{"id":131,"date":"2006-12-14T16:53:58","date_gmt":"2006-12-14T21:53:58","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/politicshiv\/2006\/12\/14\/what-will-be-president-bushs-lega"},"modified":"2006-12-14T17:33:46","modified_gmt":"2006-12-14T22:33:46","slug":"what-will-be-president-bushs-legacy","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/2006\/12\/14\/what-will-be-president-bushs-legacy\/","title":{"rendered":"What will be President Bush&#8217;s legacy?"},"content":{"rendered":"<p>How will history judge President Bush? Right now, with Iraq enveloped in sectarian violence, he is most likely to be remembered for presiding over this foreign policy disaster. However, on the positive side, the President&#8217;s legacy on HIV\/AIDS and Africa may be judged far more kindly. Indeed, I&#8217;m getting the sense that the Administration recognizes this and is going to make HIV\/AIDS, malaria, and support for global public health the centerpiece of the Bush Administration&#8217;s legacy. Today, President Bush <a href=\"http:\/\/www.washingtonpost.com\/wp-dyn\/content\/article\/2006\/12\/14\/AR2006121400878.html\">announced<\/a> an expansion of his malaria initiative, announced last summer in the lead up to Gleneagles.<\/p>\n<blockquote><p>&#8220;It is possible to eliminate malaria,&#8221; he said. &#8220;Allowing Africa to continue on that path is just simply unacceptable.&#8221;<\/p><\/blockquote>\n<p>While the souring of the U.S. fiscal position has capped spending on this initiative at $1.2bn, the malaria effort is an important indication of the significance of this dimensions of American foreign policy to this administration. With the recent <a href=\"http:\/\/www.sciam.com\/article.cfm?chanID=sa003&amp;articleID=8CAA4453EE0A54B9CC35641A1044B3CA\">finding<\/a> that malaria and HIV make each other worse, this announcement was timely.<\/p>\n<blockquote><p>The countries added to the initiative today were Benin, Ethiopia, Ghana, Kenya, Liberia, Madagascar, Mali and Zambia, the White House announced. Angola, Tanzania and Uganda were the first three countries in the program, followed by Malawi, Mozambique, Rwanda and Senegal.<\/p><\/blockquote>\n<p>There are some fears that the Congress, now in Democratic control and no longer populated by champions like Rick Santorum and Mike Dewine, may not fully fund this initiative and contributions to the Global Fund, where malaria spending totals twenty-six percent of the fund&#8217;s total <a href=\"http:\/\/www.theglobalfund.org\/en\/files\/publications\/annualreport\/2005\/2005_Annual_Report_26_PortfolioAtGlance.pdf\">grants<\/a>. Ruth Levine of the Center for Global Development has a <a href=\"http:\/\/blogs.cgdev.org\/globalhealth\/2006\/12\/the_presidents.php#more\">post<\/a> on this today. While she is heartened by donor commitment to this disease that a few years ago nobody cared about, she is worried that this initiative may not lead yield as much progress as quickly or as much as boosters hope:<\/p>\n<blockquote><p>That&#8217;s why we have to do better this time, learning from history that to succeed will require big-time funding over the long haul, and a willingness to pay attention to emerging evidence about which combination of strategies is working or failing in different settings. In the past, the bugs have adapted faster than we have, costing untold lives. Much as we might see potential in the use of bednets, the application of pesticides, the scale-up of ACT use or other strategies, an over-reliance on one approach versus others combined with unrealistic promises about very rapid progress is likely to lead us down the road to nowhere that others have followed before.<\/p><\/blockquote>\n<p>With the President and his administration needing a major accomplishment to balance what arguably is a disaster in Iraq, I am hopeful that the Administration takes pains to get this one right.<\/p>\n<blockquote \/>\n","protected":false},"excerpt":{"rendered":"<p>How will history judge President Bush? Right now, with Iraq enveloped in sectarian violence, he is most likely to be remembered for presiding over this foreign policy disaster. However, on the positive side, the President&#8217;s legacy on HIV\/AIDS and Africa may be judged far more kindly. Indeed, I&#8217;m getting the sense that the Administration recognizes [&hellip;]<\/p>\n","protected":false},"author":710,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1107],"tags":[],"class_list":["post-131","post","type-post","status-publish","format-standard","hentry","category-politics-and-policy"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/131","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/users\/710"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/comments?post=131"}],"version-history":[{"count":0,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/131\/revisions"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/media?parent=131"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/categories?post=131"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/tags?post=131"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}