Recent cuts to U.S. funding, especially from PEPFAR, are causing serious trouble for South Africa’s fight against HIV. Many health facilities have closed, and thousands of crucial healthcare workers have been let go, leading to fewer tests and treatments for people living with HIV. Vulnerable groups, like sex workers and the LGBTQ community, are at risk of losing the specialized care they need due to the shutdown of welcoming centers. Without immediate action, these funding cuts could lead to a steep rise in HIVrelated deaths, leaving many without the support they desperately require.