global fund da

8/9/2019 Global Fund DA

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OSU Debate

GLOBAL FUND DA

USES:Funding Tradeoff DA or IMPACT Module for Econ DA

THESIS:

Apparently it's time to renew our commitment to the Global Fund and times are tight! These are themakings of a generic disad with well-warranted impacts.

INDEX

1NC SHELL 2-3

2NC Overview 4

I control the uniqueness

2NC Key cards 4-5

Small reductions yield big impacts (LINEAR)

Brink is proven- Obama has already risked cuts

AT: Uniqueness 6

Global Fund won't get funding

We're spending on things now

Emperically denied- Spent before and it got funding

AT: Link 6-9

Plan deficit spends


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Transportation is in a different budget

No threshold- plan is not enough $$$

Spending isn't Zero-sum tradeoff

AT: Impacts 9-11

Funding diverted to other things TURN

Case outweighs

Random Global Fund Impact card (national security, econ growth, political stability, US coop) 12

AFF CARDS 13

GLOBAL FUND 1NC SHELL

A. Uniqueness- GLOBAL FUND RENEWAL IS EXPERIENCING GREAT PROGRESS, BUTTHE MOMENTUM IS FRAGILE

The Joint UN Programme on HIV/AIDS, March 8, 2010."Global Fund projects that UNAIDS call for elimination of motherto-child HIV transmission by2015 is within reach."http://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.aspThe Global Fund will hold its replenishment conference in October 2010. Donors are being asked toreplenish its finances from a range of US$ 13 to 20 billion for 2011-2013.In health, 2010 is a pivotal year to finance the final stretch of the effort to reach the MillenniumDevelopment Goals, says Dr Kazatchkine. We have made unprecedented progress but it is fragile.

If we lose momentum now there will be a heavy price to pay. A failure to continue the scale-up ofinvestments in health will betray the trust of millions.

B. Link-

ECONOMIC CONSTRAINTS HAVE BROUGHT SCRUTINY TO FEDERAL SPENDING-THE NEW BUDGET ASSURES TRADEOFFS, RISKING RESOLVE ON GLOBAL HEALTH
http://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asp


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Bill Gates, Co-Chair Global Health Program and Living Proof Project...also, the 2nd wealthiest manin the world. Testimony Before Senate Committee on Foreign Affairs on Global Health and theGlobal Fund. States News Service. March 10, 2010.

The U.S. should invest increased resources in foreign assistance based on the false belief that moreis always better. To be sure, some programs should be expanded. Ineffective programs should beended. Working collaboratively, Congress and the Administration can maximize the return on theseimportant investments.I do know that when programs are coordinated, held accountable, and designed based on evidence,they will work better. The budget scrutiny that has come with this economic downturn can andshould be used to force a new fiscal vigilance that is more creative and more constructive thansimply cutting spending. We have to demand smarter spending. If a more equitable world is worthfighting for - and I believe that it is - we have to make sure we are getting as much as we can forevery dollar. I commend the Chairman and Ranking Member for recognizing this and for exploringlegislative avenues to better evaluate the impact of U.S. foreign assistance programs, identify bestpractices, and find innovative approaches to solving global development challenges.I recognize that I am bringing this message of optimism to a body that is tasked with guiding ourcountry through the harshest realities of our time. We are fighting wars in Iraq and Afghanistan.

We're facing climate dangers, trade imbalances, and record deficits. The global financial crisis hascost millions of Americans their businesses, homes, jobs, and savings. We have severe budgetstrains at every level of government that, combined with the deficit outlook, have changed somepeople's view of what our country can afford.This crisis has affected Americans profoundly, and it has also reverberated throughout the world. Ithas increased the need for American generosity even as it has tested our will to give. But Americanshave maintained that will to give - The Chronicle of Philanthropy reported that in seven weeks,Americans gave more than $895 million to Haiti relief efforts.I understand that the federal budget now under consideration will be one of tradeoffs, and a certainamount of spreading the pain will be necessary. As you and your colleagues in both chambersconsider the President's Fiscal Year 2011 International Affairs budget request, I urge you to bemindful of the many successes U.S. foreign assistance has achieved and equally aware of the manychallenges that persist. With proposed Fiscal Year 2010 supplemental spending taken into account,the President's FY2011 International Affairs Budget would be 2.8 percent above FY2010 amounts.These increases would fund the scale-up of the Administration's Global Health Initiative, which Iwill address in a moment. They will also fulfill the President's historic G-20 commitments on globalfood security and provide resources to America's first Global Hunger and Food Security Initiative.The Gates Foundation has devoted nearly $1.5 billion to increasing global food security, and we arethrilled with the President's proposals in this area. I know that they would not be possible withoutthe leadership that Ranking Member Lugar, Senator Casey, and others have shown on this issue, andthat they will require Congressional resolve to bring to fruition.

