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Whitman-Walker takes stand against HHS’ denial of care rule

Patient’s needs must come first — not the personal beliefs of health care workers

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Affordable Care Act, gay news, Washington Blade

The community’s health and well-being are under constant assault by the Trump administration. Efforts to repeal the Affordable Care Act, or to undercut it with regulatory actions, are still underway. Section 1557 of the Affordable Care Act – which provides important protections to the community from discrimination in health care and health insurance – is in the process of being reinterpreted in a way that tries to eliminate protections for LGBT people, women, and persons not proficient in English. And on May 21, the administration issued its so-called “conscience protection rule,” which will undoubtedly increase discriminatory practices in medicine, mental health, and substance use treatment. As your partner in health, Whitman-Walker stands firmly with you in the face of this hostility. That stance is why we were compelled to act against this rule with litigation. 

The so-called “conscience protection rule,” which the Department of Health and Human Services (HHS) issued on May 21, declares anyone employed at any health care provider that receives federal funding through Medicare and Medicaid reimbursement, or any number of federal grants, or even anyone volunteering at such a health care facility, may deny care to anyone, based only on their personal religious or moral views. The rule is written so broadly that it seems that every employee – from the customer service representative handling appointment check-ins to the doctor delivering direct care – will be able to deny any type of assistance to an individual if the employee objects to the person seeking care or to the type of care they are seeking, based on the employee’s personal beliefs. Non-compliant health care facilities, those who insist that all patients get the care that they need, will be at risk of losing federal funding. This is true of schools, health departments, hospitals, community health clinics – and health centers like Whitman-Walker. 

We believe that this is unlawful and discriminatory, and it threatens serious harm to the health and well being of the communities we serve. We challenged this unlawfulness, together with Sarah Henn, our Chief Health Officer, and Randy Pumphrey, our Senior Director of Behavioral Health, through a lawsuit filed May 28, 2019 against HHS. Like much of the fight against this administration, we are in good company. Our co-plaintiffs are fellow LGBTQ health care providers, reproductive rights organizations, medical professional organizations and Santa Clara County. Our lawyers in the case are among the best in the nation: Lambda Legal, Americans United for Separation of Church and State, the Center for Reproductive Rights, and the law firm Mayer Brown.

We and our fellow plaintiffs maintain that the rule is unlawful and threatens enormous harm, and we are asking the court to overturn it. The lawsuit argues that the rule is unconstitutional because it advances specific religious beliefs in violation of the First Amendment; violates patients’ rights to privacy, liberty and equal dignity as guaranteed by the Fifth Amendment; and mutes patients’ speech and expression in violation of the First Amendment, all to the detriment of patients’ health and well-being. The lawsuit also asserts that HHS violated the federal Administrative Procedure Act in creating the rule by failing to consider the rule’s impact on patients, health care providers and institutions; by misinterpreting the federal statutes that HHS claims to be enforcing; and by violating a number of other federal laws. This is not a matter of one person’s religious views being more important, or invalid, compared with another person’s views. This is a matter of supporting a pluralistic society in which dignity and mutual respect are central tenets, requiring us to treat all people equally. Moreover, in health care the patient’s needs must always come first – not the personal beliefs of the health care worker. 

Opposing this misguided, unlawful and harmful rule is not a new position for Whitman-Walker. This rule is, in fact, the kind of discrimination in health care that led to our founding. Since our beginning in the 1970s, Whitman-Walker has always stood for dignity, affirmation and respect in health care. We stand for providing the right level of care for our patients, as directed by the needs that they report to us. We stand for the evidence based and ethically driven guidelines that are the foundation of our work. The vague and far-reaching language of this rule left us with only one clear option, and that was to advocate for access to health care. Through this action and in many other ways, we will continue to fight for you, and for a healthy, inclusive and just society.

Naseema Shafi is CEO at Whitman-Walker Health.

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Fathers should speak to kids about drugs, alcohol

Highlight dangers of illicit substances, how to manage peer pressure

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What does it take to be a good father? While there are many answers, it generally involves showing up daily, playing an essential role in their life, being there for them, and loving them unconditionally. 

