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AIDS 2012: Clinton announces ‘blueprint’ for ‘AIDS-free generation’

Identifies new funding streams to confront global epidemic

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Hillary Clinton, International AIDS Conference, gay news, Washington Blade
Secretary of State Hillary Clinton spoke Monday at the 19th International AIDS Conference (Blade photo by Michael Key)

Secretary of State Hillary Clinton spoke Monday at the 19th International AIDS Conference (Blade photo by Michael Key)

Secretary of State Hillary Clinton announced on Monday that the United States would prepare a “blueprint” to confront the global AIDS epidemic and realize her previously stated vision of an “AIDS-free generation.”

In a speech before attendees in D.C. at the 19th International AIDS Conference, Clinton said she directed U.S. Global AIDS Coordinator Eric Goosby to develop the plan and said it would be unveiled before Dec. 1 on World AIDS Day.

“I have asked Ambassador Dr. Goosby to take the lead on developing and sharing our blueprint of the goals and objectives for the next phase of our effort and to release this blueprint by World AIDS Day this year,” Clinton said. “We want the next Congress, the next secretary of state, and all of our partners here at home and around the world to have a clear picture of everything we’ve learned and a roadmap that shows what we will contribute to achieving an AIDS-free generation.”

Clinton first articulated the idea of an “AIDS-free generation” during remarks she delivered on World AIDS Day last year.

A number of HIV/AIDS advocates praised the idea of a blueprint in the global fight against HIV/AIDS as they called for the strategy to include certain enumerated provisions.

Chris Collins, vice president of policy for amFAR, said he’s hoping the plan would articulate the way forward in confronting the global AIDS epidemic, which has claimed the lives of more than 25 million across the globe.

“When you want to accomplish a complex goal you need a clear plan of action,” Collins said. “Creation of a blueprint is an important step forward because it directs our planning, policy and funding toward achieving clear outcomes and goals and will help everyone engaged monitor progress toward an AIDS-free generation.”

In a joint statement, 65 advocacy and implementation organizations said the blueprint needs to contain several key points to succeed, such as defining specific outcome targets for HIV incidence, morbidity and mortality; requiring full transparency of U.S. government budgets; and requiring detailed annual reporting on progress.

During the same speech, Clinton unveiled five new funding streams aiming to target populations that are particularly affected by HIV/AIDS overseas, touting a “combination prevention” strategy of treatment and prevention.

The five new funding streams total $157 million:

• an additional $80 million to support approaches that ensure HIV-positive pregnant women receive treatment to protect themselves and prevent them from spreading the disease to their children and partners;

• an additional $40 million to support South Africa’s plans to provide voluntary medical male circumcisions for almost half a million boys and men in the next year;

• $15 million for implementation research to identify the specific interventions that are most effective for reaching key populations;

• $20 million to launch a challenge fund to support country-led plans to expand services for key populations; and

• a $2 million investment in the Robert Carr Civil Society Networks Fund to bolster the efforts of civil society groups in addressing key populations.

Clinton said keeping women in Africa with HIV healthy is important to keep them from transferring the disease to their unborn children, which she said the United States is committed to ending by 2015.

A number of female HIV/AIDS advocates at the conference called for greater attention to the disease’s impact on children. In sub-Saharan Africa, which has been particularly affected by AIDS, an estimated 60 percent of those living with HIV are women.

“When women are identified as HIV-positive and eligible for treatment, they are often referred to another clinic, one that may be too far away for them to reach,” Clinton said. “As a result, too many women never start treatment. Today, I am announcing that the United States will invest an additional $80 million to fill this gap. These funds will support innovative approaches to ensure that HIV-positive pregnant women get the treatment they need to protect themselves, their babies and their workers.”

Clinton’s speech was highly anticipated among the estimated 25,000 people in attendance at the conference. Organizers sent attendees to overflow rooms a full half-hour before she came on stage because the large room in which she was set to speak was already filled to capacity.

Upon her arrival, Clinton was greeted with a standing ovation from attendees. But not everyone received her favorably.

A group of protesters could be heard shouting at the secretary as she approached the podium. They held up a sign calling on Clinton to take “Trans Pacific” action against AIDS — apparently out of concern of insufficient funds for trans people affected by AIDS overseas. Clinton responded, “What would an AIDS conference be without a little protesting? We understand that.”

