Connect with us

Opinions

Health care is a critical social justice issue

Patients should come out to doctors to improve care

Published

on

This week marks the annual National LGBT Health Awareness Week. When it comes to social justice and equality for the LGBT community, we are well versed in policy issues like marriage rights, bullying of LGBT children and adolescents, and workplace discrimination. It is not surprising that these three issues are foremost in our collective thoughts as the issues are extensively covered in gay and mainstream media outlets.

Yet there is another critical issue regarding social justice and equality that is often overlooked in our community: timely access to high-quality, competent and affirming health care. And, for our entire Whitman-Walker Health family, it serves as the strong foundation for our mission of caring for metro D.C.’s LGBT community.

Far too many LGBT people don’t get the comprehensive health care they deserve. Many health care practitioners may be unaware of LGBT health disparities, such as higher rates of smoking and an increased risk of certain types of cancer. Some health care professionals do not have open communication with their LGBT patients, and, sadly, some providers still harbor prejudices toward LGBT people. Luckily, there are several efforts underway to address these issues, such as more LGBT health education in medical schools. But, there is a way to improve your health care now.

Studies have shown that LGBT people will often put off regular health care or not disclose their sexual orientation or gender identity to their health care practitioner out of fear of discrimination or harassment.  Because of this, they may also not disclose such things as sexual behavior, substance use, mental health issues or domestic violence.

This is why it’s vital to come out to your health care practitioner.  You will have a stronger doctor-patient relationship based on trust and honesty, which will lead to improved health care and health outcomes. Also, medical practitioners will be able to acknowledge the health issues more common in LGBT patients and perform appropriate evaluations and screenings.

Once you come out to your health care practitioner, you will need to talk with him or her about specific issues. The Gay and Lesbian Medical Association (GLMA) has published lists of important LGBT medical issues. These lists are based on what GLMA’s practitioners have identified as the most common concerns for each LGBT population. The lists can be found at GLMA’s website, glma.org. These lists are certainly not comprehensive and you should feel free to discuss any issue with your practitioner.

Providing high-quality and affirming care for the LGBT community was Whitman-Walker’s founding principle back in 1978. Back then, our services were limited to screening and treatment of sexually transmitted infections and treatment for mental health issues and substance abuse.

Today, we have finally fulfilled our mission to be a full-service health care facility for the LGBT community. Here, you can see a practitioner for primary medical and dental care, including specialties such as gynecological care, viral hepatitis and HIV treatment. Patients can also benefit from an on-site pharmacy.

Whitman-Walker Health can also provide services that few other providers offer, like anal cancer screening for gay and bisexual men and HIV post-exposure prophylaxis. For the transgender community, we offer hormone and testosterone therapy and trans-affirmative physical exams.

Our Medical Adherence Unit can help you manage any chronic health condition, including HIV infection. We have a team of experts who can help you to stay engaged with your health care and on your treatment and understand your diagnosis so you can stay as healthy as possible. They can show you how to take your medications correctly; help you keep your doctor’s appointments; and help you get other services you may need.

Our mental health services include one-on-one counseling, therapy groups, peer counseling (both one-on-one and support groups) and treatment for addictions.

You can even get legal assistance here. Our Legal Services department can help you with discrimination issues, immigration issues, living wills, powers of attorney, even name and gender changes on government documents for the transgender community.

Remember that you deserve nothing less than high quality, competent and affirming health care. Whether or not you come to Whitman-Walker Health, be open and honest with your medical provider. It will make a world of difference for your overall health and satisfaction with your care.

Dr. Ray Martins is chief medical officer of Whitman-Walker Health.

Advertisement
FUND LGBTQ JOURNALISM
SIGN UP FOR E-BLAST

Opinions

Barney Frank’s powerful legacy for LGBTQ federal employees

The ‘Great Gay Communicator’ deserves respect

Published

on

Rep. Barney Frank (D-Mass.) (Washington Blade file photo by Michael Key)

Former Congressman Barney Frank, who died last week, was dogged during his life over being gay. The self-proclaimed only “left-handed, gay, Jewish congressman,” in Congress deserved better.

Frank’s perseverance paved the way for others. With wit and intelligence, he helped educate Americans about sexuality. As a federal employee and a member of the Federal Gay, Lesbian or Bisexual Employees (GLOBE), a government-wide organization founded by Dr. Len Hirsch, I saw Frank’s unforgettable speaking style when he was a guest speaker at our monthly events.

Frank’s detailed presentations about federal employment policies were not recorded. The only record of them, edited by Dr. Hirsch and other members of the GLOBE board, is in the minutes of the GLOBE meetings. I held several positions in GLOBE, including secretary, assistant newsletter editor, and as an elected member of the board. I drafted the minutes of the meetings.