Fathers are there to provide abundant love and support. Most fathers know the sacrifice it takes to ensure their children are loved and cared for. A father is always there for their kids, offering guidance, support, and education. The greatest joy for any father is seeing their children thrive, do well in life, and be healthy. 

However, things can get derailed in life, and teens and young adults take risks, such as experimenting with drugs or alcohol. Fathers have a responsibility to speak to their kids about drugs and alcohol and help them understand the risks and consequences. 

Data has shown that more than half of LGBTQ youth used alcohol in the last year, and more than one in three LGBTQ youth used marijuana in the previous year. Approximately 11% of LGBTQ youth reported regular use (defined as daily or weekly use) of both alcohol and marijuana.

Illegal drugs today are more readily available than ever before. According to the DEA, drug traffickers have turned smartphones into a one-stop shop to market, sell, buy, and deliver deadly fake prescription pills and other drugs. Amid this ever-changing age of social media influence, kids, teens, and young adults are easily influenced.  

Drug traffickers advertise on social media platforms like Instagram, Snapchat, TikTok, Twitter, YouTube, and Facebook. The posts are promptly posted and removed with code words and emojis used to market and sell illicit drugs. Unfortunately, digital media provides an increased opportunity for both marketing and social transmission of risk products and behaviors. 

Fathers are responsible for protecting and preparing our children for the world. Drug education is essential. Take the time to speak to your kids about the dangers of illicit substances, how to avoid and manage peer pressure, and what to look for. Be prepared to share personal experiences and help them understand that some choices have consequences. 

However, it can be challenging to see our kids struggle with things in life, and as fathers, we can also face our own difficulties, making it more difficult to help our children. The responsibility of raising children can be a lot; there are many challenges along the way, and the pressure of being a good influence can get the best of us. 

All of this makes it vital not to ignore our mental health; children, especially younger kids, mimic what they see. How we cope with frustration, anger, sadness, or isolation impacts our children in several ways. 

Our actions have consequences. Children see how we handle every situation, and while no father is perfect, we must be conscious of the fact they are impressionable when they are young. They look up to us, mimic our actions, and see when we are doing well in life mentally.   

The key for fathers caring for children is to take the time to care for themselves. However, if you are struggling, contact the 988 Suicide and Crisis Lifeline. Taking care of your mental health is the same as taking care of your physical health; it is an integral part of your well-being and contributes to you being the best father you can be.

Nickolaus Hayes is a healthcare professional in the field of substance use and addiction recovery and is part of the editorial team at DRS. His primary focus is spreading awareness by educating individuals on the topics surrounding substance use.

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In debate, Biden must stay on offense

President needs more lines like ‘I am running against a 6-year-old’

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President Joe Biden (Washington Blade file photo by Michael Key)

On June 27, President Joe Biden will debate the man he has called a six-year-old. A great line, and he needs a few more like that. Unless there is a clear stumble by either candidate, we know what they will say. Trump will call Biden ‘sleepy Joe,’ among other names. But the reality is, people are used to it. They are not as used to Biden returning the favor. And Biden, aside from referring to Trump as a convicted felon, needs some lines that will make headlines the next day. Something with a little humor in it, but still making a strong point. 

Trump is scary. The recent column in the Washington Post on how Russ Vought, the former president’s budget director, is laying the groundwork for a broad expansion of presidential powers, is truly frightening. Now if it were me, I would be able to use my usual litany of words when referring to Trump: racist, sexist, misogynist, homophobic pig, found liable for sexual assault, and convicted felon. I may even go as far as suggesting society replace the word felon with “Trump.” People at trials could be convicted of 34 “Trumps.” But Biden can’t really use that. Maybe Biden can do something like look him in the eye and say, “You can’t really believe all the BS you keep spouting!” Then add, “The world is a complicated place, and even most six-year-olds seem to have a better understanding and grasp of it than you do.” 

Then there is the focus on the very serious part of the debate. The discussion of issues including the economy, abortion, contraception, and foreign policy. Reminding people, it was Trump who killed the immigration bill in Congress, telling energy billionaires if they raise him a billion dollars, in essence bribe him, they can “drill baby drill.” The president needs to speak to African Americans, Latinos, women, and the young. He needs to tell each of those groups what will happen if the six-year-old he is running against, were to become president again. 

