National
Lessons from N.C. defeat
Did lack of money or wrong message lead to sweeping anti-gay marriage amendment?

Incoming HRC President Chad Griffin is one of two principal partners in Armour Griffin Media Group, which was paid to produce TV ads in North Carolina’s amendment fight. (Photo courtesy of AFER)
In the week leading up to the May 8 vote in North Carolina on a proposed state constitutional amendment banning same-sex marriage and civil unions, officials with the campaign opposing the amendment said they believed they had a shot at defeating it.
“We were on conference calls where they were saying we are in striking distance,” said lesbian journalist and commentator Pam Spaulding of North Carolina, who publishes the LGBT political blog Pam’s House Blend.
“The campaign was saying 11 points and closing — that we were knocking in half the gap every week that they started the final [campaign] assault,” Spaulding told the Blade.
According to Spaulding, at an election night gathering in Raleigh, campaign leaders and volunteers who worked to defeat the amendment were stunned when the State Board of Elections announced the amendment passed by a 61-39 percent margin.
“Were their numbers that far off or did they know the numbers and were not disclosing them,” Spaulding asked in discussing the information released by the opposition campaign to bloggers. “How could they be 21 points off?”
Officials with the Coalition to Protect All North Carolina Families, which operated the campaign opposing Amendment One, said the numbers they cited were from the polling firm Public Policy Polling, which showed support for the amendment down to 55 percent in the week before the election.
“There were a lot of polls, and they were all across the map,” said Stuart Campbell, executive director of the statewide LGBT advocacy group Equality North Carolina and a member of the opposition campaign’s seven-member Steering Committee.
“We actually had internal polling back in January that showed close to 70 percent — around 67 to 68 percent — in favor,” he said. “So we actually do believe we moved it anywhere between seven and 10 points.”
In addition to Equality North Carolina, the organizations represented on the Steering Committee, whom officials said made all key decisions for the campaign, included the Human Rights Campaign; the ACLU of North Carolina; Faith In America; Replacements, Ltd., a gay-owned company that sells upscale dinnerware; Self-Help, an LGBT supportive credit union based in North Carolina; and Southerners on New Ground (SONG), a North Carolina group that promotes progressive causes.
In late December or early January the Steering Committee retained the Los Angeles-based Armour Griffin Media Group to produce the campaign TV ads. Officials said the campaign retained the company months before they learned that Chad Griffin, one of the two principal partners in the firm, was to be selected as the new HRC president. Campaign finance records show the campaign paid the company $66,000 for its media work as of May 11, the close of the most recent campaign finance reporting period.
Campbell and campaign co-chair Alex Miller said the campaign built important alliances with progressive groups, LGBT supportive churches and religious leaders, and leaders of the African-American community that would benefit the LGBT community for years to come.
One of the most important developments, Campbell and Miller said, was the decision by the NAACP of North Carolina to come out against the amendment. Under the leadership of Rev. William Barber II, the state’s NAACP president, the historic black civil rights organization activated its chapters in counties across the state to speak out against the amendment.
Barber told the Blade that he believes a majority of black North Carolinians voted against the amendment despite claims by some media outlets that polls showed a majority of blacks favored the ballot measure.
Ray Warren, a former North Carolina circuit court judge who’s familiar with the state’s voting trends and demographics, said a review of the vote in most parts of the state showed that all of the state’s large cities and urban areas voted against the amendment. In what he called a dramatic contrast, all of the rural counties and nearly all of the suburbs outside city boundaries voted for the amendment.
Ninety-two of the state’s 100 counties voted for the amendment. Each of the eight counties voting against it included cities or urban-oriented towns with universities within their boundaries.
According to Warren, in a development rarely seen in the state, black and white voters appeared to vote alike, with majority white and majority black precincts voting for the amendment in rural and suburban areas. In cities and urban centers, majority black and majority white precincts voted against the amendment, Warren said.
Debate over campaign message

Brent Childers, executive director of Faith in America, said the campaign could have been more effective in challenging and refuting religious arguments used to support Amendment One. (Photo courtesy of Childers)
Some LGBT supportive observers wanted to know whether the message projected by the campaign opposing the amendment in TV ads and other media amounted to the best means possible to persuade voters to reject the amendment.
Marriage equality supporter Brent Childers, executive director of the North Carolina-based group Faith in America, which challenges what Childers calls the “misuse” of religion to deny rights to LGBT people, said the campaign could have been more effective in challenging and refuting religious arguments used to support Amendment One.
Still others, including North Carolina lesbian activist Mandy Carter, joined Spaulding in expressing concern that the opposition campaign mostly “de-gayed” its messages in TV ads by stressing the harms the amendment would have on straight unmarried couples.
