Theory of Change: #18: The lessons and warnings of PEPFAR

The recent history of U.S. foreign aid has been dominated by budget cuts, institutional dismantling, and massive workforce reductions. Against this backdrop, the U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, feels less like a template for modern foreign policy and more like a relic of an unrecognizable past. In an era defined by political fragmentation and widespread skepticism of government-led aid projects, the idea that Washington could launch a massive, $15 billion global initiative to tackle an active health crisis overseas seems almost quaint. Yet on the latest episode of Devex’s Theory of Change podcast, auth...