Opinions
20 years of fighting HIV/AIDS in Black America
We are the generation that can end the epidemic

Twenty years ago, against a backdrop of increasing awareness of the enormous HIV/AIDS health disparities between Black and other racial-ethnic communities and the first development of Highly Affective Anti-Retroviral Therapy (HAART), a small group of Black activists, people living with HIV/AIDS, and doctors founded the African American AIDS Policy and Training Institute (later to become known as the Black AIDS Institute). BAI was the first national HIV/AIDS think tank in the U.S. focused exclusively on Black people. Its mission was to end the HIV/AIDS epidemic in Black communities by engaging and mobilizing Black leaders, institutions, and individuals in efforts to confront HIV.
BAI’s founders knew that even with the discovery of new treatments, you could not end the AIDS epidemic in America without ending it in Black communities. BAI’s motto was, and is, “Our people, Our Problem, Our solution.” The organization was formed on three founding principles:
• To end the AIDS epidemic, Black communities have to be fully engaged;
• To fully engage Black communities, it is imperative to raise the science and treatment literacy in Black communities;
• And mobilization is crucial: Knowledge alone is not enough. Black communities must be mobilized to take ownership of the epidemic in our communities.
Significant progress has been made in the fight against HIV/AIDS over the last 20 years. AIDS-related deaths are down in all communities, without regard to race, gender, sexual orientation, or geography. But there is still a long way to go. Huge disparities remain based on race, gender identity, and geography. Today, there are approximately 468,800 Black Americans living with HIV. Only 1 in 7 Black Americans are aware they are living with HIV. According to the Centers for Disease Control and Prevention, half of Black men who have sex with men are projected to be diagnosed within their lifetime. Black people continue to be by far the most affected racial or ethnic group with a lifetime HIV risk.
The Trump administration recently rolled out a plan to end the epidemic by 2030. If the administration is serious about achieving this goal, it must stop actively trading in racism, homophobia, transphobia, and other drivers of HIV. It must also stop undermining existing prevention and treatment efforts.
New leadership and a new generation of activists, advocates, and policy makers are needed to meet the new and complex facing efforts to end the epidemic today. BAI is poised to answer that call, in partnership with other leaders, institutions and individuals committed to ending the HV/AIDS epidemic by making sure no one is left behind. BAI understands the role intersectionality must play in any effective effort to end the HIV/AIDS epidemic. It is committed to centering people living with HIV, queer people, trans people, and other marginalized folks in both policy and service delivery strategies to confront HIV/AIDS on national, regional, and local levels.
HIV is a disease of intersectionality and syndemics. To end the HIV and AIDS epidemic we must respond to the reasons why Black Americans are not able to access and utilize the amazing tools we have that can end this epidemic. Increasing access to prevention and treatment in high burden areas is a good start, but we won’t achieve full success unless we address the underlying factors driving HIV. In the U.S., these drivers include racism, homophobia and mass incarceration. For example, Black people are incarcerated at five times the rate of white people in this country and HIV rates among incarcerated individuals are three times greater than among the general U.S. population; mass incarceration, like racism, transphobia, and homophobia have deep and complex connections to the HIV epidemic.
The epidemic still rages in Black communities and we have the tools to end it. People living with HIV who take HIV medications as prescribed and maintain an undetectable viral load can live long, healthy lives and have effectively no risk of sexually transmitting the virus to an HIV-negative partner.
There is some hope! While new infections among Black men who have sex with men have remained stagnant—a sign of some of the work that remains. Overall, the rate of new infections among Black Americans decreased by 25 percent among Black heterosexual women and 26 percent among Black heterosexual men but remained stable among Black gay and bisexual men.
We are moving forward to victory toward the day when the epidemic has ended. At the Black AIDS Institute, our team works to ensure Black communities know about the tools we have to end HIV and make sure healthcare providers and institutions are doing the necessary work to provide quality services to Black communities. We will not allow Black people to be left behind. We are the generation that can end the HIV and AIDS epidemic, let us march on till victory is won!
Phill Wilson is founder of the Black AIDS Institute. Raniyah Copeland is president and CEO of the Black AIDS Institute.
A right does not need to be banned to be restricted. Sometimes it only needs to be made uncertain.
That is what emerges from a closer examination of adoption access for same-sex couples across different countries. There is no broad legal rollback. What appears instead is a more subtle pattern: rights that remain on paper but become fragile, conditional, and uneven in practice.
