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Getting beyond the numbers with HIV

Honor those we’ve lost at Walk to End HIV on Oct. 25

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Don Blanchon

Don Blanchon (Washington Blade file photo by Michael Key)

By DON BLANCHON

Lately I have been thinking a lot about the intersection of time, numbers and most important the people in my life.

You might ask why. Maybe it’s because I will turn 50 on Oct. 24, the day before this year’s Walk to End HIV here in Washington, D.C. Maybe it’s because there will continue to be changes in my life, as my parents and children are growing older and need me in different and new ways. Maybe it’s part and parcel for the leader of Whitman-Walker Health during times of both opportunity and uncertainty. Whatever the reasons, I am most definitely reflecting on this intersection of time, numbers and the people I love.

This time of year I reflect back 15 years ago and remember so many small things before my younger brother Robert died from AIDS-related complications. He died in early October in 1999. I remember the days leading up to his passing that ended a nearly two-month extended stay at Cook County Hospital in Chicago. I can remember what he said to me when he wanted off of the machines and short-term treatments. I will always hold onto how he loved me even in the face of his own mortality.  For without him, my path most likely would not have led to Whitman-Walker Health.

Fast-forward to the present time, and Whitman-Walker Health cares for more than 3,000 individuals living with HIV, a number that is growing. The number of people living with HIV who are thriving would have been quite simply unimaginable 20 years ago, before the availability of antiretroviral medications. Yet we collectively have so much more to do to reduce discrimination and stigma in our communities and empower individuals—especially gay and bisexual men who live at the epicenter of today’s HIV epidemic—to live healthy, happy lives. Think about this not only in terms of the numbers, but rather in terms of the real people in your lives.

The data tell us that locally, there are approximately 650 District residents who are newly diagnosed with HIV each year — of this total, 125 individuals are family members, friends, colleagues, or neighbors who are diagnosed at Whitman-Walker Health.

But it’s important to not get lost in the numbers with HIV and forget that this is an epidemic that affects real people. When we talk about infection rates, prevalence, new diagnoses, and other numbers that are still too large, we can lose sight of the individuals – often times our friends and family members – who are living with the virus. And we can also overlook those far-too-many dear to us who we lost along the way.

So this year, as we gear up for The Walk to End HIV on Oct. 25, I’d encourage you to keep in mind those who have been affected with HIV who are close to you, not just the statistics. And rest assured that until there is a cure, Whitman-Walker Health will continue its leadership role in the fight against HIV. How? By expanding our health care operations with a new health center located at 1525 14th St., N.W. By expanding our research programs to advance the knowledge base for HIV. By providing all of the HIV prevention tools—PrEP and PEP included—to our community throughout the year. And by continuing to offer free HIV testing so that all can know their status.

Don Blanchon is executive director of Whitman-Walker Health, the beneficiaries and producers of The Walk to End HIV (formerly AIDS Walk Washington), a fundraising walk and 5K timed run that will be held on Oct. 25. For information on how to participate in The Walk, visit walktoendhiv.org.

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Is Nigeria’s anti-LGBTQ crackdown only meant for the poor?

Wealth and fame can shield one from prosecution in the country

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(Bigstock photo)

The Nigeria Police Force in Delta State a few weeks ago arrested more than 67 suspected gay men for attending an alleged gay wedding. Authorities received a tip, they interrogated those arrested and suspicions were cemented on the basis that some of these young men crossed-dressed. 

“We’re bringing this out to the world to note, especially Nigerians, that we’re in Africa and Nigeria. We cannot copy the Western world,” Deputy Police Supt. Bright Edafe said. “We’re in Nigeria, and I can guarantee that the suspects will be charged to court.” 

Although these young men have since been released, this situation in Nigeria underscores a glaring paradox: A country that boasts a growing number of queer celebrities — many of whom have embraced crossdressing as part of their persona — maintains harsh legal actions against less privileged queer youths who express their identities. This unequal treatment sends a damaging message to the broader queer community; perpetuating a cycle of discrimination, fear and inequality.

In a nation marked by its vibrant culture and diversity, Nigeria’s anti-gay laws stand as a stark contradiction to the principles of tolerance and inclusivity. These laws not only criminalize same-sex relationships, but have also given rise to a troubling disparity in their enforcement. It has disproportionately targeted the poor, transgender individuals and crossdressers, while seemingly ignoring high-profile celebrities who freely express their identities.

Bobrisky, one of Nigeria’s most popular crossdressers who built a large following off of this lifestyle, went on their social media to probe the arrested crossdressers for openly presenting that way. 

“I strongly believe you guys can learn from those A-list,” they wrote. “Firstly, there’s a law passed against you guys that you can’t marry yourselves in this country, why the hell did you call yourselves together to organize a wedding?”

“That is the dumbest news I have ever read this week. You all deserve how you all were treated, sad truth. If you feel you are in love with your partner and you want to be together, why not relocate to where you are welcome,” they continued. 