Some HIV/AIDS advocates have criticized the Obama administration for not doing enough to fight the global epidemic. The president’s budget request for fiscal year 2013 cuts half a billion dollars from the President’s Emergency Plan for AIDS Relief, a program established by President George W. Bush to confront the global epidemic, as the White House maintained the program is doing more with less because of the reduced cost of drugs.

Protesters shout at Clinton during remarks at AIDS conference (Blade photo by Michael Key)

Protesters shout at Clinton during remarks at AIDS conference (Blade photo by Michael Key)

Despite this proposed cut, Clinton emphasized new accomplishments for PEPFAR under the Obama administration, saying the program is funding 600,000 more people since December. She said this increase means PEPFAR is reaching nearly 4.5 million people and is on track to meet the administration’s goal of treating 6 million people by the end of 2013, which President Obama announced on World AIDS Day last year.

“Now since that time I’ve heard a few voices from people raising questions about America’s commitment to an AIDS-free generation, wondering whether we are really serious about achieving it,” Clinton said. “Well, I am here today to make it absolutely clear: the United States is committed and will remain committed to achieving an AIDS-free generation. We will not back off, we will not back down, we will fight for the resources necessary to achieve this historic milestone.”

Additionally, Clinton said PEPFAR is reaching more than 370,000 women globally and has supported more than 400,000 male circumcisions, which has been shown to reduce HIV transmission, since December.

“You know and we want the world to know that this procedure reduces the risk of female-to-male transmission by more than 60 percent and for the rest of the man’s life, so the impact can be phenomenal,” Clinton said. “In Kenya and Tanzania, mothers asked for circumcision campaigns during school vacations so their teenage sons could participate. In Zimbabwe, some male lawmakers want to show their constituents how safe and virtually painless the procedure is, so they went to a mobile clinic and got circumcised. That’s the kind of leadership we welcome.”

But as she emphasized U.S. efforts in confronting the epidemic, Clinton also called for partner nations to step up their game to confront the disease in their own countries, saying reaching the goal “is a shared responsibility.”

“I spoke earlier about how the United States is supporting country ownership, but we also look to our partner countries and donors to do their part,” Clinton said. “They can follow the example of the last few years in South Africa, Namibia, Botswana, India and other countries who are able to provide more and better care for their own people because they are committing more of their own resources to HIV/AIDS. And partner countries also need to take steps like fighting corruption and making sure their systems for approving drugs are as efficient as possible.”

As part of this commitment, Clinton called on other countries to contribute to the Global Fund to Fight AIDS, Tuberculous and Malaria. Obama’s most recent budget request affirms the administration’s commitment to provide $4 billion over three years to the fund, and Clinton said Saudi Arabia, Japan, Germany, the Gates Foundation and others have stepped up their efforts.

Paul Zeitz, vice president of policy for the D.C.-based ACT V: The End of AIDS, joined in the call for other countries to step up their efforts in confronting HIV/AIDS as he commended Clinton for announcing her plan to produce a blueprint in the global fight.

“As we all know, money is the oxygen for action for creating an AIDS-Free Generation,” Zeitz said. “Action speaks louder and we need to make sure that governments around the world step up to pay their fare share, including my own government. U.S. leadership in the global battle to end AIDS is an essential catalyst.”

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6 Comments

6 Comments

  1. Confused

    July 26, 2012 at 12:11 pm

    Hillary Clinton travels the globe denouncing female circumcision but has no problem advocating for male circumcision.

  2. Ebenezer Losin

    October 15, 2012 at 10:16 am

    AN INTERESTING COMMENT, BUT HERE IN AFRICA, WE NEED PRACTICAL SOLUTION TO HELP FIGHT THIS DEADLY DISEASE, MORE IMPORTANTLY WE NEED SERIOUS AWARENESS TO PENETRATE DEEP DOWN TO THE RURAL AREAS AND THE LOCAL ORGANIZATIONS ARE THE ONES THAT REALLY UNDERSTAND THE LANGUAGE OF THE RURAL PEOPLE, IF ONLY THEY HAVE ACCESS TO FUND, OF COURSE THEY WILL BE ABLE TO REACH OUT TO THE PEOPLE THAT NEEDS THIS INFO MORE….. EXAMPLE OF SUCH ORGANIZATION IS GLOBAL INFLUENCE INTERNATIONAL. BASED IN NIGERIA. a local group that has done more in preaching the gospel of HIV/AIDS in its local community with no external fund from anyone……