Campaign officials dispute these claims, saying the campaign aggressively embraced its support for marriage equality for gays and projected that message through many campaign venues, including online videos as well as TV ads.
The campaign recruited a lesbian mother to appear in one of the three TV ads aired shortly before the election. Campaign officials told the media in a press release that the woman and her same-sex partner rely on the partner’s employee health insurance to provide coverage for their daughter.
But in the TV ad the woman isn’t identified as a lesbian. While driving a car with her child sitting next to her she says Amendment One would likely result in the loss of her daughter’s health insurance.
“[It’s] because we’re not married,” she says in the ad, referring to her partner. The partner’s gender isn’t mentioned.
“If you’re watching it on television there’s no way to know,” Spaulding said, referring to the woman’s sexual orientation.
Campaign officials said they believe the ad was effective in showing how the amendment would have serious consequences for unmarried couples, gay or straight, and it likely persuaded some voters to oppose the amendment.
In a series of interviews, pollsters, campaign officials, political analysts affiliated with North Carolina universities, representatives of LGBT advocacy groups, and LGBT supportive straight allies provided the Blade with a wide range of opinions addressing these questions.
Most agreed, however, that private polls commissioned for the campaign as well as polls conducted by other pollsters showed that a solid majority of North Carolinians oppose same-sex marriage on religious grounds. They noted that the same polls showed that a campaign and vote framed only around the question of whether gays should be allowed to marry would result in a certain defeat for the pro-marriage equality side.
Leaders of the Coalition to Protect All North Carolina Families said they chose an “evidence-based” approach of using the best possible research from privately commissioned polls to develop the message they ultimately used.
That message focused on how Amendment One goes far beyond banning same-sex marriage and, among other things, would ban civil unions for gay and straight couples. It could also lead to a wide range of harmful effects on all unmarried couples, gay and straight, and their children, the group stressed in its “messaging” campaign.
Advocates of this approach noted that an existing law in North Carolina already prohibited same-sex marriage and that an amendment to the state constitution doing the same thing was unnecessary.
Supporters of the amendment disputed that assertion, saying a constitutional amendment was needed to prevent a court from overturning the state’s existing law banning same-sex marriage. They noted that gay rights advocates had already filed at least one lawsuit challenging the existing gay marriage statute.
Political observers noted that after blocking a constitutional ban on same-sex marriage for years under Democratic Party leadership, the state legislature approved a proposal to place the issue before the voters in 2011 after Republicans gained control of the legislature for the first time in decades in the 2010 election.
Over the strong objections of many Democrats and some Republicans, supporters of the amendment worded it in a way that expanded its scope beyond just marriage.
Amendment One states, “Marriage between one man and one woman is the only domestic legal union that shall be valid or recognized in this State.”
The amendment adds, “This section does not prohibit a private party from entering into contracts with another private party; nor does this section prohibit courts from adjudicating the rights of private parties pursuant to such contracts.”
Legal experts in the state have said the amendment’s definition of marriage as the “only domestic legal union” would place in jeopardy rights and benefits currently being offered to gay or straight unmarried couples, such as domestic partner benefits offered by private companies or local governmental entities like cities and towns, including health insurance benefits and hospital visitation rights.
The Coalition to Protect All North Carolina Families cited legal experts who said safeguards against domestic violence might also be jeopardized by the amendment, with the possibility that a court could no longer issue a legal “stay away” order for a partner accused of physically abusing the other partner if the couple were not married.
“We saw that all these terrible things could happen,” said Stuart Campbell, executive director of the state LGBT advocacy group Equality North Carolina and a member of the Steering Committee of the campaign opposing the amendment.
Supporters of the amendment, led by the state group Vote for North Carolina Marriage and the anti-gay National Organization for Marriage, said claims that the amendment would impact health insurance benefits, domestic violence protections or child custody rights were unfounded.
Campbell said the Coalition to Protect All North Carolina Families’ Steering Committee initially hired the LGBT supportive polling firm Greenberg Quinlan Rosner Research headed by pollster Anna Greenberg. In an effort to get a second opinion, the Steering committee a short time later retained Lake Research Partners, another LGBT supportive campaign research firm headed by pollster Celinda Lake. Both firms have long-established records of helping to win elections for mostly Democratic candidates and progressive causes.
Lake was the pollster in the 2006 campaign opposing a proposed same-sex marriage ban in Arizona that was defeated by voters, the only such ballot measure to lose in more than 30 states across the country that voted on such a measure. Observers said the measure lost in Arizona because most voters disagreed with the additional restrictions it would place on unmarried couples, similar to the “harms” cited by opponents of Amendment One in North Carolina.
Two years later, Arizona voters approved a same-sex marriage ban that didn’t include the additional restrictions on unmarried couples.
