As President Bush returns to the United States from his whirlwind tour of Africa, Africa Action notes with concern that coverage of Bush’s trip has concentrated on particular successes in individual countries while ignoring the systemic, continent-wide development challenges that unjust U.S. economic policies continue to promote. Most of the attention around the Bush visit has focused on U.S. public health programs in Africa, particularly the President’s Emergency Plan for AIDS Relief (PEPFAR).