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Notes -
If you are making this argument for PEPFAR, I think it is self defeating.
All these sorts of arguments are inherently utilitarian at least in part. The problem with this is that there is no evidence that PEPFAR or related programs will solve the problem and end. Any utilitarian argument for a form of welfare must chart a path to its own termination, and frankly, that is the opposite of basically every African aid program. To be frank, there is no end in sight. Africans aren't on the path to manufacture their own mosquito nets, let alone antivirals. You are keeping people alive for the purpose of the next generation of Americans to pay to keep the next generation of them alive. Repeat until the AI destroys us all or decides to dedicate its purposes to keeping them alive, despite their best efforts.
Its not like the PEPFAR enthusiasts are human slavers of any sort and have a plan to take a bunch of Africans and make them carry raw materials to build a space elevator, but without that sort of plan the program does appear to lack much justification.
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