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MLB’s support is a real game changer

Iconic American institution now on board with LGBT equality

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MLB, gay news, Washington Blade
MLB, gay news, Washington Blade

(Washington Blade cartoon by Ranslem)

By RYAN WAGNER

Picture this.

You’re in a ballpark. Your team is losing. Big. It’s the kind of game that would have made you leave in the fifth inning – if you were one of those fans who doesn’t believe your team will pull it out until the very last out is recorded. If you were one of those people who gives up.

All of a sudden your team gets a hit. And then another. Nothing special. A ground ball with eyes here, a dying quail there. But the buzz has started. You know the one I’m talking about. When 50,000 people all seem to begin to whisper simultaneously? The buzz.

Another hit, and this one scores a run or two. Now the buzz is a low rumble. Your team is still down, but there’s a glimmer of hope. This one ain’t over yet.

Now comes the big hit. The one that makes the sportswriters who have already written 90 percent of their game recaps stop, sigh and hit the delete button. The low rumble is now a roar. The game hasn’t been won, but the opponent is already defeated, and they’re not sure how it happened. The stars realigned, and that flighty temptress momentum changed her uniform.

In short, the narrative changed.

The fight for LGBT equality has undergone a similar change in narrative recently. For a long time, those battling in the trenches felt as though we were fighting a losing battle — always meeting with a loud, outspoken opposition that either didn’t care or simply didn’t understand. We weren’t exactly losing, but we certainly weren’t winning.

And then, all of a sudden, we got a couple of hits. Nothing big. A ground ball with eyes here, a dying quail there. Massachusetts became the first state to legalize gay marriage. Connecticut would follow, with Iowa and Vermont not far behind. The buzz started. You know the one I mean. When 100 million people all begin to whisper simultaneously? The buzz.

“Don’t Ask, Don’t Tell”, Prop 8 and DOMA were all struck down. The buzz became a low rumble.

The fight began to spill over into other areas of society, including the world of sports. Jason Collins came out. In light of inflammatory anti-LGBT policies in Russia, President Obama skipped the 2014 Sochi Olympics, opting instead to appoint tennis legend and gay rights champion Billie Jean King to lead the American contingent at the Opening Ceremonies. Michael Sam announced he’s gay prior to the NFL draft and in doing so, became the first openly gay man to sign a contract with an NFL team.

The low rumble became a roar, and the narrative had changed.

As a professional stage actor who also decided to pursue a career in the world of professional sports, I’m somewhat of an anomaly.

The relationships I forged with my friends in the theater world led me to assume that the fight for LGBT equality was on the forefront of the American social agenda. I assumed this because, for those of us traveling North America with a musical, it was simply a part of the vernacular.

In 2011, I was on the road with that musical when I learned I had been hired by Major League Baseball. I would be leaving the bubble that theater had created, and would be making the long, fascinating walk to the other side of the spectrum. In a span of three days, I went from a cocoon where my most important issue was the same as everyone else’s to a world where that issue was never even discussed. It wasn’t that LGBT equality was on the back burner for Major League Baseball. It had yet to make it onto the stove. Professional sports, particularly those considered the “Big 4,” are in many ways the last great bastion of masculinity and demonstrative heterosexuality. Anything that can be deemed a weakness is a liability. Any distraction is removed as quickly and quietly as possible. Which is why the three years that have passed since I first began my career in baseball have been so remarkable.

In a span of just a few years, I have had a front row seat for one of the most astounding, and most important, ideological shifts in social history. Thanks to the immediacy of information and (seriously) the power of social media, LGBT equality has gone from an issue on the periphery of the American agenda to one that finds itself front and center. And the catalyst for that tectonic shift has been sports. When the issue of homosexuality began showing up on the football field and the basketball court, the everyday, blue-collar American sports fan was forced to deal with it. As I watched Jason Collins and Michael Sam announce their homosexuality, my immediate thought was, “When will this tidal wave reach Major League Baseball?”

Baseball is America’s pastime. As James Earl Jones once remarked in “Field of Dreams,” “Baseball…has marked the times.” It has gotten us through some of the most tumultuous times in our nation’s history: World War II, the Civil Rights Movement, 9-11. It stands to reason that baseball would take the lead in this time of great struggle. But when was that going to happen? When was baseball going to realize the opportunity it had to make a statement to not only the rest of the sports landscape, but to the country and the world as a whole?

