Jessica
Vozel
Read Jessica's bio and previous columns here
February 18, 2008
Bush AIDS Program
Laudable, But Abstinence-Only Insistence is Wrong
President Bush may not be popular here in his home country, but he hopes
to retain his more favorable status in the African countries he plans to
visit in the next six days. After he spoke to Tanzania’s president,
Jakaya Kikwete on Sunday, the leader said of Bush, “People may have
different views about you and your administration and your legacy. But
we in Tanzania . . . know for sure that you, Mr. President, and your
administration, have been good friends of our country.”
Specifically, Tanzania is thankful for the funding that the United
States has offered for HIV and AIDS relief - $18 billion so far, the
largest sum offered by any developed nation to an undeveloped one for
infectious disease relief.
These funds are part of PEPFAR, or the President’s Emergency Plan for
AIDS Relief – a plan that is set to expire this year along with Bush’s
presidency. President Bush wished to assure the people of Africa that
although the plan is expiring, the U.S. will not turn its back on their
concerns. To prove this, Bush proposed to Congress a renewal of the
program and funds that will bring $30 billion to Africa for AIDS relief
over the next five years.
So
far so good, right? It’s difficult to find fault with President Bush’s
dedication to stopping the spread of HIV in Africa. But there is a
glitch in the program that is causing some Democrats, as well as aid
workers, to question the renewal Bush proposes: Approximately one-third
of prevention funding must go to abstinence-until-marriage programs.
There’s no denying that Bush’s program has helped people. With $18
billion, one would hope that positive changes would have been realized
in Africa. Because of this relative success, President Bush fervently
defends leaving the abstinence-only clause in the proposed extension,
even against the suggestions of aid workers who say that abstinence-only
sends a dangerous message and sucks up funds that could be used for more
successful prevention and treatment.
Studies show that forcing the abstinence-only message on American youth
is a problem in itself, but when that faulty ideology spreads to an area
of the world where survival is a primary concern, it becomes even more
problematic. For example, married people in Africa are not immune to
contracting the disease. Obviously, for abstinence-until-marriage to be
effective, both partners have to be virgins upon marriage and remain
monogamous. Not only is this ideal situation rarely a reality, but many
Africans become infected by their marriage partners who are unaware of
their HIV status when they enter into the marriage.
In
fact, as statistics suggest, the spread of HIV is much more likely when
an HIV-positive person is engaging in regular sexual activity with a
HIV-negative person, as opposed to a one-time encounter. Yet U.S. policy
mandates that condoms only be distributed to prostitutes and lorry
drivers – those who may be having plenty of one-time encounters – and
not married or monogamous couples who are at a much greater risk of
spreading the disease if one partner is infected. Bush’s plan shows
either a fundamental misunderstanding of how the disease works, or a
refusal to budge for the sake of religious-based ideology. Or, even
worse, a dangerous mix of both.
Not surprisingly, Bush is attempting during his African visit to paint
Democrats in Congress as callous for their threat to overturn the
extension if the abstinence-only clause is still in place. As with troop
funding and health care for American children, if Democrats wish to
challenge some aspect of one of Bush’s faulty proposals, they are
heartless ideologues who put the children/troops/African nations in
danger for the sake of their liberal beliefs.
Never does Bush consider that perhaps he is the one who puts
these groups in danger by stubbornly refusing to consider an alternative
that may actually work better. At his visit with President
Kikwete, he said “One of the main reasons I want to make sure the
American people know that the program is successful is because I want
this program to continue to be funded,” as if Congress will deny funding
altogether if they deem the current plan unsuccessful.
Funding will continue because both Democrats and Republicans
thankfully find it to be necessary. It just may not be in the form that
President Bush demands. I guess as far as Bush is concerned, if it’s not
on his terms, it might as well not exist at all.
© 2008
North Star Writers Group. May not be republished without permission.
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