Maxine Leppard, State Department: 

Assistant to the Director of INR (Intelligence & Research) Africa.

State Department favors a prevention/eduation program in Africa.  That is affordable and desirable.   However, we see a  dilemma.  First,   the top --and mid-elites  like teachers and doctors--are needed to run the country.  There is value to stability and governability. 

We need to preserve elites, and that includes treating the military and police; half of Botswana's army is likely to die from AIDS, for example.  We are  trying to use African military in Africa for peacekeeping, under UN auspices; otherwise we have a significant security problem there.  

If these countries lose their leadership echelons, we fear an explosion of tribal conflict.   The breakdown of civil order will make prevention and treatment impossible.  Realistically, any treatment plan established by any group is likely to be diverted to provide drugs to the elites, no matter what the verbiage.  That is like "true lies"--it is  "good corruption."  What is risky is collapse of governments and regimes. 

NGOs and the activist groups around the world may not understand this need.   They have not thought through the consequences of the breakdown of civil order.  That breakdown has begun--did you see those reports on baby-rape? 

This three-pronged approach will help protect against political and economic collapse. 

Deputy Chief of Staff Treasury Dept Health and Human Services
Questions for US USAIDS US Trade Rep