Local
Bill Clinton, Pelosi bring AIDS conference to a close
Former president seeks universal access to treatment for people with HIV
Former President Bill Clinton on Friday called for a more effective use of resources in the fight against HIV/AIDS.
“We need a new level of openness about how every last dollar is spent by countries, by governments, by NGOs,” he said during the International AIDS Conference’s closing session at the Walter E. Washington Convention Center.
The Clinton Health Access Initiative through the former president’s foundation in 2010 announced a partnership with the South African government to expand access to HIV testing and antiretroviral treatment. More than 400,000 additional South Africans with HIV had received these drugs within a year of the program’s inception. Clinton further pointed out that the initiative has saved the country roughly $700 million over the last two years.
A CHAI and Center for Global Development study of more than 100 health facilities in Ethiopia, Malawi, Rwanda and Zambia in 2011 found it cost an average of $200 — $682 annually in South Africa because of higher health and labor costs — a year to treat a person with HIV. A President’s Emergency Plan for AIDS Relief analysis that was released during the 2010 International AIDS Conference in Vienna placed this figure at $880 a year.
The World Health Organization estimated that 5.2 million of the 15 million people with HIV globally received treatment at the end of 2009. “There is no excuse for failing to provide treatment for the remaining 10 million people in need,” said Clinton, referring to the goal of universal access by 2015.
The international HIV/AIDS community also seeks to virtually eliminate mother-to-child transmissions — Secretary of State Hillary Clinton on Monday announced that the U.S. government would pledge an additional $80 million to achieve this benchmark as part of a broader $157 million pledge towards what she described as an AIDS-free generation. They have also pledged to reduce new HIV infection rates by 50 percent over the next three years.
The former president acknowledged that the global financial crisis has adversely affected the amount of money that donor countries can give — although he noted that the United Kingdom and Ireland are among those that continue to contribute inspire of austerity measures. He further pointed to the Bill and Melinda Gates Foundation and other private foundations and donors that have increased their support of global HIV/AIDS efforts in recent years.
“There’s an enormous amount of private money being raised and spent and there will be more,” said Clinton. “Governments, even in this difficult time, I believe will do more if we prove we’re maximizing the amount of money they have given.”
The former president noted only slightly more than a quarter of the 1.2 million Americans living with HIV “are getting optimum care.” He further cited statistics that new infection rates among young gay men — and particularly among black men under 30 who have sex with men continue to rise. Clinton also spoke about the epidemic’s continued impact on Latinos, Native Americans, Asians and Pacific Islanders.
“Many of them feel that because of the overall progress made in the fight against AIDS, they’re just going to be left out and left behind,” he said.
Clinton also applauded D.C. for efforts to fight HIV. These include the distribution of more than five million male and female condoms last year and a 72 percent decrease in HIV rates among intravenous drug users between 2007 and 2010. Mayor Vincent Gray reiterated at the AIDS Memorial Quilt on the National Mall on Sunday that no baby has been born with HIV in the city since 2009.
“In this city, government and community leadership has been reinvigorated,” said Clinton. “They are making a different.”
Pelosi: We have an obligation to continue HIV/AIDS fight
In a separate speech, House Minority Leader Nancy Pelosi (D-Calif.) recalled the epidemic’s early impact in San Francisco.
“It was 31 years ago when we first heard in our community that doctors at UCSF (University of California-San Francisco) were seeing unlike anything they’d seen before, symptoms that harkened back to the Middle Ages,” she said. “Many of you could tell this same story. Quickly, AIDS began to take a terrible toll. Soon, we were going to as many as two funerals a day. Quickly we know that this was an emergency and that we had to pull out all the stops.”
Pelosi’s first speech in Congress after she arrived on Capitol Hill in 1987 was about AIDS. She said that some of her fellow lawmakers questioned why she decided to speak about the issue.
“I said: ‘I said it because that’s what I came here to do,’” recalled Pelosi. “But recognize that was the sign of the times in Washington, D.C.”
She said she and other San Franciscans saw themselves at the center of the epidemic.
“We were ground zero, as we saw it, of the AIDS assault — on our health, on our economy and on our community; on the lives of our dear friends,” said Pelosi, who later sewed a patch on the AIDS Memorial Quilt in memory of the flower girl at her wedding who lost her battle to the disease. “With death, denial, and discrimination against those with the disease, AIDS was not only a challenge to our scientific and medical professionals; it was a challenge to the conscience of all of us and it remains so to this day. We knew we had to organize, not just agonize — and organize, not agonize, and organize not agonize we did.”
She specifically cited California Congressman Henry Waxman and the late-Massachusetts Sen. Ted Kennedy for their efforts to secure passage of the Ryan White Care Act in 1990. Pelosi praised Clinton and former President George W. Bush for their commitment to the fight against the global AIDS epidemic. And she applauded President Obama for both signing the health care reform bill and repealing the travel ban for people with the virus.
