Health
Obama AIDS strategy targets gay, bi men
White House plan calls for shifting HIV prevention to high-risk groups

Michael Weinstein, president of the AIDS Healthcare Foundation, called the proposed $30 million AIDS strategy and the $25 million proposed for ADAP grossly inadequate. Other AIDS activists disagreed with that assessment and praised President Obama’s plan. (Washington Blade photo by Michael Key)
A long-awaited National HIV/AIDS Strategy document the White House released this week calls for devoting more funds and attention to HIV prevention programs that target four high-risk population groups, especially gay and bisexual men.
In unusually blunt language, the 45-page strategy document that took 15 months to prepare says state and federal AIDS prevention programs have so far failed to adequately target gay and bisexual men and transgender people.
“Given the starkness and the enduring nature of the disparate impact on gay and bisexual men, it is important to significantly reprioritize resources and attention on this community,” says the document. “The United States cannot reduce the number of HIV infections nationally without better addressing HIV among gay and bisexual men.”
The document adds, “As with gay and bisexual men, transgender individuals are also at high risk for HIV infection. … Yet, historically, efforts targeting this specific population have been minimal.”
Other high-risk groups the strategy calls for targeting are blacks, Latinos and substance abusers.
The National HIV/AIDS Strategy and an accompanying 35-page Federal Implementation Plan call for reducing the overall number of new infections by at least 25 percent over the next five years; increasing access to medical care and “optimizing health outcomes” for people living with HIV; and reducing HIV-related health disparities.
“The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity, or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination,” the implementation plan declares as its goal.
The strategy and implementation document were released Tuesday amid a flurry of activity at the White House, which included a morning briefing on the document for the media and AIDS activists. Among those conducting the briefing were Melody Barnes, director of the White House Domestic Policy Council; Kathleen Sebelius, secretary of the Department of Health & Human Services, and Jeff Crowley, the gay director of the White House Office of National AIDS Policy.
Later in the day, President Obama hosted a reception in the White House East Room for about 150 national and community activists working on HIV/AIDS issues.
“From activists, researchers, community leaders who’ve waged a battle against AIDS for so long, including many of you here in this room, we have learned what we can do to stop the spread of the disease,” Obama told the gathering.
“We’ve learned what we can do to extend the lives of people living with it. And we’ve been reminded of our obligations to one another — obligations that, like the virus itself, transcend barriers of race or station or sexual orientation or faith or nationality,” he said.
“So the question is not whether we know what to do, but whether we will do it, whether we will fulfill those obligations, whether we will marshal our resources and the political will to confront a tragedy that is preventable.”
The president was interrupted briefly during his remarks by a man in the audience who shouted, “Mr. President,” prompting Obama to promise to talk with him after finishing his speech at the reception.
“Let’s hold on, you can talk to me after — we’ll be able to talk after I speak,” Obama said. “That’s why I invited you here, right? So you don’t have to yell.”
The audience member was later identified as Charles King, president and CEO of Housing Works, a New York City-based AIDS group that sometimes organizes AIDS-related protests involving arrests spurred by civil disobedience.
After completing his remarks, the president walked to where King was standing and spoke with him as news photographers hovered over the two.
King could not be immediately reached and it was not clear what he and Obama said to each other. But his brief interruption of Obama’s speech drew attention to concerns raised by some AIDS activists that the National HIV/AIDS Strategy does not include a call for significant new funds to fight the AIDS epidemic.
At the White House briefing earlier in the day, Sebelius and Crowley announced that the Obama administration would allocate $30 million to implement the strategy from a disease prevention fund created by the Affordable Care Act. The act is one of two landmark bills that Congress passed earlier this year to put in place the president’s sweeping health insurance reform proposals.
Sebelius and Crowley also noted that the administration would arrange for a separate emergency supplemental appropriation of $25 million to fund the struggling AIDS Drug Assistance Program, which provides life-prolonging anti-retroviral drugs for low-income people with HIV/AIDS who lack health insurance.
AIDS activists have criticized the administration and Congress for declining so far to appropriate $126 million in emergency funds for ADAP this year, an amount that state AIDS office directors believe is needed to provide drugs for 2,300 people who are on ADAP waiting lists in at least a dozen states.
The AIDS Healthcare Foundation, which bills itself as the largest global AIDS organization providing medical care to people with HIV/AIDS, held a separate news conference in Washington on Tuesday to criticize the AIDS strategy document.
Michael Weinstein, the group’s president, called the proposed $30 million allocation for the National HIV/AIDS Strategy and the $25 million proposed for ADAP grossly inadequate. He also said that the strategy document contained few if any new ideas and would likely “collect dust at the Library of Congress.”
But officials with other national AIDS organizations did not share Weinstein’s assessment of the strategy, calling it an important first step and a first-of-its-kind effort to prioritize federal AIDS programs.
“Today, the Obama administration took a significant step forward in the domestic battle against HIV/AIDS,” said AIDS Action, a national AIDS advocacy group, in a statement.
The statement said that, if properly implemented, the strategy would become “the first truly effective, comprehensive national plan in response to the U.S. HIV/AIDS epidemic, now in its 30th year.”
