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.”
The White House
Report: Grenell wants Russian ambassadorship
Country’s anti-LGBTQ record a reported barrier
Richard Grenell, President Donald Trump’s special envoy for “special missions,” is making it known that he is interested in the Russian ambassadorship.
According to reporting by the Daily Mail, Grenell has “floated” his interest in the role to coworkers, but issues surrounding the former German ambassador’s sexuality have made securing the position more difficult.
“He had an interest in the job — or at least he floated the idea to select colleagues. But Putin’s regime is extremely anti–LGBTQ, so I’m sure they didn’t take that thought too seriously,” one source close to Grenell told the Daily Mail. “That would never happen anyway.”
Grenell has long been one of Trump’s closest allies and was the first openly gay person to hold a Cabinet-level position. He was ousted last month as acting director of the Kennedy Center, a position he had held since Trump reestablished the board to be composed of his political supporters in 2025.
In addition to leading the nation’s cultural arts center, Grenell previously served as the U.S. ambassador to Germany from 2018 to 2020, and as the special presidential envoy for Serbia and Kosovo peace negotiations from 2019 to 2021. He was also a State Department spokesperson to the U.N. under the George W. Bush administration and a Fox News contributor.
Russia has a longstanding history of being anti-LGBTQ.
In 2013, the country passed a law banning any public endorsement of “nontraditional sexual relations” among minors. In December 2022, Putin signed legislation expanding the ban, making it illegal to promote same-sex relationships or suggest that non-heterosexual orientations are “normal” for people of any age, widening censorship across media and public life.
The Russian courts have also supported the restriction of LGBTQ identity in the country. In November 2023, Russia’s Supreme Court granted a request from the Justice Ministry to outlaw the “international LGBT movement” as “extremist,” allowing authorities to criminalize advocacy and potentially prosecute individuals for expressions of LGBTQ+ identity or support.
In addition to LGBTQ rights issues, the war between Russia and Ukraine has become a global concern. Ukraine, which was part of the former Soviet Union, includes the territory known as Crimea, which Russia annexed in 2014. The annexation remains a major point of international dispute over sovereignty. Since 2022, Russia’s large-scale invasion of Ukraine has escalated the conflict, drawing global attention and sanctions while straining U.S.-Russia relations.
The U.S. has spent $188 billion in total related to the war in Ukraine since the Russian invasion in February 2022, according to the Council on Foreign Relations.
The Russian ambassadorship seems to be a difficult role to fill, according to additional information presented by the Daily Mail. With Trump already being seen as relatively positive by Russian President Vladimir Putin, and with close ties to members of his Cabinet and family — like son-in-law Jared Kushner — the ambassadorship is complicated and viewed as less critical than in previous administrations.
“There is no rush to fill that role because it has now been deemed unnecessary,” another source told the U.K.-based publication.
Bob Foresman, a seasoned businessman with decades-long ties to the Kremlin, was reportedly once the frontrunner, according to the Daily Mail. Foresman served as vice chair of UBS Investment Bank and Deputy Chairman of Renaissance Capital between 2006 and 2009, and earlier led investment banking for Russia at Dresdner Kleinwort Wasserstein from 1997 to 2000.
“This is a pattern, especially in the Trump administration — special envoys big–footing the ambassadors,” a source told the Daily Mail. “It is shocking that we are already in April and we don’t have an ambassador to one of the most important countries in the world.”
Politics
Log Cabin Republicans to honor Scott Presler
Event to take place at Capitol Hill Club on Friday
The Log Cabin Republicans, a group representing LGBTQ conservatives and their allies within the Republican Party, is set to honor gay conservative commentator and activist Scott Presler on Friday.
Presler will receive the organization’s 2026 “Game Changer Award” during its Spring Forward Cocktail Reception at the Capitol Hill Club, a private club steps from the U.S. Capitol that regularly hosts Republican political events.
Presler has risen to prominence through a combination of pro-LGBTQ conservative activism, political organizing, and a series of controversial affiliations.
