Two flows on two compact manifolds are almost equivalent if there is a homeomorphism from the complement of a finite number of periodic orbits of the first flow to the complement of the same number of periodic orbits of the second flow that sends orbits onto orbits. We prove that every geodesic flow on the unit tangent bundle of a negatively curved 2-dimensional orbifold is almost equivalent to the suspension of some automorphism of the torus. Together with a result of Minikawa, this implies that all algebraic Anosov flows are pairwise almost equivalent. We initiate the study of the Ghys graph ---an analogue of the Gordian graph in this context-by giving explicit upper bounds on the distances between these flows.