News
Biden’s update to HIV strategy hailed for recognizing racism as health issue
New blueprint outlines plan from 2022 to 2025
A recent update to the National HIV Strategy by the Biden administration is getting good reviews from advocates in the fight against HIV/AIDS, who are praising the new blueprint for recognizing challenges in the epidemic and racism as a public health issue.
Carl Schmid, executive director of the HIV & Hepatitis Policy Institute and member of the President’s Advisory Council on HIV/AIDS, assessed the update as “very, very positive,” saying it built on components of a previous iteration of the strategy issued during the Trump administration and made new ones.
“I think the community is extremely pleased,” Schmid said. “There’s a new component…racism is a public health issue. So, all these positive — the disparities, which is just so big. Anytime you’re addressing HIV, you’re always addressing disparities.”
Schmid also said the updated blueprint — which articulates a plan from 2022 through 2025 and was issued last week to coincide with the first World AIDS Day during the Biden administration — makes outreach to the private sector.
“I think that’s good because it’s the people who influence society like technology companies, people who have high gay and bisexual employees, like [the] travel industry, get them all involved,” Schmid said. “So, and that, I think should help with the stigma.”
Schmid also hailed the strategy for its promotion of the Affordable Care Act as a tool to fight HIV/AIDS, which he said was absent in the iteration of the report under former President Trump.
President Biden, in remarks on World AIDS Day last week before advocates in the fight against HIV/AIDS in the East Room the White House, said the uptrend strategy is “a roadmap for how we’re going to put our foot on the gas and accelerate our efforts to end the HIV epidemic in the United States by the year 2030.”
“That’s the goal,” Biden added. “And it centers on the kind of innovative, community solutions — community-driven solutions that we know will work.”
Consistent with his administration’s stated commitment to racial equity and recognizing disparities among diverse groups, including LGBTQ people, Biden said the plan ensures “the latest advances in HIV prevention, diagnosis and treatment are available to everyone, regardless of their age, race, gender identity, sexual orientation, disability, or other factors.”
“Critically, this strategy takes on racial and gender disparities in our health system that for much too long have affected HIV outcomes in our country — to ensure that our national response is a truly equitable response,” Biden said.
The updated blueprint is the fourth iteration of the National HIV Strategy, which was first issued during the Obama administration, then updated during the Obama years and again during the Trump administration before the Biden administration unveiled the version last week.
The 93-page strategy makes recognition of racism as a public health issue a key component of the plan to fight HIV/AIDS, calling it a “serious public health threat that directly affects the well-being of millions of Americans.”
“Racism is not only the discrimination against one group based on the color of their skin or their race or ethnicity, but also the structural barriers that impact racial and ethnic groups differently to influence where a person lives, where they work, where they play, and where they gather as a community,” the strategy says. “Over generations, these structural inequities have resulted in racial and ethnic health disparities that are severe, far-reaching, and unacceptable.”
Data shows racial disparities remain a significant obstacle in thwarting the HIV/AIDS epidemic. According to the Centers for Disease Control & Prevention, new HIV infections in the United States declined by 8 percent between 2015 and 2019, with much of the progress due to larger declines among young gay and bisexual men in recent years.
But although HIV infections among young gay and bisexual men have dropped 33 percent overall, with declines in young men among all races, the CDC finds “African Americans and Hispanics/Latinos continue to be severely and disproportionately affected.”
A senior Biden administration official, speaking last week on background in a conference call with reporters to promote the HIV strategy, said in response to a question from the Washington Blade the recognition of racism “as a serious public health threat” was a key difference from previous iterations of the blueprint.
“There are several updates in this,” the official said. “And some of those new features or new areas of focus have come about from both community input as well as sitting down with our federal partners and thinking about also the priorities of this administration, where there is a focus on equity, there is a focus on addressing stigma and discrimination and ensuring that also marginalized populations have access to healthcare, and that we are also working to ensure that the voices of those with lived experience are part of our response.”
Jennifer Kates, director of global health & HIV policy for the Kaiser Family Foundation, said the recognition of social and racial disparities is a key component of the updated strategy.
“One area in which the updated strategy stakes out new and stronger ground is in its explicit focus on the social/structural determinants of health,” Kates said. “The strategy doesn’t just mention them but seeks to address them through a variety of objectives. This is a departure and an important one.”
Kates, however,.cautioned: “Of course, the devil will be in the details and there will always be a tension between what the federal government itself can do and the power that state and local jurisdictions actually have.”
