Bush's main point-man for promoting abstinence as a first-line defense against HIV transmission was Randall Tobias:

As the Bush administration's so-called "AIDS czar," Tobias was criticized by some for emphasizing faithfulness and abstinence over condom use to prevent the spread of AIDS. In a 2004 interview, Tobias explained his approach as "A and B and C ... Abstinence works. 'Be faithful' works. Condoms work. They all have a role. But it's not a multiple choice, where there is only one answer."

As a top official overseeing global AIDS funding to other countries, Tobias was responsible for enforcing a U.S. policy, enacted during the Bush administration, that requires recipients to swear they oppose prostitution and sex trafficking. USAID adopted a similar policy in 2004.

You can almost predict the rest.

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