Republicans question funding for the President's Emergency Plan for AIDS Relief, one of the USA's most effective global health programmes. Susan Jaffe reports from Washington DC. As Congress considers next month whether to renew funding for the President's Emergency Plan for AIDS Relief (PEPFAR), global health advocates fear its two decades of bipartisan support might fracture. Created by President George W Bush in 2003, the programme is often cited as proof that adversaries across the political spectrum can agree on health-care policy. It has saved more than 25 million lives worldwide and curbed the HIV infection rate as well as helping prevent malaria and tuberculosis. It provides life-saving treatment to more than 20 million people in 50 countries. President Joe Biden has asked Congress for $6·8 billion for PEPFAR for the first of 5 years of funding, beginning Oct 1.
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