"If you sit in a position where decisions that you take would have a serious effect on people, you can't ignore a lot of experience around the world which says this drug has these negative effects"
About this Quote
Mbeki’s line reads like a defense memo disguised as moral seriousness: if you wield power, you must be guided by global experience, not private hunches or political convenience. The phrasing is deliberately bureaucratic - “sit in a position,” “decisions that you take” - as if the speaker is backing away from personal agency even while insisting on ethical responsibility. That tension is the point. He’s staking out the high ground of prudence: leaders don’t get to play amateur scientist when lives are on the table.
The subtext is aimed at the seductions of certainty, especially in public health crises where the pressure to “do something” can steamroll caution. “You can’t ignore” is less advice than indictment, a warning that willful disregard of evidence is itself a decision with consequences. By invoking “experience around the world,” Mbeki borrows legitimacy from consensus and scale; he frames knowledge as something accumulated through collective trial, error, and tragedy, not something negotiated domestically or ideologically.
The context, of course, is inseparable from Mbeki’s presidency and South Africa’s AIDS catastrophe, where debates over antiretrovirals and “toxicity” became entangled with postcolonial suspicion of Western medicine, pharmaceutical profiteering, and sovereignty. In that light, the quote functions as an attempt to sound like the grown-up in the room - insisting on harm reduction and responsibility. It’s also a revealing rhetorical move: evidence is invoked selectively, and the word “this drug” collapses complex medical trade-offs into a single ominous object. The sentence performs caution while quietly authorizing delay.
The subtext is aimed at the seductions of certainty, especially in public health crises where the pressure to “do something” can steamroll caution. “You can’t ignore” is less advice than indictment, a warning that willful disregard of evidence is itself a decision with consequences. By invoking “experience around the world,” Mbeki borrows legitimacy from consensus and scale; he frames knowledge as something accumulated through collective trial, error, and tragedy, not something negotiated domestically or ideologically.
The context, of course, is inseparable from Mbeki’s presidency and South Africa’s AIDS catastrophe, where debates over antiretrovirals and “toxicity” became entangled with postcolonial suspicion of Western medicine, pharmaceutical profiteering, and sovereignty. In that light, the quote functions as an attempt to sound like the grown-up in the room - insisting on harm reduction and responsibility. It’s also a revealing rhetorical move: evidence is invoked selectively, and the word “this drug” collapses complex medical trade-offs into a single ominous object. The sentence performs caution while quietly authorizing delay.
Quote Details
| Topic | Decision-Making |
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