He first gained national attention in 2017 for organizing the “March Against Sharia” rallies across the country. The demonstrations came amid heightened tensions in Portland, Ore., following a deadly attack on a metro train, in which Jeremy Joseph Christian killed two people and injured others after harassing Muslim women for wearing a hijab.
The rallies were organized in partnership with ACT for America, which advocates against what it describes as “the threat of radical Islam” in the U.S. and has been labeled a hate group by the Southern Poverty Law Center. Presler volunteered with the organization for three months.
He has said he was first motivated to “fight Muslim extremism” following the Pulse nightclub massacre, he told NPR, in which a gunman who pledged allegiance to ISIS killed 49 people at an LGBTQ nightclub in Orlando, Fla. The site now serves as a memorial to the victims of the attack.
Born May 15, 1988, in Jacksonville, Fla., Presler is the son of a U.S. Navy captain and was raised in both Florida and Fairfax County. He later attended George Mason University, where he earned a degree in criminal justice.
In addition to his anti-Islam activism, Presler has been involved in a number of other high-profile and controversial efforts. He co-founded “Gays for Trump” and attended their 2017 DeploraBall in Maryland for the first inauguration of Trump. According to a 2021 report from Media Matters for America, he also promoted the QAnon conspiracy movement through social media posts in 2018 and 2019.
He has also faced criticism tied to his early political work. According to a 2023 report from Politico Playbook, Presler’s work with the Republican Party of Virginia in 2016 ended after he allegedly engaged in sexual activity in a shared office space and posted explicit images online.
Beyond ideological activism, Presler has also organized community-focused initiatives. In 2019, he led a widely publicized cleanup effort in Baltimore that drew more than 100 volunteers and resulted in approximately 29 tons of trash being removed. The event was a result of criticism from President Donald Trump, calling the area, represented by then-U.S. Rep. Elijah Cummings (D-Md.) a “rodent infested mess.”
Presler has also been active in election-related organizing, leading a two-day “Stop the Steal” demonstration at the Pennsylvania State Capitol following the 2020 presidential election. He has appeared on the “War Room” podcast hosted by former Trump strategist and well-known right-wing populist conspiracy theorist Steve Bannon.
He has also expressed a controversial stance within the LGBTQ community for supporting then-candidate Trump for President over Hillary Clinton. He told prioritizing Second Amendment rights over certain LGBTQ policy goals, saying he is more supportive of gun rights than efforts to codify same-sex marriage, and adding, “I 100 percent believe in the notion that armed gays don’t get bashed. It is our right to feel safe.”
Presler voiced his support for the Florida Parental Rights in Education Act, more commonly referred to as the “Don’t Say Gay” law, signed into law by Republican Gov. Ron DeSantis in 2022.
Cuba
Cuba bajo presión y sin respuestas
Cubanos no hablan en términos geopolíticos. Hablan de sobrevivir
Las tensiones entre Estados Unidos y Cuba han vuelto a subir de tono. No es algo nuevo, pero este momento se siente distinto. Las medidas más recientes desde Washington buscan cerrar aún más los espacios financieros del gobierno cubano, limitar sus fuentes de ingreso y presionar sectores clave de la economía. No es simbólico. Es una política directa.
Desde Estados Unidos, el mensaje es claro. Se busca provocar cambios que no han ocurrido en más de seis décadas. También hay un componente interno, una presión política que responde a sectores del exilio que llevan años exigiendo una postura más dura. Todo eso forma parte del escenario.
Pero esa es solo una parte.
Del lado cubano, la respuesta sigue un patrón conocido. El gobierno habla de agresión externa, de guerra económica, de un embargo que se endurece. Cada medida se convierte en argumento para reforzar su narrativa y cerrar filas. No hay espacio para reconocer errores propios. Todo apunta hacia afuera.
Mientras tanto, la vida en la isla va por otro camino.
La crisis energética que hoy vive Cuba no empezó con estas medidas. Lleva años acumulándose. El sistema eléctrico está deteriorado, sin mantenimiento suficiente, con fallas constantes. Los apagones no son nuevos. Lo que ha cambiado es la frecuencia y la duración.
