Opinions
Walking among HIV’s dead at Congressional Cemetery
Look closely at the tombstones for a World AIDS Day history lesson
D.C.’s historic Congressional Cemetery is the final resting place for many single men who died between the early-‘80s and mid-’90s, between the ages of 25 and 55. (Washington Blade photo by Damien Salas)
By NATHAN A. PAXTON
I encounter the HIV epidemic in unexpected places, particularly when I take my dachshunds out for a walk.
I live near the Historic Congressional Cemetery in Washington, D.C., and one of the programs of the cemetery allows some of us to walk our dogs among graves of the well known and almost anonymous. The graves of J. Edgar Hoover, Elbridge Gerry (he of the “gerrymander”) and John Philip Sousa get most of the attention.
In quieter ways, I can read the toll of the killing years among gay men in Washington. Most often, the signs are demographic: single men, not buried in a family plot, who died between the early-‘80s and mid-’90s, between the ages of 25 and 55. Sometimes I’ll find these graves in clusters, as if friends and lovers wanted to share proximity in death as in life. Often, though, I will find these graves by themselves, and I wonder what story lies behind the solitariness.
Some graves proclaim their gayness loud and proud, like that of Leonard Matlovich, the first active duty member of the armed forces to challenge the ban on gay and lesbian people serving in the military. Another mentions being a “proud gay educator.” Once you know what to look for, you see these men everywhere. As Walter and Russell sniff and bound jauntily among the headstones, the three of us walk among HIV’s dead, just as we walk among Union and Confederate dead.
I study the politics of epidemics, especially HIV, and it’s often said that one’s research manifests one’s own demons. My own years of research on the development of different countries’ HIV/AIDS policies stemmed, I came to see, from a personal recognition, as much as intellectual motivations.
But for the accident of the year in which I was born, it is quite probable that—as a gay man in America—I would not have been alive to do my work and live my life. HIV, first understood as AIDS, made its first recognized appearance in gay men, and it is often still thought of as a “gay disease,” here in the United States and in the developing countries I study.
Had I been born just a few years earlier, I would be smack in the midst of that generation that first showed the evidence of one of the worst plagues in human history. It is quite probable that I would now be dead.
Living in the San Francisco Bay Area in the late ’90s, it was hard not to notice that gay men between 40 and 60 were sometimes rare, even missing. Friends who had been living there less than 10 years earlier told stories: My friend Billy spoke of attending two memorials a weekend for months on end; Len remembered wearing full sterile garb to visit dying friends in the hospital in 1982; and people at my church, gay and straight, remembered constant care rotas for a changing and diminishing set of friends and lovers. Len, a retired professor, told me that caring for his ailing mother in the late 1970s kept him home and out of the bars: “That’s probably what kept me alive.”
As a social scientist, I think I have a pretty good understanding of the probabilities behind many everyday actions and circumstances. It is sobering to realize that only a matter of years may separate one from the near-certainty of the disease. Even now, I accept as normal that some of my friends have not escaped the laws of probabilities and plagues. Friends of mine speak of a time in their lives when they could count more friends and lovers who were dead than alive.
Each Dec. 1 is World AIDS Day, and we generally don’t much mark the day here in the United States. For many folks, this titanic killer has become a “mere” chronic disease, thanks to the antiretroviral cocktail therapies available to us. As a result, gay men, for example, have been able to turn their social and political efforts toward a variety of other issues: marriage, employment protection, open military service.
We are hardly out of the woods, even in the United States. Recent CDC reports indicate that unprotected anal sex among gay men in America has increased 20 percent since 2005. The same trend has occurred in several other Western countries. While amazing progress has occurred in sub-Saharan Africa, HIV infections and AIDS deaths are on the rise in East Asia, Eastern Europe and Central Asia, and the Middle East and North Africa.
Even while MSM are the most-affected group in the United States and other developed countries, the most common type of HIV-infected person in the world today is a young woman of African descent. The epidemic varies greatly and remains consistent in its pervasive burrowing into those at the margins of our cultures: sexual minorities, drug users, women, sex workers and black people.