A few weeks ago, I got my answer. On July 15, Major League Baseball officially announced its partnership with Athlete Ally, an organization dedicated to fostering an environment of acceptance and inclusion for all LGBT athletes, coaches, and fans across all sports, professional and amateur.

When MLB announced that partnership — even Commissioner Bud Selig signed a pledge to become an Athlete Ally himself — it trumpeted a major victory for the entire LGBT community and their allies. Major League Baseball is not just a professional sports league. It is an organization that is American as American gets. It represents all that we hold dear in our most patriotic of hearts, and if something that American can say that being gay is not only OK, but is something worth fighting for, who would dare say otherwise?

There may be nothing more difficult than the growing pains of a transitioning social issue. Most people who have strongly held beliefs derive those beliefs from years and years of indoctrination. Change only comes when those screaming for change outnumber those who are plugging their ears and waiting for the din to quiet. With Major League Baseball now adding its voice to the roaring winds of change, the din may finally be too much to overcome.

In short, the narrative has changed. And now, at long last, maybe, just maybe, that flighty temptress momentum has changed her uniform.

Ryan Wagner is the PA announcer for the Baltimore Orioles.

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Hospitals are abusing this drug discount program

Congress must step in to help low-income patients

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Hospital chains are unfairly profiting off a program meant to help low-income patients afford their medicines. If policymakers don’t reform this system soon, I worry that many of the marginalized patients I’ve devoted my career to protecting won’t be able to access the care they need.

The program, known as 340B, gives drug discounts to hospitals in underprivileged areas so that they can better serve their communities. Yet, with little oversight, the hospitals can divert the savings to their own bottom lines.

A recent report from the Drug Channels Institute exposed just how big the problem is.

The analysis found that under 340B, hospitals took discounts worth $52.3 billion in 2022 with scant evidence that those savings went to help low-income patients. The report also found that the 340B program continued its exponential growth during the pandemic, swelling by 22% between 2021 to 2022. 

In short, money intended to help marginalized communities is instead being funneled into hospital profits in ever-greater amounts. Having spent much of my career helping Black men with HIV, I find this gravely concerning. But the impact of the exploitation extends far beyond my own work, to all communities grappling with chronic disease and unaffordable health care. The solution is for Congress to bring some much-needed oversight and regulation to the 340B program. 

It all started three decades ago when lawmakers launched a seemingly benevolent plan: In order to help non-profit “safety net” hospitals in poor communities, 340B required pharmaceutical companies to sell them drugs at big discounts. The idea was that this would lower drug prices for low-income patients and also help the hospitals, so that they could reinvest in facilities, equipment, and staff to serve disadvantaged patients. 

Unfortunately, the 1992 law failed to codify any rules about what hospitals should do with the savings, so no proof of reinvestment is required. Soon enough, even hospitals serving prosperous communities realized they could use the law’s loopholes to turn 340B into a profit center. 

Many hospitals have multiple locations. Under current regulations, a hospital can use its facility in an underserved community to qualify for the 340B Program, take millions of dollars in drug discounts, then resell the drugs in more affluent neighborhoods. 

Consider the Cleveland Clinic, known as one of the best hospitals in the country. It uses satellite “rural referral centers” to qualify for discounted drugs under 340B, then sells them at full price through its Cleveland-based flagship hospital. 

The profit from such maneuvers can be substantial. For instance, 340B hospitals sell top oncology drugs at a median of 4.9 times their discounted price, according to a report from the Community Oncology Alliance.

It’s no wonder that 44% of U.S. hospitals now report that the 340B program is a substantial revenue source. It may have also contributed to industry consolidation in recent years, encouraging hospitals to merge in order to acquire qualifying facilities.  

Despite the program’s rapid expansion, there’s little evidence that it’s benefiting marginalized patients. A study in the New England Journal of Medicine found that the “financial gains for hospitals have not been associated with clear evidence of expanded care or lower mortality among low-income patients.” Another study, in the journal Health Services Research, concluded that when new hospitals join 340B, it doesn’t lead to any change in the amount of uncompensated care they provide. 

