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Biden gets lackluster reviews on response to monkeypox outbreak

Comparisons made to inaction during coronavirus, HIV/AIDS

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President Biden is facing criticism his administration is moving too slow on monkeypox. (White House photo)

For a population still suffering through the coronavirus pandemic and with lasting memories of HIV/AIDS, the monkeypox outbreak is triggering memories of a U.S. government unable to respond quickly to the emergence of a new disease — and many who see mistakes being repeated are giving lackluster and even negative reviews of the Biden administration’s handling of the issue.

Criticism has emerged from voices in the LGBTQ community, where monkeypox has primarily spread, especially among gay and bisexual men, as well as among public health experts amid the perception the Biden administration has fallen short in vaccine distribution as only two cities — New York and D.C. — are offering vaccines on a pre-emptive basis and immediate distribution is halted despite reports that 1 million vaccines are in reserve overseas.

Lindsey Dawson, associate director of HIV Policy and director of LGBTQ Health Policy for the Kaiser Family Foundation, acknowledged Monday in an interview with the Blade there’s “certainly been criticism the administration was slow to act” in the past six weeks, although she tempered her remarks in hopes the Biden administration would ramp up efforts in time to curb the virus.

“The amount of vaccinations available right now, it’s really quite limited,” Dawson said. “As of last week, about 40,000 vaccines have either been shipped out or are being processed for allocation to jurisdictions. That isn’t nationwide; that was for about 15 jurisdictions, and the supplies that we’re getting are fairly limited. And so, that means that only in certain places, will there be vaccinations available.”

Dawson added the Centers for Disease Control & Prevention has promoted vaccines as a kind of post-exposure prophylactic for those who think they may have been exposed to monkeypox, stopping short of guidance making vaccines more generally recommended for populations that may be at risk, such as gay and bisexual men. New York City and D.C. are two jurisdictions that are giving vaccines out on a more general basis.

The Biden administration late last month unveiled a multi-step plan to take on monkeypox, which included the distribution of 296,000 vaccine doses with plans to distribute at total of 1.6 million in the coming months, which is enough to vaccinate 800,000 people because they are a two-dose series. Although HHS announced the purchase of an additional 2.5 million vaccines, the timeline completing the distribution isn’t until 2023 — which critics say is far too late for a disease already beginning to spread.

One prominent point of contention is the failure to distribute 1 million doses of monkeypox vaccine owned by the United States and in freezer storage at a Bavarian Nordic facility in Denmark, according to a June 28 letter to the White House from PrEP4All and Partners in Health. The medication has yet to be deployed fully despite concerns about the spread of monkeypox, which is transferred by skin-to-skin contact. The reason for the delay is the Food & Drug Administration dropped the ball and failed to conduct a timely review of vaccines and refuses to distribute the agency’s counterpart the European Union has approved, the letter says.

Josh Barro, a gay political commentator and journalist, called the failure of the U.S. government to distribute the vaccines “absolute insanity” and more evidence of failure by the FDA to meet speedy deadlines in approvals.

“Literally we have bought these doses already and they’re sitting in a freezer in Denmark until some bureaucrats decide to allow them into the US,” Barro wrote.

The FDA, CDC and FDA didn’t respond Wednesday to the Blade’s request to comment on the slow rollout of vaccines and the 1 million doses reportedly in storage in Denmark.

Evidence of the Biden administration falling short on monkeypox is already leading observers to make comparisons to HIV/AIDS and the coronavirus, when the U.S. government was criticized for inaction. President Trump was accused of dropping the ball on coronavirus with delays in testing and erratic messaging — as well as even lying to the American public about its seriousness — as President Biden  faced early criticism for a vaccine-only approach and failing to make good on campaign promises to shut down the virus. During the HIV epidemic in 1980s, activists with the grassroots group ACT UP held die-in protests at government offices and the Food & Drug Administration because the U.S. government was too slow in approving and distributing potential treatments.

Dawson said COVID is different from monkeypox for many reasons, but lessons could be applied to the new outbreak in terms of messaging, testing, and vaccine distribution based on COVID demonstrating “how challenges with mounting a quick response and COVID likely impacted transmissions.”

