After reading article after article about the financial crisis for the past several weeks, I find myself immersed in hopeful frustration. I am hopeful that a global and united response to this crisis will indeed prove - in an unprecedented and historic way - just how CAPABLE all nations are of working together, coordinating action, cooperating on plans, and following through. However I am frustrated that in the face of numerous crises of the past and present, this galvanization and strong political will has been pathetically lacking. I think, of course, most immediately of the AIDS crisis.
The title of this post is the headline of the Washington Post article assigned this week. To demonstrate my point that ending AIDS is completely possible WITH political will, I will cite for you key statements in this article, replacing the word "finance" (and all variants) with the word "AIDS" or "health" (and other terms where appropriate). As you read, translate "US Rescue Plan" as "PEPFAR" (a tiny fraction of the $700
billion bail-out, failing to include a national response to AIDS, and
coming 25 years too late, but indeed a galvanizing force for the
international community). Imagine a world in which this language made the papers:
"The AIDS crisis has gone global. CD4 counts have fallen and access to health services is seizing up around the world. In recent days, as most Americans focused on the political drama of the rescue package, a number of African hospitals have failed...
Globalization of the crisis requires a globalized response. While the consequences of the AIDS crisis are clearly international, the regulation of healthcare remains almost wholly national...
Yet an internationally coordinated strategy, ranging far beyond the heroic efforts of the world's leading central health centers, is essential now that the US rescue plan is in place. When health ministers convene in Washington this week for the annual World Health Organization meeting, they should adopt several initial components of such a strategy. Not doing so would be almost as serious as if Congress had adjourned without passing the rescue legislation.
First, heading off a precipitous decline in global public health requires a global stimulus program. Different governments can use different policy tools....
Second, coordination of parallel national efforts to recapitalize tottering health systems would pack a powerful psychological punch. The US, EU, and some other are moving rapidly to shore up their health institutions....Widespread international participation in the effort to provide lifesaving AIDS medications could be of substantial help...
Third, as the US and some Europeans are already doing, many countries will need to expand coverage of their health insurance programs to discourage hospital shutdowns. Parallel or uniform policy steps through which unlimited insurance is provided for at least a temporary period...will be mutually reinforcing and help prevent panic.
Beyond the short term, countries will need to develop a cooperative framework to prevent and resolve such crises...There is an inherent tension as health becomes global but its regulation remains national....
Our policy responses must reflect the interdependent vulnerability of global health....it is too late to assign blame over responsibility for the crisis, within or among countries. The traditional Group of Seven industrial countries have mounted
coordinated public health programs of this type in the past, with
considerable success; now they must be joined by the chief emerging
markets, particularly China. The G-7 finance ministers should fully
include the five or six main emerging markets in their upcoming meeting
and seek to forge a global strategy. This week's WHO conclave offers a
unique opportunity to add a critical international dimension to the
crisis response."
What logic! What clarity of thought! What well-thought-out strategy!
What frustrates me is that so many already employ this logic, clarity, and strategy (To start exploring some of the best work, check out the Center for Global Development's HIV/AIDS Monitor). World leaders have failed to appreciate and take on the recommenndations of these analysts, and therefore those responding most urgently to the AIDS crisis, predominantly civil society and NGOs, are forced to work in an uncoordinated global health system and do the best they can in the small communities worldwide in which they work. They are not working at their full potential in the absence of a global strategy and our response to AIDS is forcibly less productive than it is capable of being.
This article I have constructed could very truthfully be published, but it is not. None of these ideas about addressing AIDS on a global level are new -- they are just not given op-ed space or media coverage. We know how to resolve this crisis, that's not the problem. A core problem is a lack of cooperation and coordination that can only be galvanized by strong political will.
I invite you to pick up a newspaper and try this exercise for yourself. Replace the crisis and you will see that our world leadership is capable of coming together to take immediate and united action. The difference to me is not that our leaders don't want to end AIDS, it's that there are no "jittery investors" who are pushing them to do so. We are all affected by the health of global populations and like issues of climate change or education or human rights, we will not see the negative effects of failures to invest until the long run, and we therefore don't identify ourselves as investors now. Which means politicians have no pressure to move in the direction of solving the foreign crises that already surround us. If we want an end to AIDS that's up to us as investors in global public health, citizens who want to live in a healthy world. It's totally possible to achieve, but the choice is ours!