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2/04/2003 04:03:00 AM | Brad Plumer

Rational health care

The Economist never proposed that we should abandon AIDS research. They simply pointed out that, given limited funds, money can sometimes be spent more effectively purchasing cheap malaria nets to benefit 1,000 people vs. buying expensive AIDS drugs to benefit 100 people. But at the same time, yes, you are right. After looking into the numbers a bit, I found out that AIDS *is* in fact the biggest killer in Africa right now at 2 million a year (easily surpassing TB and malaria), and obviously a serious pledge to alleviate this problem is long overdue. My followup question, then, is *where* can the money best be spent? Should we skimp on funding for treatment and make a hard, expensive push for a cure? Should we aim for prevention rather than treatment (birth control, Mr. President)? The current plan seems to emphasize treatment, drugs, etc. Well, who will benefit from this? How many people can this reach? Is this actually going to help out those 42 million orphans in the most effective way possible? Obviously I run the risk of sounding like I don't care about AIDS prevention (not true), but if we're going to spend this much money I'd like to do it in a sensible and effective manner.

As for attitudes towards AIDS, I agree. And unfortunately it still continues. It sickens me that there are people who are afraid to go help out in Africa "because of AIDS" (yes, these people exist!), or afraid to have contact with gay people "because of AIDS." Blah.

Well, at the very least, Bush did seem "genuinely" concerned and ready to break this hesitancy, and ready to recognize that um, we've got ourselves a crisis. Like everyone else, I'll believe it when I see it, but it's encouraging nonetheless...



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