pepfar was not about americans doing, pepfar was about americans supporting africans from the villageevel to the statehouses to solve their hiv problem, and that's why tens of millions of people had their lives lifted up and saved. president obama is continuing this theme and is carrying the torch. his accra speech was fully on point to say that africans must lead and will lead and americans will support. and president obama's global health initiative, in our view, is a natural evolution of what was begun in the bush administration, not a break. and, in fact, so much so that the bush institute is focused on very similar efforts and working with the obama administration and his extraordinary team of people in this development and global health, many of you in this room among them as well from across the government at the white house, the state department, usaid, here at hhs, the peace corps and department of defense. now, pepfar came at a unique moment in history where the science gave us the opportunity to support people for prevention, treatment and care in combination which is what