C. Internal Link- TIGHT ECONOMIC TIMES HAVE HEIGHTENED SCRUTINY. GLOBALFUND SPENDING WILL COME UNDER THE MICROSCOPE TO MAKE CUTS.Lynne Varner, Seattle Times. "Bill & Melinda Gates to Congress: This Is No Time to Cut Moneyfor Global Health." OCT 2009.http://seattletimes.nwsource.com/html/edcetera/2010146028_bill_melinda_gates_to_congress.html


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It is tough to convince a recession-weary nation to not step back, indeed to step up, U.S. spendingon global health. This story lays out the cases Bill & Melinda Gates will make on this topic whenthey address lawmakers in Washington, D.C. this evening.

Nothing clears the mind like a lingering recession. A very focused and determined Congress iscurrently running the federal government's largest spending programs under a microscope in searchof cost-savings. But spending on global health isn't the place to find it.

D. Impacts-

CURRENT INVESTMENT SAVES MORE THAN 3000 LIVES DAILY, WILL ELIMINATEMALARIA, AND CONTINUE TO SAVE MILLIONS OF LIVES ANNUALLYLisa Schlein, Voice of America. "Nearly 5 Million Lives Saved Through AIDS, Malaria, TBTreatment." March 8, 2010.http://www1.voanews.com/english/news/health/Nearly-5-Million-Lives-Saved-Through-AIDS-Malaria-TB-Treatment-86880102.html

The Global Fund to Fight AIDS, Tuberculosis and Malaria reports nearly 5 million lives havebeen saved since 2002 through programs it has supported for the treatment of these three killerdiseases. A new report shows the fund's multi-billion dollar investment is paying big dividends inimproving the health of millions of people in developing countries.

Since its creation in 2002, the Global Fund has contributed more than $19 billion to combatAIDS, Malaria and Tuberculosis. The money has supported more than 600 programs in 144countries. Countries in sub-Saharan Africa have been the major recipients.The results are impressive. The fund reports 2.5 million people infected with HIV currently arebeing treated with antiretroviral therapy and this has resulted in a significant decline in AIDS deathsin many countries, including Ethiopia and Malawi.

It says around 6 million people with active tuberculosis are being treated for the disease. And,

this too, is resulting in fewer deaths globally.Through its malaria prevention program, the fund has distributed more than 100 millioninsecticide-treated nets. The report says 10 of the countries in Africa with the highest incidents ofthe illness have reported declines in new malaria cases and a decline in child mortality of 50 to 80percent.

The fund's Director of Strategy, Performance and Evaluation, Rifat Atun, says these programssaved at least 3,600 lives every day in 2009, and even more can be saved through continued fundingof these programs.

"We can, for example, given the rate of investment and the scale at the moment we have,eliminate malaria as a public health problem, decline the mortality of under five in children, mothersand beyond," noted Atun. "We can prevent millions of more HIV infections and also intuberculosis. But, most importantly, we can look to a world that is free of HIV infection in

children. We can virtually eliminate transmission of HIV from mother to child."But Atun, cautions continued progress will require the partnership to continue to work in theeffective way in which it has done. He says support must be maintained for the countries that havebeen able to achieve these results.

