Remember George W. Bush’s $15 billion initiative to combat AIDS abroad? Remember when you may have said to yourself, “Well, though he's probably doing this only to lay some shred of claim to his ‘compassionate conservative’ moniker, if it helps it’s still a good thing? Well, it turns out our inner skeptic wasn’t skeptical enough. While the mainstream media was quick to tout this seeming humane move at the time, its coverage of the outrageous truth behind this crackpot plan - as with its coverage of most humanitarian crises abroad (Darfur, Chad, Sri Lanka, Congo, Burma) – has been either non-existent or shamefully scarce considering the magnitude.
If you could find it, what has been known for some time is that the $15 billion was being thrown at an ideologically driven strategy that was as sure to fail as, say, invading Iraq and expecting to be greeted as liberators. Now the Center for Public Integrity has released a report that confirms the abysmal failure of this program, a monumental tragic waste of both dollars and lives. The Bush administration has not only imperiled future generations of Americans with unparalleled debt, but, in the process, has stained our country’s soul once again - this time by refusing to do what it takes to prevent millions of people from being infected with HIV.
This White House truly puts the “c” in criminal negligence.
From Democracy Now! with Amy Goodman:
The report, titled "Divine Intervention," was released as countries across the globe observed World AIDS day on Friday. It is the result of a yearlong investigation and is the first of its kind to examine the policies, politics and goals of the President's Emergency Plan for AIDS Relief known as PEPFAR. The center worked with reporters in eight countries who found that PEPFAR's faith-based ideology - including promotion of abstinence - often trumps science. The report states, "PEPFAR is failing to stop the global spread of AIDS and failing to help lead the world to stop this deadly disease. Instead of empowering people we are restricting them. We have a flawed framework with flawed policies."
Marina Walker Guevara and Sarah Fort, investigative journalists who worked on this report, joined Goodman and revealed exactly what’s happened as a result of this administration again promoting ideology over common sense:
MARINA WALKER GUEVARA: Yes, the President’s Emergency Plan for AIDS Relief has a series of very strict rules and funding restrictions that, we found, are very disconnected with the reality that those rules are supposed to serve in the field in the countries abroad, restrictions such as the type of work that you can do with commercial sex workers, restrictions around who can get information about condoms and who cannot get information about condoms, restrictions about how much money must be spent in abstinence-only programs. So all of these programs are disconnected or in some cases do not seem to fit the reality, the reality where very young girls get married in many areas in Africa, in Haiti, a reality where commercial sex work is a widespread profession in many countries, and in most cases, because these women do not have economic alternatives, do not have education opportunities and they must resort to this type of work.
AMY GOODMAN: One of the things in the report, in South Africa, almost one of every three pregnant women attending prenatal clinics in 2004 was infected with AIDS.
MARINA WALKER GUEVARA: Exactly, so South Africa continues to be the epicenter of the epidemic around the world. It’s a very difficult situation. They have had their own internal problems to come to terms with the disease, to finally address it, to work on it. And now, as I said before, these restrictions and these roles put another stone in the way, another difficulty, to really address the disease as it should be addressed.
AMY GOODMAN: As we travel through Africa, in Uganda, the report says, in the two years since the new US emphasis on youth abstinence began, the rate of new HIV infections has almost doubled. Since the arrival of PEPFAR money, the student and teacher materials in schools now stress abstinence. One student handbook advises, young people do not need condoms, they need skills for abstaining from premarital sex.
MARINA WALKER GUEVARA: Exactly. And one interesting thing is that a lot of the condoms information that used to be included in the students’ books was required by the Inter-Religious Council of Uganda to be -- they required that that information be excised from the books. Well, the Inter-Religious Council of Uganda has been awarded a $15 million PEPFAR grant very recently to run prevention, treatment and cure programs, which tells you which are the priorities of the US government at the time.
AMY GOODMAN: PEPFAR requires its partners to emphasize condom failure rates?
