PEPFAR

Article

PEPFAR is a recurring organization in the Astral Codex Ten archive, appearing 11 times across 11 issues between August 09, 2023 and October 13, 2025. The archive places it in contexts such as “The Republicans are considering weakening PEPFAR, a program which saved millions of lives”; “defense of Republican concerns that PEPFAR money is being used to promote abortion”; “Issue Five includes articles on airline safety, PEPFAR, developing-world democracy”. It most often appears alongside Trump, Africa, Manifold.

Metadata

  • Category: Organizations
  • Mention count: 11
  • Issue count: 11
  • First seen: August 09, 2023
  • Last seen: October 13, 2025

Appears In

Source Context

Recovered passages from the original issue text. When the raw archive preserved outbound links inside the source passage, they are listed directly under the quote.

August 09, 2023 · Original source
24: The Republicans are considering weakening PEPFAR, a program which saved millions of lives by providing cheap anti-AIDS medication to Africa, based on concerns that some of the money might be going to abortions (this doesn’t seem to be happening in a meaningful way).
August 21, 2023 · Original source
2: Comments on this month’s links: EATS act (banning California from putting animal welfare standards on meat) is definitely constitutional (1, 2); defense of Republican concerns that PEPFAR money is being used to promote abortion (1, 2).
January 30, 2024 · Original source
Asterisk is now releasing its issues piecemeal; along with Johnson on prediction markets, Issue Five includes articles on airline safety, PEPFAR, developing-world democracy, and a review of Going Infinite.
February 06, 2025 · Original source
PEPFAR - a Bush initiative to send cheap AIDS drugs to Africa - has saved millions of lives and is among the most successful foreign aid programs ever. A Trump decision briefly put it “on pause”, although this seems to have been walked back; its current status is unclear but hopeful.
If you cancelled PEPFAR - the single best foreign aid program, which saves millions of foreign lives - the money wouldn’t automatically redirect itself to the single best domestic aid program which saves millions of American lives.
Instead, it would . . . well, technically it would sit unspent, because Congress earmarked it for PEPFAR, and the executive branch cannot re-earmark it. But probably something would happen, deals would be made, Congress would think about the extra money when deciding how much deficit spending to do, and eventually it would in some vague sense go back into the general pot of all other federal spending. This would take the pot from its current $1,500 billion dollars all the way to . . . $1,506 billion dollars. From there would go to the same kinds of programs1 that the rest of the pot goes to - like the Broadband Equity And Deployment Program, a $42 billion effort to give rural Americans Internet which, after endless delays, has failed to connect a single rural American.
February 27, 2025 · Original source
Source is CipherNews (h/t Stefan Schubert) apparently citing Climate Action Tracker, but I get the impression that this is just some people eyeballing the size of pledges and not any more sophisticated forecasting. I don’t know how to square this with the claims that such and such a thing (summer temperature, sea ice, etc) is much worse than anyone expected. 17: I don’t know anything about the Lucy Letby case, but all of my smart friends who have been right about this kind of thing before say she’s innocent. 18: A reader asks House of Strauss (edgy sports Substack) whether the vibe shift away from political correctness threatens the edgy Substack business model - as the power of orthodoxy declines, can you still get rich and famous as a brave anti-orthodoxy critic? His answer: nothing that can happen from here is as bad as the Twitter/X link deboost (which made attracting attention harder for everyone). I mostly agree: I think discoverability has suffered, people who are already famous will be able to stay famous without too much extra effort, and everyone else will have to explore new options. 19: Spectator: Could AI Lead To A Revival Of Decorative Beauty? Profiles Not Quite Past, a startup using AI and fancy printing to make customized Delft tiles. It’s a good idea and the tiles are very pretty, but the tiles are sort of a best possible case (a pretty, traditional object that can have a customized 2D image and be mass-printed). I think most forms of lost decorative beauty aren’t bottlenecked by ability to generate 2D images of the type image models are good at, and so will have to wait. 20: Some friends including Kelsey Piper wrote an emergency PEPFAR Report, collecting evidence for why PEPFAR is good/effective/important and deserves to be kept. Some key points: PEPFAR has saved between 7.5 and 30 million lives, at a cost between $1,500 and $10,000 per life saved. The US government is willing to spend at least a thousand times this much to save an American life.
PEPFAR has saved between 7.5 and 30 million lives, at a cost between $1,500 and $10,000 per life saved. The US government is willing to spend at least a thousand times this much to save an American life.
