Diary Prequel Package — page 195

The ambassador disburses Pepfar's funds; Congress authorized $15 billion over five years in 2003, and the fund has since paid for AIDS drugs for about two million people, mostly in Africa. Last year, after a bitter fight between liberal and conservative lawmakers over what the money could be spent on, the fund was renewed as part of a law authorizing $48 billion over five years for combating AIDS, tuberculosis and malaria. The question of who should run the program seems to be a legacy of that fight. Several names have been discussed as possible candidates, but AIDS activists say they know of no one who has been seriously vetted for the job by the Obama transition team since November. A day after Dr. Dybul's resignation, word began to circulate among AIDS activists that the job had been offered to Dr. Eric Goosby, the director of AIDS policy in Bill Clinton's administration, who now runs a San Francisco foundation devoted to fighting AIDS. According to a member of an anti-AIDS group speaking on the condition of anonymity, Senator John Kerry approached Mrs. Clinton, seeking the job for Dr. Jim Yong Kim, a Harvard medical school professor and former World Health Organization AIDS chief, and was told that she had offered it to Dr. Goosby. Through a spokesman, Dr. Goosby declined to confirm or deny that he had been offered the job, and Dr. Kim did not return phone calls seeking comment. Senator Kerry's spokesman said he would not discuss the senator's personal conversations with Mrs. Clinton. Both men had been discussed as possible candidates, along with Dr. Nils Daulaire, president of the Global Health Council; Dr. Wafaa El-Sadr, an epidemiologist at the Columbia School of Public Health; and Warren W. Buckingham III, Pepfar's director in Kenya, who is openly gay and taking AIDS drugs himself. Dr. Daulaire declined to be interviewed, Dr. El-Sadr said she had not heard that her name was among those being discussed, and Mr. Buckingham said he knew his name had been suggested by others but had not lobbied for the job and had not been contacted by either the Obama or Clinton teams. The abruptness of Dr. Dybul's departure and the secrecy of the process to replace him has upset some AIDS policy specialists. On Monday, a coalition of 68 anti-AIDS groups sent a letter to Mrs. Clinton asking her not to fill Mr. Dybul's post immediately but to convene a committee to identify top candidates and get many viewpoints, including theirs. One of its authors, Brian Hennessey of the Vineeta Foundation, expressed his irritation at how the request was ignored.