In fact, 340B may actually increase healthcare costs for low-income patients. Because hospitals benefit from the difference between the discounted drug price and the sale price, they are incentivized to prescribe more expensive drugs, which yield higher profit margins than lower-cost generic alternatives.

This appears to be happening with the PrEP drugs that prevent transmission of HIV. A report from the American Action Forum, a think tank, found that 340B likely incentivizes hospitals to prescribe more expensive brand-name PrEP over generic versions. This means some patients are paying more than they should for this lifesaving medicine. 

Hospitals chains’ continued abuse of 340B also takes critical resources away from the healthcare facilities the program is meant to help. For instance, Ryan White HIV/AIDS providers help low-income people living with HIV access medications and support services. But letting hospitals exploit loopholes in 340B could leave fewer discounted drugs for Ryan White and similar safety net programs.

Congress needs to reform the bloated and unaccountable 340B program as soon as possible. Democrats and Republicans should be able to agree that eligibility standards must be tightened and reporting requirements improved. Hospitals must use 340B profits to help our most vulnerable patients.

Guy Anthony is president and CEO of Black, Gifted & Whole.

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Key West doesn’t need more, or bigger, cruise ships

Seeking a balance of ‘environmental protection and sustainable tourism’

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(Photo by Miami2you/Bigstock)

There is a fight today about whether they should let more, and bigger, cruise ships dock in Key West. The New York Times recently wrote about it. As someone who has spent many memorable vacations in Key West, I side with those who say “no” to more cruise ships. The organization Safer, Cleaner, Ships, is fighting to keep more, and larger, ships, out of Key West. They have the right idea. 

The question that should be asked is: “What kind of an island do the people living on Key West want?” And the answer should drive the decision of the Florida Legislature, and Governor DeSanctimonious. Unfortunately, it may be decided based on political donations the governor received. One resident of Key West, Christopher Massicotte, co-founder of Duval Street Media, said, “Key West voters overwhelmingly supported reducing cruise ship size, and the number of daily disembarkations. Then greedy Mark Walsh, who owns the dock, went straight to the governor and the legislature asking them to overturn the will of the people for his own financial gain, greased with a $1 million contribution to DeSantis’s campaign for president. The citizens of Key West aren’t trying to stop all cruise ship traffic, or bring the city back to ‘The good old days.’ We are trying to create a balance of environmental protection and sustainable tourism.”  

I cruise regularly and love it and have traveled to Alaska on a cruise and woke up one morning on the ship in Ketchikan, to step out on the balcony and see six massive ships, and hundreds of busses on the pier, ready to take passengers on tours. In Key West, that won’t happen. Instead, the thousands of passengers will not get on busses, rather throng the main street (Duval), from one end of town to the other, making it look more like Times Square, instead of a sleepy little island, which is what always attracted people to the idea of Key West. It is what attracted Hemmingway. It attracted President Truman to set up his winter White House. Everyone going to visit Key West heads to the Southernmost Point in the U.S. to snap their photo. One doesn’t need thousands more people heading there all at once. Just the thought of this would have Hemmingway and Truman turning over in their graves.

I always thought Key West did fine with an airport, and people coming to visit by car, then staying in a hotel, or guesthouse. I often stayed at one of the great little guesthouses, or some of the smaller hotels, on the island. I remember the larger ones being on both ends of Duval Street. There were great bars and restaurants, and you could amble down Duval slowly, enjoying the sound of the music coming out of the bars — think Jimmy Buffett.

I loved Key West when it was a gay Mecca, having the first openly gay mayor of a city. At the time there were lots of gay guesthouses and clubs. I remember dancing at the Copa, and there was the dock on the southern side of the island, next to the one tiny beach, which locals called ‘dick dock.’ It was a great spot for nude sunbathing, as was the pool at the Southernmost Motel. That period ended when the gay community moved to South Beach in Miami. Key West is still welcoming to the LGBTQ community. There is the iconic La Te Da hotel, on Duval Street, with its tea dance. Performing there is another Key West icon, Christopher Peterson, a female impersonator extraordinaire. Christopher said, “Unfortunately I don’t think we need to dredge again the beautiful coral reef we live on, just to have 10,000 more people here for six hours, adding nothing to the economy because they eat and drink on the ship for free.” He added, “Bigger is not always better unless it’s in the bedroom…. king-size bed…. dirty minds!”