In Africa, unlike in the United States, HIV/AIDS primarily affects women and children. One of the main goals of PEPFAR is to prevent “vertical transmission”, where a pregnant mother with HIV passes on her infection to her baby in utero or during delivery. PEPFAR has prevented at least 5.5 million babies from being born with HIV.
March 05, 2025 · Original source
1: Pro-PEPFAR protest in DC this Friday at 12 noon. Secretary of State Marco Rubio has granted PEPFAR a waiver to continue operating, but Musk seems to be illegally refusing to honor it; the protest is urging Rubio to enforce his decision. Organizers include Catholicism blogger Leah Sargent (some of you probably know her by her maiden name Libresco) and various EAs; excited to see the religious and non-religious pro-charity folks working together. You can find more information here and the Facebook event here.
May 22, 2025 · Original source
USAID programs like PEPFAR have saved millions of lives, which suggests USAID does a pretty good job of deciding who to trust with their money. The Trump administration is trying to turn Americans against these programs by pretending that the money gets “pocketed” by intermediaries. This is a lie. PEPFAR is well-audited and the audits find between 0-2% unexplained expenses, which is lower than the average domestic US government program.
May 29, 2025 · Original source
There was an earlier time when US AID did much less channeling through American third party NGOs. That was in my view a better regime, though of course Congress wanted to spend more money on Americans, and furthermore parts of the Republican Party, often in the executive branch, viewed the NGO alternative as more flexible and also more market-friendly. That created a small number of triumphs, such as PEPFAR, and a lot of waste, and I am happy to clear away much of that waste. Doing so also will improve aid decision-making in the future. It is right to believe that US AID can operate on another basis, and also right to wish to stop a system that allows spending on ostensible “democracy promotion.” I find it a useful discipline to have an initial approach to the problem that starts with this question “if you can’t find poverty-fighting domestic institutions in a country to fund directly, with sufficient trust, perhaps you should be giving aid elsewhere.” I also find it plausible that doing a lot of initial and pretty radical clearing away of NGO relations is the best way to get there, though I agree that point is debatable.
What instead happened was that almost all USAID programs were simply terminated, with no attention to minimizing disruption, and no plan to replace them with local charities, and so probably several million people will die. If Tyler will condemn this as a terrible decision, then we’re on the same page and everything else here is minor nitpicking. But if this is what he means by the “radical clearing away of NGO relations” that he finds “plausible” as “the best way”, then we’re not at all on the same page and I think Tyler should say so clearly and admit he disagrees with me.
But - someone recently asked Elon Musk why he cancelled PEPFAR. Musk responded that what, huh, he didn’t know he cancelled PEPFAR, that must have been a mistake, somebody should get around to fixing it. If he’s telling the truth, maybe this redeems him a little? Certainly it makes him better than the ghouls cheering on its cancellation. But it doesn’t redeem him very much. I think if Elon had the same experiences I had, he wouldn’t have been able to sleep at night for fear that he had accidentally cancelled PEPFAR. He would have been calling his lieutenants at odd hours of the morning, all through the winter and early spring, saying “Hey, you definitely didn’t cancel the developing world medical funding, did you?” and the lieutenants would respond “Elon, you’ve asked me that four times tonight already, please stop obsessing over this.”
