Remarks by the President on World AIDS Day (12/1/00)
                              THE WHITE HOUSE

                       Office of the Press Secretary
For Immediate Release                 December 1, 2000

                         REMARKS BY THE PRESIDENT
                             ON WORLD AIDS DAY

                             Howard University
                                     Washington. D.C.

12:13 P.M. EST

          THE PRESIDENT:  Thank you very much.  Thank you.  Belinda, thank
you for your wonderful remarks.  I'm not going anywhere, I'm just going to
be in a different line of work.  (Laughter.)  I'll still be there for you.

          I want you all to know, this remarkable woman actually had a
minor car accident yesterday, and was told not to come here, but she showed
up anyway.  And that's the kind of commitment we need from people.

          Archbishop Ndugane, I'm delighted to be on the podium with you in
this beautiful chapel at Howard.  And as you know, I admired your
predecessor, Archbishop Tutu, my friend, and I can see he has a worthy
successor.  Your remarks were wise, and we thank you, sir, very much for
what you said.

          I thank President Swygert for making us welcome at Howard.  And I
would like the acknowledge a couple of people -- first, a member of our
United States Congress from Oakland, California, and the champion of
America, doing more in the global AIDS effort, Representative Barbara Lee.
Thank you very much.  Thank you.  (Applause.)  I also was honored to ride
over here with our former United Nations Ambassador and Congressman and my
great friend, Andrew Young.  I thank him for his part here.  (Applause.)

          And, Belinda, I thank you for what you said about Sandy Thurman.
I knew she wasn't a Barbie Doll when I appointed her.  (Laughter.)  She had
actually spent a lot of her life working in Atlanta at the grass roots with
people with HIV and AIDS.  And I tried to fill a lot of positions in
government with people who don't often get to serve, because sometimes the
best qualified people to serve are the people that are out there on the
front lines.  And if they spend their lives on the front lines, they don't
have enough time to play up to the politicians so they can get these
appointments.  But somehow, I found Sandy, and she's been wonderful.  And I
thank her, and all the members of our Advisory Council, many of whom are
here today.

          I want to offer a special word of welcome to the distinguished
religious leaders and citizens who have come here from around the world,
including the First Lady of Lesotho, Mrs. Mathalo Mosisili.  And we have, I
think, 23 others -- (applause.)
We have 23 others here from Africa, alone, who are here to focus on the
HIV/AIDS issue as part of the State Department's international visitors
program.  We have religious leaders here from Africa, from Asia, from Latin
America, and we thank them all for being here.

          Today, we have come together, people from all over the world,
from different circumstances, to ask ourselves a simple, stark question:
whether we are prepared to do what is necessary to save millions of lives,
to save the lives of those who are living with HIV and AIDS and all those
who might yet avoid it.  How we answer will depend upon how well we work
together as partners across lines of nationality, faith, religion, color,
sexual orientation.  It will depend upon, in equal measure, our will and
our wallet.

          And it will depend upon, in some places, still, sadly, going
beyond denial.  I don't know whether this works when translated into French
and the other languages that are here, but my daughter's generation has a
wonderful saying, that denial is not just a river in Egypt.  (Laughter.)
We even have to laugh, you know, sometimes just to keep going.  But that
also is important, and I want to highlight some of the heroes in that
struggle later.

          In the United States, there are millions of people involved in
the struggle against HIV and AIDS.  They are in clinics and in
community-based organizations across the land, offering information and
testing to those at risk, treatment and care to nearly a million people
living with HIV, dignity to thousands who are dying.  Churches, synagogues,
mosques and temples here are, more and more, speaking out with a single,
clear voice about the importance of prevention as well as care.

          For the last few years I have tried to put our government on the
side of this fight.  We've created an Office of AIDS Research at the
National Institutes of Health, and the White House Office of AIDS National
Policy.  We have the first-ever national AIDS strategy.  We have the first
biomedical research plan, and we have expanded health insurance options for
people with HIV and AIDS.

          Our overall federal funding has more than doubled over the last
eight years, and funding for care is up almost 400 percent; help to buy
drugs in this country up more than 1,000 percent.  As Congress comes back
to work, I hope that it will ensure that our global and domestic AIDS
programs actually receive the funding increases they are currently slated
to receive this year, thanks to people like Representative Barbara Lee.

