Bill Frist (video) The Europe cuts foreign aid and development Department of State to resume PEPFAR programming Conspiracy theories are fuelling attacks on NGOs and aid workers The State of Church Giving: Church Trends and Statistics [2025] I Peter 4:10 (all translations) 2 Corinthians 9:5-15 NLT Historical Poverty Tables: People and Families:1959 to 2023 Eric Ha (for TIME): Foreign Aid Is Retreating. The Church Must Not John Porter tells the story of Masaka Creamery (video) Haiti: Where Has All the Money Gone? Impact Investing Has Come of Age Why Christians Should Never Retire by Chris Cagle Philanthropic and Investable Organizations Mentioned: TRUSTBRIDGE Global International Justice Mission The Gathering of Christians in Philanthropy Masaka Farms Impact Foundation Verdant Frontiers (Scott Friesen) More from Dana & Bill Wichterman: www.stewardsnotowners.com Dana & Bill Wichterman's book Stewards Not Owners: The Joy of Aligning Your Money with Your Faith Follow Us: Good Faith on Instagram Good Faith on X (formerly Twitter) Good Faith on Facebook Sign up: Redeeming Babel Newsletter
Jason Cecil - like all of us - is defined by more than just a job; he's a husband, Dekalb County Ethics Board alternate, President of the LGBTQ+ recovery community-serving GALANO Club, to name a few of his attribuets. His job at the Atlanta-based Centers for Disease Control & Prevention (CDC) was really important, too, though. Until yesterday, he had been a Public Health Analyst in Global Immunizations since 2003, focusing on polio eradication, measles elimination, and immunization systems strengthening, before a promotion to the CDC division on Global HIV and TB. To hear him tell it, his was the division hit hardest by yesterday's cuts. Remember the DOGE-Elon Musk-Karen Leavitt-Donald Trump lie about $50 million for condoms "to Hamas?" Well, Mozambique in Africa has a Gaza province and none of those intellectual heavyweights distinguished between the two and even the monetary figure (and condoms, altogether) were overblown. It's the division Jason had been working in - global HIV and TB - that all along was " major, multi-pronged effort to address HIV and tuberculosis — not a dump of condoms."Well, Jason's no longer working in a capacity to deliver results for the George W. Bush-launched PEPFAR: the President's Emergency Plan for AIDS Relief. It was on World AIDS Day in 2022 that Bush returned to Washington (a rarity) to tout the two decades of PEPFAR's accomplishments. Yes, that Bush. Anyhow, Jason was kind enough to join me today to share his RIF experience, reaction, emotions and insights into what being a federal employee in such a necessary agency has been like since Trump was re-elected last November. Were contingency plans being made? Any "offloading" or "lifeboating" of research and data? What was the mood in the hallways like? What's next for career civil servants like him?
