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A personal victory for gay Pentagon official

‘Don’t Ask’ repeal allows gay service members to become ‘whole’

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Douglas Wilson, the Defense Department's assistant secretary for public affairs. (Washington Blade photo by Michael Key)

For the first openly gay assistant secretary at the Pentagon, helping to advance “Don’t Ask, Don’t Tell” repeal implementation has been a personally rewarding experience.

In an exclusive interview with the Washington Blade, Douglas Wilson, the Defense Department’s assistant secretary for public affairs, said Tuesday his role in bringing about the change has had particular significance for him because of his admiration for the nation’s armed forces.

“It’s meant a lot to me personally because it’s been an opportunity to help realize change in an institution that I respect tremendously,” Wilson said.

The process leading to gays serving openly in the U.S. military, Wilson said, has been important to him because he knows there are people in uniform who feel they “couldn’t be whole” as they served under “Don’t Ask, Don’t Tell.”

“I know what it’s like to feel like you’re not a whole person,” he said. “This is why as the process of repeal took place, and then the process of certification took place, that was something that personally I kept upper-most in my mind. An institution that has done so much for people, that has produced so many outstanding people, that has done so much for the country itself could understand and recognize how important it is to be a whole person.”

Wilson, whom the Senate confirmed in February 2010 to a senior position at the Pentagon, serves as assistant secretary of defense for public affairs. His duties include being a principal adviser to Defense Secretary Leon Panetta on public information and community relations.

It’s not the Tuczon, Ariz., native’s first job at the Defense Department. Under former defense chief William Cohen during the Clinton administration, Wilson, 60, was a deputy assistant secretary for public affairs, and later principal deputy assistant under public affairs.

Wilson has had numerous other roles in government service and in work for non-profit organizations. Previously, he served as executive vice president of the Howard Gilman Foundation, where he oversaw the development and implementation of the organization’s domestic and international policy programs at its White Oak conservation center.

But in addition to his current duties at the Pentagon, Wilson had a direct role in bringing about “Don’t Ask, Don’t Tell” repeal because he served on the executive committee for the Repeal Implementation Team.

“I’ve never seen myself as either a gay community leader or poster boy,” Wilson said. “I’ve always seen myself as a person with a whole lot of different components to me as an individual, and being gay is one of them.”

The culmination of that work took place when President Obama, Panetta and Chairman of the Joint Chiefs of Staff Adm. Mike Mullen certified that the U.S. military is ready for open service. Under the repeal law signed in December, “Don’t Ask, Don’t Tell” will be off the books 60 days after certification — so the law will officially come to an end on Sept. 20.

In the Blade interview, Wilson discussed a variety of topics including what the lifting of the military’s gay ban means to him as well as implications for service members in the future. His partner of 16 years is an educator.

His piece of advice for gay service members after “Don’t Ask, Don’t Tell” is the off the books? Feel confident and believe you can be whoever you want to be.

“The military cliche, slogan is ‘be all that you can be,'” Wilson said. “Never has this been so true as it’ll be on Sept. 20 for thousands of people.”

Wilson had few words about potential partner benefits that could be offered to gay service members upon repeal of “Don’t Ask, Don’t Tell” because he’s “not a specialist on benefits.” Pentagon officials have said they intend to examine the possibility of extending certain benefits to gay service members — although the Defense of Marriage Act prohibits major benefits like housing and health insurance from going to service members.

“I wouldn’t want to speculate because I think all of these are on the table and I think there is a true determination here to do the right thing and to follow the law,” Wilson said.

Additionally, Wilson addressed the possibility of an executive order barring discrimination against troops based on sexual orientation and gender identity. LGBT advocates have called for the order because no non-discrimination rule will be put in place for the military even after “Don’t Ask, Don’t Tell” is lifted, but the Pentagon officials have said they don’t believe such an order is necessary.

Wilson said channels are already in place for gay service members to make complaints about discrimination while enabling the Pentagon to keep its policies sexual orientation-neutral. Still, Wilson left the door open for further discussion on a non-discrimination order.

“People here are aware that there are different views on this issue,” Wilson said. “I expect that discussion on this issue is going to continue but that is the rationale.”

The transcript of the interview between the Washington Blade and Wilson follows:

Washington Blade: You were involved in the Repeal Implementation Team as the Pentagon made its way toward certification. As an openly gay man, what did that role mean for you personally?

Doug Wilson: I was a member of the executive committee of the RIT, and I’ve also have been here as the assistant secretary of defense for public affairs since February of 2010, and I think I’m the first openly gay assistant secretary in the Pentagon’s history. It’s meant a lot to me personally because it’s been an opportunity to help realize change in an institution that I respect tremendously.

