On July 24, 2008, the House of Representatives voted to accept a Senate bill reauthorizing the President’s Emergency Plan for AIDS Relief (PEPFAR). The President is expected to sign it as soon as possible, to much fanfare, because of the popular program’s effectiveness in its first five years. Even though PEPFAR was working according to plan, Congress nonetheless decided to “fix” the program. The subsequent changes in policy suggest that the results from PEPFAR’s second five years are likely to be more mixed. The program’s successes were the result of …
