# PEPFAR The President's Emergency Plan for AIDS Relief — [[George W. Bush]]'s 2003 global AIDS program ($15B initial commitment, largest single-disease health effort by any nation), credited with saving **~25 million lives**. The great complication in the right's [[AIDS Crisis]] record: the coalition that moralized the domestic epidemic built the most successful global-health program in history (with abstinence-earmark strings). A two-decade bipartisan fixture — until 2025–26, when the USAID dismantling and OMB's withholding of roughly half of Congress's ~$6B appropriation threw the program into crisis: clinics closed, no official data released since January 2025, reduced funding promised after FY2026 under the "America First Global Health Strategy." An impoundment-pattern case for [[The Spending Gap]]. See [[AIDS Crisis Timeline]] Phase 7–8. ## See Also - [[AIDS Crisis Timeline]] · [[The Spending Gap]]