Opinions
The silent T in D.C.’s HIV/AIDS epidemic
No mention of trans community in city’s annual report

By DARBY HICKEY
The District’s annual report on HIV/AIDS data, released June 20, claims to “herald a new era in treating HIV” — and yet there is not a single mention of the impact of the epidemic on the city’s transgender communities.
Without a doubt, the government’s response to the AIDS crisis has improved by leaps and bounds in the past decade. Spurred by community organizing and advocacy, the Department of Health has transformed its performance across an array of categories. From auditing city funds to condom distribution to routine testing, the District has made tremendous progress – as noted by the HIV/AIDS, Hepatitis, STD and TB Administration’s “Annual Report.” Overall new infections are down, AIDS-related deaths are down and the city is spending its own money on evidence-based needle exchange programs after an end to years of congressional meddling.
How ironic, then, that while officials recognized one major area of weakness – increased rates of HIV infection among black women in poor neighborhoods – a swath of D.C.’s women went unrecognized, ignored and excluded from the data and the discussion.
Transgender women – already combating disturbing levels of violence and discrimination in our city – have some of the highest HIV prevalence rates. The federal Centers for Disease Control (CDC) recognize that although “information is lacking,” transgender communities in the U.S. are among the populations at greatest risk for HIV infection. According to the CDC, one meta-analysis of “29 published studies showed that 27.7 percent of transgender women tested positive for HIV infection.” A needs assessment from 2000 found that one in three D.C. transgender women self-reported as HIV positive.
Part of the problem is that transgender women are routinely categorized as “men who have sex with men” – while actual transgender men (some of whom do have sex with other men) are also routinely neglected in AIDS data and reports. According to the Center of Excellence for Transgender Health, the same meta-analysis mentioned earlier “reported a rate of 2-3% (about 1 in 50) among trans men.” This is significantly higher than the overall rate in the US.
Some grassroots organizations in D.C. collect extensive information on transgender clients. However, such data cannot make it up the chain – neither the D.C. Health Department nor the CDC currently have in place mechanisms for properly documenting transgender people living with HIV. Considering that just a few years ago the District had basically no useful epidemiology numbers, some might say that it is an important first step to get any sort of solid statistics. But, since data collection and analysis was being overhauled anyway, it would have made sense to build in mechanisms for capturing transgender information – as well as that of other marginalized groups.
Without good numbers, you can’t do good planning — identifying the communities most affected by AIDS, allocating resources accordingly, etc. Now that there is reliable data, anyone wanting more funding in D.C. explicitly for programs for the transgender community might be told that they don’t have the numbers to back up their request, which is true — but not because HIV is not seriously affecting the transgender community.
Fortunately, the District and CDC are moving in the right direction, thanks to the tireless efforts of advocates locally and nationally. The CDC is taking cues from the Center of Excellence in Transgender Health. D.C. officials don’t need to wait on the federal agency, however. The Department of Health should act proactively to put into place its own systems (modeled on best practices) so that when the next “Annual Report” is released, D.C.’s transgender residents finally will be part of the picture.
Of course, numbers are no magic wand. Every AIDS program in the city must be open and welcoming to transgender people. Police in D.C. must stop confiscating condoms and treating them as evidence of prostitution. And the mayor’s office and the Office of Human Rights initiatives to address discrimination and stigma against transgender people must continue. It is the year 2012 and we know that stopping AIDS isn’t just about statistics and antibodies – social inequality plays an equally important role. But we need all three – human rights, solid data and the latest medicine and technologies – to turn the tide on HIV in DC.
Darby Hickey is a D.C.-based writer. Reach her at [email protected].
Opinions
TRAITOR: Treasury Secretary Scott Bessent has blood on his hands
Nation’s highest-ranking gay public official is a MAGA sell out

It’s an odd dichotomy: President Trump appoints the highest-ranking openly gay government official in history in Treasury Secretary Scott Bessent, yet he launches cruel attacks on transgender Americans.
Make no mistake: Those attacks are claiming lives. Trans people are killing themselves. I know of one trans person who died by suicide on Election Night, overwhelmed by fear of the incoming administration. Trump’s attacks have driven trans Americans and their families to flee the country and move to Canada, as the Blade has reported.
None of this is hypothetical or melodramatic. It’s real life and happening everywhere.
And so when Bessent was confirmed as Treasury Secretary, I wrote an op-ed urging him to educate Trump about the plight of trans Americans and the destructiveness of the attacks on the community. I waited 90 days for some sign that Bessent has a heart or at least a modicum of decency but sadly, I must report that he does not.
