Opinions
Condoms are Plan A: Back to the future of condoms
A combination of pharma greed, government squeamishness & the libertine position of advocates left us unprotected from a tidal wave of STIs
The world has completed a ten-year experiment with HIV prevention and the results are clear. PrEP and HIV treatment to prevent transmission have been found wanting. 1.5 million people globally became infected with HIV last year [1]. STIs are at an all-time high, a tragic turn from where we were just twenty years ago when syphilis was close to being eradicated. The US alone had 2.5 million combined cases of chlamydia, gonorrhea, and syphilis in 2021 [2]. Not to mention millions of teen pregnancies and unwanted babies.
For anyone looking at our circumstance objectively, it is clear that the pure biomedical interventions will never take the place of condoms as the first line of defense against HIV, STIs, and unplanned pregnancy. Yet condom promotion is virtually non-existent, and the condom culture is destroyed.
A combination of pharma greed, government squeamishness, and the libertine position of many advocates has left us unprotected against the tidal wave of STIs that is sweeping the world. It is easy enough to understand why condoms are not popular. Many people feel they’re uncomfortable, interrupt spontaneity, aren’t there when you need them, and on and on.
Governments don’t want to promote condoms because it would force them to talk about the “icky” subject of sex. Religious groups oppose them because they promote sexual pleasure over reproduction. Libertarians see them as a restriction on their freedom.
Beyond the health implications, it is time to look at condoms as an alternative to abortion. With the right to choose having been trashed by the Supreme Court, alternatives to medical abortions are getting a second look. The public health system in the US must choose an avenue to focus on where primary prevention will take place.
Plan B medication interrupts conception within 72 hours of a sexual encounter. Plan C can end a pregnancy.
Why not have a Plan A—Condoms. Hershel Walker, who recently lost his race for the Senate in Georgia, repeatedly asked a woman to have an abortion. Did he consider a condom? Arnold Schwarzenegger had an affair with the housekeeper that busted up his marriage. Did he consider a condom?
At AHF Wellness Centers, we have many frequent flyers who routinely test positive for STIs. Antibiotics do the job (for now), clearing up infections quickly so the next infection can take its place. Is using a condom such a high price to pay for preventing multiple infections? People who test positive for STIs are more likely to get HIV in the future [3].
If we continue down this route, we know where it goes. Rampant increases in STIs are costly, can result in infertility, cause still births due to syphilis (congenital syphilis rates tragically increased 184.5% over the past five years), create drug resistant gonorrhea, and incite relationship break-ups [2]. Despite these serious outcomes, we see STIs as a temporary inconvenience and do not take them seriously.
There has never been any question that biomedical interventions can help an individual and should be freely available without any stigma. However, ten years in there still isn’t any proof that biomedical interventions alone will reduce HIV, but we know they will stoke STIs. Nevertheless, we are heavily exporting this failed experiment to the world. And who benefits most—Pharma giants Gilead and GSK.
Government policy must adjust to the realities of primary prevention. We need to go back to basics and promote condoms as the primary means to prevent HIV/STIs if we are to have any chance of bringing rates down. Focusing in on condoms gives the power of prevention and control back to the individual, it won’t get tied up in medical appointments and pharma profits.
Some want us to double down and give preventative antibiotics to stave STIs. This may lead to increases in unprotected sex and inevitably to antibiotic resistance, which is a growing existential public health threat [4].
Prevention is a tough road to hoe. You will never be completely successful in promoting healthier behavior. But, having bent the stick so dangerously in one direction it is time to bend it back.
Sources
1. HIV.gov. The Global HIV/AIDS Epidemic. Available online: https://www.hiv.gov/hiv-basics/overview/data-and-trends/global-statistics
2. CDC Preliminary 2021 STD Surveillance Data. Available online: https://www.cdc.gov/std/statistics/2021/default.htm
3. CDC STDs and HIV – CDC Basic Fact Sheet. Available online: https://www.cdc.gov/std/hiv/stdfact-std-hiv.htm
4. CDC. Antimicrobial-Resistant Gonorrhea Basic Information. Available online: https://www.cdc.gov/std/gonorrhea/arg/basic.htm
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Michael Weinstein is the president of Los Angeles-based AIDS Healthcare Foundation (AHF), the largest global AIDS organization.