On this week's "CBS News Weekend Roundup," host Peter King provides the latest on "Signalgate," which includes a comprehensive report from CBS News White House Correspondent Ed O'Keefe, followed by analysis from CBS News Military analyst, Colonel(ret.) Jeff McCausland. CBS News Moneywatch Correspondent Kelly O'Grady reports on the Trump Administration's 25 percent tariffs on imported passenger vehicles and parts. CBS News Correspondent Anna Coren is in Hong Kong with a report on the 7.7 magnitude earthquake centered in Myanmar. The Kaleidoscope segment looks at PEPFAR, the President's Emergency Plan for Aids Relief, founded in 2003 by then-president George W Bush, and the challenges it faces because of the DOGE cutbacks. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
In this episode of A Shot in the Arm Podcast, hosts Yvette Raphael and Ben Plumley discuss the resilience of South Africa's healthcare system amidst U.S. aid cuts, particularly through USAID and PEPFAR. They highlight the devastating impacts on HIV treatment, TB care, and broader healthcare services due to the sudden cessation of funding. But the country is markedly more prepared than critics might have feared, to assume full responsibility for its infectious diseases strategies - including procurement and surveillance strategies that the US maintained control over in exchange for the aid. Their conversation extends to cover issues around mental health, future healthcare innovations like long-acting antiretrovirals, and the broader geopolitical implications of donor aid cuts. 00:00 Introduction and Setting the Scene 00:33 Impact of US Aid Cuts on South Africa 03:08 Healthcare Challenges and Government Response 07:04 The Role of Civil Society and Future Preparations 10:21 Consequences of Sudden Aid Withdrawal 14:17 Future of HIV Treatment and Advocacy 16:55 The Threat of Drug-Resistant TB 17:35 Government Investment in Healthcare 19:01 Mental Health Crisis Among Youth 19:41 Impact of USAID Funding Cuts 20:57 Soft Power and International Relations 22:37 South Africa's Self-Reliance 26:43 Addressing Racism and Emigration 32:42 Parting Thoughts and Optimism
Shirika la Umoja wa Mataifa la kupambana na ukimwi UNAIDS leo limeonya kwamba kusitishwa kwa ufadhili wa Marekani sio tu janga kwa vita dhidi ya gonjwa hilo bali ni chachu ya vifo na ongezeko la maambukizi mapya. Flora Nducha amefuatilia onyo hilo lililotolewa leo mjini Geneva Uswisi na Mkurugenzi mtendaji wa UNAUDS Winnie Byanyima alipozungumza na waandishi wa habari.
Dan Corder speaks to Zackie Achmat—activist, filmmaker, and co-founder of the Treatment Action Campaign. A lifelong fighter for health justice, Achmat has been at the forefront of the struggle for affordable HIV treatment in South Africa. He unpacks the real impact of these funding cuts, the message behind this march, and what needs to be done to protect the most vulnerableSee omnystudio.com/listener for privacy information.
In this episode of Going anti-Viral, Dr Michael Saag speaks with Dr Izukanji Sikazwe, the Chief Executive Officer for the Centre for Infectious Disease Research in Zambia (CIDRZ). Dr Sikazwe joins Dr Saag to provide an overview of her symposium presentation at the 2025 Conference on Retroviruses and Opportunistic Infections (CROI) entitled Innovations in HIV Service Delivery: Building a Path Forward with Those Left Behind. Dr Sikazwe discusses her career journey in treatment of HIV in Zambia and her path to CIDRZ. Dr Sikazwe and Dr Saag discuss the history of HIV and AIDS in Zambia and address the impact that PEPFAR had on the disease when it arrived in the country in 2004. They discuss how PEPFAR has operated in Zambia and provide a current overview of the sudden cancellation of USAID contracts on those receiving HIV care and treatment and other health services. Finally, they look ahead given the current disruptions on how Zambia and other countries can move forward to meet the needs of those in need of care.0:00 – Introduction1:41 – Dr Sikazwe reviews her path to CIDRZ5:21 – History of HIV and AIDS in Zambia and discussion of stigma7:53 – The impact of PEPFAR's arrival in Zambia and Dr Sikazwe's personal history with treatment during that time13:37 – How PEPFAR works in Zambia16:56 – Impact of recent decision by the US government to cancel USAID contracts22:31 – Disruption to other health services that USAID has supported in Zambia23:50 – Response from the government in Zambia24:46 – Status of HIV in Zambia prior to cancellation of USAID contracts25:50 – The best-case scenario for people living with HIV globally and closing remarksResources: CROI 2025: https://www.croiconference.org/Centre for Infectious Disease Research in Zambia (CIDRZ): https://www.cidrz.org/ PEPFAR: https://www.state.gov/pepfar/ __________________________________________________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...
