National
Obama vs. Bush: Who’s done more on HIV/AIDS?
Lifting of HIV travel ban initiated by previous administration

Who’s done more on HIV/AIDS: George W. Bush or President Obama? (Bush photo public domain; Obama photo Blade photo by Michael Key)
HIV/AIDS advocates from around the world are descending on D.C. for the 19th International AIDS Conference with a shared goal: to eliminate a disease that has taken the lives of more than 25 million people worldwide.
Despite unity on this goal, politics inevitably plays a role in the response to the epidemic and advocates have widely differing views on who has done more in recent years to combat HIV/AIDS both at home and abroad: former President George W. Bush or President Obama.
Some praise the Obama administration for laying out a comprehensive plan and bumping up domestic funding to confront the epidemic, while others yearn for the Bush days because of the global initiatives the Republican president started despite his reputation for anti-gay policies.
Jim Driscoll, a gay Nevada-based HIV/AIDS activist who served on the Presidential Advisory Council on HIV/AIDS during the Bush administration, is among those who believes Bush did more to stop the epidemic.
“I never sat down and had a one-on-one conversation with him, but people who did talked about how open he was to doing things on AIDS and how interested he was in that subject,” Driscoll said. “There wasn’t anything the community asked him to do that I was involved in that he didn’t do.”
Those who say Bush has done more for HIV/AIDS identified three major initiatives under the Bush administration: the start of a program called the President’s Emergency Plan for AIDS Relief, or PEPFAR, to confront the global AIDS epidemic; streamlining fund allocation under the Ryan White Care Act to consider people who have HIV infection without full-blown AIDS; and allowing the first-ever rapid HIV tests to be used outside medical offices.
Driscoll, a Republican who’s backing GOP presumptive nominee Mitt Romney in the upcoming presidential election, recalled the process by which Bush approved rapid testing and said it was praised by many — with the exception of some Food & Drug Administration officials whom he overruled.
“It was a big step forward, and George Bush actually personally had a lot to do with that,” Driscoll said. “The president actually overruled FDA, and I was in the room when this was announced. There were about 100 people in the room, I think. I remember still that when he announced his approval of rapid testing … everybody in the room gave him a standing ovation except for the three people from FDA, who sat glumly. They didn’t applaud or anything.”
The AIDS Drug Assistance Programs under Bush didn’t see the waiting list levels that have been seen under the Obama administration. Under Obama, the waiting list last year reached an all-time high of 9,928 low-income people awaiting HIV drugs. That number has since dropped to about 2,000 today, according to the administration.
That’s not the only complaint that’s been lodged against Obama, who’s been criticized for reducing the global AIDS program that was set up by Bush. In his most recent budget request to Congress, the White House cut the program by half a billion dollars.
Michael Weinstein, president of the AIDS Healthcare Foundation, said HIV/AIDS was a “higher priority” for Bush than it is for Obama, citing the ADAP waiting list and the distinction in PEPFAR as a key difference between the presidents.
“We had practically no global AIDS program prior to President Bush taking office, and before he left office, they approved a $48 billion plan for PEPFAR, which Sen. Obama voted to authorize and enact,” Weinstein said. “This year, President Obama for the first time in the history of the program asked for less money for global AIDS than we had last year, and there’s $1.4 billion in unspent money in PEPFAR.”
However, the president’s most recent budget request includes an increase for domestic programs against HIV/AIDS: a $75 million increase for Ryan White and an increase of $67 million for ADAP from last year to eliminate waiting lists by 2013.
As for PEPFAR, the White House has maintained that the program is doing more with less by using generic drugs and shipping commodities more cheaply. On World AIDS Day, Obama announced he would fully fund the balance of the administration’s three-year, $4 billion pledge to the Global Fund to Fight AIDS, Tuberculosis, and Malaria.
Shin Inouye, a White House spokesperson, defended the administration’s work on HIV/AIDS by citing achievements as well as plans set into motion to confront the epidemic.