The Foundation now operates in over 730 treatment clinics in more than 45 countries globally: over 68 outpatient AHF Healthcare Centers in over 16 states as well as in the District of Columbia and Puerto Rico. AHF also operates more than 60 pharmacies in over 17 states and also operates a clinical research unit.
Under its Positive Healthcare brand, AHF operates managed care programs for people living with HIV and/or AIDS in California, Florida, and Georgia.
Opinions
10 reminders of why we must vote for Harris
A strong LGBTQ turnout could swing election in key states
There are a million reasons to vote for Kamala Harris over Donald Trump but here are 10 of the best. If you’re not feeling the burn about casting your ballot, please remember just how close our last two elections were and how dire the 2016 consequences for the country. Indeed, a strong turnout by LGBTQ and allied voters could prove decisive in some key states.
So let’s review 10 reasons why it’s not only important — but essential — that all LGBTQ and allied voters show up to vote for Kamala Harris.
#10 The opportunity to make history. For the second time in 16 years, America has the exciting chance to make a historic choice for the White House. Kamala Harris would be the first woman and first woman of color to serve as president if elected. It’s not the #1 reason to vote for her but it’s a pretty damn good ancillary benefit.
#9 The chance to send Trump into oblivion. After eight long years of commanding endless mainstream media attention for his ever-expanding list of racist, sexist, xenophobic, and transphobic attacks, we have the chance to finally dispatch ourselves of the toxic Trump. He’s insulted everyone from Gold Star families and the disabled to Meryl Streep and Rosie O’Donnell. That there’s anyone left willing to vote for him is mindboggling. (I’m talking to you Lindsey Graham and Ted Cruz.) Imagine how much our collective blood pressure will ease without having to endure wall-to-wall coverage of his every social media post. “Morning Joe” will be hard pressed to continue without Trump to mock but it’s a sacrifice I’m willing to make.
#8 To preserve trans military service. In his first term, Trump tweeted that trans people were barred from serving their country “in any capacity.” It was a cruel stunt that damaged careers and led to a direct uptick in hate crimes targeting the trans community. There’s no doubt he would reinstate that ban on day one. It’s ironic that Trump goes after brave members of the military given his own “bone spur” excuse to avoid Vietnam. None of his kids has served either, of course. Trump has referred to dead service members as “losers” and “suckers.” That comment alone — corroborated by his chief of staff John Kelly — should be disqualifying.
#7 To continue growing the economy. I’ve never understood all the naysayers who complain about the U.S. economy, which is envied the world over. No other country emerged from COVID as strong as we did, defying all expert predictions of recession — record stock market numbers, record employment, rapidly declining inflation and interest rates. The Democrats have never been good at messaging and it’s frustrating that they allow Trump to talk down our economy at every rally without a coherent response. The truth is our economy is strong and Harris’s plans to tax the wealthiest and invest in small businesses has been endorsed by leading economists over Trump’s ridiculous and doomed idea of starting a trade war with China over tariffs. The LGBTQ community is disproportionally entrepreneurial, so Harris’s tax benefits for small business owners will boost us tremendously.
#6 To aid Ukraine. The Blade has traveled to Poland and other Eastern European countries to cover the plight of LGBTQ migrants fleeing Ukraine after Russia’s invasion. Their stories are heartbreaking. We have an obligation to stand by Ukraine along with Western Europe to stop the murderous Putin and preserve democracy. Trump will cave to Putin’s demands that he be allowed to annex large swaths of Ukrainian territory, emboldening the Russian dictator and encouraging further incursions into other neighboring countries.
#5 To stop Project 2025 in its tracks. We have documented the anti-LGBTQ horrors that await us if Project 2025 becomes the governing blueprint for a second Trump administration. The assaults are too many to recap here so just remember these lines from the document: “The next conservative President must make the institutions of American civil society hard targets for woke culture warriors. This starts with deleting the terms sexual orientation and gender identity, diversity, equity and inclusion, gender, gender equality, gender awareness, gender-sensitive….out of every federal rule, agency regulation, contracts, grant regulation and piece of legislation that exists.”
