National
CPAC highlights GOP division on gay rights, marriage
‘A few in our movement just don’t like gay people’
Conservative pundits urged the GOP to evolve on the marriage issue at CPAC. (Washington Blade photo by Michael Key)
NATIONAL HARBOR, Md. — The message from Republicans on gay inclusion in the party was mixed as the Conservative Political Action Conference unfolded over the weekend. As one faction of the party was saying evolve or die, the other was saying there’s no need for change.
The push for Republicans to adopt a more inclusive tone was heard most distinctly during an unofficial event at CPAC titled, “A Rainbow on the Right: Growing the Coalition, Bringing Tolerance Out of the Closet.”
That panel concluded just hours before Sen. Rob Portman (R-Ohio) announced he supports marriage equality. But at the same time, leaders of the Republican Party — most prominently House Speaker John Boehner (R-Ohio) — continue to assert steadfast opposition to marriage equality.
Jimmy LaSalvia, executive director of the gay conservative group GOProud, was one of the lead speakers on the panel and advocated for a change in the conservative movement.
“In 2013, those who demonize gay people and oppose homosexuality are way out of the mainstream, because everyone has a gay person in their lives — and they know better,” LaSalvia said. “I believe that this issue contributes more to conservatives’ image problem than any other, because it’s an issue that cuts across all demographic groups. And it has to be addressed.”
LaSalvia, whose organization endorsed marriage equality in January, said the conservative movement has tolerated “anti-gay bigotry” for too long, but emphasized those who oppose same-sex marriage aren’t necessarily homophobes.
“Opposition to gay marriage isn’t, in and of itself, bigotry,” LaSalvia said. “There are, however, a few in our movement who just don’t like gay people, and in 2013 that’s just not OK in America anymore. Gay people are in every family, every circle of friends, and every community in the country now. Everybody knows a gay person.”
The panel, hosted by the Competitive Enterprise Institute, was an unofficial event that took place in the Gaylord National Hotel as CPAC was underway. GOProud, along with the John Birch Society, was barred in 2011 from sponsoring the annual conservative conference and hasn’t been allowed back since. While the American Conservative Union, which organizes CPAC, said the groups were barred because of “disrespectful behavior,” GOProud says they were barred from participating because it’s a gay organization.
On stage at CPAC, mention of marriage equality or other LGBT outreach was scant, although a few speakers brought up the issue. Most prominent was Sen. Marco Rubio, who said during his remarks on Thursday, “Just because I believe that states should have the right to define marriage in a traditional way does not make me a bigot.”
Former Florida Gov. Jeb Bush on Thursday as the keynote speaker of a dinner honoring former President Reagan also warned against an anti-gay image for the Republican Party.
“Way too many people believe Republicans are anti-immigrant, anti-woman, anti-science, anti-gay, anti-worker, and the list goes on and on and on,” Bush said. “Many voters are simply unwilling to choose our candidate — even though they share our core beliefs — because those voters feel unloved, unwanted and unwelcome in our party.”
Off stage came another announcement: Portman announced that he’s had “a change of heart” and came to support marriage equality after his son Will, a student at Yale University, came out as gay two years ago.
“One way to look at it is that gay couples’ desire to marry doesn’t amount to a threat but rather a tribute to marriage, and a potential source of renewed strength for the institution,” Portman wrote in an op-ed for the Columbus Dispatch.
While the panel took place before Portman’s announcement, a number of prominent conservative commentators on the CEI panel, who spoke before a packed audience, advocated for a similar evolution in the Republican Party on marriage equality.
Jennifer Rubin, a conservative blogger for the Washington Post, said outreach to the LGBT community would be akin to the Republican Party’s effort to reach out to Latinos by working on immigration reform.
“I suggest that in another generation, or a half generation, this argument is going to be gone,” Rubin said. “Virtually every state in the union will have voted by popular vote; some may choose not to, and they’re going to experience whatever social and economic consequences flow from that. But in 10 years or so, no one is going to be talking about this.”