“And certainly it took a while for vaccinations to be widely available at COVID,” Dawson said, “And so, I think the important lesson there with all infectious diseases be that COVID or monkeypox is that getting out in front of an outbreak and preventing future transmission is essential.”

To be sure, the monkeypox outbreak isn’t nearly on the scale of the HIV/AIDS or COVID-19 pandemic, which have spread far and wide and claimed millions of lives. According to the Centers for Disease Control, the total number of recorded monkeypox infections in the United States as of two days ago is 767. Anthony Fauci, director of the National Institute of Allergy & Infectious Diseases, told the Blade in a conference call with reporters last month the risk of gay and bisexual men contracting monkeypox is not high, but the numbers could increase. Monkeypox generally isn’t a fatal disease.

The LGBTQ watchdog group GLAAD, which has strong connections to both media and entertainment, has teamed up with the White House in its messaging on monkeypox, with a heavy emphasis on LGBTQ influencers and a closed press meeting on Wednesday. The White House didn’t respond to the Blade’s request to comment for additional information.

Sarah Kate Ellis, CEO of GLAAD, said in a statement to the Blade the initiative would supplement ongoing efforts to combat monkeypox taken by the.Biden administration and public health officials.

“Getting accurate information out about monkeypox virus (MPV) is critically important to the LGBTQ community and all communities, and we need to continue to hear from public health leaders about what’s being done to combat the virus and inform the public,” Ellis said. “GLAAD is helping convene those who can help get the word out about this threat to public health and to ensure accurate and respectful reporting to keep everyone safe. Media must continue to hold public health officials accountable to accurate data gathering, testing, treatment, and vaccine distribution to stop the spread of MPV.”

Elsewhere, localities are stepping up efforts to implore the Biden administration to do more on monkeypox as vaccines remain in limited supply for reserved for distribution in certain jurisdictions.

In San Francisco, District 8 Supervisor Rafael Mandelman announced Tuesday his introduction of a resolution urging the Department of Health & Human Services and the Centers for Disease Control & Prevention to accelerate efforts on monkeypox vaccines, calling for a vaccine prioritization plan and streamlined testing as well as enough vaccine doses for high-risk populations, including gay and bisexual men, transgender people, and sex workers.

“This should be a preventable public health crisis – unlike COVID-19, we did not have to wait for new vaccines to be developed,” Mandelman wrote on Twitter. “It begs the question: would monkeypox have received a better response if it wasn’t primarily affecting queer people?”

Equity concerns for a population sensitive to racial disparities are also at the top of list among observers and public health experts with experience in health outreach to LGBTQ patients, especially in the aftermath of the coronavirus pandemic having a disproportionate impact on Black people.

Dawson expressed concern about localities like New York and D.C. focusing its messaging on monkeypox through social media, which she said may not be visible to workers unable to access it during the day.

“To the extent that vaccination and testing are difficult and burdensome to people, they’re going to be less likely to take it up,” Dawson said. “And people who do take it up are probably people who have more privilege, right? They can take time off work, or they are aware of these slots opening up because they’ve seen that on social media and they’re on social media in the middle of their workday, and so it does raise potential equity challenges there.”

In New York City, despite being a locality deemed a priority spot for monkeypox vaccines, officials are also demanding a better response. Lynn Schulman, a city council member, spearheaded a letter to the CDC with the LGBTQIA+ caucus declaring efforts on monkeypox to have fallen short.

“The biggest concern is the lack of vaccines,” the letter says. “New York City has recently received additional doses of vaccine from the federal government, but vaccine supplies remain low. Currently, if an individual would like to get vaccinated, DOHMH has no appointments available. At a time when we are still dealing with COVID infections, this is unacceptable.”

Dawson said to make a more comprehensive assessment of the Biden’s administration’s approach to monkeypox she’ll observe the pace at which vaccines become more readily available to the public.

“We see those appointments open up and shut down again just minutes later because the demand is just outpacing the availability,” Dawson said. “So it’ll be really important to watch. How likely are vaccines to get get to jurisdictions … Right now, certainly demand is outpacing the vaccinations available, but we could get to a point where we are with COVID vaccines now, where work actually has to be done to encourage uptake of vaccinations.”

CORRECTION: An earlier version of this article misattributed a quote about local governments to the Biden administration. The Blade regrets the error.