Italy provides a clear example.
Since 2023, under the government of Giorgia Meloni, administrative decisions have limited the automatic recognition of both mothers in female same-sex couples, particularly in cases involving assisted reproduction abroad. In practice, many families have been forced into additional legal proceedings to validate relationships already established.
At the same time, Italy has intensified its opposition to surrogacy, extending penalties even to those who pursue it outside the country. Human rights organizations have warned that these measures disproportionately affect LGBTQ families, particularly male couples.
The judiciary, however, has pushed back.
In 2025, the Constitutional Court ruled that a non-biological mother cannot be excluded from legal recognition when there is a shared parental project. It also removed a long-standing restriction that prevented single individuals from accessing international adoption.
Italy has not eliminated these rights. But it has made them unstable.
When a right depends on litigation, judicial timelines, or shifting interpretations, it is no longer fully guaranteed.
In the United States, the structure differs, but the outcome converges.
At the federal level, same-sex couples can adopt. Yet the system varies widely across states.
Data from the Movement Advancement Project show that while some states explicitly prohibit discrimination in adoption, others provide no clear protections. In several states, licensed agencies can refuse to work with same-sex couples based on religious objections.
Access, therefore, is shaped not only by law, but by geography, institutions, and applied standards.
Research from the Williams Institute further complicates the narrative. Same-sex couples adopt and foster children at higher rates than different-sex couples.
The contradiction is clear.
Child welfare is invoked, yet the pool of available families is reduced. Faith is cited, yet it is used as a filter within publicly funded systems.
The consequences are tangible
children remain longer in care
processes become more complex
families face unequal scrutiny
What is happening in Italy and the United States is not isolated. Across parts of Europe, conservative governments have advanced legal frameworks that reinforce traditional definitions of family while limiting recognition of diverse ones.
Adoption is not always addressed directly. But the impact accumulates.
Options are restricted while the language of protection is used to justify it.
There is no need to soften it.
This is not only a debate about family models. It is a decision about who is recognized as family and who must continue asking for permission.
That is not neutral.
It is political.
And when a right depends on where you live, who evaluates you, or how hard you are willing to fight for it, that right is already being weakened.
Opinions
ROSENSTEIN: Chavous for Democratic D.C. Council-at-Large
Committed to fighting for statehood for our 700,000 residents
Kevin Chavous said, “I’m running for D.C. Council At-Large because Washingtonians deserve leadership focused on improving their everyday quality of life. Throughout my career, I’ve worked on the practical business of city government, and public policy, focused on solving real problems, and making government work better for the people it serves.”
Kevin’s experience spans safer streets, affordable housing, early education and school readiness, workforce and economic opportunity, support for seniors, and the day-to-day operations of city government. The knowledge he brings to the office is grounded in experience, clear-eyed oversight, and a commitment to delivering results. His platform outlines his priorities and approach, but as he has said, “it’s not the end of the conversation. I believe the best solutions come from listening and working together.”
Kevin believes safe streets are the foundation of strong neighborhoods. He is committed to having Washingtonians feel secure in their neighborhoods, and working to ensure all public safety efforts are smart, fair, and effective. To Kevin that means an approach focusing on enforcement that works, prevention that matters, and a range of services to stop crime before it happens. Kevin supports smart, effective policing, with a focus on violent crime, and getting repeat offenders off the streets. To do this he will work to strengthen community policing with the aim of rebuilding trust in every community, which will improve neighborhood-level safety. He will introduce legislation to expand targeted mental health and crisis-response services. The goal again, to prevent violence before it occurs. He will work to see government coordinates youth diversion, workforce, and support programs, which can intervene early, and reduce recidivism.
Kevin understands housing stability is essential for families, seniors, and workers, to stay and thrive in D.C. His housing priorities focus on increasing the supply of affordable housing, helping people build long-term stability in the neighborhoods they call home. He will work to increase the affordable housing supply through zoning updates, ADUs, and adaptive reuse of vacant properties. He will submit legislation to strengthen programs that help first-time, and longtime homeowners, buy and then stay in their homes. He will work to expand permanent supportive housing and targeted rental assistance for vulnerable residents, and protect tenants ensuring housing laws are enforced clearly, and consistently.
Kevin believes “every child should enter school ready to learn, with the support needed to succeed from day one. Early investment pays lifelong dividends – for families and for the District.” He will work on the Council to expand early childhood education, and school-readiness programs, citywide. He supports quality and affordable childcare for all children, birth to three, including seeing students begin the school year healthy, by supporting access to medical and dental screenings for all children.