Earlier this month, polling analysis was unveiled by the LGBT advocacy Freedom to Marry showing opposition to marriage equality rests within three groups: white evangelical Christians, older people and non-college educated white people. Another notable statistic: 51 percent of Republicans under the age of 30 support marriage equality.
That last statistic was a point that Liz Mair, president of the Arlington, Va., consulting firm Mair Strategies, drew upon as she advocated for greater Republican outreach.
“The way that we’re going to talk about these issues and in some cases, the stands that we take on them, is going to prove to be a problem,” Mair said. “There’s something that needs to be addressed here, and that needs to be addressed now.”
Margaret Hoover, a conservative CNN contributor, also warned that continued opposition to marriage equality will harm the conservative movement as younger voters grow older.
“The millennial generation, the 30 and unders, are simply not hearing conservatism because they’re tuning us out based on a certain set of issues,” Hoover said. “Winning the argument and showing that we’re an inclusive movement is critical to not turning them off to a whole other rainbow of our other ideas.”
One question that sparked discussion concerned whether government should get out of the institution of marriage altogether — for both same-sex and opposite-sex couples — and simply allow individuals to form contracts with whomever they choose. That view was espoused last week by Sen. Rand Paul (R-Ky.), who won the CPAC straw poll as the attendees’ preferred presidential candidate for 2016.
Mair explained that while many conservatives would like to see the government out of marriage, many aspects of government are involved in marriage, so support for marriage equality is the best option for libertarians.
“Unless you have a radical overhaul of the tax system, a radical overhaul of the entitlement system and, frankly, probably a radical overhaul of the immigration system, also, because that is going to affect certain same-sex couples, that’s not actually going to be a practical way of ensuring equality and rights,” Mair said.
Jonah Goldberg, editor-at-large for the National Review, said he agrees the Republican Party needs to work on greater inclusiveness toward LGBT people, but noted that work needs to be done to hold onto social conservatives within the movement.
“You’re going to have to show me who you’re going to replace the 20 to 30 million social conservatives and evangelicals who may leave the party if you completely abandon some of those issues,” Goldberg said. “So the trick is to explain to people on our side why this is the right position because if you do that, you’ll have a great moral victory, but you’ll lose even more elections. It makes a lot more sense to try to persuade the people who agree with you on 80 percent of the issues to stick with you, than to say, ‘Go to hell over this one issue!'”
And remarks from other prominent Republicans over the weekend demonstrate the view that marriage is one man, one woman is still held by leaders within the party.
Most prominent is Boehner, who said in an interview on ABC “This Week” airing on Sunday that he couldn’t imagine his views on marriage changing, even if — like Portman — a child came out to him as gay.
“I believe that marriage is the union of one man and one woman,” said Boehner said. “It’s what I grew up with. It’s what I believe. It’s what my church teaches me, and I can’t imagine that position would ever change.”
According to Roll Call, former Republican presidential candidate U.S. Sen. Rick Santorum under questioning at CPAC indicated he was unmoved when asked about Portman’s newfound support for marriage equality, saying, “Just because someone changes their mind doesn’t change things.”
Santorum reportedly added Republicans are confronting “very difficult facts” in their live, but if marriage were just about “two adults who love each other,” there’s no reason not to let “three or four people” marry. His remarks reportedly generated loud applause.
And on a CPAC panel on bullying faced by conservatives, titled “Stop THIS: Threats, Harassment, Intimidation, Slander & Bullying from the Obama administration,” Brian Brown, president of National Organization for Marriage, maintained opposition to marriage equality is a conservative principle.
“When you hear someone act as if standing up and believing for the truth about marriage is not a conservative principle is not the truth, refuse to back down, refuse to be cowed, do not accept the notion that this is an issue that somehow we can’t talk about or we can’t debate,” Brown said. “Don’t accept the idea that we need silence on this issue. What we need is people standing up more than ever for marriage is the union between a man and a woman. What we’ve seen in state-after-state is that when people do this, far from being a losing issue, it’s a winning issue.”