September 04, 2025 · Original source
Meanwhile, tech companies with ten times as much money pretend that they’re cool and playful when their HQ has some rounded edges and a set of colored cubes in front. Do better! 22: Effective altruists have been funding teams working on lab-grown meat for almost a decade now. Around 2020, they hired some experts to double-check that this was possible in principle, and the experts wrote scathing analyses saying it was cost-ineffective by so many orders of magnitude that it was basically a pipe dream. Reactions were mixed, but a lot of us beat ourselves up and vowed to be less gullible next time. But now a new report comes out arguing that the previous reports were wrong, that lab-grown meat production is going much better than the earlier reports thought possible, and it’s more or less cost-effective already for the simplest products! Again, mixed reactions, and although some of the numbers are indisputable the analysis itself this is by a VC firm with lab-based meat investments. Here are some related Metaculus questions. 23: Ozy, citing Stutzman et al: “Afghanistan after the American withdrawal has the lowest life satisfaction rate ever recorded. Two-thirds of respondents rate their life satisfaction below 2, which is generally considered to be the point at which a life is no longer worth living. Life satisfaction dropped significantly after the withdrawal of American troops. Women, people in rural areas, and the poor were particularly negatively affected.” 24: Lencapavir is dubbed a “miracle drug” for AIDS; a single dose protects against infection for six months. Unclear how this interacts with PEPFAR cuts; if PEPFAR still existed it would be a big boost to its efficacy; now maybe this might be part of a strategy to tread water? 25: Did you know: when people first started making artificial ice in the 1850s, there was a backlash from people who thought it was gross and dystopian and that people should insist on natural ice for their iceboxes. From Pessimists’ Archive, which goes on to draw an analogy to lab-grown meat, etc (h/t Isaac King on X). 26: From Peter Hague (on X) and commenter Phaethon: why did so many Anglosphere countries see immigration spikes in 2021? Each of these has their own local story. In Britain, it’s the paradoxical effects of Brexit. In the US, it’s Joe Biden being soft on immigration. And so on - but should we be looking for some deeper cause that explains the overall phenomenon? A commenter suggests “a way to soak up all the inflation from the COVID money printing”, but I can’t tell if that even makes sense. Still, should something something COVID be a leading hypothesis? 27: Jesse Singal vs. Mark Stern on the Skrmetti Supreme Court case that failed to overturn Tennessee’s ban on gender medicine. US law bans sex discrimination, so pro-transgender advocates argued that, since doctors often prescribe eg estrogen to biological women, it was sex discrimination to ban prescribing it to biological men. Tennessee’s anti-transgender argument was that they weren’t discriminating by sex, they were discriminating by diagnosis (estrogen for eg hot flashes, vs. estrogen for gender transition). There is some subtlety here (if a biological man grows breasts because of some hormone imbalance, doctors might give him testosterone to counteract it, and this seems sort of like giving biological women testosterone to make them look less like women), but these are still sort of different diagnoses (gynecomastia vs. gender dysphoria) and Tennessee said you can still think of it as diagnostic discrimination rather than sex discrimination. This makes sense, except that the standards around sex discrimination are very strict and sort of box the court in here. And in a fit of wokeness, the 2020 court (including some of the conservative justices hearing this case) applied these standards very strictly and ruled that discriminating against gays was a form of sex discrimination (since if women can date men, it’s sex discrimination if men can’t also date men), and this is obviously the same argument. Now that wokeness is less popular, the court wants to rule against transgender, but it can’t help tripping over its previous ruling and giving some kind of unprincipled confusing non-opinion. 28: Contra compelling anecdotes, only ~5% of people raised very religious end up atheist later in life (X). Most people are about as religious as their parents; most exceptions are only slightly less religious, and most families that secularize do it over several generations. Note: percentages are of total, not of each row! 29: Related: social science team proposes a three-stage model of secularization: decreased public ritual participation → decreased personal importance → decreased identification, presents apparently confirmatory data. If true, would be somewhat inconsistent with intellectual models (eg people learn about evolution and start doubting the Bible) and more consistent with institutional models (eg the government provides welfare so people no longer need to be part of a tight-knit church). 30: Navigating LLMs’ spiky intelligence profile is a constant source of delight; in any given area, it seems like almost a random draw whether they will be completely transformative or totally useless. Now Ethan Strauss reports that they are, for some reason, extraordinarily effective at teaching people golf. “I am predicting the Golf Revolution, or perhaps decline, if your perspective is that optimization tends to ruin hobbies. A sport for obsessives has been gifted the ideal tool for refinement.” 