GLOBE’s minutes were edited to protect the identity of federal employees. This was important because then-U.S. Sen. Jesse Helms (R-N.C.) attempted to obtain the minutes. Helms felt LGBT advocacy in the federal workplace was an illegal form of political activity. GLOBE was also concerned that the minutes would be illegally accessed and forwarded to Helms or used to blackmail federal employees. GLOBE’s minutes are preserved at the National Archives.

When I was named Gay, Lesbian, Bisexual Program Manager at the Department of Agriculture in 1993, I immediately notified Frank’s office of my appointment. After a federal newsletter published an article about a speech I gave, Helms accused me of using government resources to support “a homosexual agenda.” During several hours on the evening of July 19, 1994, Helms told the Senate and C-SPAN’s television audience that LGBT federal employees had their minds in their crotches. He called LGBT federal employees “perverts.”

Helms had government documents that described the position of “Gay, Lesbian, Bisexual Program Manager.” It was a program that used the incendiary words “promote” and “recruit” homosexuals. It was a huge mistake for government bureaucrats to have written such a program. Helms published it in the Congressional Record. Frank helped us through this battle and others. 

Aside from Frank, there were other LGBT members of Congress in the 1990s. Gerry Studds (D-Mass.), Steve Gunderson (R-Wisc.), and James Kolbe (R-Ariz.). Studds was censured for an affair with a 17-year-old male page in the House. Gunderson was publicly outed by a fellow House Republican. Kolbe was subject to sexual accusations.  

Among these gay congressmen, Frank weathered a hostile media, personal scandal, and vicious attacks from his Republican colleagues. In 1995, former Texas GOP House Majority Leader Dick Armey was caught referring to Frank as “Barney Fag.” His apology was grudging.

“I rule out that it was an innocent mispronunciation,” responded Frank. “I turned to my own expert, my mother, who reports that in 59 years of marriage, no one ever introduced her as Elsie Fag.”

After celebrating his 72nd birthday, Frank married his longtime partner. He successfully worked to place marriage equality into the 2012 Democratic platform, which President Obama endorsed.

Still, Frank was dogged by homophobia. The Tea Party’s Doug Mainwaring called Frank’s wedding “a mockery, a parody, a staggering caricature of the most fundamental and towering of American institutions.”

In an interview with Washingtonian magazine, Frank said he “hates being classified as ‘the gay congressman,’” as his legislative accomplishments go beyond gay rights. He co-sponsored the 2010 Dodd-Frank Wall Street Reform and Consumer Protection Act.

Frank will especially be remembered in Washington for his sharp wit. He once referred to advocating for gay marriage legalization as “cruising for gay rights.” He wrote devastatingly funny op-ed pieces, notably for the Washington Post.

Though Frank may not have wanted to be known as a gay congressman, when he spoke, the LGBT community listened. He was the Great Gay Communicator. Barney Frank deserved respect. May his memory be a blessing.


James Patterson, a life member of the American Foreign Service Association, is a writer and communications consultant in the D.C. area. 

Continue Reading

Opinions

Time travelers from the AIDS era

Longtime HIV survivor reflects on stigma, survival

Published

on

A vigil was held along the Lincoln Memorial Reflecting Pool on Oct. 8, 1988. (Washington Blade file photo by Doug Hinckle)

If I admit I’m HIV positive, some men immediately reject me. If I lie and say I’m HIV negative, many of those same men will gladly have unprotected sex with me.

That contradiction has haunted me for years and made me wonder: What would the gay men who died of AIDS in the 1980s think if they could see us now?

The future would absolutely astonish them. Everybody carries around a handheld device that can instantly broadcast their thoughts, faces, bodies, and lives to the entire planet. We elected a Black president twice. Same-sex marriage is legal. Gay people can openly marry, raise children, grow old together, and even get divorced like everybody else. HIV itself is no longer “the deadly disease” it was when I learned I was infected in 1985 at age 23.

Back then, life expectancy was often measured in months. Surviving long enough to grow old felt like science fiction.

Now there are medications that can suppress the virus so effectively, a person living with HIV can become “undetectable,” meaning they cannot sexually transmit the virus. Countless people who once expected to die can now live long enough to worry about all the ordinary things people worry about as they age: heart disease, bad knees and what restaurant closes too early.

Back then, that wasn’t even a pipe dream. But the future also got weird.

What shocks me most is not the medical progress. It’s the emotional contradiction surrounding it. The general public no longer fears sharing space with people living with HIV. Most people understand you cannot get HIV from a hug, a handshake, sharing food, breathing the same air, or sitting next to someone on a plane.

But sex is different. Especially in the gay world, where stigma still lingers in strange and contradictory ways.

I’ve watched gay men reject HIV-positive men while simultaneously engaging in anonymous unprotected sex with people whose status they know only because somebody typed a word into an app. “Negative.” “Clean.” “DDF.”

As if viruses never lie.

At the same time, we now live in a sexual culture far more open and visible than anything most gay people from the 1980s could have imagined. The bathhouse has largely been replaced by hookup apps and social media. Sexual behavior is documented, broadcast and archived in real time.

