In his post responding to George W. Bush’s op-ed on combating AIDS in Africa, John Derbyshire writes 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.
Perhaps the future of sub-Saharan Africa would be brighter if the people of that place changed some of their customs; but now, thanks to us, they don’t have to.
Here are a few facts that undermine Derbyshire’s case: (a) Africans have fewer sex partners on average over a lifetime than do Americans; (b) 22 countries in Africa have had a greater than 25 percent decline in infections in the past 10 years (for South African and Namibian youth, the figure is 50 percent in five years); and (c) America’s efforts are helping to create a remarkable shifts in how, in Africa, boys view girls — reflected in a decline of more than 50 percent in sexual partners among boys.
So Derbyshire’s argument that our AIDS efforts are “more likely to be negative than positive” because they will continue to subsidize and encourage “unhealthy, disease-spreading habits” is not only wrong but the opposite of reality.
There is more. Derbyshire’s view might best be expressed as “the Africans had an AIDS death sentence coming to them.” But in Africa, gender violence and abuse is involved in the first sexual encounter up to 85 percent of time. And where President Bush’s PEPFAR initiative has been particularly effective is in slowing the transmission of the disease from mothers to children. Perhaps Derbyshire can explain to us how exactly infants are complicit in their AIDS affliction. Or maybe he doesn’t much care if they are. Read More



