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Want to end HIV? Actions speak louder than sound bites

Trump effort ignores networks of people living with disease

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HIV, gay news, Washington Blade
diarrhea rates, HIV test, HIV infections, gay news, Washington Blade

Expanding access to healthcare or decimating it? Creating and improving upon nondiscrimination protections for LGBTQ people or destroying them? Relying on evidence or attacking science?

Which policies are those of a leader committed to ending the HIV epidemic? 

Trump’s appointed co-chair of the President’s Advisory Council on HIV/AIDS (PACHA), Carl Schmid, a former Log Cabin Republican leader, lauds the administration’s “leadership” and suggests it has been more accessible to the HIV community than its predecessors, according to the Washington Blade article published on August 5, “Biden says he can beat HIV by 2025 — but activists are skeptical.”  

Schmid seems to believe Trump’s so-called “Ending the Epidemic: A Plan for America” can succeed without policies that protect and support people living with HIV and the communities most affected by it.  

As people openly living with HIV who have served on the President’s Advisory Council on HIV/AIDS (PACHA) under past administrations (Obama and Clinton), who currently serve in policy leadership roles, and who lead grassroots HIV organizing efforts, we vehemently disagree. 

The Obama administration led the creation, implementation, evaluation, and subsequent strengthening of the first-ever nationally coordinated plan to address the domestic HIV epidemic. The National HIV/AIDS Strategy (NHAS), initially released in 2010 and updated in 2015, scaled up effective, science-based prevention and care approaches while addressing the root causes that lead to racial inequities in both numbers of HIV diagnoses and health outcomes.

Obama’s NHAS was created with input from diverse stakeholders, including networks of people living with HIV. It highlighted the disproportionate burden of HIV among Black gay and bisexual men and explicitly addressed stigma and violence against people living with HIV, with federal commitments on issues like employment rights, HIV criminalization, and the intersection of violence against women and HIV. 

President Obama personally welcomed hundreds of people living with HIV and HIV advocates to the White House in July 2010 for the launch of the NHAS. Dr. Howard Koh, his Assistant Secretary of Health, was a regular fixture at major HIV conferences and community events. 

The Obama administration understood that ending the HIV epidemic through expanded prevention, testing, healthcare, and treatment is possible only when basic human rights are upheld and barriers to access for vulnerable communities are proactively dismantled. The Affordable Care Act’s LGBTQ nondiscrimination protections, in combination with a commitment to sexual and reproductive healthcare, provided a solid bedrock for the NHAS.

In contrast, the Trump administration’s purported “plan to end the HIV epidemic” rests entirely on biomedical and surveillance interventions. It sought no input from any of the networks of people living with HIV, such as the U.S. People Living with HIV Caucus, a national coalition representing the estimated 1.1 million Americans living with HIV. 

Trump has chosen to gut healthcare and housing safeguards for transgender people. He has issued executive orders that authorize discrimination on the basis of “religious beliefs,” while deliberately undermining sexual and reproductive healthcare. 

The Trump administration continues to try relentlessly to repeal and undermine the ACA, which gave countless people living with HIV access to comprehensive coverage for the first time through Medicaid expansion and protection for preexisting conditions.

Trump intentionally incites fear among immigrants. In turn, many avoid accessing healthcare and other necessary services. 

This administration attacks science and evidence; its policies chip away at the programs and protections that help people living with HIV stay engaged in care. It has eliminated funding for the World Health Organization. The coronavirus pandemic has shown anyone paying attention that epidemics do not end at borders. 

This administration cannot reasonably expect to test and treat its way out of the HIV epidemic when its very actions undermine that goal. 

Black people and non-Black people of color living with HIV have been literally fighting for our lives for decades. After years of progress, we are back in survival mode under the Trump administration. When the Washington Blade reports on HIV issues, our voices need and deserve to be heard.

Cecilia Chung is senior strategist, Transgender Law Center and PACHA member (2013-2017). Ronald Johnson is senior policy fellow at AIDS United and PACHA member (1996-2001). Naina Khanna is executive director of Positive Women’s Network and PACHA member (2010-2014). Sean Strub is executive director of Sero Project and founder of POZ magazine.  

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Queer kids are not brainwashed

Trans children are real transgender people, not trend chasers

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In some conversations with progressive friends, my peers, despite their proclaimed liberal attitudes, voice concern over the fact that children can experiment with gender and sexuality. They say things like “kids are too young to question their gender…that seems dangerous” or “a lot of children are just following gender trends and are not actually trans.” Other friends state that they don’t believe that transgender children should have access to hormone blockers. 

