Opinions
AIDS at 37 remains a scourge
Still a major killer, with 1 million dying last year

World AIDS Day is observed on Dec. 1. (Washington Blade file photo by Michael Key)
AIDS is about to turn 37—it approaches middle age. Still a major killer—more than one million people died of AIDS last year. But tamed in comparison to its youth: 1.8 million new infections this year, down from three million 10 years ago. Nevertheless, since more people are becoming newly infected than are dying, the epidemic is still growing.
In commemoration of its 30th anniversary, AIDS Healthcare Foundation produced a film, ‘Keeping the Promise.’ Watching archival footage reminds us of just how far we have come in the battle against AIDS and how horrifying those early years were. So, when we “celebrate” World AIDS Day on Dec. 1, there is a lot to be thankful for. A disease having its own “holiday” may seem odd, yet it is more important than ever that we remember everyone we have lost as well as the people who need our help today: the 20 million people who remain untreated for HIV, as well as preventing another generation from becoming infected with this still deadly disease.
As a child of a lower middle-class family, I remember how my father would always talk about living through The Great Depression. As a kid who wanted a toy or a treat of some kind, I really didn’t want to hear about the struggles of my father’s childhood. Likewise, talking to millennials about the ravages of AIDS in the 80s and 90s may leave them cold or even sound like a scold. So, forgive me for saying that AIDS remains one of the defining issues of our time and reminding you that those who do not learn from history are doomed to repeat it.
A cure or a vaccine for HIV is not yet on the horizon. Despite tens of billions of dollars and decades of work, there is no tangible progress toward a magic bullet that will stop all new infections and rid HIV from the bodies of those who have it. The best news is that people who receive treatment and whose virus is under control are rendered non-infectious to others.
Treatments for HIV have never been better. One pill, once-a-day is now the norm, with lower side effects and toxicities; however, HIV treatment still means taking medication every day for a lifetime. But these lifesaving treatments are still beyond the reach of most people living with HIV in the world. People living in poor countries in many instances must travel long distances, wait for a long time and cannot access the best drugs. At this moment of maximum hope, AIDS is no longer front-page news and donors are cutting back on their funding.
Prevention of HIV hasn’t changed much from the beginning. Yes, there is Truvada for PrEP. But adherence is spotty and the people taking it are not the ones most at risk—youth and men of color. And once again, it is a pill taken every day and there are side effects. Whether we like them or not, condoms remain the best defense against HIV.
Sometimes we forget that HIV is an STD. It is transmitted the same way that chlamydia or gonorrhea is spread, through the exchange of bodily fluids during sex. The spread of HIV took off in the 80s because we did not heed the warnings about using condoms and reducing the number of sexual partners we had. Today the number of STD cases is exploding. Apps are the digital bathhouses of our time: a closed network of people in a limited geography facilitate the rapid spread of infections. Yet little is being done about STDs at the government or community level. The more STD infections go up, the less funding is available to test and treat them. Community organizations run irresponsible campaigns that urge people to “fuck without fear.”
We are headed over the falls in a barrel. Gonorrhea is becoming resistant to all the current medications to treat it. Syphilis, which was on the verge of elimination in this country, is roaring back. The condom culture that we worked so hard to establish is being destroyed. Just as we did in the 80s, the only way that we can reverse this devastating trend is on a grassroots community basis, which will take courageous leadership.
The LGBTQ community has played a crucial historic role in the war against AIDS. So many of the most important heroes in this battle have come from our community. We understand the devastation of AIDS and also the empowerment that comes from taking action in our own defense. We have many lessons to share with others around the world. Perhaps our most important role is to not allow the world to forget AIDS and to require everyone from our governments, churches, educational institutions, community organizations and society as a whole to keep the promise to not give up the fight against HIV until we have won.
AHF will continue to keep its promise. We are currently treating more than 820,000 patients in 15 states and 39 countries. We will break the one million mark in 50 countries in the foreseeable future. We will continue to partner with anyone, anywhere who shares our commitment to ending AIDS – the scourge of our time.