2NC Overview
http://www1.voanews.com/english/news/health/Nearly-5-Million-Lives-Saved-Through-AIDS-Malaria-TB-Treatment-86880102.htmlhttp://www1.voanews.com/english/news/health/Nearly-5-Million-Lives-Saved-Through-AIDS-Malaria-TB-Treatment-86880102.htmlhttp://www1.voanews.com/english/news/health/Nearly-5-Million-Lives-Saved-Through-AIDS-Malaria-TB-Treatment-86880102.htmlhttp://www1.voanews.com/english/news/health/Nearly-5-Million-Lives-Saved-Through-AIDS-Malaria-TB-Treatment-86880102.html


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I control the uniqueness. Extend

I control a guaranteed scenario for the biggest impact in the round. Extend the impact evidence. It isclear and warranted with definite and immediate bodycounts

2NC Key cards

Small reductions yield big impacts (LINEAR)

LOWBALLING OUR BUDGET WILL YIELD SECOND-RATE TREATMENT

Doctors Without Borders / Mdecins Sans Frontires

Campaign for Access to Essential Medicines MSF On Global Fund Replenishment Meeting24 Mar

2010

http://www.medicalnewstoday.com/articles/183244.php

Future financial forecasting should not be based on sub-optimal treatment regimens and outdatedtreatment and prevention protocols. The WHO new AIDS guidelines should become the newstandard and the GFATM should encourage receiver countries to implement these newrecommendations, and support them with the appropriate funding.

But if donors support only low budget scenario, receiver countries may have to delay theimplementation of these new WHO AIDS guidelines leading to second-class AIDS treatment and

sub-optimal prevention for poor countries. This despite fact that some countries have taken steps toupdate their AIDS programmes to bring them in line with new WHO guidelines.

EVEN SMALL DROPS IN FUNDING IMPACT TO MAJOR REDUCTIONS IN GRANTS- THEDEATHS WILL BE TENS OF THOUSANDS

AVERT (is an international HIV and AIDS charity, based in the UK, working to avert HIV andAIDS worldwide, through education, treatment and care.) "The Global Fund to Fight AIDS, TB, andMalaria." February 15, 2010.

http://www.avert.org/global-fund.htm

Finally, perhaps the most vital issue is how to maintain and increase donations to the Global Fund.The September 2007 replenishment meeting saw a notable drop in donor pledges from somegovernments36, while others (such as the UK pledge) were substantially less than manycampaigners had hoped for.37 In the long-term, this could seriously restrict the number of grants theFund are able to approve, and consequently affect the health and survival of tens of thousands.


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SHORT TERM INTERUPTIONS TO DRUG SUPPLIES WOULD THREATEN MILLIONSTHAT ARE DEPENDENT. SHORT TERM DEATHS WOULD OCCUR AND DRUGRESISTENCE WOULD TAKE ROOT

UN AIDS Programme and World Bank joint assessment: "The Global Economic Crisis and HIVPrevention and Treatment Programmes: Vulnerabilities and Impact." June 2009

http://data.unaids.org/pub/Report/2009/jc1734_econ_crisis_hiv_response_en.pdf

Even short-term interruptions of drug supplies could threaten the health of millions of patientstaking antiretroviral treatment. Both the number of antiretroviral treatment interruptions of morethan two days and the number of days off antiretroviral treatment during an interruption (up to 30days) increase the risk of treatment failure.4 5 Up to 50% of patients whose treatment is interruptedfor 15 days (or more) may subsequently experience treatment failure if they resume the sameregimen.

Brink is proven- Obama has already risked cuts

OBAMA ALREADY PROVED HE'S WILLING TO MAKE CUTS TO THE GLOBAL FUND.

Joanne Carter is executive director of RESULTS/RESULTS Educational Fund and a member of theboard for the Global Fund to Fight AIDS, Tuberculosis and Malaria. "Funding Cut as Record Ratesof Drug-Resistant TB Reported." March 23, 2010

http://www.huffingtonpost.com/joanne-carter/funding-cut-as-record-rat_b_510694.html

The Bush Administration made historic progress against AIDS, TB, and malaria and as PresidentBush's years in office came to end, there was hope that the next administration would take the globalfight to the next level. Presidential candidate Barack Obama promised to increase support for theGlobal Fund. In 2008, a strong bipartisan majority, which included Senators Obama and Biden,passed the Lantos-Hyde U.S. Global Leadership Against HIV/AIDS, TB and Malaria Act, whichauthorized a $4 billion five-year plan to fight TB.

