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What can Mitt Romney do for HIV/AIDS?

So far, he’s silent on the disease — unlike President Bush

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By JAMES DRISCOLL, Ph.D.  

What can Mitt Romney do for AIDS? In a word — plenty. As we approach the XIX International AIDS Conference opening in Washington July 22, Mitt Romney has so far said nothing about AIDS. Perhaps his advisers are reluctant to touch the subject. They shouldn’t be. George W. Bush learned early that AIDS holds opportunities for conservative activism; he then built the best AIDS record of any president.

The Bush record provides a fine example and starting place for Mitt Romney. Bush cleared regulatory hurdles to rapid HIV testing and reformed federal AIDS care programs. He launched PEPFAR, the President’s Emergency Plan for AIDS, which has become the most successful foreign aide initiative since the Marshall Plan. Bringing AIDS drug treatment to millions in Asia and Africa, PEPFAR has saved countless lives and earned America worldwide respect and good will.

However, many more lives can now be saved by improved use of PEPFAR resources. As president, Romney could focus the program more on antiretroviral drug treatment and less on administration. Program efficiencies, boosted by falling drug costs, could allow PEPFAR to treat many more patients with current funding.

Tariffs and taxes on medical products remain serious obstacles to combating AIDS and other killers throughout the developing world. More than 30 countries, including the U.S., have abolished tariffs on medical products. Nonetheless, in too many trade negotiations, medical products still have the same priority as balloons, boom boxes and rum. Everything is a trading chip, regardless of whether it is trifling or essential to human health. This must change.

Countries like India, China and Thailand, with chronic trade surpluses and large HIV epidemics, continue to impose trade barriers on medications for AIDS and other life-threatening diseases. Elimination of all taxes worldwide on vital medical products would be a great boon to world health. At the same time it would help reduce dangerous trade imbalances between the West and Asia, an important priority for the next president.

PEPFAR gave President Bush a chance to pursue a lofty international goal. President Romney will have a unique opportunity to advance America’s domestic AIDS goals.  Last year NIH’s 052 study, cited by Science as the top advance of 2011, proved that anti-retroviral treatment is 96 percent effective in preventing infection of HIV negative partners. We now know that widespread HIV testing and treatment can prevent the spread of AIDS.

However, more than 20 percent of HIV positives in America do not know their status. We must get them tested and into treatment. President Obama formulated a viable National AIDS Strategy, but he has neglected the hardest part, implementation. As a result, the AIDS virus continues to spread rapidly among many groups, especially gay men, Latinos and African-American women.

President Romney would need to re-prioritize AIDS funding in order to find savings and efficiencies to pay for more testing, linkage to care and AIDS drug treatment for many additional HIV patients. He can, thereby, reduce the rate of new infections and at last turn the tide against AIDS in America.

Keeping down AIDS regimen costs is essential to HIV treatment expansion given a troubled global economy and soaring deficits in every developed country. We must recognize that nearly all AIDS patients are poor people whose treatment hinges on some form of taxpayer funding. There is no true free market in AIDS drugs.

Presidential leadership will be crucial to negotiating agreements with pharmaceutical companies that allow us to treat many more HIV-positive Americans with current funding. The global AIDS drug market is $22 billion. A share of a market that size is a powerful incentive to continue development of new HIV drugs, though additional inducements would be helpful.

The next president needs to create effective tax, IP and regulatory avenues to speed private sector research on cures and better treatments for the big killers with the heaviest impact on healthcare budgets, like Alzheimer’s, cancer, diabetes, and HIV-AIDS. The best, the most humane, way to cut spiraling healthcare costs is to prevent, cure or effectively treat the most costly diseases.

Americans will want Romney to replace “Obamacare” with policies that deliver better healthcare at sustainable costs. However, silence and inaction by Romney on AIDS will make Obama shine by comparison. The XIX International AIDS conference offers Romney a choice opportunity to show America how and why he can do better.