Michael Weinstein is president of AIDS Healthcare Foundation.
Opinions
Lighting candles in a time of exhaustion
Gunmen killed 15 people at Sydney Hanukkah celebration
In the wake of the shooting at Bondi Beach that targeted Jews, many of us are sitting with a familiar feeling: exhaustion. Not shock or surprise, but the deep weariness that comes from knowing this violence continues. It is yet another reminder that antisemitism remains persistent.
Bondi Beach is far from Washington, D.C., but antisemitism does not respect geography. When Jews are attacked anywhere, Jews everywhere feel it. We check on family and friends, absorb the headlines, and brace ourselves for the quiet, numbing normalization that has followed acts of mass violence.
Many of us live at an intersection where threats can come from multiple directions. As a community, we have embraced the concept of intersectional identity, and yet in queer spaces, many LGBTQ+ Jews are being implicitly or explicitly asked to play down our Jewishness. Jews hesitate before wearing a Magen David or a kippah. Some of us have learned to compartmentalize our identities, deciding which part of ourselves feels safest to lead with. Are we welcome as queer people only if we mute our Jewishness? Are those around us able to acknowledge that our fear is not abstract, but rooted in a lived reality, one in which our friends and family are directly affected by the rise in antisemitic violence, globally and here at home?
As a result of these experiences, many LGBTQ+ Jews feel a growing fatigue. We are told, implicitly or explicitly, that our fear is inconvenient; that Jewish trauma must be contextualized, minimized, or deferred in favor of other injustices. Certainly, the world is full of horror. And yet, we long for a world in which all lives are cherished and safe, where solidarity is not conditional on political purity or on which parts of ourselves are deemed acceptable to love.
We are now in the season of Chanuka. The story of this holiday is not one of darkness vanishing overnight. It is the story of a fragile light that should not have lasted. Chanukah teaches us that hope does not require certainty; it requires persistence and the courage to kindle a flame even when the darkness feels overwhelming.
For LGBTQ+ Jews, this lesson resonates deeply. We have survived by refusing to disappear across multiple dimensions of our identities. We have built communities, created rituals, and embraced chosen families that affirm the fullness of who we are.
To our LGBTQ+ siblings who are not Jewish: this is a moment to listen, to stand with us, and to make space for our grief. Solidarity means showing up not only when it is easy or popular, but especially when it is uncomfortable.
To our fellow Jews: your exhaustion is valid. Your fear is understandable, and so is your hope. Every candle lit this Chanukais an act of resilience. Every refusal to hide, every moment of joy, is a declaration that hatred will not have the final word.
Light does not deny darkness. It confronts it.
As we light our candles this Chanuka season, may we protect one another and bring light to one another, even as the world too often responds to difference with violence and hate.
Joshua Maxey is the executive director of Bet Mishpachah, D.C.’s LGBTQ synagogue.
Opinions
Holidays not always bright for transgender people
‘Home’ often doesn’t feel like home for trans folks
Christmas is family time, isn’t it? It seems like every TV ad, every rom-com with a Christmas tree and fairy lights, every festive novel in your local bookshop is trying to persuade you of this. To push it on you — and what’s wrong with it, you may ask? Well, just think about the thousands of people who cannot spend this holiday season with their loved ones. Think about the transgender community specifically.
Even without the increasingly hostile political climate against trans people in modern-day America, many of them are not welcome in their own families. It is not something that started with MAGA, although MAGA certainly made it worse. “Home Alone” is not a comedy when your family does not accept you, and you are stuck all alone on Christmas. I’ve never been alone at holidays, but I know — as a trans person who has always loved family stories but estranged from their family — how the season can be tough.
Let’s make it clear: I like the holiday season, and I would never ask you to cancel it. I just want you to support your trans friends, and the trans community in general.
According to recent data from the Williams Institute at UCLA, more than 2.8 million people in the U.S. now identify as trans, including roughly 724,000 youth aged 13–17. And not all of them are out or accepted at home. That means many thousands are navigating teenage years — the years when so many family traditions, holidays, and emotional expectations are formed — while being invisible to their own families, or abused by them.