Sadly, in a major broken promise, President Obama's budget blueprint actually slashes $50 millionfrom the U.S. contribution to the Global Fund, which provides two-thirds of donor funding for TBprograms in poor countries. And while Senators Obama, Biden, and Clinton all voted for the Lantos-Hyde plan to ramp up the fight against TB, now, they have not prioritized investment commensuratewith the scale of devastation of this disease.

In response to failure, eight major U.S. banks received $175 billion in taxpayer funds -- and did notbat an eye at using that taxpayer money to pay out $32.6 billion worth of bonuses in 2008. Sincethen, the Global Fund has saved an average of 3,600 lives per day through financing effective,results-oriented health programs in over 140 countries. Surely these life saving measures deserve afraction of the amount paid to the failed banks. Now more than ever, it's imperative that President


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Obama and Congress fully fund the Global Fund at $1.75 billion in 2011 and increase funding forTB as authorized by Congress in the Lantos Hyde Act.

OCTOBER IS THE REPLENISHMENT CONFERENCE. WE HAVE TO KEEP THEMOMENTUM UNTIL THEN

The Joint UN Programme on HIV/AIDS, March 8, 2010."Global Fund projects that UNAIDS call for elimination of motherto-child HIV transmission by2015 is within reach."http://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.aspThe Global Fund will hold its replenishment conference in October 2010. Donors are being asked toreplenish its finances from a range of US$ 13 to 20 billion for 2011-2013.In health, 2010 is a pivotal year to finance the final stretch of the effort to reach the MillenniumDevelopment Goals, says Dr Kazatchkine. We have made unprecedented progress but it is fragile.If we lose momentum now there will be a heavy price to pay. A failure to continue the scale-up of

investments in health will betray the trust of millions.

AT: Uniqueness

Global Fund won't get funding

WE HAVE UNPRECEDENTED MOMENTUM

Rory Watson, British Medical Journal. Global Fund will eliminate vertical transmission of HIV by

2015 if funding continues at present level, report says. 22 March 2010

http://www.bmj.com/cgi/content/short/340/mar22_3/c1632?rss=1&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+bmj%2Frecent+%28Latest+from+BMJ%29

The scale of new funding that the fund can expect between 2011 and 2013 will become clear at thereplenishment conference in October in New York. As preparation, the fund will present donorswith three resource scenarios at an early review meeting to be held in the Hague on 24 March.

The most conservative is based on a budget of $13bn over the three years. This, says the fund,would enable it to continue to fund existing programmes, but new projects could be financed only atlevels significantly lower than in recent years. Funds of $17bn would make it possible to fund bothexisting and new programmes at around current rates.

The most ambitious scenario foresees $20bn, allowing for more rapid progress towards achievingthe United Nations health related millennium development goals.

Professor Kazatchkine warned: "In health, 2010 is a pivotal year to finance the final stretch of theeffort to reach the millennium development goals. We have made unprecedented progress, but it isfragile. If we lose momentum now, there will be a heavy price to pay."
http://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asphttp://www.unaids.org/en/KnowledgeCentre/Resources/FeatureStories/archive/2010/20100308_Global_Fund.asp


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We're spending on things now

Emperically denied- Spent before and it got funding

AT: Link

Plan deficit spends

SORRY, BUT EVEN SPENDING PROGRAMS THAT CONTRIBUTE TO THE DEFICIT LINK.

Susan Kindzie, Washington Post Staff Writer. Oct 27, 2009."Gateses to lobby U.S. for global health funds: Couple to make case that money 'is making a hugedifference'"http://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletter

The presentation, separate meetings with lawmakers and the media campaign are meant to show thatU.S. funding is saving lives and that the Gateses think child deaths worldwide can be cut from more

than 9 million to 5 million a year in the next 15 years. They point to an AIDS program launched in2003 by President George W. Bush that is estimated to have saved more than 1 million lives. ABush initiative on malaria reached an estimated 32 million people last year. And the Global Fund toFight AIDS, Tuberculosis and Malaria, which gets a third of its budget from the United States,helped bring 88 million bed nets treated with insecticide to children at risk of getting malaria frommosquitoes."We are concerned because of the economic challenges that a lot of industrial nations are facing,"said Jon Liden, spokesman for the Global Fund.