31: Claim (via nxthompson on X): “In a huge survey of young kids about phones and technology, they all say they want to be out playing in the real world. But parents don't let them out unsupervised. So they're stuck on their phones.” Interesting, but I’m nervous about social desirability bias - how many adults would say on a survey that they would rather be on their phones than playing with friends? But adults do have this choice and mostly go with the phones. 32: Steven Adler on AI psychosis. He tries to analyze ER admissions data for psychosis and finds no change. I don’t think anyone reasonable expected this to be a large enough effect to show up in ER admissions data, but there are lots of unreasonable people so I appreciate his effort. He thinks AI companies might have better data on this, and encourages them to release it. 33: Cuartetera was the greatest polo horse ever. Polo players responded in a very practical way: they cloned her, dozens of times (and it worked; the clones are also excellent). Now there is a lawsuit as different polo teams fight to get their hands on Cuartetera clones. What is the equilibrium? If the outsiders get their hands on the genetic material, do we see a world where every polo horse is a Cuartetera clone? How much is lost if nobody ever tries to breed a polo horse better than Cuartetera (since the economics might not check out if the odds of success for any given foal is too low)? H/T Gwern and Siberian Fox (on X). 34: Claim: as of 2013, India’s Agarwal caste, who make up less than 1% of the population, got 40% of the e-commerce funding. 35: Owlposting: What Happened To Pathology AI Companies? Pathology is a medical specialty. A typical task involves looking at a microscope slide full of cells and trying to determine if any of them are cancerous. This seems like a good match for AI - and for years, studies have been showing that in fact AI can equal human experts. So why isn’t it being used more? The author’s three answers: first, slide scanning is expensive and clunky, and you can’t apply AI to a slide until you digitize it. Second, it’s hard to figure out a business plan where this saves someone money and doesn’t step on the toes of big companies that can outcompete anyone they don’t like. Third, pathologists use the context of a patient’s entire clinical history when they interpret a slide, and AIs that can’t do that (either because of technical limitations or legal/privacy limitations) are at a disadvantage even if their skills specifically relating to slide-reading are better. 36: Noahpinion: Will Data Centers Crash The Economy? Suppose that AI is a bubble, either permanently (because the technology isn’t really transformative) or temporarily (because it can’t transform things quickly enough to keep up with all the dumb money pouring into it). Will the sudden write-off of data centers lead to a broader economic collapse? In 2001, the dot-com bubble harmed the tech sector, but didn’t take the rest of the economy down with it; in 2008, the subprime mortgage bubble did take the rest of the economy down with it, because it damaged banks that the whole economy relied on. The optimistic case for AI is that data center spending is mostly coming from big companies like Google and Meta that can absorb a lot of loss. The pessimistic case is that some of the money is coming from private credit, a new-ish form of finance which hasn’t really been stress-tested and whose failure modes are still poorly understood. Noah’s final verdict: the stage isn’t obviously set for a crisis yet, but there’s the potential to get there and we should consider acting (how?) early. 37: The latest Twitter talking point is that universal hepatitis B vaccination at birth is “woke”: Hep B is (aside from mother-to-child transmission) often sexually transmitted, slutty women’s children are more likely to have Hep B, so perhaps giving the vaccine to everyone (instead of testing and only giving to the children of women who test positive) is an attempt to spare slutty women the embarrassment of getting a positive test. Ruxandra Teslo provides the counterargument - Hep B tests take a while, the medical system is fragmented, and any attempt to test people and then give the vaccine inevitably leads to many positive tests falling through the cracks. Vaccinating at birth is easy and hard to screw up, the vaccine has no known side effects, and empirically child Hepatitis B rates go down (by as much as 2/3!) when countries switch from test-and-vaccinate to universal vaccination. This benefits everyone - even people who never have unprotected sex and always follow up on their medical tests - because toddlers in daycare exchange saliva copiously, and if your toddler exchanges saliva with a Hep B positive toddler they could get the disease. A funny Twitter interaction was seeing Republicans in Congress hop on the anti-slut anti-vaccination bandwagon - except for Senator Bill Cassidy (R-Louisiana), who happens to be a liver doctor, and who is still fighting the good fight. I am always nervous when a good person who I like starts engaging on Twitter, since it elevates the discourse there but also gradually turns their brain into mush - but Ruxandra has made the leap and is doing a great job not just on bio related topics but also (for example) countering Curtis Yarvin on the history of her native Romania. 