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    Rubio clashes with Democrats over decision to admit white South Africans

    Marco Rubio, the secretary of state, has defended the Trump administration’s controversial decision to admit 59 Afrikaners from South Africa as refugees after Tim Kaine, a Democratic senator from Virginia, claimed they were getting preferential treatment because they were white.Kaine, Hillary Clinton’s former running mate, challenged Rubio to justify prioritising the Afrikaners while cancelling long-standing refugee programmes for other groups that have been more documented as victims of conflict or persecution.The clash between the two men was Rubio’s most combative exchange in his first appearance before the Senate foreign relations committee since his unanimous approval by senators in confirmation hearing in January.It came a day before South Africa’s president, Cyril Ramaphosa, was due to meet Donald Trump at the White House in an encounter that promises to be highly charged thanks to the backdrop surrounding the incoming Afrikaners.“Right now, the US refugee program allows a special program for Afrikaner farmers, the first group of whom arrived at Dulles airport in Virginia not long ago, while shutting off the refugee program for everyone else,” said Kaine, who was a candidate for vice-president alongside Clinton in her unsuccessful 2016 presidential election campaign against Trump. “Do you think Afrikaner farmers are the most persecuted group in the world?”In response, Rubio said: “I think those 49 people that came surely felt they were persecuted, and they’ve passed … every sort of check mark that had to be checked off in terms of meeting their requirements for that. They live in a country where farms are taken, the land is taken, on a racial basis.”Trump has falsely asserted that white farmers in South Africa are undergoing a “genocide” and deserving of special status. By contrast, he suspended the US’s refugee resettlement programme on his first day in office in January, in effect stranding 100,000 people previously approved for resettlement.Kaine asked why Afrikaners were more important than the Uyghurs or Rohingyas, who have faced intense persecution in China and Myanmar respectively, and also cited the cases of political dissidents in Cuba, Venezuela and Nicaragua, as well as Afghans under the Taliban.“The problem we face there is the volume problem,” Rubio said. “If you look at all the persecuted people of the world, it’s millions of people. They can’t all come here.”Kaine called the claims of persecution against Afrikaner farmers “completely specious” and pointed to the existence of an Afrikaner minister in South Africa’s coalition government.He also contrasted the refugee designation of Afrikaners to the absence of such a programme for the country’s Black majority during the apartheid era.“There never has there been a special programme for Africans to come in as refugees to the United States,” Kaine said, pointing out that special designations were allowed for people being persecuted for religions reasons under communist regimes.Referring to the US statutory standard of recognising a refugee claim as being a “well-justified fear of persecution”, Kaine asked: “Should that be applied in an even-handed way? For example, should we say if you’re persecuted on the grounds of your religion, we’ll let you in if you’re a Christian but not a Muslim?”Rubio replied that US foreign policy did not require even-handedness, adding: “The United States has a right to allow into this country and prioritise allowance of who they want to allow to come in. We’re going to prioritise people coming into our country on the basis of what’s in the interests of this country. That’s a small number of people that are coming.”Kaine responded: “So you have a different standard based on the color of somebody’s skin. Would that be acceptable?”Rubio replied: “You’re the one talking about the colour of their skin, not me.”Democratic senator Chris Van Hollen said he regretted confirming Rubio as secretary of state, after recalling that the two had spent more than a decade working together in Congress, and accusing him of “making a mockery” of the US asylum system.Van Hollen echoed Kaine, drawing attention to the decision to reject refugees from war-torn countries in Africa and Asia while granting asylum status to white Afrikaners, which Van Hollen said was turning the US’s refugee process into a system of “global apartheid”.“You try to block the admission of people who have already been approved as refugees, while making bogus claims to justify such status to Afrikaners. You’ve made a mockery of our country’s refugee process turning it into a system of global apartheid,” Van Hollen said.More than 30 years after the end of the apartheid system that enshrined white minority rule, white South Africans typically own 20 times more wealth than their Black compatriots, according to an article in the Review of Black Economy.Unemployment among Black South Africans currently runs at 46.1%, compared to 9.2% for white South Africans.According to the 2022 census, white people account for 7% of South Africa’s population of 63 million, while Black people account for 81%.Faisal Ali contributed additional reporting More

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    An Afrikaner Farming Family Trades South Africa for Alabama

