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Relatively few people have access to antiretroviral treatment in South Africa. The government justifies this on grounds of affordability, a view that Nicoli Nattrass argues is insulating AIDS policy from social discussion and the possibilities of financing a large scale intervention. Nattrass addresses South Africa's contentious AIDS policy from both an economic and ethical perspective. This relevant and accessible work is a valuable resource for readers with an interest in AIDS policy and the social and economic implications of the pandemic.