38: The response to GPT-5 was confusing; most specific people who reviewed it said they were impressed (Ethan Mollick, Tyler Cowen, Nabeel Qureshi, Taelin), it performed as expected on formal benchmarks, but the overall vibes declared it a big failure. Peter Wildeford speculated that maybe there was some kind of sinister pay-to-play early access bias involved. Zvi went the other way, calling it a “reverse DeepSeek moment” (insofar as DeepSeek was a pretty average model that got glowing praise.) In the end, I agree with Peter that this was mostly a branding issue. o3 was a genuinely revolutionary model; if OpenAI had called it “GPT-5”, it would have met expectations. Instead, they called it “o3”, and called a minor incremental update a few months later “GPT-5”. Then people got mad that the exciting-sounding “GPT-5” was merely an incremental update. A secondary issue was that the router wasn’t very good, and so many queries got routed to a small version without thinking mode that was if anything a downgrade from o3. I think this tweet by Shakeel perfectly encapsulates the essence of GPT discourse in two sentences: …but maybe it’s worth asking why GPT-5 isn’t bigger than o3. Was 4.5 a failed attempt at scaling? Did it fail in a way that sort of back-handedly justifies the “lost steam” take? Does the answer depend on distinctions between pre-training scaling, post-training scaling, etc? How? 39: This month in etymology: did you know that “oy vey” is a “fully Germanic phrase” which is cognate with English “oh woe!” (h/t Wylfcen on X) 40: mRNA shows promise to be a game-changing treatment for cancer, but RFK is trying to halt research. But so far he can only starve it of money, not ban it, and the funding gap is only $500 million. Will there be enough philanthropic billionaires and private foundations to step up? Zvi points out that although there is usually a game of chicken where foundations are hesitant to touch something the government cancelled lest the government decide it can cancel everything and hope philanthropists pick up the bill, in this case there are no game theory considerations - RFK is halting it because he genuinely wants it halted, and they are thwarting him rather than playing into his hands. The only problem is that $500M is a lot of money for the private sector; a few foundations could technically afford it, but not many could afford it comfortably and still have money left over for the next few crises of this magnitude. I hope someone is trying to organize a coalition. 41: AI fantasy flash fiction Turing test. Eight stories about demons, four by famous fantasy authors, four by ChatGPT. After 3000 votes, AI wins: humans can't tell the difference and slightly prefer the AI stories. My own score was only 75%. But I will say that I thought Mark Lawrence's was obviously the best, I was ~100% sure it was human, and it convinced me that regardless of the official results it's still possible to write flash fiction that an AI obviously can't do. 42: “SignPro” offers customized “In This House We Believe” signs, try not to use this for evil. 43: China think tank assessment of how in control Xi is: still very in control, maybe not infinitely in control. 44: Related - did you know (h/t xlr8harder) that if you ask AI to write a science fiction story, it will very often name the protagonist “Elara Voss” (or some very close variant like Elena Voss), and this remains true across various models and versions? Related: Chelsea Voss of OpenAI is having a baby and has the opportunity to do the funniest thing. 45: “Hector (cloud) is a cumulonimbus thundercloud cluster that forms regularly nearly every afternoon on the Tiwi Islands in the Northern Territory of Australia…[he is sometimes called] Hector the Convector”. 46: British allergy sufferers who want to know the ingredients of things demand that British cosmetics stop listing their ingredients in Latin. “For example, sweet almond oil is Prunus Amygdalus Dulcis, peanut oil is Arachis Hypogaea, and wheat germ extract is Triticum Vulgare.” 47: Text-based RPG about being an NYT journalist at the Manifest prediction market conference. I make a brief appearance. 48: Study uses supposedly-random variation in doctor assignments to test whether the marginal mental health commitment is good or bad for patients, finds that it is quite bad. Freddie de Boer is violently skeptical (maybe literally so?) and makes some good points about how a single quasi-experimental study is never absolute proof. But I don’t think he quite justifies his opinion that the paper was irresponsible and should never have been published; it’s just a normal quasi-experimental study that we should nod and say “huh” at but not overweight as the culmination of all possible research that overcomes all possible priors. My prior is that the marginal commitment is pretty useless (many commitments are just “well, since this person arrived at our ED for some reason, it would look bad from a medico-legal perspective to just let them go, so let’s keep them a few days to evaluate” - and yeah, you should be upset about this) but I’m still surprised by how many outright negative (as opposed to zero) effects the researchers found. The strongest argument for negative effects is that it will make some people miss work and maybe lose their job. But this study found that commitment ~doubles the risk of near-term suicide (admittedly only from 1% to 2%), which would have been outside my confidence intervals for how bad it could be. I suspect confounding, but only on general principle, and I wouldn’t be too surprised either way. 49: This tweet is probably bait, but I found it a thought-provoking question: I think there’s a boring answer, where the law is more complex than just a single number and whatever kind of weird trafficking Epstein was doing is worse than whatever normal relationships these European laws are permitting. But assuming that there’s a substantive difference even after taking that into account, I think my answer is something like - we’ve got to divide kids from adults at some age, there’s a range of reasonable possible ages, we shouldn’t be too mad at other societies that choose different dividing lines within that range - but having decided upon the age, we’ve got to stick with it and take it seriously (in the sense of penalizing/shaming people who break it). This is more culturally relativist than I expected to find myself being, so good job to Richard for highlighting the apparent paradox. 