I served here in the late ’90s under [former Defense Secretary] Bill Cohen, and I had never in a million years thought that I would be working at the Pentagon. It was a transformational experience for me. I met the most outstanding people in uniform, and civilians as well. But the people I met in uniform were absolutely remarkable people. The things they were required to do and did, the sacrifices that they made — it made a huge impression on me.

It also made an impression on me that there were men and women in uniform who couldn’t be whole. And I know what it’s like to feel like you’re not a whole person. This is why as the process of repeal took place, and then the process of certification took place, that was something that personally I kept upper-most in my mind. An institution that has done so much for people, that has produced so many outstanding people, that has done so much for the country itself — could understand and recognize how important it is to be a whole person.

It has demonstrated that when it came to the integration of the armed forces. It has demonstrated that when it came to the role of women in combat. And I knew that it could demonstrate that when it came to allowing gay and lesbian men and women to be whole and equal.

Blade: But have you ever found it challenging or felt out of place working for a department that — had you been working on the uniform side — until recently would have forced you out of your job because of your sexual orientation?

Wilson: Yes. I have been well aware that as a political appointee and as a civilian that I was able to do things that my counterparts in uniform were not able to do.

I’ve never seen myself as either a gay community leader or poster boy. I’ve always seen myself as a person with a whole lot of different components to me as an individual, and being gay is one of them. The thing that mattered the most to me was the folks in uniform would be able to be that. To be recognized as that — that being gay or lesbian is a component of who they are. It was always uncomfortable that there was that gap.

Blade: Do you feel like you’ve experienced any sort of anti-gay bias or discrimination while working at the Pentagon?

Wilson: No. Even when I was here in the late ’90s and I was quite close to secretary and Mrs. Cohen. They knew my sexual orientation, they extended their hands and welcomed me and at social events welcomed me and my partner. That meant a tremendous amount to me.

I felt the same way being here as an assistant secretary for public affairs, particularly within the office that I had, which consists of a large number of military as well as civilian, political appointees — all of whom know that I’m openly gay, all of whom have been nothing but supportive. It’s not been a factor … it’s a part of who I am, and that’s how I’ve been treated.

Blade: Are there any openly gay figures in government who’ve inspired you to be out?

Wilson: I don’t know that there’s been anybody who’s inspired me to be openly gay. I think that there are figures in government who are friends, who I’m proud to call colleagues — people like John Berry, people like Eric Fanning, who used to work for me at [Business Executives for National Security], is now here with the Navy. … I work with a large number of men and women in this government who are openly gay and lesbian. Certainly on the Hill, there’s an even larger number who are.

I think the thing that — we’re all extremely different people. But I think the approach is similar, that this is a component of who we are. I don’t think John Berry looks at himself as the gay director of [the U.S. Office of Personnel Management.] I think he looks at himself as the director of OPM, and he’s a gay man. That’s how I approach what I’m doing here.

As I say, everybody has their own path in life that they follow, and whether you’re gay or straight how you come to be who you are is your own path. For me, it’s wanting to be accepted for everything that I am in terms of the whole person that I am.

It took a long time to get here because I grew up in the ’50s and ’60s when it was a very, very different time, and it’s been a long time coming, and I’m really proud of who I am. I’m proud of this institution. I’m proud of this administration, and mostly I’m proud of the literally thousands of people who are going to be able to take advantage of the opportunities that I’ve been able to advantage of earlier.

Blade: Did you know Pete Williams, the openly gay former Defense Department spokesperson?

Wilson: Yes I did. He was not openly gay. He was not open when he was here.

Blade: But he has since come out.

Wilson: I believe he has. You’ll have to ask him. I mean, I can’t speak for him. It’s very well known, but you’ll have to ask him how he wants to be characterized, but I feel very confident in saying I’m the first openly gay assistant secretary in any capacity here.

Blade: What was going through your head when certification was happening last week? Were you reflecting on anything personally?

Wilson: Yes. I was reflecting on the process that it took to get to this place in terms of repeal. In December of last year, it was kind of a crucible. And there were points during that month when people thought this ultimately was not going to happen, including very senior people here. And I never did believe that it wasn’t going to happen.

I thought that we really had reached a tipping point in December when [Sen.] Susan Collins stood on the floor after that vote on the [fiscal year 2011 defense] authorization [bill], and, within a couple of hours, she and [Sen. Joseph] Lieberman were back down there talking to [Senate Majority Leader Harry] Reid, and they were going to offer this bill.

At that point, I thought this is not dead. I didn’t see how it could die. I thought there were so many chances to kill it, and it wouldn’t die. And I really thought that this was going to happen in December because I thought too many people could not look themselves in the face, look themselves in the mirror and say — with a report that showed what it showed, that attitudes in the United States being what they were — that they were the ones to be the anachronism. I won some money as a result of that.

