When President Donald Trump began his second term, the world was on the verge of a miracle: ending the global HIV pandemic by 2030. With the first strokes of his pen, Trump set to erase decades of progress fighting one of the world’s most lethal pandemics.

More than 20 million people relied on U.S. support for access to HIV medication. Additional millions depended on the U.S. for HIV prevention resources. Without U.S. support, by 2029 HIV-related deaths will increase nearly seven- to ten-fold, to 4-6 million. An estimated 6-7 million new infections will occur, five times more than projected by staying the course.

As an expert who has studied HIV and vulnerable communities for 38 years, the message is clear: to avoid a return to the darkest days of the pandemic, complete reinstatement of

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