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Volume 359:553-555 August 7, 2008 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In his 2003 State of the Union Address, President George W. Bush asked Congress to commit $15 billion over the next 5 years for the President's Emergency Plan for AIDS Relief (PEPFAR) to combat the global epidemic of human immunodeficiency virus (HIV) infection. Thus was launched one of the largest international health-assistance programs in history. PEPFAR has since been both condemned as unilateral, paternalistic, narrowly focused, and distorted by a political agenda and lauded as groundbreaking, visionary, effective, and responsible for saving hundreds of thousands of lives. This year, Congress has had to consider the reauthorization of the program. On . . . [Full Text of this Article]

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Dr. El-Sadr is director of the International Center for AIDS Care and Treatment Programs (ICAP) and a professor of clinical medicine and epidemiology at the Mailman School of Public Health and the College of Physicians and Surgeons, Columbia University, and chief of the Division of Infectious Diseases at Harlem Hospital Center — both in New York. Dr. Hoos is director of the Multicountry Columbia Antiretroviral Program at ICAP and assistant professor of clinical epidemiology at the Mailman School of Public Health.

An interview with Dr. El-Sadr can be heard at www.nejm.org.

This article (10.1056/NEJMp0803762) was published at www.nejm.org on July 30, 2008.

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