This is a free preview of a paid episode. To hear more, visit andrewsullivan.substack.comMichael Lewis is the best nonfiction writer in America — and an old friend. He's the bestselling author of Liar's Poker, Moneyball, The Blind Side, and Flash Boys. He was on the Dishcast four years ago to discuss The Premonition: A Pandemic Story, and his new book is Who Is Government? The Untold Story of Public Service — a collection of essays by Michael and others about the federal workers now under assault by Elon Musk. Michael has a preternatural ability to sense what we want to read about when we want to read about it. This book is no exception.For two clips of our convo — on DOGE killing effective programs, and the calculated trauma imposed on federal workers — pop over to our YouTube page.Other topics: how civil servants forgo bigger salaries from the private sector; how they don't take public credit; the awards known as Sammies; the guy who revolutionized mine safety; the IRS worker who fought sex trafficking; how fraud in government is actually quite small; how Trump ignores his daily briefing; his fabulist psyche; his drive for retribution; Vought and the unitary executive; scaring workers to control them; firing the inspectors general; gutting the National Weather Service; the savior culture of USAID; the bipartisan miracle of PEPFAR; how 86% of the debt is interest + entitlements + defense that DOGE can't affect; Musk's ignorance on basic civics; the secrecy of DOGE; the Founders' hatred of monarchy; Trump's tax cuts; impending inflation; “Blame Canada”; Rubio and the Khalil case; my own green card; Vance in Germany; vilifying Zelensky; the brilliance of Thatcher; Ross Perot's run; the Clinton/Gore downsizing; Newsom's tack to the center; the promise of Polis and Fetterman; and stories from TNR in the ‘90s.Browse the Dishcast archive for an episode you might enjoy (the first 102 are free in their entirety — subscribe to get everything else). Coming up: Nick Denton on China's inevitable world domination, Evan Wolfson on the history of marriage equality, Francis Collins on faith and science, Douglas Murray on Israel and Gaza, and the genius filmmaker Mike White. Please send any guest recs, dissents, and other comments to dish@andrewsullivan.com.
Alors que la menace de l'interruption du financement de l'aide américaine plane en République démocratique du Congo (RDC), l'ONU s'inquiète du sort de milliers de Congolais recevant un traitement contre le VIH. « Une rupture de financement aura un impact direct sur la survie des personnes vivant avec le VIH », avertit dans un entretien avec ONU Info Susan Kasedde, la Directrice pays de l'ONUSIDA, le programme de l'ONU qui coordonne la lutte contre la pandémie de VIH/sida.La RDC compte aujourd'hui environ 520.000 personnes vivant avec le VIH, et l'épidémie continue de croitre.« Le pays a réussi à mettre sous traitement 440.000 personnes vivant avec le VIH, soit au moins 87% des personnes en besoin de traitement », signale Mme Kasedde, soulignant que la moitié est entièrement financée par PEPFAR, le programme de lutte contre le VIH/sida lancé par le Président américain George W. Bush en 2003.Selon elle, PEPFAR a joué un rôle pratiquement sans comparaison dans la réponse au VIH en RDC - du dépistage au traitement, en passant par la mise au point des laboratoires et de la chaine d'approvisionnement.L'annonce du gel du financement était complètement inattendu et a constitué un « choc total », explique Susan Kasedde.(Interview : Susan Kasedde, Directrice pays de l'ONUSIDA; propos recueillis par Cristina Silveiro)
Independent investigative journalism, broadcasting, trouble-making and muckraking with Brad Friedman of BradBlog.com
The Trump administration's freeze on foreign aid puts the lifesaving program PEPFAR at risk, halting the distribution of essential HIV/AIDS medications in over 50 countries. Despite an emergency humanitarian waiver, the executive order dismantling the U.S. Agency for International Development (USAID) has created both confusion and life-and-death consequences. Good Authority Editor-in-Chief Kim Yi Dionne reads her February 2025 article, "PEPFAR has saved 25 million lives. Without it, millions will die."