But for a large proportion of trans people, “home” doesn’t feel like home.
In the landmark 2015 U.S. Transgender Survey, many of respondents who were out to their immediate family reported some form of rejection: relationships ending, being kicked out, being denied the ability to express their gender, or being sent away.
Among those who did experience family rejection, 45 percent had experienced homelessness.
Other research shows how deeply rejection affects health: trans youth without family support face far higher rates of psychological distress, suicidality, and substance misuse.
So when you hear “Christmas is family time,” for many trans adults that message comes with flashbacks and pain. For trans kids it may be worse.
Also, intersectionality made everything even hard. Take trans people of color. A report on Black trans Americans found:
- 42 percent had experienced homelessness
- 38 percent lived in poverty
- Rates of sexual violence, mistrust of authorities, and fear of asking for help were also significantly higher
And if a trans person is also disabled, autistic, or living with chronic health conditions, the barriers become even bigger. Just imagine what it is like when your parents try to change you for being autistic all your childhood, and then kick you up for being trans. Ableism often goes hand in hand with transphobia; support systems become less accessible; and acceptance becomes harder to find. Holidays meant not just that you sometimes couldn’t share fun because of lack of inclusion now, but also because of mental health issues triggered by the past.
So yes — when you talk about Christmas stories of family, warmth, fairy lights and acceptance, it’s important to remember that for many trans people, Christmas is not something nice and cozy. Many trans people are suffering from PTSD, and for people with PTSD holidays are often a trigger.
So what can you do, as a trans ally or another trans person who wants to help their trans siblings? What does a “trans-friendly Christmas” look like for those estranged from their families?
Supporting a trans person at Christmas doesn’t have to be perfect. It doesn’t demand huge gestures, it doesn’t mean that you should stop celebrating or play Grinch. Just remember that not everyone is celebrating. And even people like me, who are celebrating, sometimes feel too triggered by all the perfect family pictures.
But there is some way to help your trans friends.
Give them space. Not everyone wants to talk about Christmas. Not everyone wants to explain their estrangement. They may withdraw, or avoid festive events entirely. Respect that. As an expert working with mental health services, I can say that sometimes the best gift is the room to breathe.
Say: “I know this time of year can be difficult. I’m here if you want to speak, and I’m here if you don’t.” Or share your own bad experience, especially if you are speaking with autistic person.
Or just ready to support them in a way they need.
Acknowledge the pain, without feeling guilty if it’s not your fault, and provide some support.
This might mean:
- Inviting them to your home for a meal
- Checking in with a simple, trans-friendly message (“thinking of you today — hope you’re doing whatever feels right for you”) — especially if they like this kind of messages
- Suggesting a walk, a film night, or anything that doesn’t revolve around “family”
- Bringing them into chosen family traditions if they’re open to it
- Support trans community online
- Just share photos of your pets
Be prepared for triggers. Really. I often have a relapse in my mental health on holidays despite liking them. Or, because I have Dissociative Identity Disorder, I struggle with my child’s personality. Your friends who have PTSD or DID can have similar problems. Respect them even if they behave “childishly” — even when a person is mentally falling into their child state, remember that they still have agency. Listen to their stories. Help them create their own holiday traditions if they need to, or ask for professional help. Be patient. Depression, anxiety, or OCD can also be triggered during holidays even if a person with those conditions is in remission.
And, most important of all: listen.
Some trans people want community on Christmas. Some want silence. Some want to escape. Some want a tiny piece of normality. Some want their own queer or geeky Christmas. Some prefer to celebrate the new year. There is no universal script. Let them decide. And remember: support is the most important thing.
Not the holiday decorations. Not the perfectly curated “inclusive holiday.” Not expensive parties.
Because for many trans people who have lost their family, especially at Christmas, it is important to know that someone sees them, someone calls them by their chosen name, someone cares, someone wants them here even if their parents don’t.
