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.”
2026 Midterm Elections
Trump uses anti-trans slur against Democratic Senate candidate
President mocked Annie Andrews
President Donald Trump used an anti-trans slur against Democratic South Carolina Senate candidate Annie Andrews on Monday as he sought to rally support for Republicans in the state’s Senate race.
In a post on Truth Social, Trump attacked Andrews three times, referring to her as “trannie” while promoting U.S. Sen. Darline Graham (R-S.C.)’s campaign.
Andrews is running against Graham for a Senate seat in the solidly Republican state.
Earlier this year, Graham was specially appointed to the seat following the death of her brother, Lindsey Graham, who represented South Carolina in the Senate from 2003 to 2026.
Andrews, the Democratic nominee from the state, is a pediatrician that lives in Charleston with her three children. She told NBC News that she will “work with anyone to put South Carolina first.”
“As a mom and a pediatrician, I’m in this race to fight for my patients, my three kids, and South Carolina,” Andrews said, adding that “lowering costs and making life better for families across our state is going to take all of us working together.”
Andrews used the attention from the president’s attack to emphasize what she described as a focus on policy issues rather than the culture wars that have dominated much of the political debate.
“If you care more about your bills than the politics in Washington, this campaign is for you,” she added.
Trump’s remarks have drawn criticism from leaders on both sides of the aisle.
Senate Minority Leader Chuck Schumer (D-N.Y.) condemned Trump’s words Monday night on social media, calling his attacks on Andrews “despicable.”
“Annie Andrews is a mom and pediatrician who’s always put her community first — and she’s exactly who South Carolina needs representing them in the Senate,” Schumer said on X.
Former South Carolina Gov. David Beasley, a Republican, also criticized the president’s attack on Andrews, urging voters to “reject politics based on division and hate.”
“This is abhorrent. Elections don’t have to be about cruelty and lies. South Carolina deserves better,” Beasley wrote Monday night on X.
South Carolina has not elected a Democratic senator in nearly three decades.
Andrews’s campaign website does not mention her positions on LGBTQ issues.
The Washington Blade reached out to Andrews’s campaign for comment on Trump’s attack and her positions on transgender rights but did not hear back by time of publication.
Federal Government
Bessent says Trump chose him for his qualifications, not his sexuality
Treasury Secretary Scott Bessent talked with Axios about his sexuality — and how it played no role in his nomination for the position.
Treasury Secretary Scott Bessent participated in an interview in which he said his sexuality had no impact on the president’s selection of him.
On Sunday, Axios co-founder Mike Allen interviewed Secretary Bessent, the 79th person to lead the Treasury Department, in the “Cash Room” in the Treasury building. The two talked for more than 40 minutes about issues related to the current administration’s efforts for Axios’s YouTube channel.
Bessent has been something of an anomaly during this administration, breaking what many consider the “gay glass ceiling.” He is the first openly gay person to lead the U.S. Treasury Department, the first openly gay Senate-confirmed Cabinet member in a Republican administration, and the highest-ranking LGBTQ government official in U.S. history.
The two covered various ground — about the state of the U.S. economy, the various AI approaches by the Trump administration, and the war in Iran. All things that have made President Trump’s constant appraisal of the U.S. economy difficult to sell to the American people as the affordability crisis has worsened.
Toward the end of the interview, Allen asked Bessent about deciding not to attend the U.S. Naval Academy, knowing his sexuality would be a hindrance, and instead attending Yale University. Allen asked if his choice to attend the Ivy League school held him back in life.
“I don’t think it did at all, and it’s very difficult to talk about the counterfactual… but I don’t think going to Yale held me back,” Bessent said. “Maybe some people at other schools would think it might. But I think it makes you aware, and I’ve openly spoken about it before, too. I think maybe some of my career choices were influenced by it.”
The U.S. Naval Academy only began allowing openly LGBTQ students to apply — and be open about their sexuality — following the 2011 repeal of “Don’t Ask, Don’t Tell.” Prior to the policy’s removal, students could be removed from the school for violating the rules, including rules related to their sexuality.
“You said President Trump chose me because he believes I’m the best candidate, not because of my sexual preference or your green eyes…,” Allen said.
“Exactly,” Bessent replied. “And I think that’s one of the reasons we have such a great team. The president makes his decisions all the time. You know, he’ll occasionally tell me, ‘You’re breaking my friends’ hearts.’ They see you on TV and they want an intro, and we have to break the news to them.”
Bessent has been married to former New York prosecutor John Freeman since 2011, and they have lived together in South Carolina. There, they had two children through surrogacy.