“On the brink of the AIDS-free generation, we must carry on with determination, hope, and courage,” said Pelosi. “Courage is one of the defining qualities that we always must bring to this. In doing so, we will succeed in turning the tide together. Thank all of you, to every one of you for your leadership, your activism, for your commitment to ending HIV/AIDS once and for all.”

House Minority Leader Nancy Pelosi (D-Calif.) speaks at the International AIDS Conference (Blade photo by Michael Key)
District of Columbia
How Pepper the courthouse dog helps victims of abuse
Reshaping how the legal system balances compassion with procedure
Deborah Kelly’s blind husband, Alton, was dragged for blocks to his death by a hit-and-run driver who had already plowed into her on Alabama Ave., S.E., in June 2024.
But her trauma had only just begun. It took 10 months before the driver, Kenneth Trice, Jr., was arrested, and another six months before he was sentenced to just six months behind bars.
As she heaved and sobbed in the courtroom in November, Kelly had a steady four-legged presence by her side: Pepper the Courthouse Dog, as the black Labrador retriever is known in D.C. Superior Court.
Abby Stavitsky, a former federal prosecutor who now serves as a victims’ advocate, is the owner and handler of nine-year-old Pepper. She says that one of the things that has made Pepper such a great asset in the court in the past six years is the emotional support and comfort she provides to victims.
“She absorbs all of the feelings and the emotions around her, but she’s very good at handling it,” Stavitsky said.
Pepper and Stavitsky started working in Magistrate Judge Mary Grace Rook’s courtroom — and now works in Magistrate Judge Janet Albert’s — to provide support for youth who suffer trauma, especially young survivors of commercial sexual exploitation.
These specially trained dogs offer emotional support to trauma victims of all ages. Courthouse dogs can reduce victims’ and witnesses’ anxiety and stress, making it easier for them to provide clear statements in the courtroom, according to a 2019 report in the Criminal Justice Review.
“Having something to pet and interact with is a distraction that results in victims being calmer when testifying in court,” says Stavitsky. “This gives them an extra level of comfort.”
What brought Stavitsky and Pepper together
Stavitsky, who spent 25 years as an assistant U.S attorney, handled a lot of victim-based crimes, mostly domestic violence and sex offenses. She was also a dog lover, and once she learned about courthouse dogs and their use, she was inspired.
In 2019, Pepper was given to Stavitsky by a Massachusetts-based organization, NEADS, formerly known as the National Education for Assistance Dog Services. Although Pepper was originally trained to be a service dog, evaluators determined her character was best suited for a courthouse dog.
Pepper now works regularly in various treatment court cases involving juveniles, many of whom have experienced trauma or are involved in the child welfare system. She also sits with victims while they are testifying in a trial.
“She loves people, especially children,” Stavitsky said. “She loves that interaction.”
Courthouse dogs have a long history
In courthouses across the U.S. specially trained “facility dogs” are becoming an important part of how the justice system supports vulnerable victims and witnesses.
Since the late 1980s, these dogs were used to help trauma survivors and anxious children during testimonies and interviews. The first dog to make an appearance in a courtroom was Sheba, a German shepherd who assisted child sexual abuse victims in the Queens (N.Y.) District Attorney’s Office. Courthouse dogs help them communicate more clearly, especially in these settings that make them anxious and stressed.
Unlike service dogs, courthouse facility dogs are professionally trained through accredited assistance dog organizations and work daily alongside prosecutors, victim advocates, and forensic interviewers. For example, courthouse dogs can have more social interaction, unlike service dogs.
Courthouse dogs’ growing use has prompted state laws and professional guidelines to recognize the dogs as a trauma-informed tool that helps victims participate in the justice process without compromising courtroom fairness.
As more jurisdictions adopt these programs, courthouse dogs are reshaping how the legal system balances compassion with procedure, ensuring that victims’ voices can be heard in environments that might otherwise silence them.
Pepper makes it easy to see why.
“I really love people, especially kids, and can provide emotional support and comfort during all stages of the court process,” reads the business card Stavitsky hands out with Pepper’s picture. “I’m calm, quiet and can stay in place for several hours.”
(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)
Rehoboth Beach
Women’s FEST returns to Rehoboth Beach next week
Golf tournament, mini-concerts, meetups planned for silver anniversary festival
Women’s+ FEST 2026 will begin on Thursday, April 9 at CAMP Rehoboth Community Center.
The festival will celebrate a remarkable milestone in 2026: its silver anniversary. For 25 years, Women’s+ FEST has brought fun and entertainment for all those on the spectrum of the feminine spirit. There will be a variety of events including a golf tournament, mini-concerts and happy hour meetups.
For more information, visit Camp Rehoboth’s website.
District of Columbia
How new barriers to health care coverage are hitting D.C.
Federally qualified health centers bracing for influx of newly uninsured patients
Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands.
Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges.
Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects.
The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31.
Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying.
“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”
Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance.
“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.
Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.
“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says.
The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.
Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.
“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”
Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.
“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said.
(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)
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