In a post in Foreign Policy's "Democracy Lab" blog, Christian Caryl, a senior fellow at the Legatum Institute and the blog's editor, asks, "Which United States president will go down in history as the greatest humanitarian to have served in the office?" He writes, "I'd suggest that there's one president whose contribution dwarfs all the others" -- George W. Bush. "[O]nly a few Americans have ever heard of PEPFAR, the U.S. President's Emergency Plan for AIDS Relief, which President Bush announced in his State of the Union address in 2003," he continues, noting since PEPFAR's creation, the U.S. government has spent more than $44 billion through its bilateral programs and the multilateral Global Fund to Fight AIDS, Tuberculosis and Malaria.