UNAIDS will tout good news this Dec. 1. The rate of annual new infections has decreased all over the world, falling by a third over the last decade. New infections and deaths are down in many regions and countries, including many of those most affected, in the Caribbean and sub-Saharan Africa. Treatment access has increased dramatically in this last decade. ARVs have transformed from global luxury to what scholars Joshua Busby and Ethan Kapstein have called “merit goods” — goods whose consumers assert they have a basic moral right to have, like lifesaving drugs once priced too high to consider providing on a mass basis throughout the developing world.
There will also be bad news. Men who have sex with men are 13 times more likely to be living with the disease. In east Asia and the Middle East, the number of infections is on the rise. Sexual behavior has become more risky in many places, with increasing numbers of partners and less consistent condom use. There are still more than 35 million people — roughly the population of California — infected with the virus.
Most of the people who have died or will die from AIDS have not been and will not be obvious to those of us who walk in cemeteries, with or without canine companions. The statistics of their deaths won’t reveal the manner of that death so easily. We will not be able to tell who the African-American men and women who bear some of the highest burdens in this country were. There will be little evidence in their cemeteries of the widespread injection drug use in Eastern Europe and Central Asia that spreads the disease there. The same will be true of sex workers, transgender people, closeted men who have sex with men and poor women throughout the world. We will forget them more easily, in death as in life.
Just as HIV has proven amazingly adept and complex in the hiding places it finds in our human bodies, it has proven equally adept at hiding in the bodies of our societies. HIV survives and thrives in our biological and social bodies, adapting itself to work quietly and slowly, doing its work at the edges until it is powerful enough to harm those bodies. The complexity of HIV’s biological place pales before the social complexity in which it is enmeshed. If there is an evil in any disease, it lies not in the vector itself but in what we humans do or do not do for the people living with it, that is, by the evil we have done and the evil done on our behalf.
It is easy to miss the first casualties of the HIV epidemic, and most of my human cemetery friends have never noticed the plethora of these dead until I point the matter out. In another world, some of these dead would be alive and walking their dogs among the grass and granite, chapel and colombarium where they are now buried. The HIV-infected and -affected of the future will be much harder to find, more invisible than the men that Russell, Walter and I have become familiar with on our walks.
Nathan Paxton lives in Capitol Hill and teaches political science.
When we’re out with friends, we ask a question that sometimes surprises people: Are you on PrEP?
PrEP is a medication that reduces the risk of getting HIV by about 99 percent when taken as prescribed. We’re both on it. And we both talk about it openly because too many people in our communities still haven’t heard of it, can’t access it, or have been made to feel like asking for it says something about who they are.
It doesn’t. Taking PrEP is about taking control of your health. It’s that simple.
But getting there wasn’t simple for either of us. Our paths to PrEP looked different.
Del. Martinez learned this firsthand. When he asked his primary care doctor about PrEP, the response wasn’t medical — it was judgment. Instead of a prescription, he got a lecture. He had to leave Maryland entirely and go to Whitman-Walker in D.C. just to get basic preventive care. He serves on the Health Committee and sits on the public health subcommittee. Even he couldn’t access HIV prevention in his own state. That reality was soul-crushing, not just for him, but because he immediately thought about every person in his community who doesn’t have the resources to find another way.
Phillip came to PrEP through his work at FreeState Justice, where he was learning about HIV transmission rates and the gap in PrEP access for queer people of color. Black Marylanders account for 65 percent of new HIV diagnoses but only about 35 percent of PrEP users. Latino Marylanders account for nearly 19 percent of new diagnoses but fewer than 8 percent of PrEP users.
Seeing those numbers, he had to ask himself why he wasn’t on it. When he walked into Chase Brexton’s HIV Prevention clinic in Baltimore, the experience was easy and affirming, exactly what it should be for everyone. No judgment, just care. That’s the kind of experience every Marylander deserves.
A proposed bill would make it the standard in Maryland. HB 1114 would let people walk into their neighborhood pharmacy and access PrEP without waiting months for a doctor’s appointment, remove insurance barriers that slow things down, and connect them to ongoing care.