Despite being a member of the LGBTQ community, Bessent has publicly supported Trump’s policies, including some that have drawn criticism from LGBTQ advocates and organizations. These include reductions to PEPFAR funding, policies removing transgender service members from the military, recognizing only two sexes, removing LGBTQ protections from Title IX, and other policies that LGBTQ advocates argue come at the cost of LGBTQ safety and protections.
The Washington Blade has reached out to the Treasury Department and Secretary Bessent’s team for comment and responses to these questions, including questions about how he views his identity and sexuality in relation to — and potentially at odds with — the policies and mission of the current administration. The Blade did not receive a response by publication time.
Georgia
In Ga., 2 trans candidates believe voters are ready for them
Bentley Hudgins, Bella Bautista running for state House of Representatives
Uncloseted Media published this story on Oct. 6.
This story was reported in partnership with The 19th, a nonprofit newsroom reporting on gender, politics and policy.
By ORION RUMMLER | Bentley Hudgins is a 33-year-old democratic socialist who spent the past three years advocating for LGBTQ rights in the Georgia statehouse.
Bella Bautista is 10 years younger, the first transgender woman to win a legislative primary in Georgia and head of a nonprofit distributing supplies to at-risk young adults.
Both are running for a spot in the Georgia House of Representatives, part of a cohort of Democrats who hope to shrink or end Republicans’ hold on the chamber. Both would make history as the first trans members of the body. Neither wants to discuss identity politics or pronouns — they want to talk about data centers, the price of groceries and healthcare.
But their districts are very different: Hudgins is running in a liberal stronghold in Atlanta with no serious Republican opposition and is all but certain to win in November. Bautista’s district is rural and deeply conservative; it hasn’t elected a Democratic state representative since 1996, and she’s the first to run for this seat since 2010. But Hudgins’s and Bautista’s bets are the same: Voters are looking for someone to fight for them. In Hudgins and Bautista’s view, something in the country is broken and no one else will fix it. So they stepped up.
“People around here just hate the government, and that’s why I’m running,” Bautista told Uncloseted Media and The 19th. “People have lost faith in the system as a whole.”
Hudgins’ mind is on the big picture: getting as many Democrats, especially progressives, in the statehouse as possible. Without that, they believe the future — especially for LGBTQ people and immigrants — isn’t certain.
“At the end of the day, we have to have the numbers,” Hudgins told Uncloseted Media and The 19th.
A deep red district in rural Ga.
In the hourlong drive from Atlanta to Cartersville, where Bautista grew up, suburbs fade away and the land expands into RV lots, farms, and houses on the edge of the woods. Bautista launched her campaign in this small town, at Noble & Main Coffee Co., across the street from a butcher shop that offers deer processing.
“It’s one of those hidden gems,” she says. “They’re friendly toward Democrats.”
It’s also not in the statehouse district she wants to represent. She’s running for office in the more rural side of the county, an area that’s about 80 percent white, mostly older and mostly conservative. And it’s been a challenge. Most people here vote Republican. Her opponent, the GOP incumbent Mitchell Scoggins, has not run against anyone since he first won a special election in 2018.
Lack of change is what spurred Bautista to run. And it’s not just Scoggins sailing unopposed to reelection every two years. Bartow County is one of a small handful of counties in Georgia with only one commissioner, who single-handedly decides the fate of everything from data center construction to new roads. The current commissioner has held the position for 14 years.
The issues facing her hometown can’t be left to one man, Bautista says. She wants to pass legislation for locals to vote on a board of commissioners, regulate Flock cameras, shield locals from data center pollution, conserve farmland and expand rural mental healthcare. She thinks these stances will appeal to voters who may otherwise vote Republican. But it’s still an uphill battle — and a lonely one.
“This is not a story about pride. It’s not a story about visibility,” she says. “It’s a story about challenges, difficulty. I don’t want to be the fucking first to do it, but I have no choice but to be the first.”
But Bautista says she’s struggling. This campaign has cost her privacy and peace, which doesn’t impact just her: She lives in her family home as the primary caretaker for her mom.
In May, during the primaries, someone came to her house twice, she says: once to put up a sign supporting President Donald Trump next to her own campaign sign in the front yard, and later to take down her sign.
“I literally live in the middle of nowhere,” she says. “That sent chills down my back, because I’m like, OK, that means someone physically went to my home, got out of their car, went up the hill, put up a Trump sign.”
Her neighbors, who she’s known her whole life and are Trump voters, assured her that they weren’t involved. But that fear hasn’t left her. Since then, more signs have gone missing: A few weeks after we met, hundreds of her campaign signs were taken down across the district. Those cost money to replace — money the campaign doesn’t have.