    Errol Langton and eight members of his family were among the first group of white South Africans to arrive in the United States this week after President Trump created an expedited path to citizenship.The Afrikaner family of nine looked around the small office space in Birmingham, Ala., feeling jet-lagged as they took in their new surroundings. Errol Langton, the patriarch of the white South African family, had spent much of his time so far with a pen in hand, signing required documents at a refugee coordinating office.His granddaughter played with toy blocks on the floor. His oldest son watched over her. They had just eaten noodles. Later, they would spend time looking for apartments.“Everybody still doesn’t believe that we’re actually standing here,” Mr. Langton, 48, said in an interview, about 40 hours after landing at Birmingham-Shuttlesworth International Airport. His family was among the first group of 59 South Africans who arrived in the United States this week, about three months after President Trump signed an executive order establishing refugee status for Afrikaners, the white ethnic minority that ruled during apartheid.The president essentially halted all refugee admission programs on his first day in office. But he soon created an expedited pathway for Afrikaners, who claim they have been discriminated against and subjected to violence because of their race, or have reason to believe they will be.Now, the Langton family has traded its South African hometown on the beach, Hibberdene, for a southern American city thousands of miles away. But Mr. Langton said he felt much safer already, as did his extended family who had joined him: his wife, son, three daughters, son-in-law and two grandchildren.Mr. Langton has a brother in Birmingham. But he said another factor had also drawn his family to the state.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Republicans say they want more American babies – but which kind?

    Some of the children were too young to stand on their own. Instead, they sat on their parents’ knees or in their parents’ arms, waving American flags. Many of them seemed confused about what, exactly, was even happening.But these kids were in the midst of making history: their families were among the first to take advantage of Donald Trump’s February executive order granting white South Africans refugee status in the United States, on the grounds that Afrikaner landowners – who make up just 7% of South Africa’s population yet, decades after the end of apartheid, control about half of its land – are facing persecution. While the doors to the US refugee program have been slammed shut to virtually everyone else, these Afrikaners showed up in the US earlier this week, their refugee status promising a path to US citizenship.Days later, the Trump administration took a far narrower view of who deserves access to the American polity. On Thursday morning, a lawyer for the Trump administration argued in front of the US supreme court that the 14th amendment does not guarantee citizenship to the American-born children of “illegal aliens” – a view contradicted by more than a century of legal precedent.This split screen raises a vital question: is the Trump administration really interested in helping children and families flourish – or only the “right” families?Over the last several months, the Trump administration’s policies on immigration, families, and children have been pockmarked by all kinds of contradictions. The administration is reportedly considering numerous policies to convince people to have more children, such as “baby bonuses” of $5,000 or medals for mothers who have six or more kids. The Department of Transportation has issued a memo directing the agency to “give preference to communities with marriage and birth rates higher than the national average”. And JD Vance has proclaimed: “I want more babies in the United States of America.”These moves are, in part, fueled by the growing power of the pronatalism movement, which believes that the declining birthrate in the US is an existential threat to its workforce and its future.Why, then, does the government want to exclude an estimated 150,000 babies born every year?“It’s hard to look at any of these policies and not believe that they’re created for the purpose of satisfying a political base that was promised some sort of notions of recreating a nostalgia for a white Christian nationalist nation,” said P Deep Gulasekaram, a professor of immigration law at the University of Colorado Law School.If the fate of the US workforce is really of concern, experts say immigration could help grow it – but the Trump administration has taken a hardline stance against immigrants from the Global South and their children. The administration has not only reportedly turned the refugee agency responsible for caring for children who arrive in the US alone into an arm of Ice, but also slashed funding for legal representation of children in immigration proceedings. Meanwhile, Republicans in Congress are trying to block parents who lack Social Security Numbers – such as undocumented people – from benefiting from the child tax credit, even in cases where their children are US citizens.The Trump administration has also unveiled new screening protocols that make it far more difficult for undocumented people to “sponsor”, or take custody of, children who enter the US alone. Just last week, the National Center for Youth Law and the legal advocacy group Democracy Forward sued the Trump administration over the changes, which they say have forced kids to languish in government custody. Between December 2024 and March 2025, kids went from spending an average of two months in government custody to spending an average of six.“This administration has compromised the basic health and safety of immigrant children in egregious ways,” Neha Desai, managing director of children’s human rights and dignity at the National Center for Youth Law, said in an email.In March, KFF, a charity that conducts health policy research, conducted focus groups of Hispanic adults who are undocumented or likely living with someone who is undocumented. Many spoke of the effect that the Trump administration’s policies are having on their families and kids.“I have a six-year-old child. Honestly, I’m afraid to take him to the park, and he asks me, ‘Mom, why don’t we go to the park?’” one 49-year-old Costa Rican immigrant woman told KFF. “How do I tell him? I’m scared.”“Even the children worry. ‘Mom, did you get home safely?’ They’re already thinking that something is going to happen to us on the street,” added a 54-year-old Colombian immigrant woman. “So that also makes me very nervous, knowing that there might come a time when they could be left here alone.”The supreme court arguments on Thursday centered not on the constitutionality of birthright citizenship, but on the legality of lower court orders in the case. Still, some of the justices expressed concerns about what the case could mean for children.Eliminating birthright citizenship, Justice Elena Kagan suggested, could render children stateless. The high court needed a way to act fast, she said.If the justices believe that a court order is wrong, she asked, “why should we permit those countless others to be subject to what we think is an unlawful executive action?”Both the historical and legal record make clear that the 14th Amendment encapsulates birthright citizenship, Gulasekaram said. But, he said, predicting the supreme court’s moves is a “fool’s errand”.“There’s really no way of getting around the the conclusion that this is a call to some form of racial threat and racial solidarity as a way of shoring up support from a particular part of the of the of the Trump base,” Gulasekaram said. “Citizenship and the acquisition of citizenship has always been racially motivated in the United States.” More