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Israel

Activist recalls experience in Tel Aviv after Israel-Iran war began

Marty Rouse was part of Jewish Federations of North America Pride mission

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Marty Rouse, second from left, at the Western Wall in Jerusalem. (Photo courtesy of Marty Rouse)

A long-time activist who was in Israel last month when its war with Iran began has returned to D.C.

Marty Rouse traveled to Israel on June 6 with the Jewish Federations of North America. The 5-day mission ended the night before the annual Tel Aviv Pride parade was scheduled to take place.

Mission participants met with Israeli President Isaac Herzog and several LGBTQ activists in Tel Aviv and Jerusalem. They visited the Western Wall, the Nova Music Festival site, and Nir Oz, a kibbutz in southern Israel that is less than a mile from the country’s border with the Gaza Strip. Mission participants also visited Sderot, a city that is roughly a mile from the Hamas-controlled enclave, a veterans rehabilitation facility, a new LGBTQ health center and the Aguda: The Association for LGBTQ Equality in Israel in Tel Aviv.

Hamas militants on Oct. 7, 2023, killed upwards of 360 partygoers and kidnapped dozens more at the music festival that was taking place at a campground near Re’im, a kibbutz that is roughly 10 miles southwest of Nir Oz. The militants killed or took hostage nearly a quarter of Nir Oz’s residents. They also took control of Sderot’s police station.

A burned out home in Nir Oz, Israel. Hamas militants killed or kidnapped a quarter of the kibbutz’s residents on Oct. 7, 2023. (Photo courtesy of Marty Rouse)

Tel Aviv Deputy Mayor Chen Arieli spoke at the mission’s closing party that took place at the Sheraton Grand, a hotel that overlooks Tel Aviv’s beachfront, on June 12.

Rouse and other mission participants planned to stay in Tel Aviv for the Pride parade, which was scheduled to take place the following day. He and Gordie Nathan, another mission participant who lives in Palm Springs, Calif., had checked into a nearby hotel that was less expensive.

“We said our farewells,” recalled Rouse when he spoke with the Washington Blade in D.C. on June 24. “We went to our hotels, and we get the warning, and then all hell broke loose.”

Israel early on June 13 launched airstrikes against Iran that targeted the country’s nuclear and military facilities.

Rouse said mission organizers told him and other participants who remained in Tel Aviv to meet at the Sheraton Grand for breakfast and dinner — Israel’s airspace was closed in anticipation of an Iranian counterattack, and authorities cancelled the Pride parade.

He said he went to bomb shelters at least twice a night for three nights.

Israel’s Home Front Command during the war typically issued warnings about 10 minutes ahead of an anticipated Iranian missile attack. Sirens then sounded 90 seconds before an expected strike.

Rouse and Nathan walked to the Sheraton Grand on June 13 when the Home Front Command issued a 10-minute warning. They reached the hotel in a couple of minutes, and staff directed them to the bomb shelter.

“You know to walk slowly, everything’s fine,” recalled Rouse. “You get 10 minutes, so everything was fine when the alarm goes off.”

Rouse described the Sheraton Grand shelter as “well lit” with WiFi, a television, and air conditioning. He was watching an Israeli television station’s live coverage of the Iranian missile attack when he saw one hit an apartment building in the Tel Aviv suburb of Ramat Gan.

A 74-year-old woman died and her boyfriend was seriously injured.

“I go over to look at the TV, just to watch,” recalled Rouse. “All of a sudden, you watch, and you see one bomb go and land and explode in Tel Aviv on TV. It landed and blew up.”

“I was like, okay, this is real, and so that was scary,” he added.

Rouse said the bomb shelter in the hotel where he and Nathan were staying after the mission ended was far less comfortable.

“It was dark. It was humid. It was hot. It was very uncomfortable,” said Rouse. “You really felt alone.”

People in a bomb shelter in Tel Aviv, Israel, watch an Iranian missile attack on Israeli television on June 13, 2025. (Photo courtesy of Marty Rouse)

Rouse and nearly everyone else on the mission who were in Tel Aviv when the war began left Israel on June 15. They boarded buses that took them to the Jordanian capital of Amman, which is a roughly 2 1/2-hour drive from Tel Aviv through the West Bank.