  3. Ebenezer Losin

    October 15, 2012 at 10:18 am

    AN INTERESTING COMMENT, BUT HERE IN AFRICA, WE NEED PRACTICAL SOLUTION TO HELP FIGHT THIS DEADLY DISEASE, MORE IMPORTANTLY WE NEED SERIOUS AWARENESS TO PENETRATE DEEP DOWN TO THE RURAL AREAS AND THE LOCAL ORGANIZATIONS ARE THE ONES THAT REALLY UNDERSTAND THE LANGUAGE OF THE RURAL PEOPLE, IF ONLY THEY HAVE ACCESS TO FUND, OF COURSE THEY WILL BE ABLE TO REACH OUT TO THE PEOPLE THAT NEEDS THIS INFO MORE….. EXAMPLE OF SUCH ORGANIZATION IS GLOBAL INFLUENCE INTERNATIONAL. BASED IN NIGERIA. a local group that has done more in preaching the gospel of HIV/AIDS in its local community with no external fund from anyone……

  4. Brian Dugdale

    November 29, 2012 at 10:32 pm

    Speaking as a cicumcised 71 yearold englishman ……. Please, please, please leave all young males intact.

    It is mutilation to both mind and body living with a circumcised penis. RIC has condemed me to a lifetime of side effects not thought about or conciddered back in the 1940s. The effects are mrntal as well as physical. ……… DON'T DO IT !!

  5. Willie Moller

    June 11, 2016 at 6:28 pm

    an additional $40 million to support South Africa’s plans to provide voluntary medical male circumcisions for almost half a million boys and men in the next year HAHAHAHHAHAH !!!!!! Mrs Clinton that is a custom for Black men to be circumcised Don’t you know that? Forget about that stupid story it does not work and someone might be 40 m richer.

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N.C. lieutenant governor compares gays to cow feces, maggots

“If homosexuality is of God, what purpose does it serve? What does it make? What does it create? It creates nothing,” Robinson said

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North Carolina Lt. Governor Mark Robinson (Blade file photo)

WINSTON-SALEM – Speaking to parishioners at the Berean Baptist Church in Winston-Salem last Sunday, November 14, North Carolina Lt. Governor Mark Robinson attacked the LGBTQ+ community in remarks caught on the church’s livestreaming video on YouTube.

Robinson said in his sermon that he questioned the “purpose” of being gay; said heterosexual couples are “superior” to gay couples; and that he didn’t want to explain to his grandchildren why two men are kissing if they see that on television the Charlotte Observer reported.

The state’s Republican Lt. Governor then went on to compare being gay to “what the cows leave behind” as well as maggots and flies, who he said all serve a purpose in God’s creation. “If homosexuality is of God, what purpose does it serve? What does it make? What does it create? It creates nothing,” Robinson said.

Democratic lawmakers expressed their outrage on Twitter:

According to the Observer, “The video was distributed Friday by a pastor at St. John’s Metropolitan Community Church in Raleigh, the day before the Transgender Day of Remembrance. A protest rally was held Friday in front of Robinson’s office, but organizers also read the names of transgender people who have been killed.

This man’s theology and religious practices are not only flawed and a perversion of the Christian tenets; he places countless people at risk of violent attacks and even murder every time he opens his mouth,” said Vance Haywood, senior pastor at St. John’s, in a statement.

Robinson is expected to run for the governor’s chair in 2024. In another video of the sermon captured the Lt. Governor ranting in transphobic terms his opinion of the Trans community:

North Carolina Lt. Gov. Mark Robinson (Twitter Video)

Video of remarks made by North Carolina Lt. Gov. Mark Robinson courtesy of the Charlotte Observer.

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LGBTQ elder care facilities open nationwide, but discrimination persists

Advocates say seniors face challenges despite groundbreaking advances

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The Ariadne Getty Foundation Senior Housing facility opened this week in Los Angeles. (Blade file photo)

Marsha Wetzel, an out lesbian, shared her life with her partner of 30 years, Judith Kahn, at the couple’s home in Illinois until Kahn died in 2013 of colon cancer.

