Bush to boost AIDS funding; critics say more needed
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President Bush will propose $3.2 billion for next year to combat the spread of AIDS globally, one of the few increases in what is expected to be a tight foreign aid budget, administration and congressional sources said on Friday.
Administration officials said Bush was fulfilling his commitments on AIDS funding, but critics charged the funding levels were inadequate.
In his 2003 State of the Union address, Bush pledged $15 billion over five years to help combat the spread of HIV/AIDS, mostly in Africa and the Caribbean.
“It is an extraordinary commitment and we’re making good on it in exactly the way we said we would,” an administration official said of the $3.2 billion figure.
When the White House first announced the initiative, it said the funding would be ramped up over the five-year period.
Congressional sources said the AIDS initiative escaped the fate of most other foreign aid programs in Bush’s fiscal 2006 budget, which face a near-freeze in spending growth, if not outright cuts.
But AIDS activists say Bush’s budget request falls short because Congress authorized up to $3.8 billion for 2006. They say Bush should commit closer to $6.7 billion next year, one-third of the estimated global need to combat AIDS, tuberculosis and malaria.
“We see this as a continuation of Bush’s failed leadership on global AIDS by under-funding his own initiative and providing only a fraction of what is needed to stop this epidemic,” said Paul Zeitz, executive director of the Global AIDS Alliance.
At $3.2 billion, the 2006 budget request would top the $2.8 billion approved by Congress for the current fiscal year. The program received $2.4 billion in fiscal 2004.
MILLENNIUM CHALLENGE
Critics also point to what they see as a slow start for the Millennium Challenge Account, a separate program to provide cash in exchange for economic and democratic reforms to some of the world’s poorest nations.
Bush first proposed that program in March 2002 and pledged $5 billion by 2006. But Congress slashed Bush’s funding request last year, and eligible countries have yet to receive any money. Madagascar could become the first recipient of funds within weeks, people involved in the deliberations said.
Bush will send his budget plan to Congress on Feb. 7 for the 2006 fiscal year beginning Oct. 1. It is expected to nearly freeze the growth of discretionary programs, but excluding spending on defense and homeland security. A freeze in growth would amount to a cut when inflation is taken into account.
Bush touted the AIDS initiative during a visit to Africa, where almost 30 million people live with the disease, including more than 3 million children under the age of 15.
The initiative focuses mainly on the hardest-hit countries, including Botswana, the Ivory Coast, Ethiopia, Guyana, Haiti, Kenya, Mozambique, Namibia, Nigeria, Rwanda, South Africa, Tanzania, Uganda and Zambia.
Some Democrats have called for the United States to pledge $30 billion by 2008—twice as much as Bush—for the fight against AIDS.
Revision date: June 11, 2011
Last revised: by Sebastian Scheller, MD, ScD
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