Michael Ruppal, executive director of the AIDS Institute, another national advocacy group, praised the strategy as an “ambitious” effort to curtail the domestic U.S. AIDS epidemic.
“The strategy will serve as a meaningful roadmap to reduce the number of HIV infections in the U.S., provide care to those who need it, and help reduce the stigma and disparities often associated with HIV/AIDS,” Ruppal said.
But he added, “Now we must turn our collective energies to implementing it with the necessary leadership and resources to achieve its goals and provide results for people who are currently living with HIV/AIDS or may be affected in the future.”
Cornelius Baker, former executive director of D.C.’s Whitman-Walker Clinic and a member of Obama’s Presidential Advisory Council on HIV/AIDS, issued a statement in his role as an official with the National Black Gay Men’s Advocacy Coalition.
He said the coalition considers the National HIV/AIDS Strategy and its accompanying implementation plan “significant steps forward in our nation’s effort to end the HIV epidemic.”
“Black gay men represent one of the most highly impacted populations and suffer the greatest disproportionate burden of the disease,” Baker said. “The National HIV/AIDS Strategy represents a major advance in its recognition that black gay men must be a focal point of attention if the United States is to make progress in reversing the trends of the HIV epidemic.”
In addition to the strategy and implementation documents, Obama issued a separate presidential memorandum to the heads of more than a dozen executive branch departments and agencies, establishing goals and timetables for carrying out the strategy.
The Obama memorandum designates six departments and agencies as “lead agencies” for implementing the strategy. They include the Department of Health & Human Services; Department of Justice; Department of Labor; Department of Housing & Urban Development; Department of Veterans Affairs; and the Social Security Administration.
The White House Office of National AIDS Policy, in consultation with the Office of Management & Budget, is assigned the task of monitoring the progress of the strategy’s implementation and setting the administration’s priorities for the project, the memo says.
At the White House briefing Tuesday, Crowley acknowledged that the National HIV/AIDS Strategy doesn’t initially call for providing significant new funds in the fight against AIDS, although he and Sebelius noted that the administration is committed to continue its existing proposals for increases in the federal AIDS budget in fiscal year 2011 and future years. The two also said the expansion of health insurance coverage for people who currently can’t afford it under the Obama health care legislation passed by Congress will greatly boost treatment and care for people with HIV/AIDS between now and 2014.
Crowley said the economic downturn and other competing spending needs made it important for the strategy to focus on ways to better use existing resources.
“Gay and bisexual men have comprised the largest proportion of the HIV epidemic in the United States since the first cases were reported in the 1980s, and that has not changed,” says the strategy document. “They still comprise the greatest proportion of infections nationally.”
To further show why greater resources must immediately be shifted to HIV prevention programs aimed at gay and bisexual men, the strategy document lists these facts:
• gay and bisexual men of all races are the only group in the United States where the estimated number of new HIV infections is rising annually;
• they are 44 to 86 times more likely to become infected with HIV than other men, and 40 to 77 times more likely to become infected than women;
• approximately one-half of the 1.1 million persons living with HIV in the United States are gay and bisexual men, and they account for the majority (53 percent) of new HIV infections each year;
• and high rates of HIV among gay men are found not only in large urban areas. More than half of all AIDS cases diagnosed in the United States are among gay and bisexual men irrespective of town or city size.
Jose Zuniga, president of the International Association of Physicians in AIDS Care, praised the strategy document’s call for participation by non-government entities and individuals to help implement the strategy, saying more than 13,000 members of his group worldwide and more than 5,000 U.S. members “stand ready” join in the effort.
“[W]e have a ready army of seasoned advocates — public health experts, clinicians and allied healthcare and laypeople providers, AIDS service organizations, community and faith-based organizations, academic institutions, and professional associations — that can help to accelerate implementation and thus allow for more quickly achieving many of the National HIV/AIDS Strategy’s objectives,” he said.
Health
United States Conference on HIV/AIDS grapples with federal budget cuts
Annual gathering is largest of its kind in the country
Advocates, public health experts, and healthcare providers gathered for the United States Conference on HIV/AIDS on Sept. 17 in Anaheim, Calif.
The conference is the largest of its kind in the nation and came amid a wave of new challenges for HIV research and treatment. Since the beginning of the second Trump-Vance administration, federal spending cuts have targeted HIV/AIDS programs, including the gutting of the U.S. Agency for International Development and proposed cuts to PEPFAR, which supports HIV testing and treatment globally, in 2025.
Last year, Congress maintained funding for HIV programs after proposed cuts faced opposition from advocacy groups and bipartisan criticism. Yet, this year Congress has proposed similar cuts to many of the same programs, which would cut nearly one billion dollars in HIV funding. The majority of the cuts would impact HIV prevention and outreach, which includes ending nearly all Centers for Disease Control and Prevention HIV prevention activities.
“If we continue down this path,” said Jeremiah Johnson, the executive director of PrEP4ALL, an advocacy group that supports expanding access to HIV prevention. “We’re going to see more people falling off treatment. We’re going to see more wait lists. That’s going to lead to more people dying from AIDS-related complications.”