#4 To protect a woman’s right to control her body. Predictably, women are now dying as a result of Trump’s abortion bans, as reported by ProPublica. And it will only get worse if Trump is re-elected and his congressional allies push through a national abortion ban as they’ve promised to do. If you think this isn’t about you, consider that Roe v. Wade provided the foundation for the Obergefell marriage ruling, which Justices Alito and Thomas have already said should be revisited.
#3 Supreme Court. Speaking of the high court, there is credible speculation that if Trump wins, Alito and Thomas will be pressured to retire, giving Trump an unprecedented five picks and a MAGA majority. That’s game over for a generation and the end of Obergefell marriage equality, Lawrence privacy rights, and more.
#2 To preserve and advance LGBTQ equality. The last 20 years have brought unimaginable progress for LGBTQ rights, from marriage equality to the end of “Don’t Ask, Don’t Tell” to Bostock’s conferring employment protections to most of us, and so much more. There’s more to do, especially given the anti-LGBTQ state laws passed around the country giving rise to book bans, bathroom bans, and dangerous anti-trans healthcare restrictions. A Trump presidency jeopardizes all of our recent gains and puts us back on defense. A Harris presidency ensures we continue to move ahead and gives us a chance to undo some of the recent setbacks.
#1 To defend democracy. Trump and J.D. Vance whine a lot about criticism that they are undermining democracy, claiming these accusations are to blame for two recent assassination attempts. For someone who trafficks in violent rhetoric all the time, it’s a brazen and hypocritical claim. There’s an old saying about living by the sword that Trump should Google. But it’s not hyperbole to suggest that a Trump presidency would represent the end of democracy. He’s already incited an insurrection after badly losing the 2020 election. Trump and Project 2025 promise to gut the federal government, lock up critics and journalists, allow Putin to do “whatever the hell he wants,” privatize critical government functions, ban books and DEI, and even to ban pornography. The list goes on. Yes, it’s the end of American democracy if he wins.
But this election isn’t just about rejecting Trump. It’s also about embracing the promise of a Harris administration, which would bolster the economy, respect human rights, fight for equality, combat climate change, fix the border, advance gun reform, and promote many other common sense, centrist policies supported by a majority of Americans.
There you have it, a succinct reminder of what’s at stake on Nov. 5. So vote for Kamala Harris and Tim Walz and send a message that character still matters, that America remains a trusted defender of human rights, and that we won’t let a dangerous convicted felon anywhere near the Oval Office again.
Kevin Naff is editor of the Washington Blade. Reach him at [email protected].
Commentary
On National Coming Out Day: No more silent compromises
Rejecting half-truths, embracing the whole me, and redefining my worth
Though I’ve never lived “in the closet” over the years, I realized I hadn’t fully stepped out of it in every aspect of life. While I embraced being out, certain moments hindered my personal and professional growth.
Have you ever let someone assume something about your life, like having a wife or girlfriend, because it was easier than correcting them? Perhaps you thought, “I’m not in the closet, so it doesn’t matter.” But looking back, did it matter?
This question lingered in my mind for far too long. We must ask whether our actions reflect who we are or if we’re choosing a more convenient version of ourselves. When someone asked, “Is your girlfriend coming to happy hour?” I wasn’t offended, but I wasn’t being entirely authentic, either.
As a gay man, I found it flattering when people assumed I was straight. Was I accepting it as validation of my masculinity? Perhaps. But over time, I realized that allowing these assumptions to persist wasn’t as harmless as I initially believed.
I’ve been fortunate never to experience the closet. The unwavering support from my family, friends, and colleagues has empowered me to live authentically.
Having a family was, and still is, my guiding light. But by my late 20s, that vision began to fade. By my mid 30s, I saw family life, as a gay man, was a possibility, but I buried myself in building a company. I convinced myself that balancing family and business was unattainable since finding someone with shared values seemed impossible. But was it?
As an entrepreneur, I’ve experienced the highs and lows of building something from scratch, always embracing challenges. It’s easy when you love what you do. Like building a business, personal growth is shaped by what you choose to invest in and what you attract into your life. Despite my successes, something still felt misaligned. What was I doing wrong?
