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“if spiritual forces operate in a different sphere to the rule of law and human rights, then democratic politics is failing to deal with a fundamental problem in people’s lives and after-lives. the repercussions of AIDS for the moral cosmology are profound indeed. the secular frameworks of epidemiology and public policy will not by themselves be enough to make sense of the virus and epidemic. we need to develop and deploy metaphors that speak to the social world, constructed around moral imaginings which are impacted by AIDS and which in turn constrain social capabilities to respond to AIDS. we should also be alert to the fact that scholars and policy makers themselves are unable to think about the crisis that is AIDS without using language and imagery borrowed from another realm of human experience. how we think about the AIDS epidemic becomes its own reality. yet we must not lose sight of the virus and the disease. (…) AIDS represents the ordinary workings of biology, not an irrational or diabolical plague with moral meaning. HIV transmission is preventable and medication is available that can extend a healthy life for those living with HIV. science can triumph, given resources, policies and the right social and political context.” — Alex de Waal