The attacks on the LGBTQ community under Trump keep coming. Last week’s news that the U.S. Department of Health and Human Services is planning to retire the national 988 crisis lifeline for LGBTQ youth on Oct. 1 is just the latest evidence that this administration doesn’t just dislike us — they want us dead.
“Ending the 988 Suicide and Crisis Lifeline’s LGBTQ+ youth specialized services will not just strip away access from millions of LGBTQ+ kids and teens — it will put their lives at risk,” Trevor Project CEO Jaymes Black said in a statement.
The service for LGBTQ youth has received 1.3 million calls, texts, or chats since its debut, with an average of 2,100 contacts per day in February.
Make no mistake: cutting this service will kill young LGBTQ people.
Just a couple of weeks earlier, Trump’s administration announced the Office of Infectious Disease and HIV/AIDS Policy would be gutted.
“In a matter of just a couple days, we are losing our nation’s ability to prevent HIV,” said HIV+Hepatitis Policy Institute Executive Director Carl Schmid.
And prior to that, Trump issued a series of executive orders targeting the trans community — restricting access to affirming healthcare, banning trans service members from the military, barring trans women and girls from playing sports, eliminating the “X” gender marker on passports, and barring students assigned male at birth from using women’s restrooms.
Let’s be very clear: When you deny someone the ability to use the bathroom, you deny their humanity.
So back to Scott Bessent, the billionaire hedge fund manager now running our economy into the ground. As many Trump protesters have noted: silence is complicity. And Bessent has been silent on all of these horrific attacks on trans Americans and their basic humanity. He is spineless and a traitor to the LGBTQ community.
Bessent runs the U.S. Treasury and reportedly has Trump’s ear on all matters related to the economy. He could easily push Trump in a better, more compassionate direction, yet there is no evidence he has done that.
“The LGBTQ+ community is counting on openly LGBTQ+ nominees like Scott Bessent to step up for the community,” said Human Rights Campaign President Kelley Robinson after the inauguration. Sadly, it’s become clear we cannot count on Bessent. As I wrote in January, Trump likes his queer people gay, white, cis, rich, and obedient.
Bessent has ignored the Blade’s interview requests. (And after this is published, I have no illusions he will change his mind.) The mainstream media, increasingly cowed by Trump, have failed to ask Bessent even the most basic questions about his views on trans equality and Trump’s attacks.
As a member of the LGBTQ community, Bessent has a responsibility to at least speak up on behalf of trans people who are suffering. But Republicans today have lost their spines. They genuflect before their Dear Leader, line their own pockets, and leave the rest of us to deal with the consequences.
The crisis is real. People are dying. Trans people especially are suffering. The rest of us must do what we can to mitigate that suffering and to speak out in defense of our trans friends.
Kevin Naff is editor of the Washington Blade. Reach him at [email protected].
Opinions
Congressional Equality Caucus should participate in WorldPride
Make bold statement about our commitment to LGBTQ rights

The Trump administration, by its actions, has already hurt WorldPride. By attacking trans people, they have gotten many nations to suggest to trans citizens they not come to the United States. Canada’s queer group has said it is advising its people not to come. It is sad in so many ways. But despite what the felon in the White House is doing, WorldPride will be a success. It can be a time to not only have fun, but to make a point to the administration and the world. What was the old saying, “We’re here, we’re queer, and we’re not going anywhere, so get used to it.” The LGBTQ community in the United States has made great strides since Stonewall in 1969, and there is no way we are going back into the closet.
One way we can make a strong statement is if every member of the Congressional Equality Caucus would come out and join hands with constituents from their state, who are coming to D.C. for WorldPride. Together, they can take a stand for equality. Together, they can make a statement about our country to the world; that the United States values and supports its LGBTQ community.
This year from May 17-June, we are anticipating huge crowds in Washington, D.C. for WorldPride. Let us together make sure they are all safe and that they have an exciting and fun time while here. But at the same time we should use this gathering to speak out, for our community here, and the LGBTQ community around the world.
We must show the felon in the White House, and his MAGA acolytes in Congress, and around the nation, all those who would keep us down, we can, and will, stand up for ourselves. We are only willing to move one way, and that is forward toward full equality. Many years ago, during the early fight for recognition of the HIV/AIDS epidemic, there was an event staged by the group ACT UP, called ‘hands around the White House.’ It is time to stage something like that again.