As is the case with some same-sex couples who never married, Kahn’s family took legal possession of the couple’s home several years later, forcing Wetzel, who suffered from severe arthritis, to move into the Glen St. Andrew Living Community, a retirement and assisted living facility in Niles, Ill.

According to a lawsuit filed on her behalf in 2016 by the LGBTQ litigation group Lambda Legal, when word got out that Wetzel was a lesbian after she disclosed her sexual orientation to a fellow resident, she was called homophobic slurs, spat on, and assaulted on several occasions by other residents of the facility. The lawsuit, which later resulted in a court ruling in Wetzel’s favor, charged that officials at the Glen St. Andrew facility illegally failed to take action to prevent Wetzel from being subjected to abuse and threats by fellow residents and retaliated against her when she complained.

Lambda Legal announced one year ago, on Nov. 20, 2020, that Wetzel passed away at the age of 73 of natural causes after a landmark 2018 appeals court ruling in her favor affirmed that residential facilities such as the one in which she lived are legally responsible for the safety of tenant residents.

“Marsha spent the rest of her days in a senior living community where she was out and affirmed,” said Lambda Legal attorney Karen Loewy, who represented Wetzel in the lawsuit.

Advocates for LGBTQ seniors were hopeful that the 2018 U.S. Court of Appeals for the Seventh Circuit ruling in the Wetzel case would speed up the gradual but steady advances in the rights of LGBTQ elders in long-term care facilities and in society in general.

A short time later, the New York City-based national LGBTQ elder advocacy group SAGE expanded its programs providing cultural competency training for the nation’s long-term care residential facilities. And in some cities, including New York, Los Angeles, and San Francisco, LGBTQ specific retirement and long-term care facilities began to open to provide LGBTQ elders with a wide range of “wrap around” services in addition to a safe place to live.

But LGBTQ elder advocates were taken aback in October of this year when news surfaced that transgender U.S. Army veteran Lisa Oakley, 68, was denied placement in more than two-dozen long-term care facilities in Colorado in 2020 and earlier this year.

“When they found out I was transgender, a lot of the facilities didn’t want me,” Oakley told USA Today. “A lot of transgender people, I’m sure, face the same thing,” she said. “We’re humans, just like everybody else.” 

Oakley told other media outlets her ordeal in trying to gain admission to a residential care facility began in October 2020, when she became unable to care for herself due to complications from diabetes. Her first choice was a facility in her hometown in rural Craig, Colo., where she had lived for the previous 25 years. She believes that facility turned her down because of her gender identity.

A social worker who assisted in Oakley’s applications for long-term care facilities said the facility in Craig said Oakley would have to be placed in a private room, which was at the time unavailable, “because she still has her ‘boy parts’ and cannot be placed with a woman” in a shared room. 

Many other Colorado facilities to which Oakley applied for admission, according to social worker Cori Martin-Crawford, cited the COVID pandemic as the reason for not accepting new residents. But as COVID related restrictions began to subside, other facilities continued to deny Oakley admission.

With Martin-Crawford’s help, Oakley finally found a facility that is LGBTQ supportive in Grand Junction, Colo., which is nearly three hours away from her hometown of Craig, where she had hoped to remain.

LGBTQ activists expressed concern that the discrimination that Oakley faced took place in the state of Colorado, which has a state law that bans discrimination based on sexual orientation and gender identity. Experts familiar with long-term care facilities for older adults have said many private elder care facilities can get around state LGBTQ nondiscrimination laws by claiming other reasons for turning down an LGBTQ person.

Michael Adams, the CEO of SAGE, told the Blade that the wide range of programs and initiatives put in place by SAGE and other groups advocating for LGBTQ elders in recent years have resulted in significant changes in support of LGBTQ seniors.

“It is the case now that in almost all states there are one or more elder care facilities that have been trained through our SAGECare program,” Adams said. “But it’s nowhere near what it needs to be,” he said. “It needs to be that there are welcoming elder care facilities in every single community in this country” for LGBTQ elders.

Adams was referring to the SAGE program started recently called SAGECare that arranges for employees and other officials at elder care facilities throughout the country to receive LGBTQ competency training. The facilities that participate in the program are designated “SAGECare credentialed,” and are included in SAGE database lists available to LGBTQ elders looking for a safe facility in which to reside.

