sustainability of such processes—however, I believe that if created, such bodies would offer a decent start to solving some of these ethical dilemmas, and they would be able to refine their deliberative processes as ARV scale-up progresses.

Finally, as stated above, the provision of treatment should not be delayed in the name of perfecting the decision-making process or in the name of finding the best ethical theories to support pragmatic decisions. Even if a decision makes moral sense, it may be difficult or impossible to implement it on the ground. I strongly believe that making concrete attempts to anticipate and address ethical problems will make for more effective and equitable programs, as will a commitment to reconsidering and refining these ethical hurdles as the programs progress. However, while ethical principles and ethical deliberation are most important, they should not used as an excuse to delay or prevent the implementation of lifesaving treatment—saving any life is better than saving none.


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