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    South Africa’s Leader Criticizes Afrikaners Seeking Refuge in U.S.

    President Cyril Ramaphosa called the white South Africans “cowardly” for leaving for the United States.President Cyril Ramaphosa of South Africa said white South Africans who had left for the United States after being granted refugee status there were “cowardly,” in a blunt broadside as tensions over the issue mount between the countries.“They are running away” from a duty to help with South Africa’s transformation and solve its problems, Mr. Ramaphosa told reporters on Tuesday, adding, “When you run away, you are a coward.” More than 8,000 South Africans have expressed interest in the U.S. program to create an expedited path for Afrikaners to resettle in the United States. That comes even as the Trump administration has barred most refugees from other countries.If approved, they would join the dozens of people who arrived on Monday at an airport outside Washington on a charter flight funded by the United States.The program for the Afrikaners has cut to the heart of post-apartheid race dynamics in South Africa. The country’s government has strongly rejected the Trump administration’s assertion that the Afrikaners — members of a white ethnic minority that ruled during apartheid in South Africa — should be eligible for refugee status.The Afrikaners “do not fit the definition of a refugee,” Mr. Ramaphosa said on Monday at a forum in Abidjan, Ivory Coast.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Afrikaners Arrive in U.S. as Trump-Approved Refugees

    The first group of Afrikaners have arrived in the United States, claiming they were victims of persecution or had reason to fear persecution in their home country.President Trump signed an executive order in February establishing refugee status for Afrikaners, the white ethnic minority in South Africa that created and led the brutal system of apartheid.As part of the executive order, the Trump administration created an expedited path for Afrikaners to resettle in the United States, even as the administration has barred most refugees from countries afflicted by war and famine.While waiting at the airport in Johannesburg, the passengers said the U.S. Embassy had instructed them not to speak with the news media. The first group of Afrikaners arrived in the United States on May 12.Here’s what you need to know:Who are the Afrikaners?What does land have to do with it?Why are Afrikaners being granted refugee status?How will they be resettled in the United States?Who are the Afrikaners?The Afrikaners who arrived in the United States on Monday are the descendants of the European colonizers who came to South Africa approximately four centuries ago. They later created the brutal system of apartheid in 1948.Decades after the end of apartheid, some Afrikaners now say they are being denied jobs and have been targeted by violence because of their race.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Episcopal church says it won’t help resettle white South Africans granted refugee status