“President Obama and his administration are unwavering in their commitment to addressing the issue of HIV/AIDS — on both the domestic and global fronts,” Inouye said. “These include steps such as establishing and implementing the first comprehensive National HIV/AIDS Strategy, lifting the HIV entry ban, and strengthening the impact and sustainability of PEPFAR and the Global Fund to Fight AIDS, Tuberculosis, and Malaria.”
Obama’s signature legislative achievement, the Affordable Care Act, is also slated to have significant impact on people living with HIV. The Medicaid expansion under the health care reform law is expected to significantly expand coverage because half the people living with HIV already receive care through the program.
Carl Schmid, deputy executive director of the AIDS Institute, said Obama has “definitely” done more on HIV/AIDS — at least on the domestic front — in part because of his willingness to talk about how the disease impacts gay men.
“They are over 60 percent of the epidemic,” Schmid said. “Focusing on this community that has been ravaged by HIV, allowing a discussion and making gay people more acceptable — this could really turn the tide on HIV prevention for gay men. We have a president who is focusing on the community [and directing] resources that are more in line with how the epidemic is.”
In comparison, Bush took flak from HIV/AIDS advocates for not taking action on the epidemic in ways that might upset his conservative base. Among his actions: promoting abstinence-only sex education, opposing federal funds for needle exchange programs and remaining silent on gay men and condoms for much of his administration.
Michael Rajner, a gay Fort Lauderdale-based HIV/AIDS advocate who’s living with AIDS and has been selected as a delegate for the Democratic National Convention, said he thinks Obama has “absolutely” done more to fight HIV/AIDS based on a more science-based approach he’s taken against the disease.
“The difference between Republican and Democrat — in this case, George W. Bush and President Obama — is really the difference in thought, whether they’re going to be addressing HIV/AIDS through ideology or through science, and President Obama has certainly embraced the issues of science,” Rajner said.
One achievement often attributed to Obama is the lifting of the regulatory travel ban that prevented HIV-positive foreign nationals from entering the country — a move that enabled the International AIDS Conference to take place in the United States. But this process actually started under the Bush administration. Under Bush’s leadership, Congress repealed a law that barred HIV-positive foreign nationals from entering as part of the legislative package authorizing PEPFAR.
Schmid said he was “intimately involved” in the process under which Bush starting lifting the HIV travel ban.
“Credit goes to George Bush’s administration and the Congress for lifting the travel ban in reauthorization of PEPFAR,” Schmid said. “There still was a process at HHS, and Obama finished that process. It wasn’t completed in time, unfortunately, under President Bush, but they definitely lifted it congressionally.”
Driscoll said Bush should be commended because he accomplished work on HIV/AIDS despite being beholden to social conservatives who elected him to office.
“Every president, every politician is limited by his constituents, by the people who put him in office, who voted for him and the people he would depend upon to do the same thing should he run again,” Driscoll said. “You have to consider what a president does in terms of the limitations that are imposed. I think, given, the limitations that George Bush’s constituencies imposed, he showed real leadership.”
Federal Government
Trump-appointed EEOC leadership rescinds LGBTQ worker guidance
The EEOC voted to rescind its 2024 guidance, minimizing formally expanded protections for LGBTQ workers.
The U.S. Equal Employment Opportunity Commission voted 2–1 to repeal its 2024 guidance, rolling back formally expanded protections for LGBTQ workers.
The EEOC, which is composed of five commissioners, is tasked with enforcing federal laws that make workplace discrimination illegal. Since President Donald Trump appointed two Republican commissioners last year — Andrea R. Lucas as chair in January and Brittany Panuccio in October — the commission’s majority has increasingly aligned its work with conservative priorities.
The commission updated its guidance in 2024 under then-President Joe Biden to expand protections to LGBTQ workers, particularly transgender workers — the most significant change to the agency’s harassment guidance in 25 years.
The directive, which spanned nearly 200 pages, outlined how employers may not discriminate against workers based on protected characteristics, including race, sex, religion, age, and disability as defined under federal law.