Our stories are not unusual. When we talk to friends about PrEP — and we do, regularly — we hear the same things. People who didn’t know about it. People who tried and gave up. People who assumed it wasn’t for them. People who couldn’t afford it or couldn’t find a provider. There’s still misinformation out there, and there’s still stigma. Among women in Maryland, most new HIV diagnoses come from heterosexual contact, but PrEP is still rarely part of the conversation from their doctors.
When we talk to our friends about PrEP, we lead with honesty. Here’s what it does, here’s what it costs, here’s where to go. We talk about the different options: daily pills or long-acting shots. Generic options are available, and in many cases, free. If you’re sexually active, it might be right for you. It’s not a morality question. It’s a health question.
We try to make it feel approachable, because it should be. We answer every question, because sometimes we’re the first person someone has had this conversation with. It’s a conversation between people who trust each other. And it works, but it can only go so far when the system itself is still in the way.
We have the medical tools to virtually end new HIV transmissions. What we need now are the policies to make sure everyone can reach them. At a time when the future of federal HIV prevention programs is under attack, Maryland has both the opportunity and the responsibility to lead.
We’re asking our friends to take charge of their health. We’re asking Maryland to make it possible.
If PrEP sounds right for you, talk to your provider. If you know someone who could benefit, share what you know. And if you want to see Maryland get this right, tell your legislators to support HB 1114.
State Del. Ashanti Martinez represents District 22 in Prince George’s County in the Maryland House of Delegates, where he serves as Majority Whip and sits on the Health Committee. Phillip Westry is the executive director of FreeState Justice, Maryland’s statewide LGBTQ+ advocacy organization.
Opinions
A dream: Democrats focus on candidates who can win
Defeating every Republican has to be the goal in 2026, 2028
I know this is just a dream, but I am a dreamer and continue to hope Democrats can get beyond Black or white, gay or straight, man or woman; to look at who can win in 2026, and then in 2028. It’s often said each election is the most consequential in our lifetime. The next two actually are.
The reality is without change; we face losing our democracy. We have a racist, sexist, homophobic, lying felon, in the White House. He has a Cabinet of vile incompetents, and a cadre of fascist advisers, controlling our government. They threaten our freedoms, and even our health. They think the military is theirs to use at will, without restrictions. Again, my dream for elections in 2026 and 2028, is we put our personal desires aside, for the good of the nation.
Everyone is being hurt by Trump. Black women being fired in huge numbers. Transgender people literally having their lives threatened. The LGBTQ community facing new threats. Civil rights are being undermined, and the Latino community across the country is targeted. Women are losing the right to control their bodies. Our voting rights are being threatened, and all this is happening with the consent of the Republican sycophants in Congress who are either in complete agreement with the felon, or threatened into submission by him, and his fascist cohorts. This is what we are facing in the next two election cycles as we try to take back our country. As the opposition party, we must first take back Congress in 2026. If we succeed, we must replicate that success as we work to reclaim the White House in 2028.
I believe we must all be represented in our elected officials. For years I felt comfortable looking at the equality issue in choosing a candidate, as even in the worst-case scenarios, when losing meant the election of the likes of a Richard Nixon or Ronald Reagan, I never believed my country’s existence was threatened. They, and others like them, may have been vile, but none professed wanting to be king. They didn’t go to court seeking full immunity for anything they did and getting it from judges they appointed.
I am a proud gay man but will not automatically vote for an LGBTQ candidate in the next elections. In 2024, I worked hard, and proudly, to see two strong Black women elected to the United States Senate. In the 2008 primary I was proud to stand with Hillary Clinton, then support Barack Obama when he won the nomination. In 2016, I again stood with Hillary. In 2020, I proudly supported Kamala Harris as vice president and then supported her for president in 2024.
Today, I am looking at the next two election cycles differently. I have written the only way to win back my country is to look at which Democrat can win in a particular race. I will support a Democrat committed to voting for the Democratic leadership in the House and the Senate, and in their state legislature, even if they don’t support fully everything I want. Because when Democrats win the leadership, they set the agenda. The Democratic platform has been about the same for many years. It stands for equality in every area. Have we accomplished all we stand for, clearly NO. Have we made progress, clearly YES.