I remember moments like vendors taking us to after-hours bars or strip clubs. I recall one instance at a national expo when a vendor took us to a female strip club. I’ve never enjoyed strip clubs, gay or straight; I’d instead host a dinner party. Early into the night, someone arranged a lap dance for me, and I jokingly asked if she could switch places with the security guy. We both laughed, but here’s the issue: I never told them why I got up and left, only her. At that moment, did I sell myself short? Would it affect our partnership? I wasn’t in the closet but wasn’t entirely out either.
Another moment came in my 30s when I was learning how to navigate dating. A friend suggested I downplay my career to avoid intimidating potential partners. I agreed initially but eventually asked myself: Why should I downplay my accomplishments to make others comfortable? By minimizing my worth, I wasn’t just being inauthentic; I was undervaluing myself and the hard work I put into it. What was I trying to attract into my life?
As my journey continued, I became increasingly aware of what I was inviting into my life. My personal and professional lives were out of alignment. When I opened an office in India, I came out to the local director before signing business documents. Why? Friends and colleagues struggle because their business partners don’t know their authentic selves, and I refused to let this happen. More importantly, I owed being genuine to myself.
Many of us create barriers between our personal and professional lives. While change can be difficult, I needed to align them. We believe we’re not lying because we’re “not in the closet.” But by not fully expressing our authentic selves, we hold ourselves back. For me, dismantling those barriers allowed me to transform what I was attracting into my life, personally and professionally.
Had I not become self-aware, I’d still be stuck in a cycle of inauthenticity, missing out on my full potential. Without changing my mindset, I would have continued letting others’ assumptions define me and limit my growth. I only began breaking free from that cycle by fully embracing my true self.
Even though I’ve never lived in the closet, I still fear what being this open might bring. But that’s precisely why I need to do it. My personal and professional allies have shown unwavering support, standing by me through everything. To those who have supported me on this journey, thank you, it’s now my turn to support others.
Authenticity isn’t just a choice; it’s essential for a fulfilled life. You must ask, you must act, and yes, you will fail and learn along the way, but that’s OK. Every time you act, you move closer to your authentic self. Embrace vulnerability and the discomfort of feeling exposed, it’s then you will begin to reclaim your strength.
To the person on the partner track who’s afraid to bring their partner to a company retreat: bring them! To the young adult worried about being kicked out of the house: seek local support; someone will help you! To the person fearful of losing their job because of who they are: quit! To the person who wants a family, look around; someone shares those values! If someone offers to set you up with a girl or guy, ask if they have a brother or sister, and you might get a date! To those still searching for the right partner, ditch the apps and be present!
I kept my personal life “private” for years because I thought, “I’m not in the closet.” I’m not referring to social media; this is about deep-rooted beliefs that live rent-free in our minds, filtering our responses and decisions. While writing this piece, I mistakenly typed, “I’m not out,” perhaps it wasn’t a mistake; it was a sign. I am grateful those filters expired long ago and are now evicted for living rent-free.
We live in a world where mental health is still stigmatized. Small acts of inauthenticity can cause anxiety that spills into our professional lives. It makes us seem “off” and can lead to missed opportunities. Worst of all, you may feel trapped and remain silent.
It’s time to stop allowing these things to hold us back. We must discuss mental health, authenticity, and their impact on our lives. The journey isn’t about becoming someone new; it’s about shedding what doesn’t define you so you can fully embrace who you’ve always been.
As I continue my journey, I will do so boldly, out loud, and unapologetically. Note to readers: If you’re struggling, want to discuss this topic further, or just need a virtual coffee chat, feel free to reach out via Instagram, @gregorybarretta.
Gregory Barretta is a serial entrepreneur overseeing several companies, committed to mentoring, leading, and empowering others to grow.
We are at the first anniversary of the Oct. 7 attack launched against Israel by the terrorist organization Hamas. In that attack nearly 1,200 Israelis were slaughtered, many women sexually mutilated, and 251 hostages taken. There are 97 hostages still unaccounted for. We must never forget who began this war on Oct. 7, 2023, and recognize this is a war between Israel and Hamas, not Israel and the Palestinian people.