Lake told the Blade that the North Carolina campaign stressed the harms Amendment One would cause to gay and straight unmarried couples, including the children of such couples, but it was not modeled directly after the Arizona campaign since the two states have different voter demographics and political traditions.
Lake said her early polling in North Carolina conducted to test different messages clearly found that a message of the potential harm Amendment One would cause for unmarried couples, gay and straight, children of these couples, and women threatened by domestic violence resonated with many voters. Among other things, a significant number of voters who planned to vote for Amendment One changed their position and stated in her poll that they would vote against it after learning about the amendment’s impact beyond banning same-sex marriage, Lake said.
Lake described as historic the North Carolina campaign’s use of a TV ad asserting that Amendment One would harm children, saying it represented the first time a campaign opposing a ballot measure seeking to ban same-sex marriage has argued that such a proposal would harm children.
She noted that in all previous campaigns, supporters of anti-gay ballot measures argued that same-sex marriage would be harmful to children. In North Carolina, the campaign against the amendment turned the tables on the anti-marriage equality forces, opening the way for this “game-changing” strategy in future battles against ballot measures seeking to ban same-sex marriage, Lake said.
When asked why Amendment One passed by a 61 percent to 39 percent margin despite the use of the “unintended consequences” and harm to children strategy, Lake and others working with her on the campaign cited the campaign’s lack of sufficient funds to pay for more TV ads and their inability to begin airing the ads sooner.
Jeremy Kennedy, the campaign manager hired by the coalition Steering Committee to carry out the committee’s game plan, said more than 60 percent of the $2.8 million raised by the campaign came in during the last few weeks leading up to the May 8 election.
The three TV ads the campaign used didn’t begin airing until the state’s early voting had already started about 15 days prior to Election Day.
“I was surprised that the opposition campaign didn’t get on the air sooner,” said Wake Forest University political science professor John Dinan, who said he followed the campaigns for and against the amendment.
“To move voters you need to put on TV ads much sooner,” he said.
Kennedy said that in the last few weeks of the campaign, donors began to respond when some outside polls, including those conducted by the firm Public Policy Polling, showed the projected vote for the amendment dropping to about 55 percent.
“If we all had our way and we had early money we would have done several months of TV,” Kennedy said.
Kennedy, 34, is a native of Texas who moved to D.C. in 2007 to work on the presidential campaign of Hillary Clinton. After Clinton dropped out of the presidential race following the primary season in 2008, Kennedy took a job with the Human Rights Campaign’s field department in Washington.
In 2010 he moved to Maine to work on the gubernatorial primary campaign of Democrat Elizabeth “Libby” Mitchell, who won the primary but lost the general election to Republican Gov. Paul Lepage. Following that campaign, Kennedy went to work as a state field director for the Maine Democratic Party.
He next went to Rhode Island to work on the legislative effort in the state to pass a same-sex marriage law. The legislature changed course and approved a civil unions bill rather than a marriage law. Shortly after returning to Maine, which he considers his home state, Kennedy was recruited to North Carolina last December, where the Coalition to Protect All North Carolina Families hired him as campaign manager to work for the defeat of Amendment One.
One source familiar with the campaign said the Steering Committee awarded Kennedy a $5,000 bonus near the end of the campaign. Another source expressed concern that money for the bonus would have been better used to pay for additional media ads.
Campbell declined to confirm the amount of the bonus, saying it was a personnel matter that would not be appropriate to discuss publicly. However, he added, “It was not such a large amount that it would make a difference in the media campaign.
“I have nothing but good things to say about Jeremy,” Campbell said. “I think he did an excellent job. He ran the campaign that we hired him to run.”
HRC spokesperson Fred Sainz agreed with Campbell’s assessment of Kennedy.
“In everyone’s estimation – including ours – Jeremy Kennedy is a superstar!” Sainz said in an email to the Blade. “This campaign brought together a diverse coalition that left behind an infrastructure in North Carolina upon which we can build upon for progressive politics and gay rights.”
Sainz said that while the loss was a big disappointment, ballot measures banning same-sex marriage passed in the other Southern states by an average of 75 percent in past years. He said the 61 percent to 39 percent margin of approval of a gay marriage ban in North Carolina shows “amazing progress among Southerners and Americans in general on the issue of marriage equality.”
Approval by voters in Virginia of a state constitutional ban on gay marriage in 2006 by a margin of 57 percent marked the only Southern state with support for such an amendment at a lower percentage than North Carolina. Florida passed such an amendment with a margin of 62 percent in 2008. South Carolina approved a marriage ban amendment by a 78 percent margin of approval in 2006.
Campbell and campaign co-chair Miller said reports by some critics that the campaign ended with a significant surplus and that the campaign chose not to distribute yard signs to urge voters to defeat the amendment were not true.
