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Hörübung/Video/VOX/How the culture war came for condoms, PrEP, and HIV testing

How the culture war came for condoms, PrEP, and HIV testing

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0:00One of the most successful global health
0:02programs in history is being quietly
0:04dismantled and it's in part because of
0:06America's culture wars. I recently spoke
0:09with researchers about a new study on
0:11PEPFAR, the program the US has been
0:13using for decades to support the global
0:16fight against HIV. They found that under
0:18the Trump administration, more than 77%
0:22of PEPFAR funded organizations have
0:24either lost funding or experienced
0:26serious payment delays over the past
0:28year. According to their survey, at
0:30least 1,700
0:33HIV treatment sites have closed, more
0:35than 16,000 health workers have lost
0:38their jobs, and nearly two-thirds of
0:40organizations say they've had to reduce
0:42HIV [music] treatment or prevention
0:44services. But public health experts told
0:46me these cuts are not being felt [music]
0:48evenly. They're falling hardest on the
0:50communities most at risk of HIV,
0:53including LGBTQ people, young women, and
0:56sex workers. In many cases,
0:59organizations said they were flagged and
1:01may have lost funding because they used
1:03terms like gender or LGBTQ, [music]
1:06a casualty of Trump's opposition to the
1:09very American concept of DEI. Since it
1:11was launched by President George W. Bush
1:14in 2003, PEPFAR has saved an estimated
1:1725 million lives and prevented millions
1:20of babies from being born with HIV. The
1:22experts I spoke with warned that cutting
1:25testing, prevention, and outreach today
1:28could lead to more HIV infections in the
1:31future, making the epidemic much harder
1:34and also more expensive to control. And
1:36it's all because this bipartisan
1:39program, which began under Republican
1:41leadership and thrived and expanded
1:44under three successive presidencies,
1:46including during Trump's first term, has
1:48never faced such turmoil.