    The Episcopal church’s migration service is refusing a directive from the federal government to help resettle white South Africans granted refugee status, citing the church’s longstanding “commitment to racial justice and reconciliation”.Presiding bishop Sean Rowe announced the step on Monday, shortly before 59 South Africans arrived at Dulles international airport outside Washington DC on a private charter plane and were greeted by a government delegation.Episcopal Migration Ministries instead will halt its decades-long partnership with the government, Rowe said.Donald Trump opened a fast-tracked refugee status to white South Africans, accusing their government of discrimination, even as his administration abruptly shut down the overall US refugee program. The South Africans jumped ahead of thousands of would-be refugees overseas who had been undergoing years of vetting and processing.Episcopal Migration Ministries has long resettled refugees under federal grants. Rowe said that about two weeks ago, the government contacted it and said it expected the ministry to resettle some of the South Africans under terms of its grant.“In light of our church’s steadfast commitment to racial justice and reconciliation and our historic ties with the Anglican Church of Southern Africa, we are not able to take this step,” Rowe said. “Accordingly, we have determined that, by the end of the federal fiscal year, we will conclude our refugee resettlement grant agreements with the US federal government.”South Africa’s government has vehemently denied allegations of discriminatory treatment of its white minority residents.“It has been painful to watch one group of refugees, selected in a highly unusual manner, receive preferential treatment over many others who have been waiting in refugee camps or dangerous conditions for years,” Rowe said. “I am saddened and ashamed that many of the refugees who are being denied entrance to the United States are brave people who worked alongside our military in Iraq and Afghanistan and now face danger at home because of their service to our country.”He also said many refugees, including Christians, are victims of religious persecution and are now denied entry.He said the church would find other ways to serve immigrants, such as those already in this country and those stranded overseas.The move marks the end of a ministry-government partnership that, for nearly four decades, has served nearly 110,000 refugees from countries, including Ukraine, Myanmar and Congo, Rowe said.It’s not the first high-profile friction between the Episcopal church and the Trump administration. Bishop Mariann Budde of Washington DC drew Trump’s anger in January at an inaugural prayer service in which she urged “mercy” on those fearing his actions, including migrants and LGBTQ+ children.The Anglican church of Southern Africa includes churches in South Africa and neighboring countries. It was a potent force in the campaign against apartheid in the 1980s and 1990s, an effort for which the late archbishop Desmond Tutu received the Nobel peace prize in 1984.Another faith-based refugee agency, Church World Service, says it is open to serving the South African arrivals.“We are concerned that the U.S. Government has chosen to fast-track the admission of Afrikaners, while actively fighting court orders to provide life-saving resettlement to other refugee populations who are in desperate need of resettlement,” Rick Santos, CWS president and CEO, said in a statement.He added that the action proves the government knows how to screen and process refugees quickly.“Despite the Administration’s actions, CWS remains committed to serving all eligible refugee populations seeking safety in the United States, including Afrikaners who are eligible for services,” he said. “Our faith compels us to serve each person in our care with dignity and compassion.”The Episcopal ministry and CWS are among 10 national groups, most of them faith-based, that have partnered with the government for refugee resettlement. More

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    First group of white South Africans arrive in US after Trump grants refugee status

    The first group of white South Africans granted refugee status by Donald Trump’s administration has arrived in the US, stirring controversy in South Africa as the US president declared the Afrikaners victims of a “genocide”.The Afrikaners, a minority descended from mainly Dutch colonists, were met at Dulles international airport outside Washington DC by US deputy secretary of state, Christopher Landau, and deputy secretary of homeland security, Troy Edgar, with many given US flags to wave.Reuters reported that the group numbered 59 adults and children, citing a state department official, while Associated Press said there were 49.At Dulles airport, Landau told the assembled white South Africans: “It is such an honour for us to receive you here today … it makes me so happy to see you with our flag in your hands.He invoked his family’s history, saying: “My own father was born in Europe and had to leave his country when Hitler came in … We respect what you have had to deal with these last few years.”He added: “We’re sending a clear message that the United States really rejects the egregious persecution of people on the basis of race in South Africa.”On the same day the group arrived in the US, Trump’s government also ended legal protections that had temporarily protected Afghans from deportation, citing an improved security situation in the country, which is ruled by the Taliban.One consideration for resettling Afrikaners not Afghans was that “they could be easily assimilated into our country,” Landau told reporters at the airport.Trump suspended the US refugee settlement programme in January, leaving more than 100,000 people approved for refugee resettlement stranded. Then, in February, he signed an executive order directing officials to grant refugee status to Afrikaners, whose leaders ruled during apartheid while violently repressing the Black majority.“It’s a genocide that’s taking place,” Trump told reporters at the White House, when asked why white South Africans were being prioritised for resettlement above victims of famine and war elsewhere on the continent, echoing a far-right conspiracy theory that has also been amplified by his South African-born billionaire adviser Elon Musk.Trump added that the Afrikaners’ race “makes no difference to me”. He said South Africa’s leaders were travelling to meet him next week, but that he would not attend the G20 leaders’ meeting in Johannesburg in November unless the “situation is taken care of”.skip past newsletter promotionafter newsletter promotionSouth Africa’s president, Cyril Ramaphosa, said at a conference in Ivory Coast that he had told Trump by phone that he had received false information about white South Africans being discriminated against, from people who disagreed with government efforts to redress the racial inequalities that still persist three decades after white minority rule ended.“We think that the American government has got the wrong end of the stick here, but we’ll continue talking to them,” he said.White South Africans typically have 20 times the wealth of Black people, according to an article in the Review of Political Economy. The Black South African unemployment rate is 46.1%, compared with 9.2% for white people.Laura Thompson Osuri, executive director of Homes Not Borders, a refugee care nonprofit in the Washington area, stood in the airport check-in area with a sign reading: “Refugee. Noun. A person who has been forced to leave his or her country due to persecution, war or violence. Afrikaners are not refugees.”Osuri said of Trump’s policy: “It’s for showing: ‘Look at us. We do welcome people as long as they look like us.’”Democrats also condemned the Afrikaners’ resettlement. Maryland senator Chris Van Hollen told a thinktank event: “To watch the Trump administration apply what I call their global apartheid policy … is just an outrageous insult to the whole idea of our country.”Meanwhile, the Episcopal church said it was ending its decades-long work with the US government supporting refugees, after it was asked to help resettle the white South Africans, citing its “commitment to racial justice and reconciliation”. More