Blade: You won some money? How is that?

Wilson: I bet it would happen.

Blade: How much did you win?

Wilson: Let’s put it this way. I won enough for a round of drinks for a few people at JR.’s if I had gone.

Blade: Some conservatives have criticized the decision to certify repeal at this time. Chairman Buck McKeon of the House Armed Services Committee called certification the culmination a “flawed repeal assessment and adoption process” and said he’s disappointed Obama didn’t address “concerns expressed by military service chiefs.” What’s your response to that?

Wilson: Everybody has their own opinion with regards to the “Don’t Ask, Don’t Tell” repeal and it would inappropriate for me wearing the hat that I wear to make any particular comments on any particular person’s point of view.

I would just say that I thought that the Comprehensive Working Group Report truly reinforced the fact that in the military — as well as outside the military — views have changed considerably and that this is not something that is being forced, that this is something that is evolving.

I personally knew that we had reached this point when I saw some of the outreach sessions that were conducted during the report. I can tell you an anecdote. You’ll never be able to fit this into the story, but I will if you don’t mind.

Blade: Go ahead.

Wilson: When I was at Ft. Hood, and after the outreach sessions, we went to see a tank at a tank crew. The purpose of it was to show how close quarters were in a tank and how difficult it would be for gay and straight troops to serve together.

So, we saw the tank, and at the end, the tank crew lined up in front of the tank, and people said to us, “Do you have any questions?” And I said, “You all have served together several years.” And they said, “Yes, we’ve been together a long time.” I said, “What happens if ‘Don’t Ask, Don’t Tell’ is repealed and one of you told the other four that he was gay? What would you do?”

And person by person — the first person said, “Well, my brother’s gay, so it doesn’t matter.” The second person said, “Well, you know, I have so many friends who are gay from high school. It doesn’t matter.” To each person, it didn’t matter. And the final person said, “What matters to me is if this thing is burning, I want someone to be able to pull me out, and I don’t care what their [sexual] orientation is.”

That’s when I knew. That’s when I knew. Everybody is entitled to their opinion. That’s my opinion.

Blade: Do you have any advice for gay service members in this period after certification but before “Don’t Ask, Don’t Tell” is off the books?

Wilson: I would say this has been a lengthy process. The length of it has been frustrating for some people. I understand both the frustration and the need for the process because this a very large institution and cultural change does not turn on a dime, but the evolution of the cultural change that has brought us to this point means that we don’t need to spike the football, what we need to do is understand that a lot of people have spent a lot of effort who are not gay to help us to get to this point.

I would say there are 60 days left because that is part of the legislation and we’ve come this far. Let us reach the end.

Blade: What about after that time? When “Don’t Ask, Don’t Tell” is off the books, what advice would you have for them?

Wilson: Feel confident in yourself, believe in yourself that you can be whoever you want to be. This is the statement that you are a whole person, that your sexual orientation is a part of who you are and it is not a limiting factor to who you can be. Take pride in that.

The military cliche, slogan is “be all that you can be.” Never has this been so true as it’ll be on Sept. 20 for thousands of people.

Blade: Now that recruiters are soon going to be able to take on openly gay people, do you foresee some kind of special outreach or advertising to the LGBT community to search for talent in the armed forces?

Wilson: Here’s what’s very interesting right now about the recruiting process, and that is, for a variety of reasons, all of the services are more than meeting their goals. It’s harder, rather than easier, to get into the services because of that. So, I guess I would say it’s important to make clear that everybody’s welcome, and it’s important to make clear to everybody that their talents are needed. It’s also important to understand that the openings are going to be limited, so you want the best, and the best include both gay and straight individuals.

Blade: But could you see, for example, an ad in the Washington Blade asking for people to enlist?

Wilson: Sure. Let’s put it this way. When the circumstances warrant that we need more people, then I can see an ad in the Washington Post, in the Washington Blade, in the Washington Times, and in the Washington Examiner.

Blade: Pentagon officials have said the issue of benefits for gay service members is going to be examined in the 60-day period before “Don’t Ask, Don’t Tell” is off the books. Which benefits do you think we’ll most likely see?

Wilson: I don’t know the answer to that. And I wouldn’t want to speculate because I think all of these are on the table and I think there is a true determination here to do the right thing and to follow the law.

The Pentagon has been put in a very interesting position by the courts over the past six months, and each step along the way, they have followed the law whatever the law is at that time. With regard to benefits, I think they want to look at each and every issue, they want to be able to determine it based on the law, whatever the law is now, whatever the law will be in 2012 or 2013 or 2014 — that will apply as well. So, I guess I would just say that nothing is off the table, but I wouldn’t want to advance guess the process.