          As Belinda Dunn's story illustrates, marrying our money to our
intentions is a formula for real progress here in the United States -- a
formula for delivering more powerful anti-HIV drugs to more Americans; for
helping more HIV-positive pregnant women avoid passing the virus to their
babies; for providing better access to health care and housing for those
living with HIV.  It is a formula, in other words, for people living longer
and better lives.

          Today, the mortality rate for HIV and AIDS in the United States
is down more than 70 percent since 1995.  The death rate from infection is
at its lowest rate since 1987.  For those of you here from our country who
have worked on this, you can be justifiably proud.  But we must be humbled
by how very far we all have to go, especially around the world.

          Today's reality is much worse than the worst case scenarios of
just 10 years ago.  At the beginning of the 1990s, health experts told us
that between 15 million and 20 million people would be living with HIV this
year.  Well, the real number is 36 million.  The religious leaders from
around the world who are here understand that these numbers mean something
quite stark in human terms, not only for the individuals and the families,
but as the Archbishop intimated, for whole nations.

          When the disease threatens to triple child mortality and to
reduce life expectancy by 20 years in some African countries, it is time to
say that AIDS is also a moral crisis.  When South Africa's GDP -- listen to
this -- South Africa's GDP is expected to be 17 percent lower in 2010
because of AIDS, it is time to say that AIDS is an economic crisis.  When
ten times more Africans died of AIDS last year than in all the continent's
wars combined, and when the fastest-growing infection rates are now in
Eastern Europe and the nations of the former Soviet Union -- complicated in
many countries by a virtual breakdown of the public health systems there --
when nations are already struggling against great odds to build prosperity
and democracy, it is time to say that AIDS is also an international
security crisis.

          Once we recognize that AIDS is all these things, it becomes
crystal clear that we have to use every available tool to fight it, and
that the United States, because we have been blessed at this particular
moment in history with exceptional prosperity, has an extra responsibility
to take a leadership role.

          Many developing countries are doing remarkable things to help
themselves.  By focusing its resources on prevention, Uganda became the
first country in sub-Saharan Africa to reverse its own epidemic, nearly
halving its HIV prevalence.  But in too many nations, resources are simply
insufficient and the gap between what people want to do and what they can
afford to do is denying millions a chance to survive the onslaught.
Together, we must do more to close the gap.

          Today, our National Institutes of Health is releasing the
first-ever strategic plan for international AIDS research, a $100 million
blueprint for pursuing new research opportunities with universities in over
50 countries -- in Asia, Africa, Europe and Latin America.  Our
administration has also launched the LIFE initiative, that in the last two
years will likely triple U.S. investment in international HIV-AIDS efforts.

          That is why we fought for and won passage of the global HIV-AIDS
and TB Relief Act, which authorizes additional funding for prevention, care
and vaccine development; and why I signed an executive order to help make
AIDS drugs more affordable in sub-Sahara Africa; and why we are pushing
Congress to pass -- to respond to the Archbishop's comment -- a vaccine tax
credit and to put more resources behind the World Bank's AIDS trust fund.

          Right now, it is a problem for our pharmaceutical companies
because they know that while there is an enormous need for an AIDS vaccine,
the people who need it the worst are the least able to pay for it.  And we
know that research is very expensive.  So the best way we can help get the
research done -- we get the medicine, and then we'll worry about how to get
it out there; we can do that, but we have to get the breakthrough first
-- is, in effect, gives these companies a tax credit for the research they
do, so that the taxpayers share a hefty portion of the cost.  And I hope
and pray that the Congress will agree to adopt that when they come back in
just a few days, or early next year at the very latest.

          The Peace Corps is training every one of its 2,400 volunteers in
Africa, every one of them, as prevention counselors.  And the issue of HIV
and AIDS in developing countries was put on the agenda this year for the
annual G-8 Summit.  I also made it an important part of our relationship
with the European Union, and I have worked hard, as the Archbishop said,
for debt relief and for mobilizing billions of dollars for the fight
against AIDS.  And finally, that is why the United States placed HIV and
AIDS squarely before both the U.N. Security Council and the United Nations
Millennium Summit.