As a trans Latina, she belongs in Bartow County just as much as anyone else, she says. This is the only home she’s known. But campaigning in this district feels like being thrown into the ocean, she says. Online, people mock her and misgender her. It hurts. Often, they’re the same people she’s fighting for.
At one point during an interview at Noble & Main Coffee Co., Bautista started crying. Keeping her head above water means she doesn’t often take time to think about why she’s doing this.
“You’re just having to swim, swim, swim, swim and you never get any chance to look back and think, oh my gosh, why am I doing this, what does this mean to other people?”
Dramatically different districts
Hudgins launched their campaign at Joe’s Coffeehouse in East Atlanta Village, roughly 50 miles from Bautista’s district. This place, a local indie fixture, holds personal history for them: When they became homeless in 2017, it became a refuge as they couchsurfed and lived in their car. It took a year to find stable housing.
This neighborhood is where they got back on their feet after being kicked out of their apartment, something they know is common for queer people in the U.S., as well as in their own circles.
“Most of the queer electeds that I’m really close with are people who have experienced homelessness,” they say. “It just goes to show how prevalent this is for queer Southerners.”
And, years later, this same neighborhood is where they fell back in love with politics.
Being here makes Hudgins think about how the city is changing as people get priced out. Gay bars are closing and, as a former drag performer, they know of only three places still putting on shows. It’s all getting too expensive. Midtown isn’t the bustling queer neighborhood it used to be, they say, but the queers are still here: They’re just moving further into DeKalb County, East Point and southeast Atlanta, all in search of affordability.
That’s part of the problem. Hudgins sees solutions, though: raising the state minimum wage to $20 an hour or creating a state earned income tax credit to give money to lower-income families. Previous Democrat-sponsored bills to enact those policies have been blocked in the statehouse, and it’s those stalemates that are driving voters to push for something different, Hudgins says. Decades of Republican control have left people disillusioned.
“People’s political will and spirit has kind of been chipped away at,” they say. “Life can be better.”
The first time Hudgins ran for this seat in 2022, they were 28 and single, and the pandemic was still fresh. The previous year, Atlanta spa shootings targeting Asian women had taken place, and “Cop City,” the massive training ground for local police in DeKalb County, was formally proposed amid national protests against police brutality. Joe Biden was president, and from where Hudgins sat, the Democratic establishment was clamping down on progressive dissent.
They were angry — but that anger didn’t resonate with voters, they say.
“It was such a more agitated time in a lot of different ways, and this strong leftist point of view wasn’t as appreciated,” they say. “At that time, I was also angry. I was mad. And I think it came through.”
Their opener in their 2022 race was, “To be frank, I’m tired of my friends dying,” they say. They had lost friends to police violence, addiction, hunger and mental illness. One of their friends was left permanently disabled from a hate crime, they say. Hudgins had begun to get severe cluster headaches and was managing that while running their first campaign.
After losing that race, they reassessed if they wanted to do politics at all. They were broken-hearted, they say. A friend helped them get a job at a Laotian pop-up restaurant in East Atlanta Village, only a short walk from Joe’s Coffeehouse. But what they thought would be an escape from politics became a reeducation in why it mattered, they say. Surrounded by other Asian Americans, they learned about U.S. bombing campaigns in Laos and connected with their new friends’ working-class struggles.
“I really got to understand more about how my Southeast Asian neighbors and friends have experienced American identity,” they say.
If elected, Hudgins would be Georgia’s first Japanese American lawmaker. To them, it feels like that usually gets left out of their story as people instead focus on their gender identity.
They weren’t planning on running for office this year. Their wedding is in November. Until recently, they were lobbying against anti-LGBTQ bills as Georgia state director for Human Rights Campaign, a major LGBTQ advocacy group. But Saira Draper, who beat Hudgins in 2022 to represent House District 90, is running for the state Senate. That left the House seat open. And it left the door open for Hudgins to run again.
When three other Democrat contenders dropped out in the primary, Hudgins became the front-runner. Their opponent, Samantha Boston, received only about 500 votes in the Republican primary. Hudgins got over 7,000 in the Democratic contest.
Fearless advocates
On a muggy September night, Hudgins and Bautista were in full glam at the College Park Woman’s Club in Atlanta, gathered alongside activists, volunteers and political candidates at a fundraising gala for LGBTQ youth.