I am an American Jew whose parents escaped Hitler, and whose grandparents were killed in Auschwitz. While I will never forget, or forgive Hamas, over the past year I have written about how poorly the far-right Israeli government of Israel has responded. They have every right to defend themselves, but it appears many of the deaths of innocent Palestinian women and children, should have been avoided. But Hamas must take responsibility for these deaths as well as Israel. They hide in tunnels beneath hospitals and houses, and in the midst of Palestinian civilians. Both sides have refused to agree to any ceasefire terms. Reality is had Hamas agreed to return the hostages, including 30 Americans, and many from other countries, many of the Palestinian deaths could have been avoided. We don’t even know if the close to 100 hostages they still hold, are dead or alive.
Over the past year the Palestinian people in Gaza have had their lives torn apart. Their homes have been bombed, and thousands of women and children have died. Much of Gaza has been destroyed. Their healthcare system destroyed, and many are starving, living without any power. Once again, let us not forget who began this war. The stated aim of some Hamas leaders when they began the war was to draw Israel into a wider war. While that may now be happening, contrary to what Hamas wanted, Israel is winning it, and the Arab countries surrounding Israel, are not coming to the aid of the Palestinian people.
No one should feel joy in any of this. It means more innocent people are dying every day. Israelis in the north have been evacuated from their homes and many killed, and there isn’t a family in Israel not impacted. The Palestinian people are still suffering and have not rid themselves of Hamas, even though some are now speaking out saying they want to. I am not sure how they can do that. Then the Israeli people have still not rid themselves of Netanyahu, and his right-wing government, and they have better options to do that, and must take them if they ever want lasting peace.
Today we see the terrorist group Hezbollah continue to bomb Israel, and now Israel is expanding its fight in Lebanon. Hezbollah is losing and innocents in Lebanon are losing their homes, and their lives. Hezbollah, like Hamas, is a terrorist group funded by Iran. The legitimate government in Lebanon cannot control them. Iran, which funds terrorist organizations against Israel, has now directly fired a second round of missiles into Israel. They didn’t expect the Arab nations surrounding Israel would come to Israel’s aid the first time, but they did, in some ways to protect themselves from the missiles. The United States, whose ships are stationed off shore, shot down Iranian missiles and Israel’s Iron Dome protected it from major casualties or destruction. Again, if Hamas thought the Arab nations around Israel would come to their aid, they have been proven wrong. If Israel goes after Iran directly, which the United States is officially urging them not to do, the war could spread further. Iranian oil fields and ports are at risk, which will impact the world. Iran has no Iron Dome.
So, after a year, what has Hamas accomplished? What have they done for the Palestinian people? Are the Palestinian people any better off? Clearly not. We have seen Palestinian students here in the United States, and around the world, trying to get universities and corporations to disinvest from Israel, as the BDS movement has tried for years. But there has been practically no impact at all. Investment money has not been withdrawn from Israel, and no country has withdrawn from their treaty with Israel. I spoke out and wrote, as have many Jews over the past year, asking Israel to declare a unilateral ceasefire in the war with Hamas to allow food and medicine to be delivered into Gaza. They haven’t done that, but then Hamas has not agreed to any ceasefire.
I support a two-state solution giving the Palestinian people their own state, which their leaders turned down in 1947 when it was offered by the United Nations. We saw in Israel’s 1948 ‘War for Independence,’ as it was called, the surrounding Arab states did nothing to help the Palestinians, rather fought to take more land for themselves. I believe an eventual two-state solution is the only way the Palestinian people will ever be able to live in peace, and the same for the Israeli people. It will only happen if outside nations join together and guarantee Israel will be secure. If that happens, the rest of the world will have to pledge hundreds of billions of dollars to help a new Palestinian state build a sustainable economy. All of this may be wishful thinking, but it seems to be the only answer to secure a lasting peace.
In the meantime, I join everyone who mourns the lives of the innocents lost this past year, both Israelis and Palestinians, and now those in Lebanon. The world must find a way to end this carnage.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.