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If it makes everyone happier, instead of thinking of the money as being for AIDS, think of it as the United States offering Brazil $45 million to make prostitution illegal. The price, evidently, is not high enough but there is a price at which Brazil would make selling sex a crime. America just hasn't hit the number yet. Of course, there is a limit to what America is willing to pay.
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Maybe at some point but Brazil seems to be doing a pretty damn good job fighting AIDS (it's interesting that when an acronym hits critical mass people stop capitalising it, I'm as guilty as the rest on this) all by themselves and have at least in recent history, been very pickly to US demands for anything - see the incident where a US pilot was arrested for giving the finger to Brazilian passport control who started taking photos and fingerprints of incoming US citizens in retaliation to the US doing it.
From where I sit this is no different to 'charities' that indoctrinate kids in Africa while they feed and clothe them, I've on more than one occasion been approached by those assholes, I've got nothing but respect for charities that do work (MSF probably being the one I respect the most), particularly in Africa but if you're merely doing it to push your agenda you should be named and shamed for taking advantage of the suffering of others.