All of these statements are bogus and harmful. Many people who question gender fluidity in children don’t realize that they themselves have been brainwashed into thinking, from a young age, that being cisgender and straight is the norm. It should not be the norm. In fact, queerness is ever more common now among Gen Z’ers, and this is because the youth of today are feeling more and more comfortable opening up about their different sexuality and gender from an early age. 

Being able to safely come out as trans or gay in high school is an extremely healthy process and greatly improves the mental health of kids who would otherwise struggle. In red states, and conservative high school districts, this kind of coming out is still difficult, and might even be banned in the future, if Republicans continue with their cruel agenda. But there is hope in progressive cities like Portland and New York, where students feel free to question cishet and straight standards. 

Much research points to the fact that trans children are who they say they are: real transgender people, and not trend chasers. Kristina Olson, a psychologist at the University of Washington, started running a long-term study on trans youth in 2013. Olson eventually amassed a group of more than 85 trans kids. Olson kept in touch with both the children and their parents over the years. Her team ultimately found that an overwhelming, vast majority of the children stayed consistent with the gender nonconforming identity they chose in childhood. In other words, these trans children were correct about their gender identity from a young age. The notion that children pick up trans identities as a “fad,” or are wrong about them, is outdated. 

We already know that Republicans are dangerous to trans children, and have already prevented them from receiving health care or playing sports in many red states. But what we need to stop is dialogue from progressive voices that discourages gender fluidity in youth. These statements from otherwise liberal leaning people are contradictory to the very values that Democrats stand for. 

Isaac Amend (he/him/his) is a trans man and young professional in the D.C. area. He was featured on National Geographic’s ‘Gender Revolution’ in 2017 as a student at Yale University. Amend is also on the board of the LGBT Democrats of Virginia. Find him on Instagram @isaacamend.

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A rare misstep for the amazing Nancy Pelosi

Taiwan trip a distraction amid good news for Democrats

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House Speaker Nancy Pelosi leads a U.S. delegation in Taiwan. (Photo via Speaker Nancy Pelosi's official Twitter)

I have always supported House Speaker Nancy Pelosi and continue to do so. She is an amazing woman. She has championed women’s rights, LGBTQ rights, the rights of all minorities, and the rights of people with disabilities. She has worked hard to make our country a better and more equal place for all.

So seeing the repercussions of her trip to Taiwan playing out, with even the South Korean president avoiding a meeting with her, she must now realize the visit may have been ill timed. Speaker Pelosi is a smart woman and politician. I assume her insistence on the trip may have been a response to some promises she made to the Chinese community in her district and around the nation. She has always been a strong supporter of human rights and has criticized the Chinese government in the past. She recently tweeted, “28 years ago, we traveled to Tiananmen Square to honor the courage & sacrifice of the students, workers & ordinary citizens who stood for the dignity & human rights that all people deserve. To this day, we remain committed to sharing their story with the world. #Tiananmen30.” 

The question some are asking is did this trip do anything for the people of Taiwan or could it potentially hurt the people there and here if China decides to restrict trade and begin new sanctions?

As the Washington Post reported, “The visit lasted barely 19 hours. But Nancy Pelosi’s contentious trip to Taiwan was a defining moment in the increasingly bitter rivalry between China and the United States. A fuller picture of the Chinese response will emerge over the coming weeks and months, and there are already signs it will encompass greater economic as well as military coercion. Whatever the final shape of Beijing’s retaliation, Pelosi’s visit heralds a new phase in China’s efforts to control Taiwan’s fate — and those measures are likely to increase the risk of conflict with U.S. forces in the western Pacific.” The New York Times said,  “Ms. Pelosi’s visit was ill timed” and called it “provocative.”

I would never question the speaker’s commitment to the human rights of the Chinese people. But at this time, as the third in line to the presidency, there may have been some unintended ramifications from what she did and what the implications could be. I think the very unusual may have occurred, and the speaker may not have considered everything. The trip was likely spurred on by her knowledge this is likely to be her last year as speaker and this was the last time she could arrange for such a trip having the clout she does. I think Speaker Pelosi may be thinking about what she did and if it was worth adding this to the international problems the White House is now facing.

We are living in interesting and difficult times. With the help of Speaker Pelosi for the first time in a while the Biden administration and Democrats are having an incredible run of successes here at home. Passing the first gun control bill in decades, the infrastructure bill, the chips bill, and now the Senate has passed the “Inflation Reduction Act of 2022” as a reconciliation package. The nation added 528,000 new jobs in July and unemployment is at the lowest it has been, matching pre-pandemic times, at 3.5%. Gas prices are steadily going down and inflation has likely peaked. Then there is the vote on the abortion amendment in Kansas, which the pro-choice side won by nearly 60/40 in a landslide definitely not predicted in that very red state. So, poking the Chinese at this time, generating negative headlines, doesn’t make much sense. I hope it will be only a blip in time.