One aspect of note during Biden’s remarks on World AIDS Day was his articulation of 2030 as the target date to beat HIV, with the goal of reducing new infection rates by 90 percent in that year. That 2030 goal was established by health officials during the Trump administration, but Biden had campaigned on 2025 — much to the skepticism of some observers.
The Department of Health & Human Services, in response an inquiry from the Blade on whether a decision was made to forgo 2025 and stick with 2030 as the target date, deferred comment to the White House, which didn’t immediately respond.
Schmid, who was among those during the election who expressed skepticism of the 2025 target date, said he spoke to the White House after an initial Blade report on the changed target date and was told the administration determined 2025 was “not feasible.”
“That was a campaign statement,” Schmid said. “I said then that it was not realistic, and I think others agreed with me particularly because of COVID, and we were during the campaign, but he said it and sometimes people say things during the campaign that they might not always live up to because it was unrealistic.”
Schmid, however, downplayed the importance of Biden articulating a different target date to beat HIV/AIDS compared to the one he promised during the presidential campaign, saying the initial date had demonstrated his “strong commitment” on the issue.
Now that the Biden administration has issued the new strategy, the work turns toward implementation, which would mean acting on the blueprint in conjunction with the Ending the HIV Epidemic initiative already underway.
Schmid said the next step in the process is making sure funding is robust, HIV testing continues despite the coronavirus pandemic — and working to make PrEP more accessible.
Key to the effort, Schmid said, would be new legislation introduced before Congress to set up a national PrEP program, one introduced by Rep. Bonnie Watson Coleman (D-N.J.), another by Rep. Adam Schiff (D-Calif.) and another by Sen. Tina Smith (D-Minn.). Those bills, Schmid said, would ensure the uninsured have access to PrEP and health plans cover them without cost.
“I’ve been focusing a lot on that,” Schmid said. “It would be great to get the administration’s support for these as well, and money in the budget to implement these national PrEP programs.”
National
Victory Institute to honor Biden at D.C. conference
Former president to receive award on Friday
The LGBTQ+ Victory Institute on Friday will honor former President Joe Biden at its annual International LGBTQ+ Leaders Conference in D.C.
Biden will receive the Chris Abele Impact Award in recognition of what the Victory Institute described as “his historic role in championing LGBTQ+ rights and for his leadership in achieving the most LGBTQ+ inclusive administration in U.S. history.” Biden will be the award’s third recipient.
“President Biden has shown unwavering commitment to ensuring LGBTQ+ people can participate fully and openly in our democracy,” said Victory Institute President Evan Low in a press release. “From appointing a record number of LGBTQ+ leaders to reversing harmful policies and expanding civil rights protections, his administration set a new and necessary standard for what inclusive governance looks like.”
“And now, we’re seeing LGBTQ+ elected officials lead the way on everyday issues that are important to most Americans like groceries, housing, and lowering the costs of healthcare,” he added. “This award honors not only his achievements, but also the real impact these changes have had on LGBTQ+ Americans across the country.”
The conference will take place Dec. 4-6 at the JW Marriott Hotel in Downtown Washington, where more than 700 elected LGBTQ+ political leaders and human rights advocates are expected to attend.
Notable officials slated to participate include Massachusetts Gov. Maura Healey; Maine Gov. Janet Mills; Michigan Attorney General Dana Nessel; Hawaii Attorney General Anne Lopez; Arizona Attorney General Kris Mayes; U.S. Reps. Mark Takano (D-Calif.) and Robert Garcia (D-Calif.); Maine House of Representatives Speaker Ryan Fecteau; Mississippi state Sen. Fabian Nelson; San Antonio Mayor Gina Ortiz Jones; San Diego Mayor Todd Gloria; West Hollywood (Calif.) Mayor Chelsea Byers and Providence (R.I.) Mayor Brett Smiley.
Transgender Spanish Sen. Carla Antonelli, former U.S. Ambassador to Bosnia and Herzegovina Eric Nelson, and Robert Biedroń, a gay member of the European Parliament from Poland, are slated to attend. Earlene Budd, a longtime trans activist in D.C., and D.C. Councilman Zachary Parker (D-Ward 5) are also expected to participate.
Michael K. Lavers contributed to this story.