And sometimes, that’s enough to make the season not just survivable, but enjoyable. This, by the way, is true for all holidays, whether it’s Hanukkah or New Year’s Eve.
Opinions
Reflecting on six years on the CAMP Rehoboth board
Purpose, people, and the power of community
Some people let life happen; I prefer to plan it—meticulously, intentionally, and yes, sometimes overboard. After losing many loved ones and navigating my own setbacks, I learned not to let life drift by; instead, I live it with intention—curating the people, commitments, and actions that bring joy and meaning, even if others mistake that intentionality for control.
True to form, I close each year with an annual life audit reflecting to see if my personal goals were achieved and, if not, why did I fall short. This habit reflects a simple philosophy: fulfillment doesn’t happen by accident. It comes from daring to imagine the life you want and living deliberately at work, in service to others, and in the everyday moments that make life meaningful.
This year’s assessment is a bit more complicated because on Dec. 31 I will conclude six years on the board of CAMP Rehoboth Community Center — two full three-year terms, including three years as board president. When putting pen to paper, I quickly realized the lessons from the last 12 months were six years in the making.
For those who may not know, CAMP Rehoboth (CAMP is an acronym for Create A More Positive) is widely recognized as the leading provider of life-affirming programs and services in support of LGBTQ people in Rehoboth Beach, Del., and the greater Sussex County area. Since its founding 34 years ago, CAMP’s work has enabled LGBTQ people to thrive. In fact, it is the reason my husband Greg and I (along with thousands of other LGBTQ people) decided to make this part of Delaware our home.
If the past few years have taught me anything, it is that leadership is not a position—it is a practice. It is a daily decision to show up with clarity, steadiness, and a willingness to hold space for others as we navigate change together.
Purpose is the compass. Purpose gives direction when circumstances shift, resources tighten, and competing demands threaten to pull us off course. At CAMP Rehoboth, our purpose has always been to ensure LGBTQ people have access to life-affirming programs, culturally competent services, and a place where they feel seen, valued, and supported. Purpose guided our leadership transition and executive director search, reminding us that the leader our community deserves must bring experience, emotional intelligence, and a deep understanding of what belonging means.
Values are the guardrails. They keep us aligned when opportunities, distractions, or pressures arise. Our values show up in our strategic planning, financial stewardship, and insistence that inclusion is a practice, not a slogan. They ensure that when challenges—political hostility, funding uncertainty, changing community needs—emerge, we respond with integrity instead of reaction.
People are the engine. Organizations don’t create impact — people do. Staff, volunteers, board members, donors, and community members together make the mission real. Investing in their capacity, wellness, and professional development ensures they can do their best work. When we take care of our people, they take care of the community.
I am a gay man who knows how obstacles can feel insurmountable and hope can falter having lived through the AIDS epidemic and fought for civil rights like the legalization of same-sex marriage. In those moments, I chose to focus on what I could control rather than what I could not. Getting involved gave me purpose and proved that fulfillment comes from taking action to make a difference—for yourself and for the broader community.
Gratitude is the culture.
As I close this chapter, what I feel most is gratitude. Gratitude honors those who built the foundation, celebrates those who carry the work forward, and reminds us that progress is a collective effort. Thank you to our staff, especially Executive Director Kim Leisey, who serve with skill and heart; to our volunteers like former board member Chris Beagle and current board president Leslie Ledogar, who give more than anyone will ever know; to our donors, who invest in possibility; and to the community that trusts us to be there in moments of celebration, struggle, and change. Finally, none of this would have been possible without the steadfast love of my husband and the unwavering support of close friends who lifted me in the moments I needed it most.
Reflection, planning, and intentionality do not guarantee perfection — but they make fulfillment possible. Life is too short to leave it to chance. By daring to dream, acting deliberately, and giving generously, we can create lives that are both meaningful and impactful — not just for ourselves, but for the communities we touch.
Wes Combs is an outgoing board member of CAMP Rehoboth.
