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Philanthropy
Filling Four Fissures
William Jefferson Clinton
05/03/2004


There are 40 million people who are HIV-positive in the world, and only about 400,000 out of the 5.9 million people who need medicine immediately are getting it. Part of the reason is that the antiretroviral drugs (ARVs) are expensive. Let me give you an example. The Bahamas used to pay $3,800 a year for generic medicine. When we found out they were buying through two different agents and getting ripped off, we jumped in to cut the price from $3,800 to just under $500. All of a sudden, they could treat seven times as many people. We have now made agreements with five drug companies—Aspen, Ranbaxy, Cipla, Hetero and Matrix—to sell ARVs to the developing world for $139 per person, per year, which is less than half the price countries in Africa were paying before, and a small fraction of what some countries in the Caribbean are being charged.

Then, in order to bring down the prices for the diagnostic tests that are used to show whether the medicine is working, we had to make agreements with some of the leading medical technology companies, including Roche, Bayer, Beckman Coulter and BD. We have done that, and have lowered the price of these tests by up to 80 percent.

Believe in the Future
Here is where other American philanthropists come in. All of these projects stand for something bigger. They say that Americans realize that we live in a smaller and smaller world, and that we think our differences make life interesting, but our common humanity matters more. It says that, of course, we want to find Osama bin Laden and uproot all the terrorist networks in the world but, in the end, we know that since we cannot possibly kill, jail or occupy all of our actual and potential enemies, we have to take a little time and effort to build a world with more friends and fewer terrorists.

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