One would think that they were able to make comments like this because they didn’t crossdress; but when you have enough financial and social privilege to wriggle your way out of situations for which your counterparts would otherwise be prosecuted, you would think that the law doesn’t apply to you. 

Then-President Goodluck Jonathan in February 2014 passed the Same-Sex Marriage (Prohibition) Act, which legalized the prosecution of anyone who shows sexual relations with the same sex. Nigerian MPs in April 2022 pushed to update the SSMPA with a bill that would essentially criminalize crossdressers and force them to face six months in prison, or pay a fine of $1,200. 

The measure has yet to become law.

This targeting of transgender people and crossdressers by the Nigerian government is a distressing reality. These individuals often find themselves marginalized, not just socially, but also legally. Raids, arrests and harassment are commonplace for them, making it a daily struggle to live authentically. In a nation where gender expression should be celebrated as a testament to its cultural diversity, it is disheartening to witness these citizens ostracized and penalized for embracing their true selves.

On the other hand, the celebrities who have made crossdressing a part of their public image appear to exist in a different realm. They enjoy a level of visibility and fame that grants them an element of protection. Whether it’s due to their financial resources or their connections, they often escape the legal consequences that ordinary queer Nigerians face. This glaring contrast between the treatment of high-profile celebrities and everyday individuals exposes the systemic inequalities that persist in Nigeria’s legal system.

The implications of this disparity are profound. It sends a troubling message that wealth and fame can shield one from persecution, while those without such privileges bear the brunt of discriminatory laws. This perpetuates a culture of fear and silence among the less privileged queer community, preventing them from fully expressing their identities and participating in society without the constant threat of persecution.

Nigeria must engage in a profound societal dialogue surrounding the unequal treatment of its queer citizens to address this issue. It is crucial to question the legitimacy of laws that infringe upon the fundamental human rights of individuals based on their sexual orientation or gender identity. By sparking these meaningful conversations, we can begin to dismantle the harmful stereotypes and prejudices that fuel this disparity in treatment.

Nigeria’s anti-gay laws not only defy the principles of tolerance and inclusivity, but also expose a disconcerting imbalance in their enforcement. The stark contrast between the leniency shown to high-profile celebrities who embrace crossdressing and the harsh legal actions taken against less privileged queer youths sends a damaging message to the broader queer community. It is time for Nigeria to address this injustice, fostering a more inclusive and equitable society where all its citizens can embrace their identities without fear of persecution.

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Medicaid cuts will lead to an uptick in STIs

Move threatens progress to end HIV epidemic

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We have come a long way from the days when HIV was an almost certain death sentence. But our work is far from over. The COVID-19 pandemic led to an uptick in rates of sexually transmitted infections (STIs), including HIV, and low-income communities, LGBTQ+ communities, and communities of color continue to be impacted at alarming and disproportionately high rates.

These communities are also more likely to be served by Medicaid. Medicaid is the largest source of insurance coverage for people living with HIV in the United States, covering an estimated 40 percent of nonelderly adults with HIV, and Medicaid accounted for 45 percent of all federal HIV spending in 2022. During September, Sexual Health Awareness Month, it is worth examining the crucial ways Medicaid works to keep people healthy — and what threatens our progress today.

In recent weeks, we have seen a troubling trend develop. Five million Americans have been removed from Medicaid rolls, and many millions more are on the verge of losing coverage as a result of the Medicaid enrollment cuts. This represents the single greatest threat to our progress toward ending the HIV epidemic in years.   

During the pandemic, Medicaid enrollment grew by an estimated 20 million people, contributing to the uninsured rate dropping to the lowest level on record in early 2022. But, after a three-year period during which states provided continuous enrollment in exchange for enhanced federal funding, some states resumed dis-enrolling people from Medicaid on April 1. A recent KFF survey found that 17 million people could lose Medicaid coverage as a result of this process, referred to as the Medicaid “unwinding.”

Many states are not doing enough to ensure that Medicaid-eligible residents don’t lose their coverage. While some have been removed from the rolls because they are newly ineligible, procedural issues account for 74 percent of people losing coverage. An unacceptably high number of FloridaTexas, and Virginia residents who are still eligible for Medicaid are losing coverage because of procedural reasons, such as failing to confirm proof of income or household size.

Our goal should be to ensure that no one who qualifies for Medicaid loses their coverage. The U.S. Centers for Medicare and Medicaid Services (CMS) gave states the option to use a 12-month grace period, along with other flexibilities, to prepare for the unwinding and make sure residents had what they needed to recertify. So why are some states so eager to remove their residents from Medicaid rolls?

New York, on the other hand, has made equity a cornerstone of recertification work and provides a template for what states can do to help their residents remain covered. The state maximizes the flexibilities offered by CMS and works directly with providers, health plans, and recipients to minimize procedural disenrollments and ensure that people retain health care coverage, either through Medicaid, the state’s health exchange, or private insurance. New York is among the nation’s top-performing states in terms of call center wait times, call drop rates, and average time it takes to make an eligibility determination, according to the Center on Budget and Policy Priorities. New York’s call center is also able to produce materials in 26 languages. In June 2023 alone, New York State certified renewals for more than 400,000 residents.