Federal Government
Holiday week brings setbacks for Trump-Vance trans agenda
Federal courts begin to deliver end-of-year responses to lawsuits involving federal transgender healthcare policy.
While many Americans took the week of Christmas to rest and relax, LGBTQ politics in the U.S. continued to shift. This week’s short recap of federal updates highlights two major blows to the Trump-Vance administration’s efforts to restrict gender-affirming care for minors.
19 states sue RFK Jr. to end gender-affirming care ban
New York Attorney General Letitia James announced on Tuesday that the NYAG’s office, along with 18 other states (and the District of Columbia), filed a lawsuit to stop U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. from restricting gender-affirming care for minors.
In the press release, Attorney General James stressed that the push by the Trump-Vance administration’s crusade against the transgender community — specifically transgender youth — is a “clear overreach by the federal government” and relies on conservative and medically unvalidated practices to “punish providers who adhere to well-established, evidence-based care” that support gender-affirming care.
“At the core of this so-called declaration are real people: young people who need care, parents trying to support their children, and doctors who are simply following the best medical evidence available,” said Attorney General James. “Secretary Kennedy cannot unilaterally change medical standards by posting a document online, and no one should lose access to medically necessary health care because their federal government tried to interfere in decisions that belong in doctors’ offices. My office will always stand up for New Yorkers’ health, dignity, and right to make medical decisions free from intimidation.”
The lawsuit is a direct response to HHS’ Dec. 18 announcement that it will pursue regulatory changes that would make gender-affirming health care for transgender children more difficult, if not impossible, to access. It would also restrict federal funding for any hospital that does not comply with the directive. KFF, an independent source for health policy research, polling, and journalism, found that in 2023 federal funding covered nearly 45% of total spending on hospital care in the U.S.
The HHS directive stems directly from President Donald Trump’s Jan. 28 Executive Order, Protecting Children From Chemical and Surgical Mutilation, which formally establishes U.S. opposition to gender-affirming care and pledges to end federal funding for such treatments.
The American Medical Association, the nation’s largest and most influential physician organization, has repeatedly opposed measures like the one pushed by President Trump’s administration that restrict access to trans health care.
“The AMA supports public and private health insurance coverage for treatment of gender dysphoria and opposes the denial of health insurance based on sexual orientation or gender identity,” a statement on the AMA’s website reads. “Improving access to gender-affirming care is an important means of improving health outcomes for the transgender population.”
The lawsuit also names Oregon, Washington, California, Colorado, Connecticut, Delaware, the District of Columbia, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, New Mexico, Pennsylvania, Rhode Island, Vermont, and Wisconsin as having joined New York in the push against restricting gender-affirming care.
At the HHS news conference last Thursday, Jim O’Neill, deputy secretary of the department, asserted, “Men are men. Men can never become women. Women are women. Women can never become men.”
DOJ stopped from gaining health care records of trans youth
U.S. District Judge Cathy Bissoon blocked an attempt by the Department of Justice (DOJ) to gain “personally identifiable information about those minor transgender patients” from the University of Pittsburgh Medical Center (UPMC), saying the DOJ’s efforts “fly in the face of the Supreme Court.”
Journalist Chris Geidner originally reported the news on Dec. 25, highlighting that the Western District of Pennsylvania judge’s decision is a major blow to the Trump-Vance administration’s agenda to curtail transgender rights.
“[T]his Court joins the others in finding that the government’s demand for deeply private and personal patient information carries more than a whiff of ill intent,” Bissoon wrote in her ruling. “This is apparent from its rhetoric.”
Bissoon cited the DOJ’s “incendiary characterization” of trans youth care on the DOJ website as proof, which calls the practice politically motivated rather than medically sound and seeks to “…mutilate children in the service of a warped ideology.” This is despite the fact that a majority of gender-affirming care has nothing to do with surgery.