Hosted by Ben Plumley & Professor Ambassador Eric Goosby Episode Summary In this episode of Global Health Diplomats, Ben Plumley and Eric Goosby take a hard look at the state of global health in the wake of major funding shifts and policy changes. With U.S. global health programs facing an uncertain future, can they be salvaged, or are we witnessing the dismantling of decades of progress? Ben and Eric discuss: ✔️ The impact of U.S. policy changes on PEPFAR, USAID, and global health funding ✔️ The realities of restarting health programs amid political roadblocks ✔️ How countries are shifting towards self-sufficiency in health systems ✔️ Lessons learned from HIV programs pivoting to COVID-19 responses ✔️ The role of European and global players—can they fill the funding gap? ✔️ The future of long-acting HIV treatments and barriers to adoption ✔️ The ethics of global health governance—are programs being abandoned? ✔️ The human cost of these decisions on communities and health professionals This episode is a must-listen for anyone engaged in global health, policy advocacy, and public health strategy. Timestamps for Key Moments 00:00 - Welcome & opening remarks: Ben and Eric set the stage for a critical conversation 00:38 - Is global health dead? A frank discussion on where things stand 02:31 - U.S. policy shifts & the fallout for global health programs 07:12 - Can shuttered programs be restarted? The logistical and ethical challenges 13:52 - Global health self-sufficiency: Are countries ready to take control? 17:23 - Can Europe or others step up? The feasibility of alternative funding sources 22:19 - What national programs must prioritize to survive funding cuts 26:29 - Procurement & supply chain challenges—what's at risk? 27:52 - Surveillance & monitoring—a critical piece of the puzzle 29:34 - Long-acting HIV treatments—revolutionary but at risk 32:37 - The politics of health funding—will programs be forced to regress? 36:32 - Clinical guidelines vs. financial and political realities—who decides? 37:55 - Key populations at risk: Why marginalized communities may suffer the most 40:02 - Beyond government funding: Can faith-based organizations & business leaders help? 41:06 - The personal toll on health professionals: How this crisis is affecting those in the field 44:32 - Global solidarity under threat: How shifting geopolitics impact health 47:16 - What happens next? Ben and Eric's final reflections on the way forward 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 discussions Follow Us YouTube: @shotarmpodcast
When U.S. foreign aid is frozen, what happens to the people who depend on it? In this episode, Dr. Matthew Loftus and Amy Julia Becker dive into the effects of USAID cuts, including:The life-or-death consequences for HIV patientsThe difficult choices clinics and hospitals now faceThe political and religious divisions driving the debateWhat it means to be pro-lifeHow concerned Americans can respondMENTIONED IN THIS EPISODE:Amy Julia's Substack email newsletter about USAID: Caring for Humans is Slow, Messy, and BeautifulNYT opinion essay by Leah Libresco Sargeant, Matthew Loftus, Kristin M. Collier, and Kathryn Jean Lopez: “As Fellow Pro-Lifers, We Are Begging Marco Rubio to Save Foreign Aid”ProPublica article:"The Trump Administration Said These Aid Programs Saved Lives. It Canceled Them Anyway."Washington Post articleMatt's thesis: Discipline and FlourishAfrican Mission HealthcareSubscribe to Amy Julia's weekly email_WATCH this conversation on YouTube by clicking here. READ the full transcript and access detailed show notes by clicking here or visiting amyjuliabecker.com/podcast._ABOUT:Matthew Loftus lives with his family in East Africa, where he has taught and practiced Family Medicine since 2015. He is especially passionate about Family Medicine education and mental health care in mission hospitals. He grew up in a family of 15 children and did all of his medical training in Baltimore. He also holds an M.A. in Theology from St. Mary's Ecumenical Institute in Baltimore and has written for several publications, including Christianity Today, Mere Orthodoxy, First Things, and The New York Times. You can learn more about his work and writing at www.matthewandmaggie.org___Let's stay in touch. Subscribe to my newsletter to receive weekly reflections that challenge assumptions about the good life, proclaim the inherent belovedness of every human being, and envision a world of belonging where everyone matters.We want to hear your thoughts. Send us a text!Connect with me: Instagram Facebook YouTube Website Thanks for listening!