U.S. lawmakers will be debating massive spending programs even as they face an enormous deficit.

Liden said that malaria could be virtually eliminated as a global health problem within a decade andthat the transmission of HIV from mothers to children could be by 2015 -- if the funding continues.

The U.S. budget for fiscal 2010 is not yet finalized.

The U.S. spending -- and that of the Gates foundation -- has at times been controversial, said DeanJamison, professor of global health at the University of Washington.

"We don't have an AIDS vaccine, don't have a malaria vaccine," he said. But the foundation hasspurred research, and the money has undoubtedly had an enormous impact, Jamison said.

Transportation is in a different budget

No threshold- plan is not enough $$$

Spending isn't Zero sum tradeoff

OBAMA WANTS PAYGO-ESQUE CORRESPONDING PAYCUTS FOR INFRASTRCUTURESPENDING
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletter


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UPI (United Press International), Feb 13, 2010."Obama Touts 'Paygo,' Spending Cuts."http://www.upi.com/Top_News/US/2010/02/13/Obama-touts-Paygo-spending-cuts/UPI-62101266058860/

WASHINGTON, Feb. 13 (UPI) -- U.S. President Barack Obama Saturday said legislation signedinto law Friday will help reduce the federal deficit and called for cuts in federal spending.In his weekly radio and Internet address, Obama said the legislation, commonly known as "pay asyou go," restores a budget rule Congress had applied during the 1990s but then abandoned duringthe administration of former President George W. Bush."It says to Congress, you have to pay as you go," Obama said. "You can't spend a dollar unless youcut a dollar elsewhere."The president said the rule helped achieve a balanced federal budget in the '90s but its abandonmentmade "large deficits possible" during the past 10 years."Ten years ago, we had a big budget surplus with projected surpluses far into the future," he said."Ten years later, those surpluses are gone."Obama noted deficits were exacerbated by the recession, massive unemployment and risinghealthcare costs. Obama called for tax cuts for small businesses to promote hiring, as well as

spending on education, clean energy and infrastructure upgrades -- but he also said some federalspending needed to be cut."We have to cut where we can, to afford what we need," he said.Obama said he has proposed $20 billion in budget cuts this year. He reiterated he will use anexecutive order to create a bipartisan commission to examine ways to cut spending or raise revenueto reduce the national debt.

IT IS A QUESTION OF POLITICAL PRIORITIES THAT WILL CONDITION FURTHERGLOBAL HEALTH FUNDING

Robert Guth, Wall Street Journal. "Two Groups Push for Health Funds." MARCH 29, 2010

http://online.wsj.com/article/SB10001424052702304434404575149690099745482.html?mod=WSJ_hpp_MIDDLENexttoWhatsNewsTop

The Obama administration's proposed 2011 budget includes a 9% increase to $9.6 billion for globalhealth. This includes about $1 billion for the Global Fund, roughly the same as the previous year,and $90 million for GAVI, which represents a slight increase.

The financing crunch follows a boom time for global health as economic growth in the past decade,boosted by new money and advocacy from donors such as Microsoft Corp. co-founder Bill Gates,helped reinvigorate the field. That sparked a wave of development of new vaccines and programs tofight diseases such as malaria.

The efforts have made steady progress, reducing infant mortality and mitigating the impact of somedeadly diseases. The Global Fund has directed $19.2 billion to programs in 144 countries since itwas started in 2002 and now provides about a quarter of all AIDS funding in the world and mostfunding to programs tackling tuberculosis and malaria.

But to continue, health organizations estimate that initiatives to eradicate malaria will need $5.9billion each year for the next 10 years, while tuberculosis efforts will need $5.6 billion annually overthe next five years.


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For HIV over the period, $28 billion to $50 billion is needed, according to the U.N. Program onHIV/AIDS.