In these upcoming elections each Democrat may win their race with a different set of issues at the forefront. I have suggested in the morning they go to the diners in their district, and in the evening to the bars, to find out what people are talking about, and concerned about. Then respond to that by running on those issues. If there is a primary, demand each candidate pledge to fully support the winner. Think about what is said about Democrats and Republicans, “Democrats fall in love; Republicans fall in line.” Well in the next two election cycles, Democrats need to fall in line with every Democrat on the ballot in the general election willing to say, “if elected I will vote for, and support, the Democratic leadership.”
If we don’t commit to doing that in the next two election cycles, we may actually not have future elections. It is the only way we can stop the felon, and his fascist government, from winning. Defeating every Republican in 2026 and 2028, has to be the goal for all who care about our country, and moving on to the next 250 years. Not winning is not an option.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Opinions
Capital Pride must be transparent about sexual misconduct investigation
More questions than answers after two board members resign
We are living through some very difficult times in our country. We have a felon in the White House who has surrounded himself with incompetent sycophants and fascists. A Congress that bows down to him, often based on his threats. Things have gotten so bad that his supporters are beginning to wake up to the fact that he cares not a whit for them. They are demanding he stop hiding his involvement with the convicted sex trafficker, Jeffrey Epstein, and come clean. So, to distract them from this, he began a war in the Middle East in which members of the American military have already lost their lives. He says more lives will be lost. He hopes this war of distraction will have Americans forget his failed domestic policies and the Epstein scandal.
But at the same time that all of this is happening, I am forced to look around at organizations I support and ask if they are being open and honest in the way we are demanding of the felon in the White House.
Recently, I have received calls about an organization I have the utmost pride in: Capital Pride. The calls are about Capital Pride’s internal investigation of “a claim” made against a former board chair, who resigned and no longer has any role with the organization. There has been no public proof of any wrongdoing. At the time, Capital Pride announced it had retained an “independent firm” to investigate the complaint. Now, more than four months later, a second board member has resigned sharing her letter of resignation with the Blade.
Taylor Lianne Chandler, a member of the Capital Pride board of directors since 2019 who served as the board’s secretary, submitted a letter of resignation on Feb. 24 that alleges the board has failed to address instances of “sexual misconduct” at Capital Pride.
“This board has made its priorities clear through its actions: protecting a sexual predator matters more than protecting the people who had the courage to come forward. … I have been targeted, bullied, and made to feel like an outsider for doing what any person of integrity would do – telling the truth,” Chandler wrote in her resignation letter.
The Blade reported the organization announced, “As we continue to grow our organization, we’re proactively strengthening the policies and procedures that shape our systems, our infrastructure, and the support we provide to our team and partners.”
Again, it is four months later, and there has been no information from Capital Pride regarding that investigation.
Chandler said a Capital Pride investigation identified one individual implicated in a “pattern” of sexual harassment related behavior over a period of time. She added she was bound by a Non-Disclosure Agreement that applies to all board members and she cannot disclose the name of the person implicated in alleged sexual misconduct or those who came forward to complain about it. She added, “It was one individual, but there was a pattern and a history.”
Again, reading that letter from Chandler and because of the news being full of the Epstein scandal, it makes me want assurances that no organization representing my community will ever think it can cover up issues like this. Capital Pride leadership must be totally transparent.
Capital Pride is a wonderful organization with so many incredible people working and volunteering there. They make our community proud. I never want to see a blemish on the organization. So, I am calling on them to be open and transparent about the investigation they themselves announced, and let the community know what they found, in detail. More important even than the entire community knowing, is for their staff and volunteers to know what they found. No one should be bound by an NDA, which leads to people thinking something really bad is going on.
I thought twice, even three times, before writing this column. I don’t want it to be seen as casting aspersions on all of Capital Pride, or anyone who may have worked there, or volunteered there. But again, because of the focus on the Epstein scandal, and my writing about the felon and his Cabinet officials involved in it, my calling for them to come clean and tell us all they know, I feel compelled to say the same to the organization I have supported over the years, which even honored me as a Capital Pride Hero in 2016. I want them to move forward and be a beacon of light for our community for many years to come. The work they do makes a difference for so many.
I wrote in my memoir that coming to a Pride event helped me to come out, and I am sure it has done the same for so many others in our community. What Capital Pride does is important and it must be as transparent as we demand of any other organization.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
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