One issue of particular focus for Republicans was the guidance’s new section on gender identity and sexual orientation. Citing the 2020 U.S. Supreme Court’s Bostock v. Clayton County decision and other cases, the guidance included examples of prohibited conduct, such as the repeated and intentional use of a name or pronoun an individual no longer uses, and the denial of access to bathrooms consistent with a person’s gender identity.
Last year a federal judge in Texas had blocked that portion of the guidance, saying that finding was novel and was beyond the scope of the EEOC’s powers in issuing guidance.
The dissenting vote came from the commission’s sole Democratic member, Commissioner Kalpana Kotagal.
“There’s no reason to rescind the harassment guidance in its entirety,” Kotagal said Thursday. “Instead of adopting a thoughtful and surgical approach to excise the sections the majority disagrees with or suggest an alternative, the commission is throwing out the baby with the bathwater. Worse, it is doing so without public input.”
While this now rescinded EEOC guidance is not legally binding, it is widely considered a blueprint for how the commission will enforce anti-discrimination laws and is often cited by judges deciding novel legal issues.
Multiple members of Congress released a joint statement condemning the agency’s decision to minimize worker protections, including U.S. Reps. Teresa Leger Fernández (D-N.M.), Grace Meng (D-N.Y.), Mark Takano (D-Calif.), Adriano Espaillat (D-N.Y.), and Yvette Clarke (D-N.Y.) The rescission follows the EEOC’s failure to respond to or engage with a November letter from Democratic Caucus leaders urging the agency to retain the guidance and protect women and vulnerable workers.
“The Equal Employment Opportunity Commission is supposed to protect vulnerable workers, including women, people of color, and LGBTQI+ workers, from discrimination on the job. Yet, since the start of her tenure, the EEOC chair has consistently undermined protections for women, people of color, and LGBTQI+ workers. Now, she is taking away guidance intended to protect workers from harassment on the job, including instructions on anti-harassment policies, training, and complaint processes — and doing so outside of the established rule-making process. When workers are sexually harassed, called racist slurs, or discriminated against at work, it harms our workforce and ultimately our economy. Workers can’t afford this — especially at a time of high costs, chaotic tariffs, and economic uncertainty. Women and vulnerable workers deserve so much better.”
Minnesota
Lawyer representing Renee Good’s family speaks out
Antonio Romanucci condemned White House comments over Jan. 7 shooting
A U.S. Immigration and Customs Enforcement agent shot and killed Renee Good in Minneapolis on Jan. 7 as she attempted to drive away from law enforcement during a protest.
Since Good’s killing, ICE has faced national backlash over the excessive use of deadly force, prompting the Trump-Vance administration to double down on escalating enforcement measures in cities across the country.
The Washington Blade spoke with Antonio Romanucci, the attorney representing Good’s family following her death.
Romanucci said that Jonathan Ross — the ICE agent seen on video shooting Good — acted in an antagonizing manner, escalated the encounter in violation of ICE directives, and has not been held accountable as ICE and other federal agents continue to “ramp up” operations in Minnesota.
A day before the fatal shooting, the Department of Homeland Security began what it described as the largest immigration enforcement operation ever carried out by the agency, according to DHS’s own X post.
That escalation, Romanucci said, is critical context in understanding how Good was shot and why, so far, the agent who killed her has faced no consequences for killing a queer mother as she attempted to disengage from a confrontation.
“You have to look at this in the totality of the circumstances … One of the first things we need to look at is what was the mission here to begin with — with ICE coming into Minneapolis,” Romanucci told the Blade. “We knew the mission was to get the worst of the worst, and that was defined as finding illegal immigrants who had felony convictions. When you look at what happened on Jan. 7 with Renee and Rebecca [Good, Renee’s wife], certainly that was far from their mission, wasn’t it? What they really did was they killed a good woman — someone who was a mother, a daughter, a sister, a committed companion, an animal lover.”
Romanucci said finding and charging those responsible for Good’s death is now the focus of his work with her family.
“What our mission is now is to ensure that we achieve transparency, accountability, and justice … We aim to get it in front of, hopefully, a judge or a jury one day to make that determination.”