SAGE spokesperson Christina Da Costa provided the Blade with data showing there have been 136,975 professionals trained at a total of 617 SAGECare credentialed organizations nationwide. Out of 617 organizations, 172 are residential communities. Also, out of the total of 617 are 167 Area Agencies on Aging, Aging and Disability Resource Centers, Senior Centers, and senior Ombudsman offices.

Da Costa said 278 of the credentialed entities that have received the SAGECare training throughout the country are “other aging focused nonprofit and for-profit businesses.”

According to SAGE, there are 12 SAGECare credentialed elder care facilities or service providers operating in the D.C. metropolitan area, with two located in D.C. One of the D.C. facilities is Ingleside at Rock Creek, located in Northwest D.C., which is a residential facility. The other is Options for Senior America, a company that provides in-home care services for seniors, including seniors living in D.C.

A SAGE list of the D.C.-area SAGECare credentialed facilities shows that three are in Rockville, Md.; two are in Gaithersburg, Md.; and one each are in Bethesda, Md.; Arlington, Va.; and Alexandria, Va. The list shows that one of them that provides services to elders in the D.C. area is based in North Carolina.

SAGE has a separate list of the 15 elder care residential facilities in the U.S. created specifically to serve LGBTQ residents. 

None are in D.C., Maryland, or Virginia. However, SAGE says it has been working in cooperation with Mary’s House for Older Adults, a D.C.-based LGBTQ organization that advocates for LGBTQ seniors and is in the process of opening LGBTQ elder residential facilities in D.C. and others in the surrounding suburbs.

Mary’s House founder and CEO Dr. Imani Woody couldn’t immediately be reached to determine when the organization expects to open its first residential facility. 

While a residential LGBTQ elder facility has yet to open in the D.C. area, activists note that in addition to Mary’s House, services and amenities for LGBTQ elders in the area are currently being provided by the D.C. Center for the LGBT Community and Whitman-Walker Health, the LGBTQ supportive health center, which also has a legal services branch.

Adams of SAGE said the Los Angeles LGBTQ Center opened the nation’s first LGBTQ elder residential facility over eight years ago called Triangle Square. He said the L.A. Center opened a second LGBTQ elder residential facility a short time later. And this week, the L.A. Center announced it has opened a third LGBTQ elder residential facility in Hollywood that is part of a larger “intergenerational campus” that will bring together LGBTQ seniors and LGBTQ youth. 

SAGE, meanwhile, operates two LGBTQ elder long-term care residential facilities in New York City, one in Brooklyn called the Stonewall House and one in the Bronx called Pride House. 

The other U.S. cities with LGBTQ elder residential facilities include: Philadelphia, Minneapolis, Chicago, Cleveland, San Francisco (which has two such facilities), San Diego, Houston, Fort Lauderdale, and Islip, N.Y.

Adams said the LGBTQ elder residential facilities range in size, with the largest – New York’s Stonewall House – having 143 apartments that can accommodate 200 residents. He said others vary from 40 or 50 residential units to 120.

Advocates for LGBTQ elders point to what they consider another important breakthrough for LGBTQ elders this year in the release of a joint SAGE-Human Rights Campaign Long-Term Care Equality Index report for 2021. Adams said the report is the first of what could become an annual report and rating and scorecard for long-term care elder residential facilities and other elder facilities. 

The 2021 report includes a self-reporting assessment of elder care facilities that the facilities themselves completed through a questionnaire in which many disclosed they have LGBTQ nondiscrimination policies for elders around admission to the facility and for practices by staff for those residing in their facilities.

The report includes a chart showing that 158 elder care facilities in 31 states responded positively to the outreach to them by organizers of the Long-Term Care Equality Index.

“We are thrilled to be working with SAGE and to be working with the Human Rights Campaign who are developing the Long-Term Care Equality Index,” said Nii-Quartelai Quartey, who serves as senior adviser and LGBTQ liaison for the American Association of Retired Persons or AARP.

“There is a great deal of work that we’re doing in the area of LGBTQ older adults nationwide,” Quartey told the Blade. “And AARP has been engaged with the LGBTQ community nationwide for many years now,” he said.