On episode #75 of the Infectious Disease Puscast, Daniel and Sara review the infectious disease literature for the weeks of 2/13/25 – 2/26/25. Hosts: Daniel Griffin and Sara Dong Subscribe (free): Apple Podcasts, RSS, email Become a patron of Puscast! Links for this episode Viral VIMKUNYA (FDA) Co-infection of SARS‐CoV‐2 and influenza A/B among patients with COVID-19(BMC Infectious Diseases) Measles (Texas Health and Human Services) 2025 Measles outbreak guidelines (New Mexico Health) BTN: Beyond the Noise with Paul Offit (microbeTV) Rubeola response (febrile) Timing of influenza antiviral therapy and risk of death in adults hospitalized with influenza-associated pneumonia, influenza hospitalization surveillance network (FluSurv-NET), 2012–2019 (CID) Mother-child dyads living with HIV in the Western Cape, South Africa: undetectable = undetectable? (Journal of the International AIDS Society) Early impacts of the PEPFAR stop-work order: a rapid assessment(Journal of the International AIDS Society) Prevalence, clinical management, and outcomes of adults hospitalised with endemic arbovirus illness in southeast Europe (MERMAIDS-ARBO): a prospective observational study (LANCET: Infectious Diseases) Bacterial Effects of extended anaerobic antibiotic coverage on anaerobic bloodstream infection: A multisite retrospective stud (International Journal of Infectious Diseases) The effectiveness of newer Beta-Lactams for the treatment of antimicrobial-resistant gram-negative meningitis (CID) Treatment of macrolide-resistant Mycoplasma pneumoniae pneumonia in children: a aeta-analysis of macrolides versus tetracycline (The Pediatric Infectious Disease Journal) Fungal The Last of US Season 2 (YouTube) Concordance of noninvasive plasma cell-free DNA With invasive diagnostics for diagnosis of invasive fungal disease (CID) Invasive fungal infections in patients with liver disease: immunological and clinical considerations for the intensive care unit(Intensive Care Medicine) Parasitic Epidemiologic Investigation of Protozoa and soil-transmitted helminths in Starr County, Texas (American J Trop Med and Hyg) Post-artesunate delayed hemolysis in African children with severe malaria: incidence, medical impact and prevention (CID) Miscellaneous Telehealth (Medicare.gov) Public comment: IDSA guideline on management and treatment of complicated urinary tract infections (IDSA) Music is by Ronald Jenkees Information on this podcast should not be considered as medical advice.
In this conversation, Ryan Maves and Dennis discuss various aspects of tuberculosis, including recent outbreaks, public health implications, and treatment protocols. They delve into the complexities of managing tuberculosis in different contexts, particularly within military settings, and highlight the importance of public health initiatives like PEPFAR. The discussion also touches on the challenges posed by drug-resistant tuberculosis and the evolving landscape of health policy. In this conversation, Ryan Maves discusses the complexities of tuberculosis (TB), including its historical significance, transmission methods, diagnosis, treatment protocols, and the challenges posed by drug resistance. He emphasizes the importance of public health measures in managing TB outbreaks and reassures that most individuals with TB can recover with appropriate treatment. The discussion also highlights the role of good ventilation in reducing transmission risk and the need for awareness and screening in military and public health settings.TakeawaysTuberculosis outbreaks can be slow and complex, not immediate crises.Public health interventions are crucial for effective tuberculosis management.PEPFAR has saved millions of lives and is a significant achievement in global health.Drug-resistant tuberculosis presents unique challenges in treatment.Telemedicine can enhance the management of tuberculosis in remote settings.Understanding the transmission dynamics of tuberculosis is essential for prevention.Good ventilation and treatment protocols can mitigate tuberculosis risks.Public health policies can significantly impact disease control efforts.Collaboration and open dialogue are necessary for effective health policy.The importance of recognizing the long-term nature of tuberculosis management. Tuberculosis is a significant global