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    ‘It’s back to drug rationing’: the end of HIV was in sight. Then came the cuts

    This year the world should have been “talking about the virtual elimination of HIV” in the near future. “Within five years,” says Prof Sharon Lewin, a leading researcher in the field. “Now that’s all very uncertain.”Scientific advances had allowed doctors and campaigners to feel optimistic that the end of HIV as a public health threat was just around the corner.Then came the Trump administration’s abrupt cuts to US aid funding. Now the picture is one of a return to the drugs rationing of decades ago, and of rising infections and deaths.But experts are also talking about building a new approach that would make health services, particularly those in sub-Saharan Africa, less vulnerable to the whims of a foreign power.The US has cancelled 83% of its foreign aid contracts and dismantled USAid, the agency responsible for coordinating most of them.Many fell under the President’s Emergency Plan for Aids Relief (Pepfar) programme, which has been the backbone of global efforts to tackle HIV and Aids, investing more than $110bn (£85bn) since it was founded in 2003 and credited with saving 26 million lives and preventing millions more new infections. In some African countries it covered almost all HIV spending.View image in fullscreenThere is a risk, says Lewin, director of Melbourne University’s Institute for Infection and Immunity and past president of the International Aids Society, of “dramatic increases in infections, dramatic increases in death and a real loss of decades of advances”.There is no official public list of which contracts have been cancelled, and which remain. It appears that virtually no HIV-prevention programmes funded by the US are still in operation, save a handful principally providing drugs to stop pregnant women passing on the infection to their babies. Countries report disruption to the most basic measures, such as condom distribution.Some treatment programmes have been spared, but not those whose focus conflicted with the Trump administration’s war on “gender ideology” or diversity, equity and inclusion (DEI), such as those working with transgender communities. Doctors, nurses and other healthcare workers have been laid off, while worried patients are hoarding drugs or stretching supplies, according to UNAids surveillance. UNAids itself has lost more than half of its funding.Even programmes that have survived the cull have faced turmoil since February, with instructions to stop work rescinded but with no certainty that funding will continue.View image in fullscreenIn only one example, the Elizabeth Glaser Paediatric Aids Foundation says it has had to halt HIV treatment for 85,000 people in Eswatini, including more than 2,000 children, and tests for thousands of pregnant women and babies to prevent transmission and begin life-saving medication.Access to drugs represents an “immediate crisis”, Lewin says. “If people with HIV stop the medications, then not only do they get sick themselves, which is tragic, but they also then become infectious to others.”As clinics on the frontline of treating the disease scrabble to secure access to basic drugs, scientists at this month’s Conference on Retroviruses and Opportunistic Infections in San Francisco were hearing that HIV might soon be preventable with a once-a-year injection.The drug lenacapavir was already generating huge excitement in the field, after trial results showed that a six-monthly jab could prevent HIV. New results from the manufacturer Gilead suggest that a tweak to the formula and how it is given could see its protective effects last even longer.Nevertheless, Lewin says, the mood at the meeting, packed with many of the world’s leading HIV specialists, was “dire”.As well as programme cancellations, there are “huge concerns around science and what’s going to happen to the [US] National Institutes of Health, [whose] funding of science has been so significant on every level”, she says.Some scientists in receipt of US funding have been told to remove their names from DEI-linked research, she says, even though DEI is fundamental to the HIV response.View image in fullscreen“I don’t mean that in a sort of touchy-feely way, I mean that’s what we need to do: you need to actually get those treatments to these diverse communities.”In 2022, 55% of all new HIV infections were within “key populations”, such as gay men, other men who have sex with men, sex workers, transgender people, prisoners and people who inject drugs.Prof Linda-Gail Bekker, of South Africa’s Desmond Tutu Health Foundation, has seen US funding for three trials of potential HIV vaccines involving eight countries cancelled and only reinstated after an appeal to the US supreme court.