Blade: Just to clarify … some of the major spousal benefits — housing and health insurance — those are prohibited from going to gay service members because of the Defense of Marriage Act. Do you see any possible workaround to offering those benefits to gay service members even with DOMA in place?

Wilson: I have to be honest with you, Chris. This is an area where I couldn’t give you the best answer because I’m not the specialist on benefits; I’m just not. All I would say is there is certainly a recognition here by the Repeal Implementation Team — both military and civilian — of the benefits that are extended to those in uniform, of the ones that for the moment, are not or cannot be because of the law, and people are looking at all of those.

Blade: One issue affecting gay service members has led to an ACLU lawsuit — the half separation pay that many service members face if they’ve been discharged under “Don’t Ask, Don’t Tell.” It’s my understanding this could be changed administratively. Will the Pentagon make this change after “Don’t Ask, Don’t Tell” is off the books?

Wilson: Again, I don’t know the answer. I’m being very honest with you. I don’t know the answer to the question; I wouldn’t speculate about the answer to the question. The only thing I would say is I’m well aware that that is an issue that is going to be raised.

Blade: I think I’m going to get the same answer here, but I’ll ask anyway. Another issue that is facing discharged service members is recoupment costs. Some who have been discharged under “Don’t Ask, Don’t Tell” are required to pay back bonuses they’ve received or grants they received for ROTC tuition —

Wilson: You would get the same answer. … None of these issues or concerns are secrets or surprises to people. The people here are aware of all of them. The one thing — you asked me about my impressions of this team — one of the things that has most impressed me about this repeal implementation team is the degree to which the people who are leading it, particularly the people like [Marine Corps Maj.] Gen. Steve Hummer and [Virginia] “Vee” Penrod. … These are truly outstanding humans. These are people who want to do the right thing. I do not sense a prejudiced bone in their body.

Blade: The issue of non-discrimination is still a concern. There have been some calls for the president to issue an executive order prohibiting discrimination based on sexual orientation and gender identity. There’s been some talk in the briefings that we don’t need to have this executive order. Why is that?

Wilson: The position that has been articulated is because there are channels. There are channels for raising these complaints, and the approach has been — on as any many issues as you possibly can do — to not have to change the policy if the policy already is sexual orientation neutral. And that’s the view here that this policy is sexual orientation neutral. People here are aware that are different views on this issue. I expect that discussion on this issue on this issue is going to continue but that is the rationale.

Blade: There’s also been concern that openly transgender people are still unable to serve in the U.S. military. Do you think that “Don’t Ask, Don’t Tell” repeal will open the door to open trans service?

Wilson: I don’t know the answer to that. I honestly don’t know the answer to that. I guess my own personal opinion is I think the issue of benefits is going to be the first issue after the 60 days, the most immediate issue of the set of the issues that are going to be addressed. The continuing issue of benefits, I think those are going to be addressed in the 60-day period and beyond. So, I think if I had to guess what are going to be the most near-term topics of discussion, it’ll be some of the benefits issues that you raised.

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The White House

As house Democrats release Epstein photos, Garcia continues to demand DOJ transparency

Blade this week sat down with gay House Oversight Committee ranking member

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A photo released by the House Oversight Committee showing Donald Trump 's close relationship with Jeffrey Epstein . (Photo courtesy of the U.S. House Oversight Committee)

Democrats on the House Oversight Committee have released new photos from Jeffrey Epstein’s email and computer records, including images highlighting the relationship between President Donald Trump and the convicted sex offender.

Epstein, a wealthy financier, was found guilty of procuring a child for prostitution and sex trafficking, serving a 13-month prison sentence in 2008. At the time of his death in prison under mysterious circumstances, he was facing charges of sex trafficking and conspiracy to traffic minors.

Among those pictured in Epstein’s digital files are Trump, former President Bill Clinton, former Trump adviser Steve Bannon, actor and director Woody Allen, economist Larry Summers, lawyer Alan Dershowitz, entrepreneurs Richard Branson and Bill Gates, and Andrew Mountbatten-Windsor.

One photo shows Trump alongside Epstein and a woman at a Victoria’s Secret party in New York in 1997. American media outlets have published the image, while Getty Images identified the woman as model Ingrid Seynhaeve.

Oversight Committee Democrats are reviewing the full set of photos and plan to release additional images to the public in the coming days and weeks, emphasizing their commitment to protecting survivors’ identities.

With just a week left for the Justice Department to publish all files related to Epstein following the passage of the Epstein Files Transparency Act, which requires the Justice Department to release most records connected to Epstein investigations, the Washington Blade sat down with U.S. Rep. Robert Garcia (D-Calif.), the ranking member on the Oversight Committee to discuss the current push the release of more documents.