Kevin knows economic opportunity allows families and communities to thrive. He will fight to see D.C.’s growth creates real pathways to good jobs, strong local businesses, and long-term stability for residents in every ward. His approach connects workforce training, worker protections, and neighborhood investment, so that growth benefits the people who live here. He will work to expand job training, apprenticeships, and career pipelines tied to high-demand fields, including construction, healthcare, and infrastructure. He will fight to strengthen First Source and local hiring requirements, so D.C. residents benefit directly from major development projects such as the new RFK site. He will demand the government protect workers by enforcing wage, safety, and labor standards, and holding bad actors accountable. He will introduce legislation to invest more in neighborhood-based economic development, including small businesses, BIDs, and commercial-to-residential revitalization.
Kevin has spoken out for the seniors in our city saying, “seniors built this city – and D.C. must ensure they can age with dignity, security, and independence.” Kevin will work to expand property tax relief and housing supports, so seniors can age in place. He will work with the AG to strengthen protections against fraud, exploitation, and predatory practices targeting seniors. He will support and work to expand nutrition, transportation, and community-based programs, that reduce the isolation many seniors face.
Kevin’s experience working for the Council, in the oversight role he had, gives him a practical understanding of what works, what doesn’t, and how to fix it – without delay. He will use that experience as he works to strengthen agency oversight to ensure laws are implemented as intended, and to improve service delivery by fixing bottlenecks, and outdated processes. Ensuring clear standards and accountability in inspections, enforcement, and permitting. Kevin will demand government use technology responsibly to improve efficiency, while protecting residents from fraud and abuse.
For all these reasons and more, I support Kevin Chavous. The more includes the fact Kevin has spoken out clearly, about the need to fight the antisemitism, Islamophobia, racism, sexism and homophobia, all once again rearing their ugly heads in our society. He will fight to keep ICE out of our city, and to keep immigrants safe. He is committed to fighting for statehood for the 700,000 residents of the District of Columbia, while fighting for budget and legislative autonomy as we work toward statehood.
Again, I urge the voters of D.C. to cast their ballot for Kevin Chavous for DC Council-at-Large.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
The state of Tennessee has a long history of political discrimination against its 225,000 LGBTQ citizens. In 2019, a district attorney remarked that gay people should not receive domestic violence protections, and in 2023, for five months in Murfreesboro, homosexual acts in public were illegal, prompting a federal judge to have the ordinance removed.
In 2022, I briefly lived in Tennessee and played rugby with the LGBTQ-inclusive Nashville Grizzlies, who welcomed me with open arms as an ally, teaching me that rugby isn’t always about winning or losing – it’s about creating a safe, inclusive, and joyful space for people looking to feel welcome.
In Tennessee, where 87% of the LGBTQ community has experienced workplace discrimination, and where, each year, countless bills that target their identities are introduced, it can be difficult to feel welcome. The Nashville Grizzlies played rugby with the exuberance of newly liberated people who were finally able to be their authentic selves. I was inspired by their brotherhood.
When I read about the Charlie Kirk Act being passed last week, I felt a visceral need to write about it.
While the bill is presented as legislation that strengthens free speech and encourages greater public discourse on campuses, it would effectively allow a school to expel a student who felt compelled to walk out on a speaker with hateful views, forcing marginalized groups to sit through existentially harmful rhetoric.
And ironically, it doesn’t seem like free speech goes both ways — a Tennessee University administrator lost their job last year for sharing negative views on Charlie Kirk, and countless LGBTQ books have been banned not only in schools, but even in adult libraries.
We like to think that as time moves forward, progress is inevitable, but this isn’t always the case. In a 2023 study, 27% of LGBTQ Tennesseans and 43% of transgender people in the state have considered relocating, forcing them to reckon with leaving home in pursuit of a better life. Nashville Grizzlies Captain Ethan Thatcher told me, “I’ve thought about leaving Tennessee. Hard not to when the government does not want you here. What has kept me here is the Grizzlies community, and the thought that existence is resistance.”
Everybody in our country deserves to feel safe. I thought that was a core value of the American ethos, but apparently, in some states, certain groups are welcome while others are ostracized.
Tennessee Gov. Bill Lee should reject the Charlie Kirk Act.
Tyler Kania is a 2025 IAN Book of the Year nominated author and civil rights activist from Columbia, Conn.