In United States v. Skrmetti, the Supreme Court ruled along party lines that states — namely Tennessee — have the right to pass legislation that can prohibit certain medical treatments for transgender minors, saying the law is not subject to heightened scrutiny under the Equal Protection Clause of the Fourteenth Amendment because it does not involve suspect categories like race, national origin, alienage, and religion, which would require the government to show the law serves a compelling interest and is narrowly tailored, sending decision-making power back to the states.
“The government cannot pick and choose the aspects of Skrmetti to honor, and which to ignore,” Judge Bissoon added.
The government argued unsuccessfully that the parents of the children whose records would have been made available to the DOJ “lacked standing” because the subpoena was directed at UPMC and that they did not respond in a timely manner. Bissoon rejected the timeliness argument in particular as “disingenuous.”
Bissoon, who was nominated to the bench by then-President Obama, is at least the fourth judge to reject the DOJ’s attempted intrusion into the health care of trans youth according to Geidner.
A Wider Bridge on Friday announced it will shut down at the end of the month.
The group that “mobilizes the LGBTQ community to fight antisemitism and support Israel and its LGBTQ community” in a letter to supporters said financial challenges prompted the decision.
“After 15 years of building bridges between LGBTQ communities in North America and Israel, A Wider Bridge has made the difficult decision to wind down operations as of Dec. 31, 2025,” it reads.
“This decision comes after challenging financial realities despite our best efforts to secure sustainable funding. We deeply appreciate our supporters and partners who made this work possible.”
Arthur Slepian founded A Wider Bridge in 2010.
The organization in 2016 organized a reception at the National LGBTQ Task Force’s Creating Change Conference in Chicago that was to have featured to Israeli activists. More than 200 people who protested against A Wider Bridge forced the event’s cancellation.
A Wider Bridge in 2024 urged the Capital Pride Alliance and other Pride organizers to ensure Jewish people can safely participate in their events in response to an increase in antisemitic attacks after Hamas militants attacked Israel on Oct. 7, 2023.
The Jewish Telegraphic Agency reported authorities in Vermont late last year charged Ethan Felson, who was A Wider Bridge’s then-executive director, with lewd and lascivious conduct after alleged sexual misconduct against a museum employee. Rabbi Denise Eger succeeded Felson as A Wider Bridge’s interim executive director.
A Wider Bridge in June honored U.S. Rep. Debbie Wasserman Schultz (D-Fla.) at its Pride event that took place at the Capital Jewish Museum in D.C. The event took place 15 days after a gunman killed two Israeli Embassy employees — Yaron Lischinsky and Sarah Milgrim — as they were leaving an event at the museum.
“Though we are winding down, this is not a time to back down. We recognize the deep importance of our mission and work amid attacks on Jewish people and LGBTQ people – and LGBTQ Jews at the intersection,” said A Wider Bridge in its letter. “Our board members remain committed to showing up in their individual capacities to represent queer Jews across diverse spaces — and we know our partners and supporters will continue to do the same.”
Editor’s note: Washington Blade International News Editor Michael K. Lavers traveled to Israel and Palestine with A Wider Bridge in 2016.
The White House
‘Trump Rx’ plan includes sharp cuts to HIV drug prices
President made announcement on Friday
President Donald Trump met with leaders from some of the world’s largest pharmaceutical companies at the White House on Friday to announce his new “Trump Rx” plan and outline efforts to reduce medication costs for Americans.
During the roughly 47-minute meeting in the Roosevelt Room, Trump detailed his administration’s efforts to cut prescription drug prices and make medications more affordable for U.S. patients.
“Starting next year, American drug prices will come down fast, furious, and will soon be among the lowest in the developed world,” Trump said during the meeting. “For decades, Americans have been forced to pay the highest prices in the world for prescription drugs by far … We will get the lowest price of anyone in the world.”
Trump signed an executive order in May directing his administration “to do everything in its power to slash prescription drug prices for Americans while getting other countries to pay more.”
“This represents the greatest victory for patient affordability in the history of American health care, by far, and every single American will benefit,” he added.