Durante años entró petróleo a Cuba, especialmente desde Venezuela. Hubo acuerdos. Hubo suministro. Y aun así, la vida del cubano no mejoró. La electricidad seguía fallando, el combustible seguía racionado, el transporte seguía siendo un problema diario.
Entonces la pregunta sigue siendo la misma.
Si el petróleo estaba entrando, ¿por qué nada cambiaba?
¿Dónde fue a parar ese recurso?
¿Dónde está el dinero que generó?
Hoy se habla de restricciones al petróleo como si fueran la causa principal de la crisis. No lo son. Empeoran una situación ya frágil, pero no la explican completamente.
Hay una historia más larga que no se puede ignorar.
Lo mismo ocurre con las brigadas médicas.
Durante años se presentaron como un gesto de solidaridad internacional. Y en muchos casos lo fueron. Médicos cubanos trabajaron en condiciones difíciles, salvaron vidas, sostuvieron sistemas de salud en otros países. Eso es real.
Pero también funcionaron como una de las principales fuentes de ingreso del Estado cubano.
Muchos de esos profesionales no recibían el salario completo por su trabajo. Una parte significativa quedaba en manos del gobierno. En algunos casos, ni siquiera tenían control sobre el dinero que generaban.
Y hay algo más duro.
Si uno de esos médicos decidía no regresar a Cuba, ese dinero no llegaba a su familia. Se quedaba retenido.
Hoy varios países están revisando o cancelando esos acuerdos. Y otra vez, la respuesta oficial es señalar hacia afuera. Pero la pregunta sigue siendo inevitable.
¿Se está perdiendo un modelo de cooperación o un sistema que dependía del control sobre sus propios profesionales?
Dentro de Cuba, la conversación suena diferente.
La gente no habla en términos geopolíticos. Habla de sobrevivir. De cómo llegar al final del día. De los apagones, de la comida que no alcanza, del transporte que no aparece, de una vida que cada vez se hace más difícil.
Hay quienes miran las medidas de Estados Unidos con cierta expectativa. No porque quieran más escasez, sino porque sienten que el sistema no cambia por sí solo. Hay una sensación de estancamiento que pesa.
Pero esa expectativa convive con una realidad concreta.
Las sanciones no golpean primero a quienes toman decisiones. Golpean al ciudadano común. Al que hace la fila. Al que pierde la comida por falta de electricidad. Al que no tiene cómo moverse.
Esa es la contradicción.
El gobierno cubano pide solidaridad internacional. Y la recibe. Países que envían ayuda, organizaciones que se movilizan, voces que defienden a la isla.
Pero hay otra pregunta que también está ahí.
¿Esa ayuda llega realmente al pueblo?
La falta de transparencia en la distribución de recursos es parte del problema. Porque no se trata solo de lo que entra, sino de lo que realmente llega a quienes lo necesitan.
Reducir lo que pasa en Cuba a un conflicto entre dos gobiernos es no querer ver el cuadro completo.
Aquí hay responsabilidades compartidas, pero no iguales.
Estados Unidos ejerce presión con efectos reales sobre la economía cubana. Eso no se puede negar. Pero dentro de la isla hay un sistema que ha tenido décadas para corregir, para abrir, para responder a su gente, y no lo ha hecho.
Esa parte no se puede seguir esquivando.
Yo escribo esto como cubano. Desde lo que vi, desde lo que viví y desde la gente que sigue allá tratando de resolver el día.
Porque al final, más allá de lo que se diga entre gobiernos, la realidad es otra.
Cuba hoy está más apretada, sí. Pero también lleva años arrastrando problemas que nadie ha querido enfrentar de verdad.
Y mientras eso siga así, da igual lo que venga de afuera. El problema sigue estando adentro.
Report: Grenell wants Russian ambassadorship
Log Cabin Republicans to honor Scott Presler
Cuba bajo presión y sin respuestas
Tenn. lawmakers pass transgender “watch list” bill