“In recent years, we’ve turned up the volume in working more closely with organizations like SAGE and Lambda Legal and the Victory Fund Institute, the Center for Black Equity, the National Queer Asian Pacific Islander Alliance, and the Hispanic Federation.”

According to Quartey, a recent AARP study of LGBTQ elders called Maintaining Dignity shows that longstanding concerns of discrimination remain despite the many advances in support for LGBTQ seniors in recent years.

He said a survey that was part of the study found that 67 percent of the LGBTQ elders who responded, “were concerned about neglect in a long-term care setting.” Over 60 percent feared verbal or physical harassment in a long-term care setting and over half “felt forced to hide or deny their identity” as an LGBTQ person, Quartey said.

Another recent survey of LGBTQ elders conducted by SAGE asking them how they feel about the use of the word “queer” in descriptions of LGBTQ people yielded findings that came as a surprise to some, according to Adams. A large majority of those surveyed from across the country said they are “comfortable at this point using that word and reclaiming that word, which is different from what we had heard historically,” Adams said.

He said in response to those findings SAGE will now as an organization gradually shift to using the term LGBTQ instead of its past practice of using LGBT.

Although Congress has yet to pass the Equality Act, last year under the Trump Administration, Congress acted in a rare bipartisan way to approve the required five-year reauthorization of the U.S. Older Americans Act with new language supportive of LGBTQ older adults. President Trump signed the legislation.

The language includes a mandate for outreach to and reporting about services provided to LGBTQ older adults in federally funded programs. It also opens the way for LGBTQ older adults to be designated in a category of “greatest social need.” Under that category, older adults receive a higher priority in the allocation of resources by the federal government.

“We’ve come a long way, but we still have a way to go to get over the finish line,” said the AARP’s Quartey. “And aside from passing legislation federally and on the state and local level, we absolutely need to continue the hard work of changing hearts and minds,” he said.

Longtime gay activist and writer Brian McNaught, whose latest book, “On Being Gay and Gray – Our Stories, Gifts, and the Meaning of Our Lives,” was just released, says his own very informal survey of LGBTQ elders found there is a need for intimacy that may be too controversial for the establishment LGBTQ elder groups.

“I’m a SAGE volunteer and the 81-year-old man with whom I was working after his husband of 47 years died, said after his grieving process, ‘I want to be hugged and kissed. Does that make me a bad person?’”

McNaught told the Blade he assured the man those feelings do not make him a bad person. McNaught said the man’s comment prompted him to conduct further research, in which he found that some gay male elders in the Fort Lauderdale, Fla., area who often need assisted living support would like to patronize gay bathhouses or seek the services of an escort agency. He said he determined that any LGBTQ elder group providing such services would trigger “a huge uproar of protests” and most likely a loss of funding.

“We don’t want to talk about sexuality and aging,” McNaught said.

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Former VOA director nominated to head U.S. Agency for Global Media

Previous CEO’s actions threatened LGBTQ internet freedom

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(Public domain photo)

President Biden on Monday nominated Amanda Bennett, the former head of Voice of America and Pulitzer Prize-winning author, investigative journalist and editor, to lead the U.S. Agency for Global Media.

“I am honored by this nomination,” Bennett told Voice of America. “If confirmed, I will be so proud to work with all the dedicated journalists at USAGM who are doing the critical and difficult work around the world of upholding and demonstrating the value of a free press.”

The agency operates independently from the U.S. government and oversees five different entities that include Voice of America, broadcasting platforms and the Open Technology Fund. The fund is an independent non-profit organization that focuses on advancing global internet freedom by providing internet access, digital privacy tutorials, privacy enhancement and security tools like encryption.

These tools have been integral in preserving internet freedom for LGBTQ people abroad, especially in places where it’s unsafe or illegal to be LGBTQ.

Bennett, 69, was named VOA director in 2016 and resigned from her post in June 2020 after conservative documentary filmmaker Michael Pack was confirmed as the agency’s CEO during the Trump administration.

Under Pack’s tenure, several technology freedom experts said the former CEO thwarted the Open Technology Fund’s efforts abroad by freezing funds. Pack also ignored a House subpoena for an oversight hearing that was meant for him to address mass firings, withholding congressionally approved funds and other questionable activities.

Pack stepped down at Biden’s request in January, and the president named Kelu Chao, a VOA veteran journalist, as Pack’s replacement and interim CEO.

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