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We admired President Bush's 2003 initiative to invest $15 billion to prevent and treat AIDS in Africa. We admired it less when it became a $30 billion initiative at the president's request, and still less when Congress upped the ante to $50 billion. There is much to dislike in the initiative, and the complaints will sound familiar to anybody who has observed how humanitarian-aid funds get spent in the real world: Money is misappropriated or diverted to tangentially related projects, often for reasons of politics. For all its faults, the undertaking represents a decent, pragmatic, and honorable effort to reduce the scale of a human ...