At Amida Care in New York, we know firsthand that gaps in care for people living with or placed at elevated risk of contracting HIV can be especially devastating. When people lose access to PrEP medication to prevent HIV, they are left vulnerable to contracting HIV, and when people living with HIV lose access to antiretroviral therapy, they risk becoming seriously ill and transmitting HIV to others. We support and guide our members through the recertification process with dedicated outreach efforts that include phone calls, mailings, text messages, and home visits to limit loss of coverage and interruptions in life-saving treatments. 

We cannot begin to address health inequity or end the HIV epidemic without strengthening Medicaid. The recent moves by some states to strip their residents of Medicaid coverage will undermine the progress we’ve made.

Doug Wirth is president and CEO of Amida Care, a Medicaid Special Needs Health Plan for people affected by HIV.

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Jann Wenner’s racist, sexist take on musicians isn’t surprising

New book ‘The Masters’ excludes Black, women pioneers

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Jann Wenner (Screen capture via CBS Mornings YouTube)

I enjoyed sharing my birthday with Bruce Springsteen, until I read the bigoted remarks made by his friend Jann Wenner in a recent New York Times interview.

Then I wasn’t so glad to have the same b-day as Bruce.

Springsteen didn’t make the comments. I’m a fan of his music. But, as I write this, Springsteen, as well as some of Wenner’s other friends, hasn’t spoken out against Wenner’s hurtful comments.

As the saying goes: Some gifts keep on giving. Wenner, who was removed from the Rock and Roll Hall of Fame Foundation board after making sexist and racist remarks in a Sept. 15 interview with the Times, keeps on giving. But what’s he’s giving isn’t a gift. Not to Black people, women, music lovers, or queer folk.

Wenner’s one of us. He’s gay. 

I’m fine with his sexuality, but you’d hope that Wenner, for decades a gatekeeper of music and culture, would be a source of queer pride. But, that’s not the case with Wenner, a co-founder of the Rock the Roll Hall of Fame.

The fallout from Wenner’s Times interview is a needed wake-up call for queers.

Too often, we give ourselves a pass. We believe that because we live with homophobia, bi-erasure and transphobia, we know the score. That we’re not sexist, racist, ageist, ableist – we’re free of prejudice. Paragons of virtue.

Wenner, with his demeaning comments, is, I hope, getting us (especially, we who are Boomers) to look in the mirror. To check ourselves (as we examine our dogs for ticks) for our own prejudices, and for our virtue-signaling.

The controversy around Wenner began when he sat for the interview with David Marchese of the Times on Sept. 15 to promote his new book “The Masters,” released by Little Brown and Company on Sept. 26.

“The Masters” is a compilation of seven interviews that Wenner conducted with acclaimed musicians who are (or were before their death) his friends: Bob Dylan, John Lennon, Mick Jagger, Pete Townshend, Jerry Garcia, Bono, and Springsteen. All of the interviewees are white, male and Boomers.

“That there are no women or Black musicians in this collection is obvious,” Wenner writes, according to Kirkus Reviews, in “The Masters.” “This is reflective of the prejudices and practices of the times.”

It’s hard to describe how bigoted and absurd this is. As many have noted, rock ‘n’ roll was invented by Black people.

You have to wonder what Wenner was thinking. Had he never heard of Jimi Hendrix or Janis Joplin? Stevie Wonder? Joni Mitchell? Madonna?

Though too much racism and sexism exist today, the culture has gotten somewhat better. Attitudes have evolved. We’ve become more aware of our biases. 

Unfortunately, this isn’t so for Wenner. Marchese asked Wenner why every musician he talked with in “The Masters” is white and male. “Insofar as the women,” Wenner responded, “just none of them were as articulate enough on this intellectual level.”

When pressed by Marchese, who wondered how he could say Joni Mitchell wasn’t “articulate enough,” Wenner said, “Joni was not a philosopher of rock ‘n’ roll.”

“I mean, they just didn’t articulate at that level,” Wenner said of Black musicians.

Reading the interview, I wondered if he’d read Rolling Stone, the magazine he edited for decades. Had he missed the covers with Melissa Etheridge, Joplin, and Tina Turner (to name a few of the women and Black artists featured on the magazine’s cover)?

Sadly, Wenner’s condescending, racist and sexist take on Black and women musicians isn’t surprising. Often, people with power (rich white men) believe they’re smarter, more talented, and more entitled to be cultural gatekeepers than those from marginalized groups. They’re convinced they’re more talented and “articulate” than those who don’t have power. 

Forget “The Masters.” Check out Etheridge’s new memoir “Talking to My Angels.” That’s a good read.

Kathi Wolfe, a writer and a poet, is a regular contributor to the Blade.

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