“We’re running around like chickens without heads to at least get one going, because the vaccines are sitting in the fridge and will expire,” she says.She led the lenacapavir trial that showed it offered 100% protection to young women in sub-Saharan Africa, but now worries about HIV/Aids prevention “falling off the radar completely”.The global community had been making headway towards the United Nations’ goal of ending Aids by 2030, she says, with a five-year plan to use “amazing new innovative tools and scale them up”, which would have led to “less dependence on foreign aid and more self-reliance” as new infections fell and attention shifted to maintaining treatment for people with HIV.“All of that is hugely at risk now because, without these funds, our governments will have to step up but they will concentrate on treatment,” she says. “We know they will do that, because that is what we did for the first 30 years.”Efforts to control Aids were entering “the last mile”, which was always likely to be more expensive, she says. “The people who were happy to come into health facilities, they would have come into health facilities.”It would be difficult to rely on government funding to reach the remaining groups, she says, not only because of fewer resources but also because in some countries it means targeting groups whose existence is illegal and unrecognised, such as sex workers or sexual minorities, and young girls may be reluctant to use government clinics if they are not supposed to be sexually active.“I feel like the odds are very stacked against us,” says Bekker, adding: “We’re obviously going to have to re-programme ourselves [and] formulate a different plan.”Pepfar had pledged funding to the Global Fund to Fight Aids, Tuberculosis and Malaria, to deploy 10m doses of lenacapavir in low-income countries. While the Global Fund has promised to maintain its commitment, it might receive fewer than the planned number of doses, Bekker fears.“Six months ago, I was saying the best thing we can do with lenacapavir is offer it to everybody in a choice environment. [Now] I think we’re gonna have to say who needs [injectable] prep,” she says, “and the rest have to do the best they can.“How do we make that decision? And what does that look like? It is back to sort of rationing.“When we started ARVs [antiretroviral drugs] way back in 2000,” Bekker recalls, “you would go, ‘you get treatment; you don’t, you don’t, you don’t’.“It feels terrible … but you have to get over that. You have to say it will be infection-saving for some people. And we’ve got to make it count.”View image in fullscreenFor Beatriz Grinsztejn, president of the International Aids Society, the disruption is critical and threatens many vulnerable people. But, she adds, it could present “an important opportunity for ownership – otherwise we are always left in the hands of others”.She worries about the impact of cuts to funding on younger scientists, with their potential loss from the research field “a major threat for the next generation”. But, she adds, the HIV community is “powerful and very resilient”.There have already been calls for new ways of doing things. It is “time for African leadership”, members of the African-led HIV Control Working Group write in the Lancet Global Health. There are now plans for Nigeria to produce HIV drugs and tests domestically.Christine Stegling, deputy director of UNAids, says it began “a concerted effort” last year to develop plans with countries about how their HIV programmes could become more sustainable domestically “but with a longer timeframe … now we are trying to do some kind of fast-tracking”.Governments are determined, she says, but it will require fiscal changes either in taxation or by restructuring debt.The goal of ending Aids by 2030 is still achievable, Stegling believes. “I think we have a very short window of opportunity now, in the next two, three months, to continue telling people that we can do it.“I keep on reminding people, ‘look, we need to get back to that same energy that we had when people were telling us treatment can’t be available in the global south, right?’ And we didn’t accept it. We made it happen.“We have national governments now who are also very adamant, because they can see what can happen, and they want to make it happen for their own populations.” More