Garcia highlighted the committee’s commitment to transparency and accountability.

U.S. Rep. Robert Garcia (D-Calif.) during a sit down with the Washington Blade. (Washington Blade photo by Michael Key)

“We’ve said anything that we get we’re going to put out. We don’t care who is in the files … if you’ve harmed women and girls, then we’ve got to hold you accountable.”

He noted ongoing questions surrounding Trump’s relationship with Epstein, given their long history and the apparent break in friendship once Trump assumed public office.

“There’s been a lot of questions about … Donald Trump and Jeffrey Epstein. They were best friends for 10 years … met women there and girls.”

Prior to Trump’s presidency, it was widely reported that the two were friends who visited each other’s properties regularly. Additional reporting shows they socialized frequently throughout the 1990s and early 2000s, attending parties at Trump’s Mar-a-Lago resort in Florida and Epstein’s residences. Flight logs from an associate’s trial indicate Trump flew on Epstein’s private jet multiple times, and Epstein claimed Trump first had sex with his future wife, Melania Knauss, aboard the jet.

“We’ve provided evidence … [that leads to] questions about what the relationship was like between Donald Trump and Jeffrey Epstein.”

Garcia stressed the need for answers regarding the White House’s role in withholding information, questioning the sudden change in attitude toward releasing the files given Trump’s campaign promises.

“Why is the White House trying to cover this up? So if he’s not covering for himself … he’s covering up for his rich friends,” Garcia said. “Why the cover up? Who are you hiding for? I think that’s the question.”

He confirmed that Trump is definitively in the Epstein files, though the extent remains unknown, but will be uncovered soon.

“We know that Trump’s in them. Yeah, he’s been told. We know that Trump’s in them in some way. As far as the extent of it … we don’t know.”

Garcia emphasized accountability for all powerful figures implicated, regardless of financial status, political party, or personal connections.

“All these powerful men that are walking around right now … after abusing, in some cases, 14‑ and 15‑year‑old girls, they have to be held accountable,” he said. “There has to be justice for those survivors and the American public deserves the truth about who was involved in that.”

He added that while he is the ranking member, he will ensure the oversight committee will use all available political tools, including subpoenas — potentially even for the president. 

“We want to subpoena anyone that we can … everyone’s kind of on the table.”

He also emphasized accountability for all powerful figures implicated, regardless of financial status, political party, or relationship with the president.

“For me, they’re about justice and doing the right thing,” Garcia said. “This is about women who … were girls and children when they were being abused, trafficked, in some cases, raped. And these women deserve justice.”

“The survivors are strong.”

Deputy White House Press Secretary Abigail Jackson issued a statement regarding the release the photos, echoing previous comments from Republicans on the timing and framing of the photos by the Oversight Committee.

“Once again, House Democrats are selectively releasing cherry-picked photos with random redactions to try and create a false narrative,” Jackson said.

“The Democrat hoax against President Trump has been repeatedly debunked and the Trump administration has done more for Epstein’s victims than Democrats ever have by repeatedly calling for transparency, releasing thousands of pages of documents, and calling for further investigations into Epstein’s Democrat friends,”

In a press release on Friday, Garcia called for immediate DOJ action:

“It is time to end this White House cover-up and bring justice to the survivors of Jeffrey Epstein and his powerful friends. These disturbing photos raise even more questions about Epstein and his relationships with some of the most powerful men in the world. We will not rest until the American people get the truth. The Department of Justice must release all the files, NOW.”

Steve Bannon and Jeffrey Epstein in Epstein Files photo. (Photo courtesy of the U.S. House Oversight Committee)
Trump in another photo from Epstein’s digital files. (Photo courtesy of the U.S. House Oversight Committee)
(Photo courtesy of the U.S. House Oversight Committee)
Bill Gates and Andrew Montbatton-Windsor in Epstein Files photo. (Photo courtesy of the U.S. House Oversight Committee)
Bill Clinton, Ghislaine Maxwell and Jeffrey Epstein in Epstein Files photo.
(Photo courtesy of the U.S. House Oversight Committee)
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The White House

White House deadnames highest-ranking transgender official

Rachel Levine’s portrait altered at HHS

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Adm. Rachel Levine speaks at the International LGBTQ Leaders Conference on Dec. 2, 2021. (Washington Blade photo by Michael Key)

Admiral Rachel Levine — the first transgender person ever confirmed by the U.S. Senate and the highest-ranking trans official in American history — had her official portrait in the Humphrey Building altered, with staff replacing her correct name with her deadname, the name she has not used since 2011.