Rouse described the trip as “like a field trip” until they drove across the Jordan River and arrived at the Jordanian border crossing.

“You walk into this room, and instead of being in a well air-conditioned airport, you’re in this hot, humid, small place in the middle of the desert, packed with people, and those big, large, loud fans and pictures of military people on the walls,” he said. “It was almost like a Casablanca kind of feeling.”

Rouse said Jordanian authorities brought mission participants through customs in groups of 10. A Jewish Federations of North America liaison from Amman who previously worked as a tour guide for A Wider Bridge — a group that “advocates for justice, counters LGBTQphobia, and fights antisemitism and other forms of hatred” — went “behind closed doors” to ensure everyone was able to enter the country.

“It took a really long time,” Rouse told the Blade.

The border between Israel and Jordan near the West Bank city of Jericho on June 15, 2025. (Photo courtesy of Marty Rouse)

Mission participants arrived in Amman a short time later. They checked into their hotel and then had dinner at a restaurant.

“Now we feel like we’re safe and we’re in Amman,” recalled Rouse. “We’re sitting outside having a beautiful dinner.”

Iranian missiles passed over Amman shortly after Rouse and the other mission participants had begun to eat their dessert. They went inside the restaurant, and waited a few minutes before they boarded busses that brought them back to their hotel.

“No one was openly freaking out, which I was surprised by,” said Rouse.

The group was scheduled to fly from Amman to Cairo at 11 p.m. local time (4 p.m. ET) on June 16. They visited Jerash, an ancient city north of Amman, before their flight left Jordan.

“[The Jerash trip] actually took our minds off of everything,” said Rouse.

A Jewish Federations of North America contact met Rouse and the other mission participants at Cairo’s airport once their flight landed. Rouse arrived at JFK Airport in New York on June 17.

Trump-announced ceasefire ended 12-day war

President Donald Trump on June 23 announced a ceasefire that ended the 12-day war.

The U.S. three days earlier launched airstrikes that struck three Iranian nuclear sites. The ceasefire took effect hours after Iran launched missiles at a U.S. military base in Qatar.

Iran said the war killed more than 900 people in the country.

The Associated Press notes Iranian missiles killed 28 people in Israel. One of them destroyed Tel Aviv’s last gay bar on June 16.

The war took place less than two years after Oct. 7.

The Israeli government says Hamas militants on Oct. 7, 2023, killed roughly 1,200 people on that day when it launched its surprise attack on the country. The militants also kidnapped more than 200 people.

The Hamas-controlled Gaza Health Ministry says Israeli forces have killed nearly 55,000 people in the enclave since Oct. 7. Karim Khan, the International Criminal Court’s chief prosecutor, has said Israeli Prime Minister Benjamin Netanyahu and former Hamas leader Yahya Sinwar, who the IDF killed last October, are among those who have committed war crimes and crimes against humanity in Gaza and Israel.

Destroyed homes in the outskirts of Khan Younis, Gaza, in January 2024. (Courtesy photo)

Rouse upon his return to the U.S. said he “was never as aware of the comfort of another human being than I was during that time.” Rouse affectionately called Nathan his “bomb shelter boyfriend” and even questioned the way he reacted to the missile alerts.

“He’s sitting on the edge of the bed and he goes, okay, I’m going to put on my socks and my shoes, and I say, really? You’re going to put on your socks,” Rouse told the Blade. “The fact that I was nervous, that putting on socks might have changed the direction of our lives, to me was like I can’t believe I said that to him.”

Rouse quickly added Nathan helped him remain calm.

“If I was by myself, those nights would have been long enough,” said Rouse. “It’s a totally different feeling to be with another human that you know than to be by yourself.”

From left: Gordie Nathan and Marty Rouse in Tel Aviv, Israel. (Photo courtesy of Marty Rouse)

Rouse also praised the Jewish Federations of North America.

“JFNA really sprung into action and started to figure out all options to get us all safely home,” said Rouse. “It was all about logistics. Staff worked around the clock identifying and then mobilizing to get us back to the states. It was a great team effort and I know I speak for everyone in expressing our deep appreciation for their dedication to getting us safely home.”