The campaign distributed as many as 15,000 yard signs opposing Amendment One in mostly urban areas throughout the state, campaign officials said.
Miller said that the campaign’s finance report filed on May 21 showing a $92,317 surplus was based on incomplete data. Bills for media-related expenses and other expenditures had yet to be paid at the time of the report’s filing deadline. He said final expenses would be shown in a final, end-of-the-year report to be filed with the election board.
“We were pretty much down to the last penny,” he said of the campaign’s spending.
‘Mood is grim’
A 17-page memo that Greenberg sent to the campaign Steering Committee on Dec. 6, 2011, a copy of which the Blade obtained, says her polling found that a significant number of voters were inclined to change their vote from “yes” to “no” on the amendment after they learned of the potential harmful impact it would have, including its prohibition against civil unions and overall harmful effects on children.
Greenberg noted in her memo that many voters who opposed same-sex marriage did not object to civil unions for gay or straight couples.
But unlike Lake, Greenberg stated the overall prospects for defeating Amendment One were not encouraging even when the “unintended effects” were spelled out to prospective voters.
“The mood is grim — and conservative — in North Carolina,” she said in the memo. “North Carolina shocked the country by delivering its electoral votes to Barack Obama in 2008. The world has since turned,” she wrote in the memo. “Half of this (special) electorate describes their feelings toward Obama in negative terms,” she added in discussing her poll findings.
A source familiar with the campaign, who spoke on condition of not being identified, said Greenberg made it clear she didn’t think a victory was possible for the opposition side. Instead, she recommended the campaign adopt a strategy that would educate voters and help their opinions in favor of marriage equality for a future campaign, the source said.
“We would not complicate this issue with a discussion of the impact this would have on straight, unmarried couples, despite the Arizona experience,” she wrote in her memo. “Voters’ moral judgment is not expended entirely on the LGBTQ community as voters here have problems with unmarried straight couples living together as well. An additional focus on straight couples does not make enough difference to justify muddying up your message,” she said in the memo.
She said her memo was based on a survey of 600 likely special election voters in North Carolina taken Nov. 16-21, 2011. She said her poll, which had a margin of error of plus or minus 4 percent, found that 66 percent of the voters surveyed supported Amendment One, with 30 percent opposing it.
“More information and messaging reduced down the margin so by the end of the survey the support side leads by 24 points (59 percent favor, 36 percent oppose),” she said of the poll.
Greenberg’s adjusted poll numbers, reflecting the “messaging” that opponents used in the campaign, came close to the 61 percent to 39 percent outcome of the election nearly six months later.
Similar to Lake, Greenberg noted in her memo that opponents of Amendment One would need to invest in an extensive media campaign to educate voters of the harms the amendment would likely cause LGBT people and others.
Kennedy told the Blade that despite the fact that the campaign came close to meeting its $3 million fundraising goal, far more money was needed to educate voters that polls showed would switch from support to opposition of the amendment if they knew it went beyond just banning same-sex marriage.
Rev. Barber of the NAACP said the media were partially responsible for the lack of voter education.
“The folks who brought this forward framed it on whether you support gay marriage on religious grounds,” he said. “And the media fell for this. They should have made it clear that this was a constitutional amendment that would take away rights.”
He added, “The NAACP saw a dangerous pattern. We saw the rights of a minority being put up for a popular vote. The media never asked the right questions.”
Childers of Faith In America said he attempted but did not succeed in persuading the campaign to directly respond to attacks against same-sex marriage by religious groups and leaders. He said Faith In America, which was co-founded by gay businessman Mitchell Gold, believes the opposition vote would have been considerably higher if the campaign addressed the religion issue “head on” in TV and other media ads.
Childers noted that the campaign opposing the amendment, among other things, should have responded to religious leaders’ claims that same-sex marriage is against God’s will. The Rev. Billy Graham was among the religious leaders in the state to come out for the amendment.
When told that sources familiar with the campaign said campaign officials were reluctant to question or challenge voters’ religious beliefs, Childers said, “That’s one of the fallacies that frankly our own community have fallen prey to. Any person that has spent much time at all in a religious environment knows that religious teachings are questioned all the time,” he said.
“If you look at the voice of history it is crystal clear when it comes to misuse of religious teachings to justify prejudice and discrimination against minorities,” Childers said. “We have concluded as a society on a number of occasions that that is simply a moral failing as a society.”
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
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.

“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.”





(Photo courtesy of the U.S. House Oversight Committee)
The White House
White House deadnames highest-ranking transgender official
Rachel Levine’s portrait altered at HHS
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.

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.”
Health
The harsh truth about HIV phobia in gay dating
HIV and stigma remain baked into queer dating culture
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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