Those are three things Homeland Security Secretary Kristi Noem and DHS has outright rejected while smearing Good in the official record — including accusing her of being a “domestic terrorist” without evidence and standing by Ross, who Noem said acted in self-defense.
The version of events advanced by Noem and ICE has been widely contradicted by the volume of video footage of the shooting circulating online. Multiple angles show Good’s Honda Pilot parked diagonally in the street alongside other protesters attempting to block ICE agents from entering Richard E. Green Central Park Elementary School.
The videos show ICE officers approaching Good’s vehicle and ordering her to “get out of the car.” She then puts the car in reverse, backs up briefly, shifts into drive, and steers to the right — away from the officers.
The abundance of video evidence directly contradicts statements made by President Donald Trump, Noem, and other administration officials in interviews following Good’s death.
“The video shows that Renee told Jonathan Ross that ‘I’m not mad at you,’ so we know that her state of mind was one of peace,” Romanucci said. “She steered the car away from where he was standing, and we know that he was standing in front of the car. Reasonable police practices say that you do not stand in front of the car when there’s a driver behind the wheel. When you leave yourself with only the ability to use deadly force as an option to escape, that is not a reasonable police practice.”
An autopsy commissioned by Good’s family further supports that account, finding that her injuries were consistent with being shot from the direction of someone driving away.
The autopsy found three gunshot wounds: one to Good’s left forearm, one that struck her right breast without piercing major organs, and a third that entered the left side of her head near the temple and exited on the right side.
Romanucci said Ross not only placed himself directly in harm’s way, but then used deadly force after creating the conditions he claimed justified it — a move that violates DHS and ICE policy, according to former Assistant Homeland Security Secretary Juliette Kayyem.
“As a general rule, police officers and law enforcement do not shoot into moving cars, do not put themselves in front of cars, because those are things that are easily de-escalated,” Kayyem told PBS in a Jan. 8 interview.
“When he put himself in a situation of danger, the only way that he could get out of danger is by shooting her, because he felt himself in peril,” Romanucci said. “That is not a reasonable police practice when you leave yourself with only the ability to use deadly force as an option. That’s what happened here. That’s why we believe, based on what we’ve seen, that this case is unlawful and unconstitutional.”
Romanucci said he was appalled by how Trump and Noem described Good following her death.
“I will never use those words in describing our client and a loved one,” he said. “Those words, in my opinion, certainly do not apply to her, and they never should apply to her. I think the words, when they were used to describe her, were nearly slanderous … Renee Good driving her SUV at two miles per hour away from an ICE agent to move down the street is not an act of domestic terrorism at all.”
He added that his office has taken steps to preserve evidence in anticipation of potential civil litigation, even as the Justice Department has declined to open an investigation.
“We did issue a letter of preservation to the Department of Justice, Department of Homeland Security, and other agencies to ensure that any evidence that’s in their possession be not destroyed or altered or modified,” Romanucci said. “We’ve heard Todd Blanche say just in the last couple of days that they don’t believe that they need to investigate at all. So we’re going to be demanding that the car be returned to its rightful owner, because if there’s no investigation, then we want our property back.”
The lack of accountability for Ross — and the continued expansion of ICE operations — has fueled nationwide protests against federal law enforcement under the Trump-Vance administration.
“The response we’ve seen since Renee’s killing has been that ICE has ramped up its efforts even more,” Romanucci said. “There are now over 3,000 ICE agents in a city where there are only 600 police officers, which, in my opinion, is defined as an invasion of federal law enforcement officers into a city … When you see the government ramping up its efforts in the face of constitutional assembly, I think we need to be concerned.”
As of now, Romanucci said, there appears to be no meaningful accountability mechanism preventing ICE agents from continuing to patrol — and, in some cases, terrorize — the Minneapolis community.
“What we know is that none of these officers are getting disciplined for any of their wrongdoings,” he said. “The government is saying that none of their officers have acted in a wrongful manner, but that’s not what the courts are saying … Until they get disciplined for their wrongdoings, they will continue to act with impunity.”
When asked what the public should remember about Good, Romanucci emphasized that she was a real person — a mother, a wife, and a community member whose life was cut short. Her wife lost her partner, and three children lost a parent.