50: Dilan Esper describes his experience as one of Hulk Hogan’s attorneys in the Gawker lawsuit (X). Parts I found interesting: none of the lawyers knew Thiel was funding the lawsuit; Gawker probably could have won if they had been slightly competent but kept "shooting themselves in the foot"; and Gawker probably could have won if they had just pixelated the private parts in the video. 51: Amazing concept and poems (link on X): I tried to see if AI could do this, and it did something that technically met the requirements but had zero artistic merit - using a lot of words like “nowhere” and “outside” in one, then separating them out to “no where” and “out side” in the other. I didn’t invest much energy in creating a clever prompt telling it not to do that, so feel free to report if you get better success. 52: New study claims consultants are actually good, at least for profits: "We find positive effects on labor productivity of 3.6% over five years, driven by modest employment reductions alongside stable or growing revenue" 53: A Polish team tries to test Peter Turchin’s equations for predicting political unrest on recent Polish history, has to make some changes but claims mostly positive results. 54: New big multi-author Substack, The Argument, trying to be a sort of center-left version of the model pioneered by The Free Press and other high-production-value ideological Substack properties. Excited to see Kelsey Piper is involved, and she starts off strong with a post on the latest round of First World basic income studies, which find few positive effects. This is surprising, because recipients didn’t waste the money on alcohol or gambling or anything - they paid down debt and got useful goods. Still, it didn’t even affect things that should have been obvious, like stress level. It’s not even clear that amounts of money large enough to help with rent made homeless people more likely to get houses! Matt Bruenig criticizes the article, accusing Kelsey’s studies of being downstream of Perry Preschool style dreams that exactly the right welfare program will have massively compounding effects that cut poverty out at the root and turn everyone into elite human capital; he thinks giving people money won’t do this, but it will increase equality and give the poor better lives. I assume he’s not a strong hereditarian, but his argument makes even more sense from that perspective, and I’ve certainly criticized dumb outcome measures like infant brain waves which we have only tenuous reasons to think are related to anything we care about. But Kelsey reasonably responds that the outcome measures she’s talking about include stress level and life satisfaction. To defuse this critique, Bruenig either has to argue that our construct “life satisfaction” doesn’t really measure whether someone’s life is satisfactory, or else claim that giving poor people satisfactory lives isn’t really what we’re going for - which I think would require more explanation on his part. There’s some further (impressively acrimonious) debate on X, but I don’t see anything that addresses my core concern. GiveDirectly, a charity involved in basic income experiments, has a presponse here; they say that some studies are positive, and that the ones that aren’t might have tried too little cash to matter, or been confounded by COVID making everything worse. They also point out that basic income is harder to study than traditional programs like giving people housing, because if you’re giving housing you can measure housing-related outcomes directly and have a pretty good chance of getting enough statistical power to find them, but since everyone spends cash on different things, the positive effects might be scattered across many different outcomes (and therefore too small to reach significance on each). Everyone involved in this debate wants to emphasize that the poor results are for First World studies only, and that studies continue to show large benefits to giving cash in the developing world. 55: Related: I was less impressed by The Argument’s first foray into housing policy, which follows an all-too-familiar pattern: Some people say they don’t like noise and disorder and try to make rules against it in their apartments.
October 10, 2025 · Original source
But all of these are their own sorts of slippery slopes. Suppress the speech of their opponents? Should the Republicans have started a civil war when Democrats got social media to do woke content moderation? Ignore the will of Congress? Should Democrats have started a civil war when Trump refused to fund PEPFAR even after Congress allocated the money? Prosecute political opponents? Should the Republicans have started a civil war when New York prosecuted Trump for Stormy Daniels? Should the Democrats start one now that Trump is prosecuting James Comey for perjury? No particular form of any of these things ever feels like the cosmically significant version of these things where assassinations and armed uprisings become acceptable. But would-be dictators are masters of boundary-pushing and frog-boiling; there’s almost never one moment when they say outright “Today I will be cancelling democracy for no reason, sorry”.
October 13, 2025 · Original source
Matthew Loftus, $45K, for an HIV/TB clinic in Kenya. As a doctor working “on the ground” in developing world medical care, Matthew was a key voice in the recent campaign to save PEPFAR funding. This campaign ended in partial victory, with most key programs maintained but some infrastructure and support funding scaled back. Matthew will spend most of our grant integrating his local hospital’s HIV/TB clinic with their main operations (futureproofing them against infrastructure/support cuts), and the rest of it to continue his role as an influencer and educator about foreign aid and developing-world medicine.