Numbers can always be used in many ways, but the Times column reported “Before the pandemic, nearly a million people a year were visiting Key West aboard cruise ships. But when Covid-19 brought that to a halt, the city’s $2.4 billion tourism industry, responsible for 44 percent of its jobs, did not collapse. Instead, hotel tax revenue rose 15 percent, and with 1.4 million arrivals, the airport set a record in 2021.”

If that is enough revenue to keep Key West being the wonderful place it is to live and visit, it seems adding thousands of more day trippers out of cruise ships isn’t going to make the place better. Rather, it will hurt the environment, and make things worse.

Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist. He writes regularly for the Blade.

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Most of America opposes Speaker Johnson’s anti-LGBTQ hate

No one should have their identity politicized so GOP can score points with its base

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House Speaker Mike Johnson (R-La.) (Washington Blade file photo by Michael Key)

When I was a kid, I was afraid to come out to my religious family – at the time, gay marriage was still illegal. Fortunately, times have changed: My family is supportive of me for who I am and I now plan to marry my partner one day. But the newest speaker of the House jeopardizes that dream, making me fear the life I have planned with the person I love will soon fall out of reach.

Recently, after three weeks of chaos, the House of Representatives elected Mike Johnson (R-La.) as speaker. His extremist rhetoric and horrific record of discrimination toward the LGBTQ community doesn’t represent where most of America is – but it does clue us into the priorities of today’s Republicans.

The love that I and my partner have built over our three years together is the same as straight couples. Yet Johnson’s legislative record flies in the face of that as he’s argued to uphold bans on same-sex marriage, sought to ban inclusion of gay couples in employment benefits, and compared gay marriage to bestiality. It’s impossible to feel optimistic that, with a background like that, Johnson will protect my rights during his tenure.

The entirety of my community feels the same apprehension. My coworker, Mads Stirling, who came out as a nonbinary trans person in 2021, has the same fears that I do. They found that being empowered to live as their authentic self through hormone replacement therapy (HRT) and changing their driver’s license gender marker improved their mental health. 

“But even as I was transitioning with the crucial support of family, friends, coworkers, and the local government, I felt terrified as I watched Republican-led states roll back rights for trans people,” Mads said.

Johnson contributed to the dangerous climate that spurred these attacks, speaking in favor of banning gender-affirming care for transgender youth and joining a contingent of politicians who proposed more than 500 anti-LGBTQ bills in the U.S. in 2023. In his new role as speaker, Johnson could even help unravel important protections like federal nondiscrimination laws. 

It feels like our country is moving backward and that nowhere is safe for people with identities like mine. Having been there myself, my heart breaks for LGBTQ children who will hear the new speaker’s horrible homophobia and transphobia and feel unsafe being their authentic selves. No person, least of all children, should have their identity politicized so the Republican Party can score points with its members. 

It is appalling that while 70% of Americans support gay marriage, we have a speaker who opposes it. It is appalling that while gender-affirming care reduces suicidality in trans adults and children, we have a speaker that wants to deny life-saving care to them. It is appalling that, in 2023, a person in power can spread such hatred toward a group of people for simply existing.

The Speaker of the House should be a voice for all Americans, representing our interests and embodying the role of a leader. But as a gay Black man, it is impossible for me to feel that Johnson — and the Republican Party he answers to — can ever represent us when they work so actively against us.

The Republican Party and Mike Johnson have demonstrated over and over again that protecting and uplifting LGBTQ+ people is not a priority. We expect Johnson intends to serve only his own party’s extremist agenda by further isolating and oppressing LGBTQ people — after all, they maneuvered him into power. We fear the erasure of LGBTQ identities entirely by disappearing us from public life and making our private lives intolerable by criminalizing our families and our healthcare.

America deserves better than Mike Johnson. We can never tolerate nor normalize Johnson’s hateful rhetoric toward LGBTQ people, and now that he has a national platform, it’s more important than ever to speak out and vote against the GOP’s extremist policies. We must continue our work to elect representatives that will champion LGBTQ people and fearlessly defend their rights so that in the future, no one with views like these can assume a place in Congress. 

We deserve leadership reflective of the American people and that’s not Mike Johnson or the GOP’s anti-LGBTQ agenda.

Mike Griffin is senior electoral organizer for D.C.-based Community Change.

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