Subject: Costs of CHAI domestic effort
From: Amitabh Desai <[email-masked]>
To: Hannah Richert <[email-masked]>, Bruce Lindsey <[email-masked]>, Laura Graham <[email-masked]>, Doug Band - PC <[email-masked]>, Justin Cooper - PC <[email-masked]>, "[email-masked]" <[email-masked]>
Date: Fri, 9 Dec 2011 07:03:16 -0500

FYI:

________________________________
From: Ira Magaziner
To: Amitabh Desai
Sent: Fri Dec 09 01:43:32 2011
Subject: RE:

Yes there will be extra cost.

We can absorb the financial costs of seeing whether we can set up a deal for the donation. This will involve just a few weeks of effort and it will either work or it will not.

If we are to undertake a major shift in strategy to engage in domestic AIDS work there would be significant costs associated and we would not entertain doing this unless  there was substantial funding up front that could pay for it.

I should also add that our management is split on this. Many feel that there is greater need for our services is in poor countries and that we should stick to that focus. Others feel that we should add a domestic effort. So we would have to talk this out internally if President Clinton wants us to add a domestic effort.

Ira

From: Amitabh Desai
Sent: Thursday, December 08, 2011 6:57 PM
To: Ira Magaziner
Subject: RE:

Thanks Ira. Would there be any costs for us to do this (answering the first set of questions and also then figuring out what a program might look like), in terms of staff time, etc? Sincerely, Ami

From: Ira Magaziner
Sent: Thursday, December 08, 2011 5:30 PM
To: Amitabh Desai
Subject: RE:

Ami:

We will reach out to some key US drug companies and see whether they are willing to make a donation to help clear ADAP lists and provide a cushion for others whose treatment might be jeopardized over the next two years. We will also talk with HHS and others and see how we might structure a program if we can get the drug companies to agree. If we can put a deal together, we will put see about an event to announce it with President Clinton.

We do not know if we will be successful, but we will find out by early to mid next week.

After we do this we will talk about whether we want to create a program to move CHAI into domestic AIDS work.

If we can succeed in putting together a program like this, the activist community will be divided. Some will be supportive. Others will not be happy because they want to bring low priced generics to the US and will view this as too small a step. We will not discuss what we are doing with the activist community until we know whether we can put together a deal.

Ira

From: Amitabh Desai
Sent: Thursday, December 08, 2011 1:27 PM
To: Ira Magaziner
Subject: RE:

Dear Ira, what are the next steps on this out of your discussion? Sincerely, Ami

From: Ira Magaziner
Sent: Thursday, December 08, 2011 1:03 PM
To: Amitabh Desai
Subject:

Ami:

I just spoke with President Clinton. He said that he was on the way to the office. Could you be sure that he sees the full memo we sent on domestic options and also the note that I just sent to you on the deals we have done and are doing with big pharmaceutical companies?

Thanks

Ira