“I’d like the public to remember Renee about is the stories that Rebecca has to tell — how the two of them would share road trips together, how they loved to share home-cooked meals together, what a good mother she was, and what a community member she was trying to make herself into,” Romanucci said. “They were new to Minneapolis and were really trying to make themselves a home there because they thought they could have a better life. Given all of that, along with her personality of being one of peace and one of love and care, I think that’s what needs to be remembered about Renee.”
The White House
Trump-Vance administration ‘has dismantled’ US foreign policy infrastructure
Current White House took office on Jan. 20, 2025
Jessica Stern, the former special U.S. envoy for the promotion of LGBTQ and intersex rights, on the eve of the first anniversary of the Trump-Vance administration said its foreign policy has “hurt people” around the world.
“The changes that they are making will take a long time to overturn and recover from,” she said on Jan. 14 during a virtual press conference the Alliance for Diplomacy and Justice, a group she co-founded, co-organized.
Amnesty International USA National Director of Government Relations and Advocacy Amanda Klasing, Human Rights Watch Deputy Washington Director Nicole Widdersheim, Human Rights First President Uzra Zeya, PEN America’s Jonathan Friedman, and Center for Reproductive Rights Senior Federal Policy Council Liz McCaman Taylor also participated in the press conference.
The Trump-Vance administration took office on Jan. 20, 2025.
The White House proceeded to dismantle the U.S. Agency for International Development, which funded LGBTQ and intersex rights organizations around the world.

Secretary of State Marco Rubio last March announced the State Department would administer the 17 percent of USAID contracts that had not been cancelled. Rubio issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during the U.S. foreign aid freeze the White House announced shortly after it took office.
The global LGBTQ and intersex rights movement has lost more than an estimated $50 million in funding because of the cuts. The Washington Blade has previously reported PEPFAR-funded programs in Kenya and other African countries have been forced to suspend services and even shut down.
Stern noted the State Department “has dismantled key parts of foreign policy infrastructure that enabled the United States to support democracy and human rights abroad” and its Bureau of Democracy, Human Rights, and Labor “has effectively been dismantled.” She also pointed out her former position and others — the Special Representative for Racial Equity and Justice, the Ambassador-at-Large for Global Women’s Issues, and the Ambassador-at-Large for Global Criminal Justice — “have all been eliminated.”
President Donald Trump on Jan. 7 issued a memorandum that said the U.S. will withdraw from the U.N. Entity for Gender Equality and the Empowerment of Women and more than 60 other U.N. and international entities.
Rubio in a Jan. 10 Substack post said UN Women failed “to define what a woman is.”
“At a time when we desperately need to support women — all women — this is yet another example of the weaponization of transgender people by the Trump administration,” said Stern.
US ‘conducting enforced disappearances’
The Jan. 14 press conference took place a week after a U.S. Immigration and Customs Enforcement agent killed Renee Good, a 37-year-old woman who left behind her wife and three children, in Minneapolis. American forces on Jan. 3 seized now former Venezuelan President Nicolás Maduro and his wife, Cilia Flores, at their home in Caracas, the Venezuelan capital, during an overnight operation. Trump also continues to insist the U.S. needs to gain control of Greenland.

Widdersheim during the press conference noted the Trump-Vance administration last March sent 252 Venezuelans to El Salvador’s Terrorism Confinement Center, a maximum-security prison known by the Spanish acronym CECOT.
One of them, Andry Hernández Romero, is a gay asylum seeker who the White House claimed was a member of Tren de Aragua, a Venezuelan gang the Trump-Vance administration has designated as an “international terrorist organization.” Hernández upon his return to Venezuela last July said he suffered physical, sexual, and psychological abuse while at CECOT.
“In 2025 … the United States is conducting enforced disappearances,” said Widdersheim.
Zeya, who was Under Secretary of State for Civilian Security, Democracy, and Human Rights from 2021-2025, in response to the Blade’s question during the press conference said her group and other advocacy organizations have “got to keep doubling down in defense of the rule of law, to hold this administration to account.”