At her table, Bautista prepared to present a “fearless youth advocate” award to state Rep. Akbar Ali, sworn in last year at 21 as the youngest lawmaker in Georgia. Bautista won this same award last year for the work she does at her nonprofit, which primarily supports transgender and immigrant young adults. Seated with Ali and friends running for office in Bartow County, she read over her notes.
Democrats in the room buzzed with the possibility of reshaping the statehouse, and with nerves that Republicans’ now abandoned redistricting effort will resurface.
On stage, Bautista looked to a different future — one where trans visibility in politics is not a rarity in Georgia.
“To all my transsexual girls in the building, just know that I’m fighting for you, and that in two years it’s going to be one of y’all,” she said. “It’s going to be one of y’all running for governor. It’s going to be one of y’all running for state senator. It’s going to be one of y’all running for commissioner.”
But she knows that history recognizes the victors, people who make it past the finish line, regardless of how much work they put into the race.
“I stand before you in the middle of history, not on the other side of it,” she said on stage. “I keep going not because the water is calm, but because someone on the other side is waiting for proof that a person like them survived it.”
Hudgins watched from the front of the room. They sat next to Sam Park, the Georgia House minority whip, a longtime mentor.
“I’m incredibly proud of Bella’s leadership and her courage for stepping up,” Park told Uncloseted Media and The 19th in an interview a few days later. “Bella is giving her voters, her fellow neighbors, an option, a real choice to say enough is enough.”
Rural Democrats are craving someone willing to fight for them, says Courtney Bruder, chair of the Democratic committee of Cherokee County, where Bautista’s district also touches. But complacency has gotten in the way, she says.
“It’s been difficult to try to get someone to be willing to fight for a seat that’s going to be hard,” she told Uncloseted Media and The 19th. “It’s been a slow change to get Democrats in this area to run.”
Bautista hasn’t felt supported by the Georgia Democrats, she says. She has allies in the statehouse and in others running for office, but she still feels like the subliminal message from the party is that she just isn’t electable. She feels like she isn’t taken seriously because she’s not white, doesn’t have wealthy donors and isn’t running in a safe district for Democrats.
Democrats in leadership say she’s changed the game, though, and see her candidacy as a sign of a changing tide in Georgia.
A blue wave may be brewing in the Peach State. Georgia saw record-breaking engagement in the primaries, and an NBC analysis found that Democrats turned out in unusually high numbers across the state. But in Bartow County, where Bautista lives, Democrats make up just one-third of the vote in the gubernatorial primary, according to data from the Georgia Secretary of State’s elections office.
Bautista is positioning herself as an anti-establishment candidate first, and a Democrat second, to appeal to people who aren’t engaged in politics, she says.
It may not be enough to win. But for the past 16 years in this district, no one was willing to step into the ring at all. She still sees victory in that, and in the ways her campaign has gotten neighbors to care about what’s happening in their backyard.
‘I’m going to be who I am’
If elected, Hudgins would become the state’s first nonbinary lawmaker. But they don’t care if voters understand their gender or use the correct pronouns; they just want voters to understand the issues.
“I realized if I led with my identity, it would distract people from understanding what I had to say,” Hudgins says.
One moment in particular on the campaign trail, at Israel Missionary Baptist Church in April, changed their perspective on this.
“The deacon lays his hands on me. He’s like, ‘God, help her, help this person, help him, just help them be victorious.’ I wanted to laugh, but then I was really touched. This guy I’ve never met before … was just trying to be respectful,” they say.
If they win, a whole new set of challenges awaits them at the Georgia statehouse. The dress code is gendered; men must wear a coat and tie, while women are allowed a more nebulous “dignified dress.” But it’s not just the clothes; they would be joining an institution built around a gender binary they don’t adhere to.
Lawmakers are used to referring to each other as “Mr.,” “Mrs.” or “Miss,” per the rules. Although there are more formal options that could allow for a loophole, those are gendered too — members may identify each other by the district “he or she” represents or by the city of “his or her” residence. The bathroom is its own ordeal: if there is a gender-neutral bathroom, Hudgins has yet to find it. As a gender nonconforming person, if Hudgins takes office, they would be walking into a system designed to exclude them. And there are fines associated with breaking these rules.
They are still weighing how to respond to it. They want to be taken seriously as a legislator and build relationships that move bills, but if they don’t stand up for themselves, it sends a poor message, they say.
“I have a pesky knack for maintaining who I am regardless of what the rules say,” they say with a laugh. “If we have a Democratic majority, we can change the rules. If there is a Republican majority, I’m going to be who I am and I’m going to dress how I think is appropriate. And their problems, we’ll address them as well.”
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