With all the attacks on the trans community, and as threats to the entire LGBTQ community continue, we need to stand together, and stay strong. We need to join with everyone else who is fighting back against the felon, and his Nazi sympathizing co-president, in the White House. To join in the demonstrations, fight back, and not fall for the distractions meant to take us from our goals. Those goals must include defeating every Republican in elections in 2025, and taking back Congress in 2026. I say every Republican, only because today there is no longer a rational Republican Party. That party has become a MAGA Party, or ‘Cult of Trump.’ That is sad, but it’s true. It is not up to Democrats, or independents, to change the Republican Party; it is up to us to ensure their defeat until they change themselves.
Until then we must work hard to elect Democrats across the nation. From school board, to county council, from statehouse to Congress. For the LGBTQ community that is the only way we will move forward on equality. It is the only way we can defeat those who want to ban books about our lives, and try to force us back in the closet. We must say a resounding NO to that.
We must vote for Democrats because history shows us, any other vote, a vote for a third party, helps Republicans win. The reality, like it or not, is today there are only two parties that can win a general election. Yes, in a few rare districts, a third party has won. But this is rare and let’s not take the chance of that happening if there isn’t a history in your state, or district, or community, where it happened in the past. Be smart! While you may not like everything the Democratic Party stands for, it has proven, its members stand for the rights of the LGBTQ community. The incredible progress since Stonewall has been because the Democratic Party has worked with the activists in our midst, to make that progress. Let’s not give up now and move backwards with the MAGA Party. Together, let’s retake our government, and continue to move forward until we have full equality. That must be the goal we join hands for, and pledge to work toward.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

With legislation making it more difficult for transgender and gender non-conforming people to change their passports and other documents, it is now a race against the clock to change as many of them as possible.
Trans Maryland and Advocates for Trans Equality are among the groups that offer workshops and online resources.
Here’s how I did it in Maryland:
A letter from your primary care provider
The first thing you’ll need to get any of this rolling is a document from your primary care provider that shows proof of hormone therapy, gender incongruence, or both. In my experience, this is important to have prior to getting anything started because some states require some sort of proof in order to certify the change.
Some courts may need a therapist’s letter as well, but it depends on what state you live in. With this document, you’ll be able to bring it to the respective offices and it will give a valid reason for you to get your desired gender marker.
A court order
The next thing you will need is a court order that recognizes your gender identity. It is a precaution just to avoid any wasted time or confusion at any offices going forward. You will go to the circuit court website for what state/county you reside in and find a document that is a petition to change your gender. Here is an example from Maryland.
You will print that document and fill out the petition for your respective titles with or without a name change and take it to the Circuit Court. Some courts may require the appointment. There, you will present the petition and letter and pay a fee — Maryland’s fee is $165, however there are fee waivers for those that apply. After, you will wait some weeks for the court order to show up.
Social Security card
Unfortunately, as of January 2025, the Social Security Administration has ceased any gender changes in their system. As with the fight for passports reflecting the holder’s proper gender identity, the Human Rights Campaign and the American Civil Liberties Union may bring a case to regain access in the future.
Identity card/driver’s license
After getting your primary care letter and court order, make a standard appointment for Identification Services at the local DMV and bring the paperwork. Though the Maryland Court’s website says there is no need to get a court order to change any documents, the clerk at the Maryland Motor Vehicle Administration (Maryland’s DMV) stressed that I needed the updated Social Security card changed in order to get an updated ID.
I was able to get it changed prior to the Trump-Vance administration, however given the current circumstances, if there is any pushback from any clerk or official who say they require a Social Security card, very adamantly cite the official gov website if applicable, and use the court order, despite the fact you should not need one to get your ID updated.
Birth certificate
Should all have gone well with the ID, the last document to amend is the birth certificate.
Unfortunately, this may be the most difficult document that you are able to amend because it must be done within your home state and some states, such as Oklahoma, Florida, Tennessee, and Texas, have already banned altering birth certificates.
In D.C., where I changed my own, there have been no known issues or legislation passed for changing the name and gender marker on the document. You will search your state government websites for the vital records department, find a Gender Designation Application and fill out the necessary information. The D.C. application is here:
On D.C.’s application, you must sign the document in front of a notary in order for it to be valid. Several mail offices, such as UPS, offer notary services for relatively cheap. Upon getting the application notarized, you can bring all documents you have already updated along with the court order and primary care letter to an appointment at the vital records office. All the previous work done should make this fairly easy if you are in a state that hasn’t made heavy strides to halt the process.
All in all, with about a month of your time, about $300, and a state that supports your right to self-actualization, you should still be able to change most of your documents.
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