Sarah Hirshander

speaker
283 appearances 3 recordings 1 series first heard Mar 2026 last heard 30 Jul

Sarah Hirshander’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 3 in all, peaking in Jul 2026 with 1.

Appearances

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The outroar was big enough that they decided not to kill PEPFAR entirely.
But what we're seeing now, over a year later, is that while PEPFAR still technically exists,
it's been entirely reshaped under the Trump administration.
And that refers to both funding, there's just less funding than there used to be, that refers to these all-important preventative services that stop people from getting HIV in the first place.
And it also comes to the kind of groups that are being served with specialized services.
So something that we've seen under the Trump administration that's quite unprecedented is that the groups that are most at risk of HIV, that refers to, for example,
young women and teen girls, it refers to sex workers, it refers to the LGBTQ community.
People who were getting specialized services as part of just epidemiological wisdom on how to fight this are seeing unprecedented cuts.
They've been disproportionately affected.
And we have reasons to believe that
That is probably because of the Trump administration's ideology.
They've been particularly targeting these sort of groups.
So we're also seeing kind of a reshaping of how prevention is distributed, how treatment gets distributed.
Yeah.
I mean, there's a lot of things that can make one angry about what happened here, but this part I found to be sort of the most surreal.
And that's the fact that under the Trump administration, a rule that had long been in place under Republican administrations around how the US distributes foreign aid, it's called either the Mexico City policy if you're a Republican, the global gag rule if you are a Democrat, typically how they refer to it.
For a long time, it kind of shifted how foreign aid was distributed depending on if an organization supported abortion services.
That was like where the ideological battle lied.
Under the Trump administration, that was expanded threefold, maybe even more than that.
He explicitly changed that rule to also include any organization that so much as mentions abortion, any organization accused of promoting gender ideology, and any organization that could be accused of promoting DEI.
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