Those programs don't include costs to deliver two new vaccines now being rolled out for diseasesthat cause diarrhea and pneumonia, two of the main killers of children globally.

In January, the Bill and Melinda Gates Foundation pledged $10 billion for vaccine creation anddelivery over the next decade. A founding member of GAVI, the Gates Foundation has pledged$1.55 billion to the organization through 2014. Last month, Mr. Gates and former U.S. PresidentBill Clinton appealed to U.S. lawmakers to commit more money to global health.

The groups now are trying to coax money out of a broader group of nations that either don'tcontribute today or that give relatively littleincluding Japan, South Korea, China and Germany.But governments now also face competing global demands.

Among those are the Copenhagen Accord reached in December in which 192 nations agreed tospend as much as $100 billion each year to combat climate change.

"This is going to be a question of political will and making priorities and hard choices," said StefanEmblad, a director at the Global Fund.

AT: Impacts

Funding diverted to other things TURN

AT: GLOBAL FUNDS INDUCE CUTS, CAUSING GOVERNMENTS TO FUND OTHERTHINGS

THE CONCLUSIONS ARE FUNDAMENTALLY FLAWED- THE STATS ARE INCOMPLETEWITH CONFLICTING NUMBERS AND THEY COUNT REALLOCATIONS TO OTHER

HEALTH EXPENDITURES. ALL OF THIS WHILE CONCEDING EFFECTIVENESS OF THEGLOBAL FUND IN WIPING OUT DISEASE

Sandi Doughton, science reporter for the Seattle Times. Seattle Times. "Zambia: Many poor nationscut back on their own health spending after they get funding from wealthy donor nations." Friday,April 9, 2010.

http://www.lusakatimes.com/?p=25317

The institutes analysis focused on money earmarked for health programs, not the much larger potdevoted to overall development. Fueled, in part, by an influx of cash from the Gates Foundation,international health aid has nearly tripled over the past 10 years to a total of $22 billion in 2007.

Most of that aid goes to African nations where scourges like malaria, diarrhea and tuberculosisclaim millions of lives every year.

Thats also where the biggest budget shifts occurred, Murray and his colleagues found.


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They also found a lot of variation across the continent. While Zambia slashed its own health budgetin direct proportion to aid donations, its tiny neighbor, Malawi, boosted government health spendingat the same time it was taking in large amounts of international aid. Malawi is now making thefastest progress of any African nation on reducing child mortality, Murray pointed out.

Poor and middle-income nations in Latin America and Asia have also boosted their own spendingon health over the past decade, the analysis found. Worldwide, the combination of international aidand government spending has roughly doubled the amount devoted to health in developing nations.

Theres more money being spent on health, and were seeing progress on health, Murray said.Thats good news.

A commentary published along with the IHME analysis cautioned against jumping to the conclusionthat governments in developing nations cant be trusted to make the best use of aid money.

Funneling money away from national health ministries and into NGO-run programs, many of whichfocus only on specific diseases, could undermine government health systems that are crucial tothings foreign aid rarely supports, like prenatal care, hiring health workers and buying drugs, wrote

Devi Sridhar and Ngaire Woods, of the University of Oxford.

They also questioned the data in the report, which relies on incomplete and conflicting budgetnumbers.

THE MONEY ISN'T GOING TO ILLEGIT PROJECTS- IT'S GOING TO LEGITIMATEPRIORITIES

IRIN News [IRIN is a project of the UN Office for the Coordination of Humanitarian Affairs,

offering humanitarian news and analysis.]

"GLOBAL: Does health aid let governments off the hook?" 12 Apr 2010

http://www.alertnet.org/thenews/newsdesk/IRIN/fff57f0c666e077675427db58fadd3e8.htm

Researchers speculate some governments in sub-Saharan Africa receiving health aid may channelwould-be health funds to other sectors they deem to be a priority such as education.

"This is rational behavior," Tessa Edejer, coordinator of the World Health Organization's (WHO)health systems financing department, told IRIN. "If donors are putting money into HIV you mightdecrease the amount put into HIV because you have very little for maternal health. It could becorrecting inequities to hand my money over."

