To End a Plague… Again: A Conversation with Emily Bass

In this episode of A Shot in the Arm Podcast, host Ben Plumley engages in a comprehensive discussion with journalist and author Emily Bass about the current state of global health, specifically focusing on HIV/AIDS. Recorded in sunny Sacramento, they reflect on the extraordinary events of the past few months and assess the alignment of innovation and equity in global health. Their conversation covers a wide range of topics, including the importance of community-based care and accountability, the evolving role of international NGOs, and the critical nature of differentiated service delivery in HIV treatment. They also discuss the geopolitical uncertainties affecting global health funding and the influence of recent political changes in the US on the future of the global HIV response. They touch upon the significant role of entities like PEPFAR, the Global Fund, and UNAIDS, and the necessity for national contributions and regional procurement in sustaining HIV programs. Emily emphasizes the need to preserve community-based accountability and the value of innovative, country-led solutions for delivering healthcare. They conclude with a commitment to delve deeper into HIV prevention in a future episode, recognizing the ongoing challenges and opportunities in achieving global HIV/AIDS objectives. Emily’s book: To End a Plague: America's Fight to Defeat AIDS in Africa https://www.amazon.com/End-Plague-Americas-Defeat-Africa/dp/1541762436 Emily’s recent essay in the New York Times: https://www.nytimes.com/2025/07/14/opinion/pepfar-hiv-foreign-aid.html Emily’s Substack: https://substack.com/@emilysbass Ben’s Substack: https://substack.com/@benplumley1 Chapters: 00:00 Introduction and Host Welcome 00:36 Guest Introduction: Emily's Expertise 02:26 Global Health Check-In 03:11 Humanitarian Crises and HIV 05:00 Impact of Global Health Policies 06:44 HIV Treatment Challenges 08:57 Sustainability and Ownership in HIV Response 12:47 Global Health Architecture and Funding 16:33 The Role of PEPFAR and Global Fund 22:25 Future of Global Health Initiatives 38:25 Global Fund's Role in Procurement and National Contributions 40:33 US Congress and Global Health Budget 42:15 Innovation in Global AIDS Response 49:30 The Importance of Differentiated Service Delivery 01:00:58 Community Accountability in Public Health 01:09:38 Challenges and Future of HIV Prevention Join the Conversation! How do you see the future of global health unfolding? Share your thoughts in the comments! Subscribe & Stay Updated: Listen on Spotify, Apple Podcasts, or your favorite podcast platform. Watch on YouTube & subscribe for more in-depth global health discussions: www.youtube.com/@shotarmpodcast