I'll be as brief as I can.
I would like to give a specific example of a colleague of mine who was working to start an antiretroviral treatment program with MSF in the early days in Mozambique. His wife, a gynecologist who was working on maternal mortality, said, “We don't even get support to be able to do work on maternal mortality. How do you expect to be able to roll out antiretroviral treatment when there are all these burdens and all these barriers and all these arguments about this not working?” And he said, “We're changing the paradigm. There's been recognition of a stunning disease devastating the global south, and we're going to bring that to the fore and change the paradigm.”
We have seen that infrastructure gets built and resources come forward; when there is political will, you can actually respond. Some 5.2 million people who are on treatment today would have died without it. There were 8,000 people on treatment in all of Africa a decade ago.
So the arguments about infrastructure made at that time--they're the exact same arguments that are being made about infrastructure today.