In 2001, eight months after President George W. Bush was inaugurated, I was on a plane to volunteer with the Peace Corps at Mali’s only HIV/AIDS clinic. Back home, people living with HIV had access to lifesaving antiretroviral medicines, and a once terrifying killer had transformed into a chronic but highly manageable disease. Outside the U.S. and Europe, the HIV pandemic still raged, and even as generic HIV medicines became more available, people in most countries did not have access to them. While working in the clinic, I met people who had traveled for days to be tested, some of whom were gravely ill from advanced HIV disease. For most, the best we could do was send them home wi
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