NPR first reported the change, and an HHS spokesperson confirmed to the outlet that Levine’s portrait had recently been altered. A digital photograph obtained by NPR shows Levine’s former (male) name typed on a placard beneath the portrait, placed under the glass of the frame.

Levine served as a four-star admiral in the U.S. Public Health Service Commissioned Corps under the Biden-Harris administration and was appointed the 17th assistant secretary for health.

During her tenure, Levine oversaw the Commissioned Corps and helped lead national public-health initiatives, including the federal COVID-19 response and vaccination strategy; efforts to address rising syphilis infection rates; HIV/AIDS prevention and treatment programs; and strategies to combat the opioid epidemic, particularly through expanded harm-reduction approaches for the communities most affected.

The Trump-Vance administration’s decision to publicly deadname Levine is widely viewed within the trans community as demeaning and disrespectful. The move comes amid a series of federal policy reversals targeting LGBTQ Americans, particularly trans youth seeking gender-affirming care.

Those actions include: weakening workplace protections for LGBTQ employees; limiting restroom access; downgrading gender-identity discrimination cases; pressuring hospitals to end gender-affirming care; cutting HIV research and prevention funding; removing LGBTQ crisis resources; restricting access to trans-inclusive medical policies for veterans and young people; supporting trans sports bans and threatening funding for teams that include trans athletes; and forcing schools and universities to eliminate DEI and LGBTQ offices, inclusive curricula, gender-neutral bathrooms, and books or training materials addressing LGBTQ issues.

The Trump–Vance administration has also expanded federal censorship by removing LGBTQ language from surveys, agency websites, Smithsonian materials, and human-rights reports; blocking Pride recognitions; creating federal communications that misgender trans women; imposing passport and travel barriers for trans Americans; lifting protections for trans service members; limiting benefits and care for LGBTQ veterans; and pressuring states, universities, and hospitals to end trans-inclusive policies under threat of losing federal research, education, or Medicaid funds. The administration has additionally deported LGBTQ asylum seekers to unsafe conditions, removed LGBTQ issues from global human-rights reporting, and escalated anti-trans rhetoric at public events.

These actions stand in stark contrast to Levine’s public-health record. As assistant secretary for health, she worked to expand LGBTQ+ health data collection, promote equitable vaccine distribution, strengthen national health-equity initiatives, and reduce care disparities experienced by historically underserved communities, including LGBTQ populations. Within HHS, she led councils and task forces dedicated to reducing structural barriers to care and improving community outcomes.

Before joining the federal government, Levine oversaw health and safety for nearly 13 million residents as Pennsylvania’s physician general from 2015–2017 and as Pennsylvania secretary of health from 2018–2021.

Rachel Levine‘s official portrait, which now bears her deadname. (Photo public domain)

Asked by NPR about the alteration of her official portrait, Levine responded that it had been an honor to serve as assistant secretary for health, adding: “I’m not going to comment on this type of petty action.”

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Health

The harsh truth about HIV phobia in gay dating

HIV and stigma remain baked into queer dating culture

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(Photo by Val Chaparro for Uncloseted Media)

Uncloseted Media published this article on Dec. 9.

This story was produced with the support of MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.

By SAM DONNDELINGER | In his room, 19-year-old Cody Nester toggles between Grindr profiles on his phone.

As he senses chemistry with a match, he knows he has to flag something that could be a deal breaker.

“Did you see on my profile that I’m HIV positive?” he writes.

The reply arrives instantly.

“You’re disgusting. I don’t know why you’re on here.” Seconds later, the profile disappears, suggesting Nester is blocked.

“He went out of his way to say that. People could at least be more aware, ask questions, and understand the reality [of living with HIV] instead of attacking us,” Nester told Uncloseted Media.

“I would say 95 percent of people respond that way,” says Nester, who lives in Hollywood, Fla., and works at a Mexican restaurant. “The entire conversation is going fine. They’re down to meet up and then right when I mention [HIV], it’s always, ‘Oh no, never mind.’”

Some other messages he’s received include:

“You’ll never get anything in your life.”
“Why don’t you die?”
“Why are you on here?”

More often, it’s silence, a cold “No” or a sudden block.

“It’s like you’re a white fish in a school of black fish,” he says. “You’re immediately the odd one out.”

Even though Nester’s undetectable status makes it impossible for him to transmit HIV to partners during sex, he experiences stigma around HIV, something which nearly 90 percent of Americans agree still exists, according to a 2022 GLAAD report. And a survey shared in 2019 found that 64 percent of respondents would feel uncomfortable having sex with someone living with HIV, even on effective treatment. The emotional cost of this stigma is a significant barrier to intimacy and can result in a loss of self-esteem, fear of disclosure and suicidal thoughts.

