Local
A Welcome Lifeline
Paul Johnson went on a mini-vacation to Puerto Rico in April 2017. But his r&r was interrupted when his then-boyfriend noticed Paul’s feet, calves and thighs were extremely swollen. His feet barely fit in his shoes on the return flight to D.C.
In the next few months, Paul underwent several medical tests to determine what was wrong. Ultimately, he was diagnosed with a rare genetic autoimmune disorder. The news was bleak—Paul would need a kidney transplant if he had any chance of living a long life.
Paul, who rapidly gained 42 pounds of fluid and could hardly breathe at times, would receive overnight dialysis treatment several times a week so a machine could filter his blood to keep him alive. Despite his condition, Paul maintained his social life to stave off the depression. Unbeknownst to him, there was someone in his circle of friends paying extra close attention to Paul.
It was 2011 when Paul first met Ryan Maddock playing on opposing Stonewall Kickball teams. “There are certain people you meet, and right away you can tell they have a good heart. Ryan was one of those people,” said Paul.
When Paul grew ill, Ryan, a hospital social worker, knew something was up. During the next year or so, Ryan would check in with Paul and ask about his condition. “He didn’t just scratch the surface. Instead, he asked meaningful questions that brought me comfort. He was my lifeline.”
One day when the two were chatting on the sidelines, Ryan offered to be Paul’s kidney donor. Paul brushed him off because several friends had already started the process to see if they could be his donor, but each backed out. Paul figured Ryan would be no different.
In August 2019, Ryan pulled Paul aside for the fifth time and said, “I want to give you a kidney. I want to do this for you.”
Paul finally realized Ryan was serious and with his blessing, Ryan began the process to determine if his kidney was a match for Paul. Both were disappointed to learn that they were not a match. However, Ryan was determined to save Paul’s life so the two signed up to participate in a kidney swap. This meant Ryan would donate a kidney to someone else whom he matched with and in exchange Paul would receive a kidney from a matching donor.
On July 14, Paul and Ryan both went into surgery at Medstar Georgetown Transplant Institute. That morning, Ryan donated his kidney to an anonymous recipient in Boston. By evening, Paul received a new kidney from an anonymous donor in Cincinnati.
After Paul woke up from surgery, he had a visitor. It was Ryan, who needed to see for himself the relief on Paul’s face. “We are two good friends doing something extraordinary. We were always in this together.”
Both are recovering well after their surgeries and are already back to work. Paul plans to write a letter to show his gratitude to his kidney donor and hopes they can all meet someday.
“I don’t think there are words that are big enough to express my appreciation. This gift extended my life and changed everything for the better.”
Everyone can register to be an organ donor. Get the facts and register at BeADonor.org.
Rehoboth Beach
Women’s FEST returns to Rehoboth Beach next week
Golf tournament, mini-concerts, meetups planned for silver anniversary festival
Women’s+ FEST 2026 will begin on Thursday, April 9 at CAMP Rehoboth Community Center.
The festival will celebrate a remarkable milestone in 2026: its silver anniversary. For 25 years, Women’s+ FEST has brought fun and entertainment for all those on the spectrum of the feminine spirit. There will be a variety of events including a golf tournament, mini-concerts and happy hour meetups.
For more information, visit Camp Rehoboth’s website.
District of Columbia
How new barriers to health care coverage are hitting D.C.
Federally qualified health centers bracing for influx of newly uninsured patients
Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands.
Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges.
Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects.
The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31.
Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying.
“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”
Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance.
“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.
Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.
“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says.
The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.
Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.
“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”
Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.
“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said.
(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)
District of Columbia
Mayor Bowser signs bill requiring insurers to cover PrEP
‘This is a win in the fight against HIV/AIDS’
D.C. Mayor Muriel Bowser on March 20 signed a bill approved by the D.C. Council that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.
Like all legislation approved by the Council and signed by the mayor, the bill, called the PrEP D.C. Amendment Act, was sent to Capitol Hill for a required 30-day congressional review period before it takes effect as D.C. law.
Gay D.C. Council member Zachary Parker (D-Ward 5) last year introduced the bill.
Insurance coverage for PrEP drugs has been provided through coverage standards included in the Affordable Care Act, known as Obamacare. But AIDS advocacy organizations have called on states and D.C. to pass their own legislation requiring insurance coverage of PrEP as a safeguard in case federal policies are weakened or removed by the Trump administration, which has already reduced federal funding for HIV/AIDS-related programs.
Like legislation passed by other states, the PrEP D.C. Amendment Act requires insurers to cover all PrEP drugs approved by the U.S. Food and Drug Administration.
Studies have shown that PrEP drugs, which can be taken as pills or by injection just twice a year, are highly effective in preventing HIV infection.
“I think this is a win for our community,” Parker said after the D.C. Council voted unanimously to approve the bill on its first vote on the measure in February. “And this is a win in the fight against HIV/AIDS.”