Or, when governments receive aid to the health sector they may stall national budget increases tohealth or spread domestic spending over several years, given the unpredictability of donor aid flows,said Gorik Ooms, professor at the Institute of Tropical Medicine in Antwerp and ex-head ofMdecins Sans Frontires.

Report author Christopher Murray told IRIN: "If you have a broad view of development, it makessense for a poor country to use its own money for other sectors; but health-focused aid experts may


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have a notion that these are countries with severe health problems and that every dollar of aid thatcomes in should be additional."

AT: UGANDA SCENARIO

A UGANDAN TRADEOFF SCENARIO JUST ISN'T TRUE. THERE IS NO SCENARIO FORMILITARY DIVERSION IN UGANDA- THEIR ALLEGED FUNDING FUNNEL JUST GOESINTO OTHER HEALTH PROJECTS

Esther Nakkazi. "Uganda health service delivery poor despite funds allocations."ethiopianreview.com | April 13th, 2010

A persistent funding gap is impeding the delivery of health services in Uganda, despite thegovernment increasing budgetary allocation to the sector over the years.

The largest gaps exist in the human resources, drugs, vaccines and consumable sundries.

The Finance Ministry is accusing the Ministry of Health of misusing the scarce resources allocatedto the sector.

There is a higher priority attached to sectoral policy functions compared with the actual healthservice delivery, said Kenneth Magabe the director of budget.

For instance, workshops and seminars account for 7.3 per cent or Ush1.7 billion ($800,000) of thehealth ministry budget, he said.

Between 2005 and 2009, the government tripled the health budget from Ush240 billion ($120million) to Ush734.67 billion ($367.33 million).

Case outweighs

a. X-apply the initial impact. This thing is big, real, and very quantifiable. I providedirect warrants with an immediate timeframe. That wins out by any measure.

b. Prefer me on timeframe. Lives are on the brink now. There is NO other intervening

variable that can save these people from succumbing to fatal disease.c. GLOBAL FUND CONTRIBUTIONS MUST CONTINUE TO PREVENT HALFOF ALL CHILDREN DEATHS WORLDWIDE

Susan Kindzie, Washington Post Staff Writer. Oct 27, 2009."Gateses to lobby U.S. for global health funds: Couple to make case that money 'is making a hugedifference'"http://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletter
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletterhttp://www.washingtonpost.com/wp-dyn/content/article/2009/10/26/AR2009102603481.html?wpisrc=newsletter


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Bill and Melinda Gates will make an unusual personal appeal to Washington officials Tuesdaynight, asking them to continue funding global health initiatives despite the recession and to committo nearly halve the number of child deaths worldwide by 2025.

"Government funding that's coming from the United States is making a huge difference on theground in the developing world," Melinda Gates said in an interview last week. Particularly over thepast four to five years, she said, "it's really palpable -- it's making a huge difference saving lives."

**CRAZY CARD ABOUT RANDOM FOREIGN POLICY BENEFITS THAT GLOBAL FUNDGIVES THE US- Econ growth, political stability, US diplomacy, balancing the US's superpowerimage, US coop, and US national security**

Joe DeCapua "New Report Calls for Healthier, Safer, More Prosperous World." 22 March 2010

http://www1.voanews.com/english/news/africa/decapua-us-global-health-policy-22mar10-88820102.html

A new report says the United States can advance its interests around the world by investing in astrategic global health policy. It says besides saving lives, a new policy could bolster nationalsecurity and build new partnerships.

The Center for Strategic and International Studies (CSIS), a bipartisan Washington think tank,published the report: A Healthier, Safer and More Prosperous World.

Its based on the recommendations of a commission that includes health and business leaders andmembers of Congress, media foundations and others.

Stephen Morrison is director of the CSIS Center on Global Health Policy.

He says, We formed this commission in April of last year because we felt there was a need to lookstrategically and long term at what the U.S. approach on global health should be. This is an areawhere the United States had made major achievements in the last decade. It is an area that hasenjoyed very strong bipartisan support. And were in a period of transition and it would beimportant to have a smart strategic long-term strategy.

But what is a smart strategy?

