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Lifesaving HIV program faces a new threat: U.S. abortion politics
For two decades, the United States has pursued a far-reaching global agenda to fight HIV and AIDS, an initiative credited with saving more than 25 million lives. But the President’s Emergency Plan for AIDS Relief, better known as PEPFAR, has been abruptly bogged down in a domestic political fight, with Republicans citing allegations that the program’s funding is being used to indirectly support abortions — claims that health advocates, Democrats and PEPFAR officials say are baseless.
As a result, lawmakers have spent months wrangling over whether Congress will reauthorize the program for five years, for one year or not at all — a decision that experts warn has both practical and symbolic consequences.
“If PEPFAR doesn’t get reauthorized, the program can continue — but it could send some pretty chilling messages to people in the field who depend on PEPFAR for life support,” said Jennifer Kates, director of global health and HIV policy at KFF, a health policy organization that has tracked the provisions set to expire Sept. 30.
But the program is now dogged by accusations that its funds are helping prop up abortion providers, a charge first publicly leveled in a report from the conservative Heritage Foundation in May and amplified by Rep. Christopher H. Smith (N.J.), an antiabortion Republican who chairs a key House panel.
“It’s just dumbfounding to me that the charge has been taken seriously,” said Shepherd Smith, a co-founder of the Children’s AIDS Fund International who has worked closely with PEPFAR since its start and is among the advocates urging Congress to reauthorize the program before key provisions expire later this year.