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The reason the US Government has decided to spend so much money on AIDS is to help keep the price of AIDS drug high and to enforce the Intellecutual Property rights of the AIDS drug owners.
Drug companies own patents on these drugs and several years ago Brazil dropped the patent for AZT and other drugs so they could afford to take care of their AIDS population. The US Governemnet and the drug companies immediately negioted a deal with the government of Brazil so they could produce and/or provide AIDS treatment for their citizens. Africa has
a low economic ability to pay for these drugs, this threatened the IP and Patent rights of the drug companies. So the US government has stepped up to the plate to help keep the drug companies from losing patents and money.
Of course 10% of the money will go to AIDS education and it will be some fat cat in Nigeria that will take the money, print up some pamplets and pass them around before he goes on a vacation around the world.
That is the real reason $15 billion US is being spent. Maybe the agony of a few AIDS suffers will be relieved, but what good does it do for a AIDS sufferer to receive AZT when he or she is starving to death or lives in a country riped apart by civil war?