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Former U.S. Senators Press Congress to Treat Global Health as Strategic Asset, Citing PEPFAR's 26 Million Lives

Two former U.S. senators are urging Congress to institutionalize what they call "strategic health diplomacy" — the deliberate use of global health investment as an instrument of American national interest. Writing through the Bipartisan Policy Center, they point to PEPFAR, the President's Emergency Plan for AIDS Relief launched in 2003, as the clearest evidence the approach delivers: 26 million lives saved, millions of HIV infections prevented, and documented gains in pro-American sentiment, socioeconomic outcomes, and political stability in countries that received the program's support.

By Dev OkaforNewsroomJune 21, 20262 min read
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Two former U.S. senators are urging Congress to institutionalize what they call "strategic health diplomacy" — the deliberate use of global health investment as an instrument of American national interest. Writing through the Bipartisan Policy Center, they point to PEPFAR, the President's Emergency Plan for AIDS Relief launched in 2003, as the clearest evidence the approach delivers: 26 million lives saved, millions of HIV infections prevented, and documented gains in pro-American sentiment, socioeconomic outcomes, and political stability in countries that received the program's support.

The PEPFAR Data Make the Case

The Bipartisan Policy Center's research compared PEPFAR target countries directly against countries that did not receive the program's support. The gap was not narrow. PEPFAR nations showed better socioeconomic indices and reduced political instability — outcomes the authors frame not as philanthropy but as measurable strategic returns. The two senators say they played leading roles in the program's 2003 launch, giving them a stake in its track record.

The research also found that PEPFAR contributed to a positive opinion of the United States among recipient populations. That soft-power dividend is harder to price than a percentage point on an economic index, but the Bipartisan Policy Center's work places it in the same analytical frame as the security and economic findings — part of one coherent return on investment.

A Bipartisan Mechanism, Not an Ideological One

The authors are deliberate about bridging the political divide. Their argument is that the logic of strategic health diplomacy holds whether a given administration grounds its foreign policy in "America First" or "American exceptionalism." The underlying mechanism — building health capacity abroad to reduce instability and advance American influence — produces outcomes Washington wants independent of whatever ideological label is currently governing. That framing is the op-ed's sharpest rhetorical move: it removes the usual excuse for inaction.

Active Outbreaks Give Congress a Live Case Study

A current hantavirus outbreak and an evolving Ebola crisis supply the authors with a timely argument that this is not historical abstraction. Both pathogens illustrate the structural premise: disease does not clear customs. The health of Americans is directly tied to health conditions in countries that may never appear on a standard national security briefing. The authors' call to Congress is to treat that interdependence not as a liability to manage reactively, but as a strategic opening — one that PEPFAR's documented record suggests can be converted into durable American influence, reduced political instability, and lives saved at the same time.

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About this story

Filed by the newsroom of MarketPR on June 21, 2026. Source: MarketPR. Indicative figures are not investment advice.

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Key takeaways

Frequently asked

What is PEPFAR and when was it launched?

PEPFAR is the President's Emergency Plan for AIDS Relief, launched in 2003, which the article credits with saving 26 million lives and preventing millions of HIV infections.

What is "strategic health diplomacy"?

It is the deliberate use of global health investment as an instrument of American national interest, building health capacity abroad to reduce instability and advance U.S. influence.

What did the Bipartisan Policy Center's research find about PEPFAR countries?

Compared to countries that did not receive PEPFAR support, recipient nations showed better socioeconomic indices, reduced political instability, and more positive opinion of the United States.

Why do the authors say their argument is bipartisan?

They contend the mechanism produces outcomes Washington wants regardless of whether an administration grounds its foreign policy in "America First" or "American exceptionalism."

How do current disease outbreaks factor into the argument?

A current hantavirus outbreak and an evolving Ebola crisis illustrate that disease does not respect borders, tying Americans' health to conditions in countries that may not appear in standard national security briefings.