If we continue investing steadily in these programs, the Obama administration can realize its goal of funding antiretroviral treatment for more than 4 million people over the next five years; and our AIDS and malaria platforms can expand successfully into other health areas, in partnership with able international alliances like the Global Fund to Fight AIDS, Tuberculosis and Malaria. It won’t be easy. Over the past year, the pace of growth in treatment has slowed. Budgets have tightened. Concerns have mounted over the long-term cost of treatment, especially if resistance develops to current medications. In this difficult climate, tensions have.