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I lost relatives to AIDS, a couple of my closest cousins. I lost friends to AIDS, high-school friends who never even made it to their 21st birthdays in the '80s. When it's that close to you, you can't really deny it, and you can't run from it.

Rulers like Egypt's Gamal Abdel Nasser started subsidizing bread as a way to buy loyalty, or at least obedience, and this system became so pervasive that the Tunisian scholar Larbi Sadiki described countries who used it as dimuqratiyyat al-khubz - "democracies of bread." But the problem with this system of offering bread in exchange for genuine democracy is that it can never last - sooner or later, the bread will run out, and people will start demanding bread and roses too.

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