This week we will see Pelosi do what she does best. She will move the House of Representatives to pass impactful legislation. She will keep her small Democratic majority together to pass the ‘Deficit Reduction Act of 2022’ and send it on to the president to sign. In 2018, she cut a deal to become Speaker for two more terms. That time is now coming to an end. If the Democrats manage to hold the House of Representative much of the credit must go to her. Should she then actually leave the speakership, the next speaker will have the unenviable task of trying to fill those four-inch stiletto heels. 

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

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Monkeypox is a gay thing — we must say it

Will there be stigma, judgments, and homophobia? Of course

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The mainstream media and public health officials are being so damn careful not to label monkeypox “a gay disease” that they’re doing a disservice to the gay men who most need important information about the outbreak – while misleading everybody else.

In a July 28 New York Times story of the excruciating symptoms and lack of care available for those with monkeypox in that city, the sexuality of the men profiled isn’t referenced until 11 paragraphs into the story, and even then it refers to them as “men who have sex with men,” which is technically correct but dodgy. Moreover, the article, which supposedly addresses barriers to care, ignores the fact that gay men routinely experience apathy and even judgment from health providers.

Other media stories, and statements from the Centers for Disease Control and Prevention, have mentioned monkeypox cases in the context of “the LGBT community.” Really? Should lesbians be lining up for a monkeypox vaccine, whenever the heck they become widely available? This is happening to gay men. Say it.

Journalist Benjamin Ryan, in his excellent Washington Post opinion piece, draws a hard line between attempts not to unnecessarily stigmatize gay men and the importance of telling the truth about monkeypox, writing that “public health officials cannot be expected to police the public’s reactions to epidemiological facts.”

Ryan lays out those facts plainly:

Here is what we can discern from data collected about monkeypox so far: This viral outbreak isn’t just mostly occurring among men who have sex with men. The confirmed cases, at least to date, have consistently almost entirely occurred among this demographic, which accounts for 96 percent or more of diagnoses where data are available.

Per capita, the few monkeypox cases in women and children remain minuscule compared with the rate among gay and bisexual men. Of course, substantial transmission could always occur among such other groups. But researchers at the WHO and elsewhere have speculated that the monkeypox reproduction rate will likely remain significantly lower in such demographics — meaning the virus will more likely hit transmission dead ends among them than among gay and bisexual men.

An uncomfortable truth, one documented in peer-reviewed papers, is that sexual behaviors and networks specific to gay and bisexual men have long made them more likely to acquire various sexually transmitted infections compared with heterosexual people. This includes not only HIV, but also syphilis, gonorrhea, chlamydia, hepatitis B and sexually transmitted hepatitis C.

Global public health experts agree that skin-to-skin contact in the context of sexual activity between men has been the principal driver of the monkeypox outbreak, at least thus far.

Such experts have also asserted that the risk of monkeypox to the broader population not having multiple sex partners remains low — even “very low.” This is hopeful news, and the wider public deserves to be reassured accordingly. Assuaging fears of contagion will help fight unhelpful hysteria and prevent gay and bisexual men from being subjected to even greater stigma should they be painted as culprits of the spread of virus to others.

Monkeypox didn’t begin with gay men, that much is true. As Yale infectious disease expert Gregg Gonsalves explained to the New York Times, “This is not a gay disease; it has been circulating in West and Central Africa for many years… What likely happened, in this case, is that somebody who had monkeypox had a lesion and showed up at a gay rave in Europe, and it spread to those in that social and sexual network.”

Whatever the origins, we’re now dealing with an outbreak almost entirely limited to gay men in the United States and Europe. And that is worth saying explicitly.

Why? Because identifying those at risk and getting information to them is a basic public health strategy for containing an outbreak. Gay men are getting monkeypox and suffering greatly. When gay men understand the threat, we are more likely to take precautions, get vaccinated, or be informed about treatment.

Will there be stigma and judgements and homophobia? Of course. And we’ll have to deal with that. But that doesn’t mean we bury crucial facts in vague, evasive messaging.

Monkeypox is a gay thing. That’s the truth.

Mark S. King is an award-winning blogger, author, speaker, and HIV/AIDS activist who has been involved in HIV causes since testing positive in 1985.

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