MARINA WALKER GUEVARA: They do require that partners in the field emphasize failure rates of up to 20%. They say most groups are saying these days, especially the faith-based groups, I should say, that condoms are effective between 80% to 85%. And other studies have found that they’re a much higher rate of effectiveness. And people in the field, what they say is that in countries where condom use is still taboo, it’s very, very dangerous to be emphasizing these type of very high failure rates.
AMY GOODMAN: Marina Walker Guevara is an investigative reporter with the Center for Public Integrity. I want to ask her about Ethiopia, but before we do, I want to go to Sarah Fort, who is another of these reporters who worked on this report for the Center for Public Integrity. You spent time, Sarah, in Haiti. What did you find?
SARAH FORT: While I was in Haiti, I found that one of the most serious issues that wasn’t being addressed by the President’s emergency relief plan was that of gang rape. There is a very serious issue of rape right now, especially in Port-au-Prince, and it’s something that is not being addressed by any of the prevention programs that I observed.
AMY GOODMAN: Explain further.
SARAH FORT: So, for example, what I understood is that in particularly low-income areas of Port-au-Prince, gang rape is a serious problem for many women, women who are trying to, for example, go get water or go buy food at the market. They're quite fearful of leaving areas that they feel safe. And there aren’t programs that are addressing women's insecurity or fear or economic vulnerability in these areas. And several women that I spoke to, several organizations that I spoke to said that they wish that there were more funding dedicated to these causes.
…
AMY GOODMAN: I mean, the numbers are quite astounding. When condom use [sic] enforced on sex workers in the brothels, the number of annual new HIV infections fell from 143,000 in 1991 to about 20,000 by 2003.
MARINA WALKER GUEVARA: Exactly. Exactly. So that shows you how important it is to have comprehensive programs. What most people are saying in the field is that all three components -- abstinence, being faithful and condom use -- should be taught. The choice should be there for people to choose what best fits their situation and that there also should be programs addressing violence, gender inequality, economic empowerment and all these other situations that are unfortunately part of the landscape in many developing countries.
Of course, the Bush administration was as forthcoming with information on its $15 billion faith-based boondoggle as it is with all matters.
AMY GOODMAN: How difficult was it to get information, Marina? You filed lawsuits?
MARINA WALKER GUEVARA: Yes, we filed three lawsuits against the State Department, Human Services and the US Agency for International Development. It was very difficult to get information. We filed more than two dozen Freedom of Information Act requests during the year that the investigation lasted, and in the end we got some information, because of the lawsuits, basically, which is scary because this is information that is public, that should be available. It’s information that has nothing to do with national security or with any other topic that may concern the government. And basically, if you don’t have the money to file a lawsuit, you don’t get information. And we didn’t get the funding information that we were expecting. The government released some sort of database that contained errors, and they acknowledged that they still don’t have a good database, that they are improving, that they are trying. So this also raised concerns about the accountability of the project, of the PEPFAR program.
AMY GOODMAN: They’re blacking out financial information. This is public funding. This is funding using taxpayer dollars.
MARINA WALKER GUEVARA: Exactly. They have, you know, excuses as to why they do that. Fortunately, we were able to get some financial information from the groups that are receiving money.
The mainstream media's complicity in this egregious program is simple: Bush knew from the beginning how little scrutiny and coverage this "bold" plan would draw. The U.S.-centric focus of our news has, rightfully, long been ridiculed by Europeans who, in comparison, receive far more information on what's happening outside their respective countries. Tuning into the BBC for a minute is enough to spot the stark contrast. That's precisely why this cynical initiative has, in reality, served as a successful PR campaign for Bush regardless of its predictable - and now confirmed - ineptitude.
Had it received the media focus it deserved, Bush's "compassionate" plan might've been unmasked before the damage was done. Sadly, even armed now with proof of its devastation, most in the mainstream media will continue their silence and disregard.
Report: Bush's Program to Combat HIV Abroad Fails Countries Struggling With the Pandemic
By Amy Goodman
Democracy Now!