During the 2022 U.S. Global Leadership Summit, former President George W. Bush asked an audience of American changemakers to consider the following: “What’s the role of a great country in the world? Is it to look inward? Is it to think about how to solve big problems?”
Bush was speaking about the President’s Emergency Plan for AIDS Relief (PEPFAR) — landmark legislation crafted under his leadership by an unlikely coalition of partisans and idealists who believed the U.S. could change the face of global health. I was among them. As the deputy staff director of the House Foreign Affairs Committee, my job was to move the plan from principles to implementation, helping broker what has since become the largest commitment by any nation to address a single disease in history.