This book examines the George W. Bush administration's claim to have made major new contributions to health, development, democracy and peace in Sub-Saharan Africa. Though aid has increased and a major AIDS initiative launched, Copson argues that foreign aid is losing its focus on development as political priorities come to the fore; U.S. barriers to African exports remain substantial; and the AIDS program is unilateral and ideologically controversial. Increasingly military approaches to fighting the "Global War on Terror" in Africa and securing energy imports carries serious risks for the region. Copson concludes by assessing the prospects of a more equitable policy emerging in future administrations.