Then he needs to look directly into the camera and say to the audience at home, “It isn’t only Trump you need to fear, it is the people he will surround himself with. His sycophants and cult, who will let him get revenge on anyone who says a word against him.” You can count on the fact it will be much worse than the last time around when he tried to stage a coup, because no decent person will work for him.

The first debate will take place 18 weeks before the Nov. 5 election. So much can change between then and the election. Remember when we talked about an October surprise? In today’s world there could be July, August, and September surprises as well. Between now and election day we will be treated to an overload of polling, most of it wrong. We will read hundreds of headlines, many of them clickbait. If you watch TV you will get to listen to hundreds of talking heads, many knowing no more than you. The difference being, they are being paid to spout off on the election, giving not facts, but their opinions. 

It seems every four years we hear this could be the most important, the most crucial, election of our lifetime. Well, this time those who say it just may be telling the truth. One candidate, convicted of 34 “Trumps,” is telling you he will be a dictator, and using Hitler’s words. He has the likes of Russ Voight advising him, and openly says he will seek revenge. Nothing could be more frightening. He is telling the young he doesn’t care about climate change, and telling the poor their programs will be cut because he will cut taxes for the rich.  

He calls our soldiers, those who sacrificed their lives and died in wars, “suckers and losers.” He called John McCain “a war hero because he was captured,” saying, “I like people who weren’t captured.” This frightening, sick man, with the world view of a warped six-year-old, will lead the United States if we aren’t willing to stand up to him, and his MAGA cult. Yes, I am afraid! And you should be too! If you are a woman, a minority, a member of the LGBTQ community, or just poor, be scared, be very afraid! If Trump and his cult win, you will lose what little you think you now have.

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

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Why you should celebrate pride with a musical about GenderCannibalism?

Rose: You Are What You Eat, through June 23 at Woolly Mammoth.

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Photo courtesy of Woolly Mammoth.

Because when I came out as trans my aunt told me it was because I ate my twin in the womb…and that’s what the show is about

Because…remember that time when you decided to dress like exactly like your older sister; or you stole your mothers’ makeup or your brother’s tie; or you decided to dress up like Katherine Hepburn for halloween when you were (i dunno) 10; or you started to look eerily like your lover…..that’s all gender cannibalism

Because because because because because….” because if you know that song this was made for you…and if you don’t…it’s okay, we’ll work on it

Because you can probably find a cute date at the show irl instead of just swiping in your phone…think of theater as an in person dating app without as much drunkenness as the bar

Because maybe that cute date is me

Because you can sing along to music written by a bunch of queers from Philly and D.C. 

Because we are all so hungry and so so thirsty 

Because I guarantee you will leave feeling fed

Because cannibalism puns are tasty

Because it’s a comedy

Because there are pay-what-you-can tickets

Because it plays all of June

Because we are consuming gender all the time but rarely watching what and how we eat it 

Because it’s an anti-assimilationist endeavor: the corporations can’t co-opt “gender cannibalism” for pride month (but there is merchandise available at the show…)

Because it’s only 75 minutes

Because I dance around in tighty whities with socks on my hands

Because there is a free clothing swap and treats in the gallery next to the show

Because why not?

Because you will be cast as my Mother, and that’s the role of a lifetime (or at least my lifetime)

Because you won’t know what will happen; you can’t pause or rewind the show; you will be taking a risk; you will find it’s more than just entertainment; you will feel me talking right to you

Because I’ve been writing this show for 34 years and am finally ready to share it with you

Because I’ll be in the lobby afterwards to say hi, and receive hugs, stories, and phone numbers 

Because I made this piece for you, my dear deviants, trans folx, genderful ones and for the people that care for us. It is a good laugh and a good cry and meant as a gift, a way to end your day feeling loved, nourished and worthy

Because don’t you want to be nourished and reminded that you are loved and worthy? 

And frankly because art needs you to survive and you need art to thrive

Because I took the time to write this letter to you and you took the time to read it, and neither you nor I want to waste that investment

Because you won’t want to miss it

Get tickets to Rose: You Are What You Eat, playing through June 23rd.

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