          This effort is now on the international agenda.  We've got a long
way to go, but those of you who worked hard to put it on the world's agenda
should also know that you have succeeded, and we're only going to go
forward, not backward now.

          Now, despite these efforts, we all know a lot more is needed.
Much, much more is needed to make drugs for AIDS and related infectious
diseases more affordable and accessible everywhere.  I told you, just in
the United States, with all of our wealth, we increased funding to help
people buy drugs here in this country by a 1,000 percent, tenfold, in eight
years, and we didn't get a tenfold increase in drugs, because of the
increase in the costs.  So we know that we have to do more to help
developing nations in this area.

          We know that more is needed to ensure that countries have the
health care infrastructure needed to effectively deliver the drugs and the
treatment.  As I said a moment ago, one of the things that really concerns
me about the rising rates in some of the nations of the former Soviet Union
is that they are accompanied by a real deterioration in the public health
systems -- systems which once worked under a very different social and
political structure, and have not yet been replaced by the kind of
grass-roots community networks that we see in a lot of other developing
countries that were not part of a totalitarian system before.  And it's
something we have to work very, very hard on.

          But let's not forget, as so many of you have proved, even limited
resources, well used, can go a long way.  And let's all remember that, for
all their differences, the fight against AIDS here in the United States and
the fight abroad have much in common.  To begin, we need to understand that
patterns of infection in the U.S. now actually mirror those found
elsewhere, with the burden falling most heavily on women, young people,
poor people, and people of color.  That makes our challenges more alike
than different, both practically and morally.  It means we must be more
vigilant, both in targeting our resources and in overcoming prejudice.

          Last August, in Nigeria, I was honored to meet John Ibekwe -- he
was sitting here on the front row, but his daughter started crying and he
took her out -- which is a great expression of family values -- (laughter)
-- because he knew I was going to introduce him and he took care of his
child, anyway.  (Laughter.)

          At an event during my trip, he told the story of his great love
for his wife, whom he married even though she was HIV-positive, and family
and friends disapproved.  He told how he pleaded with and lobbied with his
pastor to persuade him that it was the morally right thing to do.  He
talked about how when he married, his wife became pregnant and he became
HIV-positive.  And then he struggled to hold a job in the face of great
prejudice.  He told us how he saved enough money somehow for the drugs that
allowed his baby to be born without the virus.

          And when he told this story, the President of Nigeria, President
Obasanjo, and his wife, stood on the stage and they embraced John and his
wife.  I'm told the image had an electrifying impact all over Nigeria on
how people should think about and deal with people with AIDS.

          As I said, John and his daughter just walked out, but his wife is
here and I'd like to ask her to stand up -- (applause.)  Thank you.  There
they are.  (Applause.)  Thank you.
John, with that kind of timing, I think you have a future in politics.
(Laughter.)  That was well done.

          Now, let me say something very serious.  The second thing we have
to do is to remember that AIDS everywhere is still 100 percent preventable.
Prevention is the most effective tool in our arsenal.  No matter the
cultural or religious factors to be overcome, families must talk about the
facts of life before too many more learn the facts of death.  Meeting both
these challenges -- overcoming stigma and overcoming silence -- will be
impossible without the moral leadership that in so many places only
religious leaders, like those who are here today, can provide.

          In our tradition it has been said that AIDS is an epidemic of
biblical proportions.  Maybe that refers to the sheer geographic scope, or
perhaps the numbers of people, or the enormous scale of suffering.  But I
think it also is an apt phrase because it implies that there is a required
moral response.

          In the New Testament of the Christian Bible, it says that when we
bear one another's burdens, we fulfill the law of God.  So I ask you to go
forth here, remembering that a happy heart is good medicine, too.  Do not
grow weary in doing this.  Know that the sequencing of the human genome
will dramatically hasten the day when we will find a medical cure.  But in
the meanwhile, there are millions, indeed tens and tens of millions, of
people whose lives are riding on our common efforts.  We can do this, if we
do it together.

          Thank you and God bless you all.

                           END      12:32 P.M. EST

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