A proposed $400 million cut to America’s global HIV/AIDS programs has sparked a Republican-led revolt in the Senate, threatening a key pillar of U.S. foreign policy as the UN warns of dire human consequences.
At a Glance
- A $9.4 billion rescissions bill includes a $400 million cut to PEPFAR’s HIV/AIDS funding.
- Senators like Collins and Murkowski are seeking exemptions to preserve global health programs.
- The bill passed the House but now faces a tight Senate vote amid GOP resistance.
- Critics warn that abrupt aid cuts could lead to millions of additional infections and deaths worldwide.
- The world’s largest AIDS relief initiative, PEPFAR, risks losing its bipartisan support.
Senators Mount Defense of Lifesaving Aid
In a sharp rebuke to the Trump administration’s proposed budget clawbacks, several Republican senators are siding with Democrats to preserve PEPFAR, the President’s Emergency Plan for AIDS Relief. The $400 million reduction—part of a broader $9.4 billion rescissions package advanced by the House—has triggered resistance from longtime supporters of America’s global health leadership.
Watch a report: GOP Senators Clash Over Global AIDS Cuts.
Senator Susan Collins said she “does not support the rescission for PEPFAR and global health programs,” aligning with Lisa Murkowski, Mike Rounds, and Steve Daines in a rare intra-party stand. They argue that the cuts would not only undo decades of progress but also damage America’s diplomatic credibility in fighting infectious diseases. While Senate leaders weigh the House-backed proposal, the GOP’s unity on budget reduction is showing visible cracks.
Human Cost Looms as UN Issues Dire Forecast
The United Nations has weighed in with a stark warning. If the United States proceeds with the proposed cuts, over four million people could die from AIDS-related causes and six million new infections could emerge by 2029. UN Secretary-General António Guterres called the move a “systemic shock” to global public health and urged Congress to reconsider.
PEPFAR, launched in 2003, is widely credited with saving more than 25 million lives and maintaining treatment access for over 20 million people worldwide. The program’s defenders warn that destabilizing its funding could reverse two decades of progress.
Trump’s Grip Tested as GOP Lines Fracture
While Trump-backed fiscal hawks push to formalize the so-called “DOGE cuts”—a broader initiative to slash foreign aid and domestic grants—centrist Republicans are openly pushing back. According to Business Insider, the Senate’s version of the bill could see significant amendments, especially with swing votes up for grabs.
The internal conflict has even prompted Trump to issue threats on social media, warning Republican senators not to “betray America First” principles. But opposition is growing, and backroom talks suggest a modified version of the bill could exclude PEPFAR from the final cut list.
As the Senate prepares for a high-stakes vote, the question isn’t just whether funding will be preserved—it’s whether the GOP can navigate the tension between budgetary discipline and America’s global humanitarian legacy. For millions relying on HIV treatment across Africa and beyond, the answer could be a matter of life or death.
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