Well geee ummmm let me think about this..... what makes us medically more sophisticated than South Africa? Oh yeah, that's right.... we have highly trained medical personnel in every town, major medical publications that any joe can get ahold if they pay for them, the ability to research this stuff online easily because most people can get Internet access and... as bad as the NEA is, they don't want the CDC making the case to Bush that they're a terrorist organization for pushing AIDS on kids.