Richard Lugar

There appears to be movement in the Senate on PEPFAR. But because negotiators started from a position of weakness, the movement is mostly backwards. Scrap it until the new Congress, and learn from the mistakes.

The Senate Foreign Relations Committee ignored sound public health strategies and passed their version of PEPFAR with little debate -- so $50 billion will be spent without any attention to the facts. Some in DC will toast this as a political success while more African women and girls die.