1. One way to judge a debate is by how much ground the other party concedes. With that in mind, Derbyshire began by saying this:
The subsidizing of expensive medications (the biggest part of our AIDS-relief effort, though not all of it) in fact has long-term consequences more likely to be negative than positive. The high incidence of AIDS in sub-Saharan Africa is caused by customary practices there. What is needed is for people to change those customary practices. Instead, at a cost of billions to the U.S. taxpayer, we have made it possible for Africans to continue in their unhealthy, disease-spreading habits.
He is now saying this:
“22 countries in Africa have had a greater than 25 percent decline in infections in the past 10 years.” Possibly so; but does this have anything to do with PEPFAR, which is the subject under discussion?
So Derbyshire has shifted from saying that thanks to the generous efforts of America, Africans are “continu[ing] in their unhealthy, disease-spreading habits,” to conceding that, as UNAIDS reports, HIV infections have significantly declined in the past decade. Derbyshire is now arguing whether PEPFAR deserves credit for the decline. That’s progress of a sort, I suppose. Read More