Colombia
Colombia anunció la inclusión de las categorías ‘trans’ y ‘no binario’ en los documentos de identidad
Registraduría Nacional anunció el cambio el 28 de noviembre
Ahora los ciudadanos colombianos podrán seleccionar las categorías ‘trans’ y ‘no binario’ en los documentos de identidad del país.
Este viernes la Registraduría Nacional del Estado Civil anunció que añadió las categorías ‘no binario’ y ‘trans’ en los distintos documentos de identidad con el fin de garantizar los derechos de las personas con identidad diversa.
El registrador nacional, Hernán Penagos, informó que hizo la inclusión de estas dos categorías en los documentos de: registro civil, tarjeta de identidad y cédula de ciudadanía.
Según la registraduría: “La inclusión de estas categorías representa un importante avance en materia de garantía de derechos de las personas con identidad de género diversa”.
Estas categorías estarán en el campo de ‘sexo’ en el que están normalmente las clasificaciones de ‘femenino’ y ‘masculino’ en los documentos de identidad.
En 2024 se inició la ejecución de diferentes acciones orientadas implementar componentes “‘NB’ y ‘T’ en el campo ‘sexo’ de los registros civiles y los documentos de identidad”.
Las personas trans existen y su identidad de género es un aspecto fundamental de su humanidad, reconocido por la Corte Constitucional de Colombia en sentencias como T-236/2023 y T-188/2024, que protegen sus derechos a la identidad y no discriminación. La actualización de la Registraduría implementa estos fallos que ya habían ordenado esos cambios en documentos de identidad.
Por su parte, el registrador nacional, Penagos, comentó que: “se trata del cumplimiento de unas órdenes por parte de la Corte Constitucional y, en segundo lugar, de una iniciativa en la que la Registraduría ha estado absolutamente comprometida”. Y explicó que en cada “una de las estaciones integradas de servicio de las más de 1.200 oficinas que tiene la Registraduría Nacional se va a incluir todo este proceso”.
National
Faith leaders denounce anti-transgender attacks
‘You are holy. You are sacred. We love you.’
This past Trans Awareness Week, 10 heads of diverse religious traditions issued a statement proclaiming that transgender, intersex, and nonbinary people are worthy of love, support, and protection. Led by Rev. Dr. Sofía Betancourt, president of the Unitarian Universalist Association, representatives from the Universal Fellowship of Metropolitan Community Churches, The Fellowship of Affirming Ministries, the Union for Reform Judaism, the Presbyterian Church, the Christian Church (Disciples of Christ), The Episcopal Church, the United Church of Christ, and Reconstructing Judaism called out the violent and systemic persecution of trans, nonbinary, intersex, and queer people–proclaiming that their faith and their humanity urged them to affirm that trans, intersex, and quere people are “sacred” and “holy.”
Their statement comes at a critical time. Over the past three months, Trump and his Cabinet’s anti-trans rhetoric has only intensified, with a report released late September by journalist Ken Klippenstein in which national security officers leaked that the FBI is planning to classify trans people as “extremists.” By classifying trans people as “Nihilistic Violent Extremists,” far-right groups would have more “political (and media) cover,” as Abby Monteil reports for them, for anti-trans violence and legislation.
While the news is terrifying, it’s not unprecedented – the fight against trans rights and classification of trans people as violent extremists was included in Project 2025, and in the past several weeks, far-right leaders’ transphobic campaign has expanded: boycotting Netflix to pressure the platform to remove trans characters, leveraging anti-trans attack ads in the Virginia governor’s race and banning professors from acknowledging that trans people exist. In fact last month, two Republican members of Congress called for the institutionalization of trans people.
It seems that the government shutdown was predicated, at least partially, on Trump’s own anti-trans policies that were attached as riders in the appropriations bill.
It’s a dangerous escalation of transphobic violence that the Human Rights Campaign has classified as an epidemic. According to an Everytown for Gun Safety report published in 2020, the number of trans people murdered in the U.S. almost doubled between 2017 and 2021. According to data released by the Gun Safety report from February 2024, 34 percent of gun homicides of trans, nonbinary, and gender expansive people remain unsolved.
As Tori Cooper, Director of Community Engagement for the Transgender Justice Initiative for the Human Rights Campaign Foundation, this violence serves a purpose. “The hate towards transgender and gender expansive community members is fueled by disinformation, rhetoric and ideology that treats our community as political pawns ignoring the fact that we reserve the opportunity to live our lives full without fear of harm or death,” Cooper said.