Cuts and challenges
The funding cuts loomed over the conference and inspired protest from activists.
On the first day of USCHA, activists with Save HIV Funding organized a mock funeral outside the convention center. Advocates living with HIV wrote eulogies for themselves, meant to show the consequences of diminished access to treatment. Then activists marched through the conference carrying fake coffins.
Johnson, who helped organize the protest, said that “the Trump administration has eviscerated global aid … and the fears that many of us are just talking about hypothetically for ourselves at the moment are already happening [internationally]. And so we wanted to place that front and center at this conference.”
The attacks on funding for HIV research and outreach come at a complicated time for the movement to end the AIDS epidemic. While options for prevention and treatment have never been more accessible, such as PrEP and antiretroviral therapy, there have been some concerning upticks in infections, particularly among communities of color.
Southern states account for the majority of new HIV infections in the country, despite making up only 38 percent of the population. And these infections impact disproportionately Black and Latino communities. According to the CDC, even as overall HIV infections decreased from 2018 to 2022, diagnoses of HIV among Latinos grew by 17 percent, with a majority of this increase happening in the South.
Stigma is still the biggest barrier for people seeking out HIV treatment, said Guillermo Chacón, president of the Latino Commission on AIDS.
“The progress that we [made] in the past two years has been demolished,” he said.
Chacón blames the federal government for stigmatizing HIV treatment by using harmful rhetoric about queer people.
“The level of homophobia and transphobia right now is even higher because it has been used as a political message to create fear and division in our country,” he said.
Chacón believes that research and outreach must be done to reverse the rising HIV infections among Latinos. However, this is exactly the type of research that the Trump-Vance administration is targeting most intensely. Research into “health disparities” — why some health problems impact certain communities more than others — has been heavily criticized by the White House, along with other research that it considers “woke” and claims is not supported by science.
Impact felt at conference
The opening plenary for the conference addressed some of the funding challenges the movement was facing but tried to shift the focus to the victories the movement has seen over the years. Speakers highlighted historic successful activist campaigns like ACT UP, and recent improvements in medical care and access to treatment.
Randevyn Pierre, head of U.S. external affairs at ViiV Healthcare, the sponsor of the plenary, took the stage to celebrate the success of the U = U campaign (undetectable viral load =
untransmittable HIV virus), and ViiV’s investment of $33 million in HIV community organizations across the U.S. This comes as the Trump-Vance administration has made moves to end direct funding of community-based organizations, opting to give the funding to state healthcare agencies.
The speakers at the conference discussed reducing stigma for those living with HIV and the joy of living authentically. They also emphasized the diverse groups of people that are impacted by HIV and how they can come together to fight for a cure. Longtime AIDS activist Rae Lewis Thorton exclaimed, “When they tell me there’s a cure to HIV, I’m gonna take off my 4-inch heels and put on gold slippers,” to applause from the audience.
The opening plenary also featured song and dance from a variety of artists, many of whom spoke about how HIV has impacted their own lives and how advocacy has uplifted their spirits. However, the joyous atmosphere at the conference would not last.
On the final day of USCHA, Geri Donenberg, the associate director of AIDS research at the National Institutes of Health, took the stage to address the conference.
As she spoke, phones began to buzz around the room with breaking news: the Trump-Vance administration was drafting an executive order to create an external board to oversee NIH grants and screen them for political content. NMAC CEO Harold Philips took the stage after Donenberg to address the crowd. “It’s up to us,” Philips said, “to hold NIH accountable.” He added that HIV advocates “have supporters inside NIH who are struggling and working to do the right thing. We have to have their back.”
Chants of “stand up, fight back, fight AIDS” erupted from the crowd as Philips spoke. “We do have to fight back. We do have to continue to fight,” Philips replied.
Caleb Kaufman is a California Local News Fellow placed with the Los Angeles Blade. The California Local News Fellowship is a state-funded initiative to support and strengthen local news reporting. Learn more about it at fellowships.journalism.berkeley.edu/cafellows.
Health
AIDS Healthcare Foundation announces 3 million people globally in its care
Los Angeles-based group lauded ‘historic milestone’
The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the world’s largest HIV/AIDS organization, has announced it has three million people in care around the world.
In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.
The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.
“Today, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,” the statement says.
“This accomplishment is far more than a number — it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,” Condessa M. Curley, the AHF board chair, said in a statement. “We extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,” Curley said.
The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to “fighting for the living and caring for the dying” at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers “and building a new paradigm for HIV care both in the United States and around the world.”
The statement adds, “Under the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.” It says Weinstein “has been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.”
The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, “while hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.”
It says AHF’s response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, “underscoring the organization’s continued emphasis on both prevention and treatment.”
In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000].
Cannabis Culture
LGBTQ people, weed, and mental health: what you need to know
Community uses marijuana at much higher rates than general population
Uncloseted Media published this story on May 7.
By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.
In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.
As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression aren’t painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.
Here’s what the research demonstrates about marijuana and its effects on mental health:
- Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
- One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.
The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers don’t know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.
- A systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:
They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.
- While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
- A 2025 systematic review found that “medicinal” weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
- Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.
Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.
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