What the science says — and why it doesn’t seem to matter

“The fear comes from antiquated ideas around HIV,” says Xavier A. Erguera, senior clinical research coordinator at University of California, San Francisco,’s Division of HIV, Infectious Diseases & Global Medicine. “A lot of people who are newly diagnosed still fear it’s a death sentence. Even though we have medications now to treat it effectively, and it’s basically a chronic condition, people haven’t caught up.”

Since 1996, antiretroviral therapies have developed to where they can suppress the virus to levels so low that it is undetectable in the blood, and thus not able to be transmitted to sexual partners. This is known as Undetectable = Untransmittable, or U=U. According to a Centers for Disease Control and Prevention report from 2024, 65 percent of HIV-positive cases are virally suppressed.

Another line of defense is pre-exposure prophylaxis (PrEP), which reduces the risk of acquiring HIV from sexual intercourse by roughly 99 percent when taken as prescribed. Approved by the Food and Drug Administration in 2012, the medication launched as a once-a-day pill and was hailed as a breakthrough as it transformed the sex lives of gay men, which had been shaped by decades of fear about HIV complications and about where AIDS came from.

“Internal logic doesn’t reflect what we know scientifically,” says Kim Koester, associate professor in the Department of Medicine at UCSF. “I was very optimistic when PrEP came out. The drug works, so why wouldn’t everyone use it?”

Even with PrEP use on the rise, less than 600,000 Americans used it in 2024, and Koester says skepticism and judgments about taking the drug persist.

“The phobia is pervasive,” Koester told Uncloseted Media. “People believe that others get the disease because of their lifestyle. … PrEP was supposed to be the antidote to the threat of HIV, reduce the anxiety, and make you more open to who you are and the sex you want. It’s supposed to be liberating. It is part of the answer. But it’s not enough. We don’t have enough people using PrEP for it to make the dent in the stigma we need.”

According to a 2023 study of seven informants living with HIV, public stigma stems from problematic views from society that those living with HIV are “a dangerous transmission source,” “disgraceful” and “violators of social and religious norms who have committed deviant behavior.”

Laramie Smith, assistant professor of Global Public Health at the University of California, San Diego, says this stigma is unwarranted and fueled by misunderstanding:

“With today’s treatments, it shouldn’t be a life-altering identity shift. It should be no different than, ‘I have diabetes.’ If you’re virally suppressed, it shouldn’t matter whether you’re friends with someone, whether you’re sleeping with someone — the science shows us that.”

How HIV phobia shows up online

Nester, who contracted HIV last year from a Grindr hook-up who insisted he was negative, says he is just starting to accept his diagnosis. “I didn’t go back on the apps for a long time after that. It messed with my mental health … realizing I’d have to take medication for the rest of my life.”

Since he started dating again this year, returning to apps like Grindr and Sniffies, he has faced a new normal. He tries to do everything “right” and disclose his status early. Even on his Grindr profile, he identifies as “poz,” slang for HIV-positive.

Still, he says most people ghost him once they find out. “The second I bring it up, it’s ‘No,’” says Nester. “The amount of discrimination you get … it’s always the same pattern. … People don’t know, and they don’t want to know. It messes with you.”

This discrimination may be fueled by a deprioritization of HIV awareness programs across the country. Earlier this month, the U.S. State Department did not commemorate World AIDS Day for the first time in 37 years. HIV prevention programs have been slashed, especially in conservative districts, and only 25 states and D.C. require both HIV and sex education. In many states, health curricula often lag behind current science and omit teaching about PrEP, gay sex and concepts like U=U. Research shows that Gen Z is currently the least educated generation about HIV.

“I could go all day explaining HIV, but people don’t want to listen,” says Nester, who is part of Gen Z. “People don’t want to learn about it; they just want to avoid it.”

HIV anxiety and public stigma shaped by history

Even in more progressive areas, stigma still exists. Damian Jack, a 45-year-old from Brooklyn, remembers sitting in an exam room in 2009 as a doctor explained how low his T-cell count was, which is a hallmark of HIV infection.

“I started hysterically crying,” he told Uncloseted Media. “HIV meant death. That’s what I thought.”

In 1981, when Jack was 1 year old, the first reports of a mysterious and deadly immune deficiency syndrome, which would later be named AIDS, appeared in the U.S. Growing up, Jack saw countless terrifying images of men on their deathbeds with Kaposi sarcoma, the purple lesions the media once called “gay cancer.” Public misinformation and fearmongering spread ideas that AIDS was a disease that “only gay men and drug users get.” And politicians often equated it with homosexuality and moral failure, calling it a “gay plague.” It wasn’t until September 1985, four years after the crisis began and thousands had died, that President Ronald Reagan first publicly mentioned AIDS.

Decades later, the emotional residue of that era and the shame associated with the virus lingers.