health issue that has been impacted by the COVID-19 pandemic.HIV and tuberculosis have a close interaction, affecting incidence and outcomes.Active screening for tuberculosis is crucial, especially in military settings.Good ventilation and sunlight can significantly reduce the risk of TB transmission.Latent TB infection can progress to active disease if not treated promptly.The classic treatment regimen for active TB involves a combination of four drugs.Multi-drug resistant TB (MDR-TB) is a growing concern, particularly in certain regions.Rifampin is a key drug in TB treatment but has notable drug interactions.Most people with TB can recover with effective therapy, and treatment is often satisfying for healthcare providers.Public health measures are essential in managing TB outbreaks and ensuring community safety.Chapters00:00 Introduction and Personal Updates03:11 Understanding Tuberculosis Outbreaks06:00 Public Health and Policy Implications08:54 PEPFAR and Global Health Initiatives12:00 Tuberculosis in Military Contexts14:58 Diagnosis and Treatment of Tuberculosis18:01 Drug-Resistant Tuberculosis23:15 Understanding Tuberculosis: A Global Perspective27:43 Transmission and Infection: How TB Spreads33:31 Diagnosis and Screening: Identifying TB Cases41:41 Treatment Protocols: Managing Active and Latent TB51:29 Challenges of Drug Resistance in TB58:03 Public Health Response: Reporting and Managing OutbreaksThank you to Delta Development Team for in part, sponsoring this podcast.deltadevteam.comFor more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
This conversation addresses the critical state of public health in the U.S. and globally, highlighting the severe impacts of recent funding cuts on health programs, advocacy needs, and the future of health initiatives. It emphasizes the importance of community resilience and the role of public health professionals in advocating for necessary changes to protect vulnerable populations.Join Free CommunityJoin Email BlastPaid 1-on-1 Coaching Call40% off GroundNewsTimestamps:@0:00 Start@0:54 Congress' Role@1:55 Federal Impact@2:05 Medicaid@2:34 HHS Secretary@3:20 National Institute of Health@4:06 CDC@4:41 Department of Health and Human Services@5:18 Global Impacts (Lens on AIDS)@5:52 HIV/AIDS & PEPFAR@6:27 USAID & International Humanitarian Assistance@7:15 Foreign Aid & World's Poorest@8:36 Organizations recover?@9:20 Looking ahead@10:38 Conclusions@11:43 GroundNews Read Article VersionLinks: Advocacy Efforts with National Alliance for Public Health Students & Alums: Other projects affected by aid cutsSupport the showThanks for tuning in. Let's all work together towards a culture of health, wellbeing, and equity for all. ⭐⭐ SUBSCRIBE & Leave a 5-STAR REVIEW! ⭐⭐ Follow & Support:- Join The Public Health Community- The Public Health Millennial on IG - The Public Health Millennial on LinkedIn - The Public Health Millennial Website- Omari Richins, MPH on LinkedIn- Support on The Public Health Store
In this episode, Dr. Anthony Fauci joins A'ndre for an in-depth conversation about his decades-long career in public health and his experiences leading the U.S. response to some of the world's most pressing infectious disease challenges. Dr. Fauci reflects on his early work during the HIV/AIDS crisis, the evolution of treatments that saved millions of lives, and his role in launching PEPFAR, one of the most significant global health initiatives in history. He discusses his leadership at the National Institute of Allergy and Infectious Diseases (NIAID), navigating crises such as Ebola, Zika, H1N1, anthrax, and COVID-19, while working alongside multiple U.S. presidents to shape national and global health policies.Beyond his career in government, Dr. Fauci shares his thoughts on the intersection of public health and national security, the growing challenges of vaccine skepticism and misinformation, and the vital role of institutions like the NIH and CDC in protecting public health. He also highlights the major health threats that remain overlooked in mainstream discourse. Now a professor at Georgetown University, Dr. Fauci reflects on his transition to academia and the importance of training the next generation of medical leaders in an era of evolving global health challenges.You can purchase his recent memoir, On Call, here.