The faith leaders came out in this statement to affirm that it is their spiritual and human imperative to call out this escalating violence and protect trans, nonbinary, intersex, and queer people. The leaders acknowledge that historically and today, religion is used as a weapon of hate to degrade and deny the human dignity of LGBTQ+ peoples. The Supreme Court is hearing Chiles v. Salazar, a case about the constitutionality of a Colorado ban of conversion therapy for minors, with the majority of conversion therapy practices being faith based. And despite the Supreme Court declining to hear a case challenging the constitutionality of same-sex marriage conferred in Obergefell v. Hodges, efforts to end marriage equality remain ongoing with Katy Faust’s End Obergefell movement.
“During a time when our country is placing their lives under increasingly serious threat,” the statement reads, “there is a disgraceful misconception that all people of faith do not affirm the full spectrum of gender – a great many of us do. Let it be known instead that our beloveds are created in the image of God – Holy and whole.”
The faith leaders argue that commendation of LGBTQ peoples and religiously motivated efforts to deny their dignity and rights is not the belief of all faith communities, and far-right Christian nationalist communities and others who uphold homophobia and seek to exact it writ large in the United States do not speak for all faith leaders.
This is a critical piece of the statement and builds on historical precedence. During the 1980s AIDS crisis, when far-right Christian leaders like Jerry Falwell, one of the founders of the Moral Majority, stated that HIV was “God’s punishment” for LGBTQ+ people and indicative of a broader moral decline in America, affirming faith communities came out to affirm the dignity and divinity of queer people. As funeral homes and churches refused to prepare the dead and bury them, some faith communities stepped up to say that these homophobic leaders do not speak on behalf of all people of faith.
In 1985, the United Church of Christ General Synod urged its member congregations to claim and declare themselves “Open and Affirming,” in order to express their welcome and support for LGBTQ+ people, and two years later, the Church of the Brethren issued a statement titled “A Call to Compassion” where conference members urged member congregations to speak out boldly against discrimination, provide direct care to people with HIV/AIDS, and actively educate themselves and others to stop the spread of fear and prejudice surrounding the disease.
Just one year later, the Evangelical Lutheran Church in America Church Council issued a statement, “AIDS and Church’s Ministry of Caring,” which outlined the ways in which welcoming, ministering to and advocating on behalf of people with HIV/AIDS is critical to their mission. Even the US Conference of Catholic Bishops, which earlier this month banned gender-affirming care at Catholic hospitals, issued a statement in 1987 calling discrimination against people with HIV/AIDS “unjust and immoral,” and denouncing the label of “innocent” or “guilty” patients.
Thus, the faith leaders’ statement this past week builds on a rich history of faith communities fighting the stigma that far-right faith groups perpetuate about LGBTQ+ people and committing to action. What sets this latest statement apart is its decidedly interfaith heart, which speaks to the history of the Pride Interfaith Service in Washington, DC that was first started by a group of faith leaders and lay people who gathered at the AIDS Memorial quilt.
As the statement reads, “Our scriptures vary, but they share a common conviction. As we make justice our aim we must give voice to those who are silenced. Our shared values, held across many faiths, teach us that we are all children of God and that we must cultivate a discipline of hope, especially in difficult times. As such, we raise our voices in solidarity to unequivocally proclaim the holiness of transgener, nonbinary, and intersex people, as well as the recognition of the entire spectrum of gender identity and expression.”
The statement ended by arguing that they need to call out the violence they are witnessing. Their silence, they argue, would be in compliance and reinforce the idea that homophobic religious leaders and lay people speak on behalf of all people of faith. Their statement is not only words, however, it is a written promise affirming the dignity and holiness of queer people but also to protect them in the face of increasing violence and persecution.
“When people of faith and conscience stay silent in the face of oppression, we are all made less whole. When people of faith and conscience speak out against that which violates the sacred in its own name, we have the power to stay the hand of sin. Transgender, nonbinary, and intersex people are vulnerable today,” the statement concluded.
“Our faiths, our theologies, and our practices of prophetic witness call on us to say with one voice to transgender people among us: ‘You are holy. You are sacred. We love you. We support you, and we will protect you.’”
Victory Institute to honor Biden at D.C. conference
Colombia anunció la inclusión de las categorías ‘trans’ y ‘no binario’ en los documentos de identidad
Faith leaders denounce anti-transgender attacks
Tokyo court upholds Japan’s same-sex marriage ban
White House halts World AIDS Day recognition amid HIV funding cuts
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