recently drug companies announced that they would sell anti-AIDS drugs in southern Africa at a considerable discount. This would still entail hundreds of dollars per person. The recent experience of Bristol-Myers Squibb gives me caution. A $100 million, 5-year initiative that was meant to donate money for AIDS drugs in Africa has boiled down to almost nothing. The reasons are not entirely clear. Although this was to be a charitable gift, the money has come down to $1.3 million per year to five participating countries. I recall that when Prime Minister Mbeki of South Africa was here for a visit last year, we all wondered why Mbeki was embroiled in a torturous notion about the cause of AIDS. I wish he had been more forthright about what his real problem was, and when he met with the Congressional Black Caucus I believe I was able to extract from him what his real problem was. South Africa offers free medical care, and on cross-examination it became clear that if South Africa were to even use the rather inexpensive drugs to combat mother-to-infant transmission it would use up its entire medical budget. We must not forget that with the great importance we attach to drugs and especially the agreement of some of these companies to offer drugs at discount rates in southern Africa, that in developing countries nothing can replace prevention. In this country, Medicaid is overwhelmed with the costs of AIDS, but it is an entitlement, so people are going to get it.…
Editor's note · Context
Discussing the challenges of providing affordable AIDS treatment in southern Africa.
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