What we mean by that is using all U.S. assets to full advantage. And that means both soft and hardpower to advance U.S. national interests. And when we talk about global health and a smartapproach, what we mean by that is that this is an area of U.S. investment that has multiple payoffs,he says.

He says those payoffs include better health for the worlds population, stronger economic growthand political stability. Whats more, he says, it enhances Americas standing in the world. Inother words, its good diplomacy.


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Its very much an instrument of foreign policy and it should be seen as such. Its not purely ahumanitarian endeavor. But clearly, the objective of saving lives and enhancing lives is the lead andcore element, but its not the only element, he says.

A strategic international health policy can also balance the view of the United States being asuperpower.

You could make that argument in the sense that it is an instrument on the softer side of our toolboxthat is very, very effective, exceptionally effective, he says.

The Center for Strategic and International Studies report makes five recommendations.

First, says Morrison, the U.S. government needs to stay the course, continue a trajectory ofgrowth on HIV/AIDS, TB and malaria. These are the bedrock. These are the foundation for U.S.programmatic successes up till now and we need to sustain those.

The second recommendation is to make women and children a priority in global health efforts. Thereport says theres been considerable neglect on the issue over the past few decades.

Theres a really unconscionable record of high mortality, disability, morbidity associated for bothchildren and for mothers, says Morrison.

Other recommendations include strengthening U.S. capability to deal with emerging threats, such asa pandemic flu; and making good investments in multilateral institutions, such as the Global Fund toFight AIDS, TB and Malaria.

It also places an emphasis on the prevention of tobacco and alcohol abuse.

The report calls for the creation of a new deputy adviser on the National Security Council, who

would be a link between the president and agencies carrying out international health policies.

Many groups have called on the Obama administration to boost spending for HIV/AIDS and otherhealth issues. They describe current U.S. spending as flat during the economic slowdown.However, the director of the CSIS Center on Global Health Policy does not share that view.

Well I disagree that theres flat funding. This budget request thats been put forward by thisadministration in its first true budget for 2011 calls for an increase from $6.8 billion to $7.5 billion.And thats a substantial increase. Its over 8 percent, he says.

AFF CARDS

AFF CARDS- GLOBAL FUND

OBAMA IS ALREADY MAKING CUTS TO THE GLOBAL FUND. IT'S NOT A PRIORITY.ADDITIONALLY, PRIVATES FILL IN WHEN FEDERAL FUNDING FALTERS


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Joanne Carter is executive director of RESULTS/RESULTS Educational Fund and a member of theboard for the Global Fund to Fight AIDS, Tuberculosis and Malaria. "Funding Cut as Record Ratesof Drug-Resistant TB Reported." March 23, 2010

http://www.huffingtonpost.com/joanne-carter/funding-cut-as-record-rat_b_510694.html

The Bush Administration made historic progress against AIDS, TB, and malaria and as PresidentBush's years in office came to end, there was hope that the next administration would take the globalfight to the next level. Presidential candidate Barack Obama promised to increase support for theGlobal Fund. In 2008, a strong bipartisan majority, which included Senators Obama and Biden,passed the Lantos-Hyde U.S. Global Leadership Against HIV/AIDS, TB and Malaria Act, whichauthorized a $4 billion five-year plan to fight TB.

Sadly, in a major broken promise, President Obama's budget blueprint actually slashes $50 millionfrom the U.S. contribution to the Global Fund, which provides two-thirds of donor funding for TBprograms in poor countries. And while Senators Obama, Biden, and Clinton all voted for the Lantos-Hyde plan to ramp up the fight against TB, now, they have not prioritized investment commensuratewith the scale of devastation of this disease.

In response to failure, eight major U.S. banks received $175 billion in taxpayer funds -- and did notbat an eye at using that taxpayer money to pay out $32.6 billion worth of bonuses in 2008. Sincethen, the Global Fund has saved an average of 3,600 lives per day through financing effective,results-oriented health programs in over 140 countries. Surely these life saving measures deserve afraction of the amount paid to the failed banks. Now more than ever, it's imperative that PresidentObama and Congress fully fund the Global Fund at $1.75 billion in 2011 and increase funding forTB as authorized by Congress in the Lantos Hyde Act.

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