But greater sexual freedom did not necessarily bring greater emotional clarity.

Some men still fear HIV intensely. Others eroticize it. Some even document their attempts to acquire it.

We solved the medical crisis of HIV far faster than we solved the psychological, emotional and sexual contradictions surrounding it.

As a long-term survivor, I sometimes feel like a time traveler trapped between two worlds: one that remembers the terror and one that barely remembers the war.

That feeling became the seed for my new novel,“The Unfrozen Few.” I imagined a group of AIDS patients from the late 1980s choosing cryogenic freezing rather than death, only to wake up in present-day America. They emerge into a world of smartphones, same-sex marriage, social media and medical breakthroughs, but also into a world that still doesn’t fully know what to do with people living with HIV.

In many ways, the frozen few are simply long-term survivors with the volume turned all the way up.

I think the dead would be amazed by how far we’ve come. And stunned by the ways we still haven’t.


Randy Boyd is a longtime HIV survivor, five-time Lambda Literary Award finalist and author of five novels, including ‘The Unfrozen Few,’ a speculative series about AIDS patients who were cryogenically frozen in the 1980s and awaken in present-day America. More information is available at randyboydauthor.com.

Continue Reading

Opinions

Dual endorsement for Independent Council-at-large: Patterson or Crawford

Let’s move the District forward

Published

on

Washington, D.C. (Washington Blade file photo by Michael Key)

(Editor’s note: This column reflects the writer’s opinion and does not constitute a Washington Blade endorsement of any candidate.)

The race for Independent Council-at-Large is interesting. There are three main candidates and I suggest making your choice easier by first eliminating Elissa Silverman from consideration. She is a retread, and it is time to move forward, not backward. 

There are two candidates whom I have taken the time to talk with in some depth. They are both impressive, and either will make a great addition to the D.C. Council. I have some minor issues with both, but then have never found a candidate who I would agree with 100%, and never expect to. 

Jacque Patterson has held public office, and served the community well, as president of the D.C. State Board of Education. Just recently a study was released, and while we know there are many outstanding issues in our schools, this new Education Scorecard report from Harvard, Stanford, and Dartmouth, ranks District of Columbia students first in the nation for academic growth in both math and reading between 2022 and 2025. While they are still not doing as well as we want all our students to do, progress is important, and this scorecard shows how the District is working to help its students. Take a look at Jacque’s website to see what he will focus on. You will find it impressive. He understands among other issues what small businesses mean to D.C., what we need to do for safer communities, and to provide more opportunities for all our youth. 

Then take a look at Doni Crawford who has now been serving on the Council for about four months, having been chosen to replace Kenyan McDuffie until the election, when he resigned to run for mayor. She previously worked in his office as committee director for the Council’s Committee on Business and Economic Development. Prior to that she worked at the D.C. Fiscal Policy Institute. Her focus is also on safer communities, economic development, housing, and youth. You can look at Doni’s website to get a more detailed understanding of where she intends to focus her time. 

Both candidates have talked about how they will work to fight for D.C. statehood, and to ensure the 700,000 residents of the District can set their own budget priorities, and make their own legislative decisions, without oversight from Congress. 

When looking at who you choose to vote for as a Council member in D.C., it is important to understand the person you select will be working closely with 12 other members. They have to understand the art of compromise to get their initiatives passed. They must have the personality that will demand respect of the other members, and a style that will make them stand out on the Council. I think Jacque and Doni are the two choices in this Independent Council-at-large race who will be able to do that. Also, remember in an at-large seat on the Council the focus is a little different than when you are selecting a Council member for your own ward. These members need to have a little broader view, and be able to balance all constituents in every ward of the city. That is a little more difficult. 

I know from talking with them that both Jacque and Doni are committed to equality, and just as important, economic equality. They understand for the District to do well; everyone needs a fair playing field. I have gotten the strong feeling they both understand what is happening around the nation is impacting the people of D.C. That includes the resurgence of antisemitism, as well as racism, Islamophobia, homophobia, and sexism. They understand we are faced with a White House, and Republican-controlled Congress, who instead of doing anything to combat these issues, are making them worse. And because home rule still gives Congress and the felon in the White House much-too-much control over D.C., this impacts us directly. I have confidence in both Patterson and Crawford, that they will fight this, and do it intelligently, and successfully, to the benefit of all the people they are looking to serve.

So, my recommendation is you look at both their websites and decide who your first choice will be. Then rank that person #1 on your ballot for Independent Council-at-large. Then because you can with ranked choice voting, rank the other one #2. Then stop! You don’t need to rank any more. 

Again, I think either Jacque Patterson or Doni Crawford will serve us well on the Council. They are both smart, experienced, and both will bring something new to the Council. Elissa Silverman had her chance before, and there were reasons the voters turned her out. Let’s not go backwards, but rather let’s move the District forward, with either Jacque Patterson or Doni Crawford. 


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

Continue Reading

Popular