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What happened to PEPFAR?

Jun 5, 2026 · 12m

Summary

This episode examines how the Trump administration’s overhaul of PEPFAR is disrupting global HIV relief efforts in Africa. Host Juana Summers interviews former PEPFAR leaders Dr. Deborah Birx and Mike Reed about the shift from bipartisan aid to conditional funding tied to commercial interests. The discussion highlights fears that withholding life-saving treatments for mineral rights undermines public health goals and erodes trust in vulnerable communities.

Topics discussed

PEPFAR history and recent funding cuts under Trump Dr. Deborah Birx on PEPFAR's origins and impact Goal to end HIV crisis and local sustainability New funding agreements and the importance of data Mike Reed resigns over health aid tied to minerals Decline in testing and impact on marginalized groups Critique of speed of transition and lack of moral ambition
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