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I mean, the market puts little to no value on their lives. I am simply pointing out that there is nothing different about keeping people alive for the sake of keeping them alive in PEPFAR than any other boring charity like food stamps or Medicaid. I suppose these people kept alive can also threaten to immigrate, which is a bad thing. So yeah. Why is this "effective?"
Foreign aid is arguably unconstitutional, but the inception of PEPFAR was not approved by Congress. They may arguably have adopted it later on, but the inception was just GWB going rogue.
No the point of the comparison is that my house building program IS actually good and effective, so long as you keep it small in scope. You scout 10 potentially talented homebuilders and spend time, money, and resources training them. Then they go out and make their world better by building homes. PEPFAR does nothing of the sort. It just lets anyone who contracted a deadly STD keep on living with no scrutiny as to whether they can or will make the world better by their continued existence, and past performance indicates not so.
I was posing a hypothetical charitable educational program that had the potential for being effective, not just a self licking ice cream cone.
If you don't accept the philosophical foundations of universalisms wrt human life then, yeah, sure. No argument from me. Using markets to determine the value of a human life comes with a lot of caveats in the best of times.
Sure, I don't know enough to debate its whole origin story. And had I been president I would not used taxpayer dollars in such a fashion. I'm actually not aware of detailed constitutional arguments/cases for/against foreign aid as a whole category. It seems if a national defense argument can be made, then it's going to be allowable by default.
I don't think I disagree with you here, overall. I'd just say that we could have compromised/hedged and ended U.S. involvement as a handoff, not as a near-immediate shutdown.
I do accept the value inherent to human life, I just dont see how it translates into the moral argument for charity. PEPFAR in particular I dont see the argument for the extreme reaction to its removal when it obviously re-counts its "lives saved" every year. There is probably someone who did some math regarding something like QALs/$ or something similar and pitched PEPFAR as super effective or something (I am guessing this is where they are laundering in "effective"?), but if you aren't heavily discounting the "quality" in those QALs for an African PERPAR recipient as opposed to the children of a fallen US Veteran your brain is a bit bamboozled.
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