At the beginning of his presidency, Donald Trump suspended most U.S. foreign aid, causing vast confusion and concern around the world. One affected program was PEPFAR, the bipartisan initiative that works to fight HIV/AIDS globally. WSJ's Nicholas Bariyo from Uganda and Michael M. Phillips from Kenya report. And we hear from Karl Hoffman, the CEO of the public health organization HealthX Partners. Further Listening: -Inside USAID as Elon Musk and DOGE Ripped It Apart Further Reading: -Trump Aid Whiplash Hits Refugees, AIDS Patients Worldwide -Trump Order Freezing Foreign Aid Halts Programs Worldwide, Prompts Confusion and Rush for Waivers Learn more about your ad choices. Visit megaphone.fm/adchoices
More than 20 years ago, the U.S. became the leader in the worldwide fight against HIV/AIDS. The Bush administration initiative Pepfar was the largest health commitment made by a nation to combat a single disease. But Trump's cuts have thrown the initiative into a tailspin. Stephanie Sy discussed the shift in HIV funding with Angeli Achrekar of UNAIDS, which provides services in 55 countries. PBS News is supported by - https://www.pbs.org/newshour/about/funders
I. PEPFAR - a Bush initiative to send cheap AIDS drugs to Africa - has saved millions of lives and is among the most successful foreign aid programs ever. A Trump decision briefly put it “on pause”, although this seems to have been walked back; its current status is unclear but hopeful. In the debate around this question, many people asked - is it really fair to spend $6 billion a year to help foreigners when so many Americans are suffering? Shouldn't we value American lives more than foreign ones? Can't we spend that money on some program that helps people closer to home? This is a fun thing to argue about - which, as usual, means it's a purely philosophical question unrelated to the real issue. If you cancelled PEPFAR - the single best foreign aid program, which saves millions of foreign lives - the money wouldn't automatically redirect itself to the single best domestic aid program which saves millions of American lives. https://www.astralcodexten.com/p/money-saved-by-canceling-programs
From August 22, 2023: In 2003, President Bush created the President's Emergency Plan for AIDS Relief, or PEPFAR, and in the twenty years since, the program has been credited with saving over 25 million lives and stabilizing health systems around the world. On Sept. 30, 2023, the program will expire if Congress doesn't act, putting millions of people at risk of losing access to HIV/AIDS treatment.Lawfare Associate Editor of Communications Anna Hickey sat down with Emily Bass, a writer and activist who has spent more than twenty years writing about and working on HIV/AIDS. In 2021, she wrote “To End a Plague,” a book on America's war on AIDS in Africa. They discussed how PEPFAR has changed over the past 2 decades, why it is at risk of expiring this fall, and what the expiration would mean for the millions of people who depend on it.We value your feedback! Help us improve by sharing your thoughts at lawfaremedia.org/survey. Your input ensures that we deliver what matters most to you. Thank you for your support—and, as always, for listening!To receive ad-free podcasts, become a Lawfare Material Supporter at www.patreon.com/lawfare. You can also support Lawfare by making a one-time donation at https://givebutter.com/lawfare-institute.Support this show http://supporter.acast.com/lawfare. Hosted on Acast. See acast.com/privacy for more information.
The federal grant freeze and RFK Jr's horrendous confirmation hearing. Donald is sending arrested migrants to the Guantanamo concentration camp. PEPFAR aid and the Medicaid portal resume operations. The collision at Reagan National Airport and Donald's lie filled press conference. Heroes of Democracy: Federal workers asked to resign, but many are resisting; governors are telling Chuck Schumer to fight harder; the USDA inspector general had to be forced to leave; Quakers are pushing back; and AOC has a battle plan. With Jody Hamilton, David Ferguson, music by The Metal Byrds, The Farleys, and more!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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