Equally important, AIDS and the XIX Conference give him a chance to reach out to the constituencies who suffer most from AIDS and feel marginalized by the Republican Party — gays, Latinos and African Americans. Romney can thereby demonstrate the broad understanding and proactive leadership essential to serving as president of all Americans.

James Driscoll, Ph.D., is a longtime AIDS activist and was a member of the Presidential Advisory Council on HIV/AIDS under President George W. Bush.

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Candidates should pledge to nominate LGBTQ judge to Supreme Court

Presidential, Senate hopefuls need to go on the record

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U.S. Supreme Court (Washington Blade photo by Michael Key)

As soon as the final votes are cast and counted and verified after the November 2026 elections are over, the 2028 presidential cycle will begin in earnest. Polls, financial aid requests, and volunteer opportunities ad infinitum will flood the public and personal media. There will be more issues than candidates in both parties. The rending of garments and mudslinging will be both interesting and maybe even amusing as citizens will watch how candidates react to each and every issue of the day.

There is one particular item that I am hoping each candidate will be asked whether in private or in public. If a Supreme Court vacancy occurs in your potential administration, will you nominate an open and qualified LGBTQ to join the remaining eight?

Other interest groups on both sides have made similar demands over the years and have had them honored. Is it not time that our voices are raised as well? There are several already sitting judges on both state and federal benches that have either been elected statewide or approved by the U.S. Senate.

Our communities are being utilized and abused on judicial menus. Enough already! Challenge each and every candidate, regardless of their party with our honest question and see if honest answers are given. By the way … no harm in asking the one-third of the U.S. Senate candidates too who will be on ballots. Looking forward to any candidate tap dancing!

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2026 elections will bring major changes to D.C. government

Mayor’s office, multiple Council seats up for grabs

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(Washington Blade file image by Aram Vartian)

Next year will be a banner year for elections in D.C. The mayor announced she will not run. Two Council members, Anita Bonds, At-large, and Brianne Nadeau, Ward 1, have announced they will not run. Waiting for Del. Norton to do the same, but even if she doesn’t, there will be a real race for that office. 

So far, Robert White, Council member at-large, and Brooke Pinto, Council member Ward 2, are among a host of others, who have announced. If one of these Council members should win, there would be a special election for their seat. If Kenyon McDuffie, Council member at-large, announces for mayor as a Democrat, which he is expected to do, he will have to resign his seat on the Council as he fills one of the non-Democratic seats there. Janeese George, Ward 4 Council member, announced she is running for mayor. Should she win, there would be a special election for her seat. Another special election could happen if Trayon White, Ward 8, is convicted of his alleged crimes, when he is brought to trial in January. Both the Council chair, and attorney general, have announced they are seeking reelection, along with a host of other offices that will be on the ballot.  

Many of the races could look like the one in Ward 1 where at least six people have already announced. They include three members of the LGBTQ community. It seems the current leader in that race is Jackie Reyes Yanes, a Latina activist, not a member of the LGBTQ community, who worked for Mayor Fenty as head of the Latino Affairs Office, and for Mayor Bowser as head of the Office of Community Affairs. About eight, including the two Council members, have already announced they are running for the delegate seat.

I am often asked by candidates for an endorsement. The reason being my years as a community, LGBTQ, and Democratic, activist; and my ability to endorse in my column in the Washington Blade. The only candidate I endorsed so far is Phil Mendelson, for Council chair. While he and I don’t always agree on everything, he’s a staunch supporter of the LGBTQ community, a rational person, and we need someone with a steady hand if there really are six new Council members, out of the 13. 

When candidates call, they realize I am a policy wonk. My unsolicited advice to all candidates is: Do more than talk in generalities, be specific and honest as to what you think you can do, if elected. Candidates running for a legislative office, should talk about what bills they will support, and then what new ones they will introduce. What are the first three things you will focus on for your constituents, if elected. If you are running against an incumbent, what do you think you can do differently than the person you hope to replace? For any new policies and programs you propose, if there is a cost, let constituents know how you intend to pay for them. Take the time to learn the city budget, and how money is currently being spent. The more information you have at your fingertips, the smarter you sound, and voters respect that, at least many do. If you are running for mayor, you need to develop a full platform, covering all the issues the city will face, something I have helped a number of previous mayors do. The next mayor will continue to have to deal with the felon in the White House. He/she/they will have to ensure he doesn’t try to eliminate home rule. The next mayor will have to understand how to walk a similar tightrope Mayor Bowser has balanced so effectively. 