Several pharmaceutical executives stood behind the president during the announcement, including Sanofi CEO Paul Hudson, Novartis CEO Vas Narasimhan, Genentech CEO Ashley Magargee, Boehringer Ingelheim (USA) CEO Jean-Michel Boers, Gilead Sciences CEO Dan O’Day, Bristol Myers Squibb General Counsel Cari Gallman, GSK CEO Emma Walmsley, Merck CEO Robert Davis, and Amgen Executive Vice President Peter Griffith.
Also in attendance were Health and Human Services Secretary Robert F. Kennedy Jr., Commerce Secretary Howard Lutnick, Centers for Medicare and Medicaid Services Administrator Mehmet Oz, and Food and Drug Administration Commissioner Marty Makary.
Under the Trump Rx plan, the administration outlined a series of proposed drug price changes across multiple companies and therapeutic areas. Among them were reductions for Amgen’s cholesterol-lowering drug repatha from $573 to $239; Bristol Myers Squibb’s HIV medication reyataz from $1,449 to $217; Boehringer Ingelheim’s type 2 diabetes medication jentadueto from $525 to $55; Genentech’s flu medication xofluza from $168 to $50; and Gilead Sciences’ hepatitis C medication epclusa from $24,920 to $2,425.
Additional reductions included several GSK inhalers — such as the asthma inhaler advair diskus 500/50, from $265 to $89 — Merck’s diabetes medication januvia from $330 to $100, Novartis’ multiple sclerosis medication mayzent from $9,987 to $1,137, and Sanofi’s blood thinner plavix from $756 to $16. Sanofi insulin products would also be capped at $35 per month’s supply.
These prices, however, would only be available to patients who purchase medications directly through TrumpRx. According to the program’s website, TrumpRx “connects patients directly with the best prices, increasing transparency, and cutting out costly third-party markups.”
Kennedy spoke after Trump, thanking the president for efforts to lower pharmaceutical costs in the U.S., where evidence has shown that drug prices — including both brand-name and generic medications — are nearly 2.78 times higher than prices in comparable countries. According to the Pharmaceutical Research and Manufacturers of America, roughly half of every dollar spent on brand-name drugs goes to entities that play no role in their research, development, or manufacturing.
“This is affordability in action,” Kennedy said. “We are reversing that trend and making sure that Americans can afford to get the life-saving solutions.”
Gilead CEO Dan O’Day also spoke about how the restructuring of drug costs under TrumpRx, combined with emerging technologies, could help reduce HIV transmission — a virus that, if untreated, can progress to AIDS. The LGBTQ community remains disproportionately affected by HIV.
“Thank you, Mr. President — you and the administration,” O’Day said. “I think this objective of achieving the commitment to affordability and future innovation is extraordinary … We just recently launched a new medicine that’s only given twice a year to prevent HIV, and we’re working with Secretary Kennedy and his entire team, as well as the State Department, as a part of your strategy to support ending the epidemic during your term.
“I’ve never been more optimistic about the innovation that exists across these companies and the impact this could have on America’s health and economy,” he added.
Trump interjected, asking, “And that’s working well with HIV?”
“Yes,” O’Day replied.
“It’s a big event,” Trump said.
“It literally prevents HIV almost 100 percent given twice a year,” O’Day responded.
A similar anti-HIV medication is currently prescribed more than injectable form mentioned by O’Day. PrEP, is a medication regimen proven to significantly reduce HIV infection rates for people at high risk. Without insurance, brand-name Truvada can cost roughly $2,000 per month, while a generic version costs about $60 per month.
Even when medication prices are reduced, PrEP access carries additional costs, including clinic and laboratory fees, office visits, required HIV and sexually transmitted infection testing, adherence services and counseling, and outreach to potentially eligible patients and providers.
According to a 2022 study, the annual total cost per person for PrEP — including medication and required clinical and laboratory monitoring — is approximately $12,000 to $13,000 per year.
The TrumpRx federal platform website is now live at TrumpRx.gov, but the program is not slated to begin offering reduced drug prices until January.
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