Amazon.com Review
Any writer attempting to tackle the AIDS pandemic faces a demanding task. Now spanning decades and covering the globe, it has claimed a staggering number of lives (more than 40 million people are currently infected with HIV and 8,500 die of AIDS each day). That's more than most of us can grasp. The plague's heroes and villains aren't celebrated or demonized like those in a conventional war. For AIDS, there is no FDR or Hitler; there are just the victims of an inconceivable holocaust. Greg Behrman employs an almost cinematic perspective to address the catastrophe in his fast-moving history, cutting to new locations and characters to capture the epic nature of the global AIDS struggle. A vivid cast of characters populates these pages, ranging from U.S. presidents to activists, physicians, diplomats, and rock stars (U2's Bono emerges as one of the most pragmatic and effective combatants). What's heartbreaking is that, despite the best work of many (and, to a degree, because of the tepid or obstructive efforts of others), the disease remains a mighty foe. Both moral and moderate in tone, Behrman focuses on American anti-AIDS efforts, believing the United States' mighty wealth at the end of the 20th century and its own experiences with the epidemic gave it a unique capability and responsibility to lead the fight the fight in Africa and elswewhere. The American effort, he's forced to conclude, has been "inglorious."
--Steven Stolder
From Publishers Weekly
According to Behrman, although tremendous progress has been made since the 1980s in prevention and treatment of AIDS, woefully little has reached the developing world, where it is needed most. By 2010, largely because of AIDS, many countries in sub-Saharan Africa will see average life expectancies reduced to 30 years or lower, and the continent will be home to an estimated 20 million AIDS orphans; societies and economies will face unimaginable devastation. Much could have been done to avert this catastrophe, writes Behrman, if wealthy nations-particularly the U.S.-had funded global AIDS initiatives years ago. Behrman, coordinator for the Council on Foreign Relations Roundtable on Improving U.S. Global AIDS Policy, argues that several factors contributed to this neglect: the discomfort among conservatives in addressing the subject of AIDS; the initial reluctance of African leaders themselves to acknowledge the crisis; the efforts of drug companies to block cheap generic medicines; and, most disturbingly, the feeling that Africa's problems are simply too overwhelming for the West to bother with. Behrman chronicles the tireless efforts of public health officials, politicians, the U.N., and even superstar Bono to bring attention to the crisis and to demand action, while policy makers wavered and infection rates soared. In time, it was not the sympathetic Bill Clinton but the moralistic George W. Bush who finally pledged significant monies-$15 billion-to the Global AIDS Fund. Behrman's account, impassioned but fair, describes a moral failure that escalated to tragic dimensions because we allowed its victims to remain invisible for too long.
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