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Congress

Congress passes ‘Big, Beautiful Bill’ with massive cuts to health insurance coverage

Roughly 1.8 million LGBTQ Americans rely on Medicaid

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U.S. House Speaker Mike Johnson (R-La.) (Washington Blade photo by Michael Key)

The “Big, Beautiful Bill” heads to President Donald Trump’s desk following the vote by the Republican majority in the U.S. House of Representatives Thursday, which saw two nays from GOP members and unified opposition from the entire Democratic caucus.

To partially offset the cost of tax breaks that disproportionately favor the wealthy, the bill contains massive cuts to Medicaid and social safety net programs like food assistance for the poor while adding a projected $3.3 billion to the deficit.

Policy wise, the signature legislation of Trump’s second term rolls back clean energy tax credits passed under the Biden-Harris administration while beefing up funding for defense and border security.

Roughly 13 percent of LGBTQ adults in the U.S., about 1.8 million people, rely on Medicaid as their primary health insurer, compared to seven percent of non-LGBTQ adults, according to the UCLA School of Law’s Williams Institute think tank on sexual orientation and gender identities.

In total, the Congressional Budget Office estimates the cuts will cause more than 10 million Americans to lose their coverage under Medicaid and anywhere from three to five million to lose their care under Affordable Care Act marketplace plans.

A number of Republicans in the House and Senate opposed the bill reasoning that they might face political consequences for taking away access to healthcare for, particularly, low-income Americans who rely on Medicaid. Poorer voters flocked to Trump in last year’s presidential election, exit polls show.

A provision that would have blocked the use of federal funds to reimburse medical care for transgender youth was blocked by the Senate Parliamentarian and ultimately struck from the legislation — reportedly after the first trans member of Congress, U.S. Rep. Sarah McBride (D-Del.) and the first lesbian U.S. senator, Tammy Baldwin (D-Wis.), shored up unified opposition to the proposal among Congressional Democrats.

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U.S. Supreme Court

Supreme Court to consider bans on trans athletes in school sports

27 states have passed laws limiting participation in athletics programs

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U.S. Supreme Court (Washington Blade photo by Michael Key)

The U.S. Supreme Court on Thursday agreed to hear two cases involving transgender youth challenging bans prohibiting them from participating in school sports.

In Little v. Hecox, plaintiffs represented by the ACLU, Legal Voice, and the law firm Cooley are challenging Idaho’s 2020 ban, which requires sex testing to adjudicate questions of an athlete’s eligibility.

The 9th U.S. Circuit Court of Appeals described the process in a 2023 decision halting the policy’s enforcement pending an outcome in the litigation. The “sex dispute verification process, whereby any individual can ‘dispute’ the sex of any female student athlete in the state of Idaho,” the court wrote, would “require her to undergo intrusive medical procedures to verify her sex, including gynecological exams.”

In West Virginia v. B.P.J., Lambda Legal, the ACLU, the ACLU of West Virginia, and Cooley are representing a trans middle school student challenging the Mountain State’s 2021 ban on trans athletes.

The plaintiff was participating in cross country when the law was passed, taking puberty blockers that would have significantly reduced the chances that she could have a physiological advantage over cisgender peers.

“Like any other educational program, school athletic programs should be accessible for everyone regardless of their sex or transgender status,” said Joshua Block, senior counsel for the ACLU’s LGBTQ and HIV Project. “Trans kids play sports for the same reasons their peers do — to learn perseverance, dedication, teamwork, and to simply have fun with their friends,” Block said.

He added, “Categorically excluding kids from school sports just because they are transgender will only make our schools less safe and more hurtful places for all youth. We believe the lower courts were right to block these discriminatory laws, and we will continue to defend the freedom of all kids to play.”

“Our client just wants to play sports with her friends and peers,” said Lambda Legal Senior Counsel Tara Borelli. “Everyone understands the value of participating in team athletics, for fitness, leadership, socialization, and myriad other benefits.”

Borelli continued, “The U.S. Court of Appeals for the Fourth Circuit last April issued a thoughtful and thorough ruling allowing B.P.J. to continue participating in track events. That well-reasoned decision should stand the test of time, and we stand ready to defend it.”

Shortly after taking control of both legislative chambers, Republican members of Congress tried — unsuccessfully — to pass a national ban like those now enforced in 27 states since 2020.

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