Hours after learning of his diagnosis, Jack faced his first encounter with rejection. He already had a date planned that night, and his doctor and friends encouraged him to go.

They had a great time until the date asked him: “Are you negative or positive?”

He told the truth.

“It was just understood there wouldn’t be a second date,” says Jack. “I remember thinking, ‘This is how dating is going to be now.’ I felt so anxious telling guys. It followed me everywhere. I don’t think that anxiety ever truly goes away.”

The emotional impact of HIV stigma

For those who are HIV-negative, experts say that “stigma’s whole design is to ‘other.’”

“The ‘us versus them’ creates that false sense of safety when it comes to HIV,” says Smith. “If I can believe that someone did something to deserve their diagnosis, and I’m not that [kind of person], then I’m safe.”

This othering is painful and can lead to shame, fear and isolation, and it is linked to a higher risk of depression and anxiety.

“If I’m undesirable, and that’s what those messages are communicating, that threatens your sense of safety, your sense of belonging and the fundamental desire we all have to be loved,” Smith says. “And that starts to reinforce the thinking that ‘I am not worthy. This virus that I have means that I’m not lovable. I am not safe showing up among other men.’”

“I pretend it doesn’t hurt, but some things do sting a little bit,” Nester says. “You start thinking, ‘Am I really that disgusting? Am I really that singled out?’”

When public stigma turns inward

“Internalized stigma is what occurs when applying the stereotypes about who gets HIV, the prejudice, the negative feelings, onto yourself,” says Smith.

In 2024, 38 percent of people living with HIV reported internalized stigma. And studies show that it can predict hopelessness and lower quality of life, even when people are engaged in care or virally suppressed.

Internalized stigma can also affect how people practice safe sex and communicate about the virus. A 2019 survey of men who have sex with men found that individuals who perceived greater community-level stigma were less likely to be aware of — and use — safer-sex functions available on dating apps, such as HIV-status disclosure fields, as well as sexual health information and resources.

“[HIV phobia] is probably the most intense, subvert bigotry I think you could experience,” Joseph Monroe Jr., a 48-year-old living in the Bronx, told Uncloseted Media.

On dating apps, men have messaged him things like, “You look like you’ve got that thing” and “Go ahead and infect someone else.”

Monroe has also dealt with misinformed people who rudely opine about how he contracted the virus: “Who fucked you? That’s how you got it, right?” people will say to him.

“You end up internalizing all these stereotypes about who gets HIV — that you were promiscuous, that you didn’t care about yourself, that you did something wrong,” says Smith. “You carry that in, and then you have to relearn: ‘No, I didn’t. This is just a health condition.’”

What HIV acceptance looks like and raising awareness

For those living with HIV, acceptance feels far away.

“You’re living under this threat of HIV and the threat that others find you threatening. It inhabits you socially and sexually,” Koester says. “People are hunkering down. Not putting themselves out there and having a mediocre quality of life. To have a sense of empowerment, you have to be legitimate and seen in the world and it’s hard to do that with the stigma that exists.”

Researchers say the path forward lies as much in conversation as in medicine.

Koester says she talks about HIV and PrEP anywhere she can, including in salons, cafes and restaurants. “Whenever I get into a cab with someone, I’m going to bring up HIV so the driver gets accustomed to hearing about it. … We have a long way to go in terms of exposure and awareness and every little bit helps.”

Part of this lies in increasing awareness through targeted marketing campaigns. PrEP is still profoundly misunderstood outside major urban centers, with uneven uptake among minority groups and usage gaps in the Bible Belt. And a 2022 U.S. survey found that 54.5 percent of people living with HIV didn’t know what U=U meant, and less than half of Americans agree that people living with HIV who are on proper medications cannot transmit the virus.

While eradicating stigma is slow, there is hope for acceptance.

Years after Jack’s diagnosis, in 2021, he told a man he was on a third date with that he was HIV-positive but undetectable. His date’s reply was almost casual:

“Oh — is that it? I thought you were going to say you had a boyfriend or something. I’m on PrEP. You’re fine.”

“It felt so good to hear him say that and accept me,” says Jack. “I was like, ‘This is my person. You’re my person.’” One year later, they got married.

Back in Florida, 19-year-old Cody Nester isn’t feeling this acceptance. He still scrolls past profiles that read “Only negative guys” and tries to ignore the hateful messages.

“It still hurts, but I know it’s coming from fear,” he says. “I wasn’t too informed about HIV before I got it. … When I got it, I really jumped into the rabbit hole and began to learn. I really do think [HIV and stigma] is because people are not knowledgeable. … When people don’t know details, they tend to get scared.”

Additional reporting by Nandika Chatterjee.

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