One of the cheapest ways to save a life is going away

拯救生命最经济的方式之一就是远离。

The Indicator from Planet Money

2025-06-25

9 分钟
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What's the price to save a human life? We examine the monumental legacy of the U.S. President's Emergency Plan For AIDS Relief (PEPFAR) with journalist Jon Cohen, who traveled to Eswatini and Lesotho to learn how cuts under the Trump Administration are hitting people at the clinic door. Related episodes: The gutting of USAID How USAID cuts hurts farmers For sponsor-free episodes of The Indicator from Planet Money, subscribe to Planet Money+ via Apple Podcasts or at plus.npr.org. Fact-checking by Sierra Juarez. Music by Drop Electric. Find us: TikTok, Instagram, Facebook, Newsletter. Learn more about sponsor message choices: podcastchoices.com/adchoices NPR Privacy Policy
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  • NPR In rich countries like the US, we spend millions of dollars to save a life.

  • People with health insurance enjoy befuddlingly expensive surgeries and medication regimens.

  • Governments shell out for highway improvements to reduce crashes.

  • But there's a program that has been saving millions of lives for a fraction of that cost,

  • just $4,600 to save a human life.

  • That program is called PEPFAR, the US President's Emergency Plan for AIDS Relief.

  • Ladies and gentlemen, George W. Bush started it in 2003.

  • Seldom has history offered a greater opportunity to do so much for so many.

  • At the State of the Union,

  • President Bush asked Congress to commit $3 billion a year to fight AIDS in Africa and the Caribbean.

  • It's now given an estimated 26 million people another chance at life by preventing and treating HIV and AIDS.

  • Under President Trump, that program is being gutted.

  • The president paused foreign assistance in January.

  • Doge then demolished USAID, which delivered a majority of the program's assistance.

  • And now there's a bill going through Congress that would codify much of these cuts.

  • So what's happening on the ground?

  • Journalist John Cohen went to Southern Africa to find out.

  • They're reeling.

  • They're dizzy.

  • They're like, what?