Last year, Senate Majority Leader Bill Frist (R-Tenn.) helped delay efforts to apply the 2003 law to U.S. groups working overseas. This year he has stood on the sidelines. Frist -- who regularly travels to Africa to do pro bono work as a physician -- knows the situation on the ground far better than most of his colleagues. He should stand up to his fellow conservatives and speak out against the pledge. U.S. groups working overseas should also refuse to sign it. These groups fully understand why prostitution is a public health disaster in the developing world. They are working hard to give women better options, not through coercion or moralizing, but through venereal disease counseling, domestic violence prevention, literacy programs, job training and other social support. They shouldn't be forced to prove their sincerity by signing a pledge that could be used cavalierly against them.