Currently, the District provides lots of public money to candidates. If you decide to take it, know the details. The city makes it too easy to get. But while it is available, take advantage of it. One new variable in this election is the implementation of rank-choice voting. It will impact how you campaign. If you attack another candidate, you may not be the second, or even third, choice, of their strongest supporters. 

Each candidate needs a website. Aside from asking for donations and volunteers, it should have a robust issues section, biography, endorsements, and news. One example I share with candidates is my friend Zach Wahls’s website. He is running for United States Senate from Iowa. It is a comprehensive site, easy to navigate, with concise language, and great pictures. One thing to remember is that D.C. is overwhelmingly Democratic. Chances are the winner of the Democratic primary will win the general election. 

Potential candidates should read the DCBOE calendar. Petitions will be available at the Board of Elections on Jan. 23, with the primary on June 16th, and general election on Nov. 3. So, ready, set, go! 


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

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Lighting candles in a time of exhaustion

Gunmen killed 15 people at Sydney Hanukkah celebration

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(YouTube screenshot via Reuters)

In the wake of the shooting at Bondi Beach that targeted Jews, many of us are sitting with a familiar feeling: exhaustion. Not shock or surprise, but the deep weariness that comes from knowing this violence continues. It is yet another reminder that antisemitism remains persistent.

Bondi Beach is far from Washington, D.C., but antisemitism does not respect geography. When Jews are attacked anywhere, Jews everywhere feel it. We check on family and friends, absorb the headlines, and brace ourselves for the quiet, numbing normalization that has followed acts of mass violence.

Many of us live at an intersection where threats can come from multiple directions. As a community, we have embraced the concept of intersectional identity, and yet in queer spaces, many LGBTQ+ Jews are being implicitly or explicitly asked to play down our Jewishness. Jews hesitate before wearing a Magen David or a kippah. Some of us have learned to compartmentalize our identities, deciding which part of ourselves feels safest to lead with. Are we welcome as queer people only if we mute our Jewishness? Are those around us able to acknowledge that our fear is not abstract, but rooted in a lived reality, one in which our friends and family are directly affected by the rise in antisemitic violence, globally and here at home?

As a result of these experiences, many LGBTQ+ Jews feel a growing fatigue. We are told, implicitly or explicitly, that our fear is inconvenient; that Jewish trauma must be contextualized, minimized, or deferred in favor of other injustices. Certainly, the world is full of horror. And yet, we long for a world in which all lives are cherished and safe, where solidarity is not conditional on political purity or on which parts of ourselves are deemed acceptable to love.

We are now in the season of Chanuka. The story of this holiday is not one of darkness vanishing overnight. It is the story of a fragile light that should not have lasted. Chanuka teaches us that hope does not require certainty; it requires persistence and the courage to kindle a flame even when the darkness feels overwhelming.

For LGBTQ+ Jews, this lesson resonates deeply. We have survived by refusing to disappear across multiple dimensions of our identities. We have built communities, created rituals, and embraced chosen families that affirm the fullness of who we are.

To our LGBTQ+ siblings who are not Jewish: this is a moment to listen, to stand with us, and to make space for our grief. Solidarity means showing up not only when it is easy or popular, but especially when it is uncomfortable.

To our fellow Jews: your exhaustion is valid. Your fear is understandable, and so is your hope. Every candle lit this Chanuka is an act of resilience. Every refusal to hide, every moment of joy, is a declaration that hatred will not have the final word.

Light does not deny darkness. It confronts it.

As we light our candles this Chanuka season, may we protect one another and bring light to one another, even as the world too often responds to difference with violence and hate.

Joshua Maxey is the executive director of Bet Mishpachah, D.C.’s LGBTQ synagogue.

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