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Cruel court decision makes it harder to prevent AIDS

Disease gets a boost from federal judge in Texas

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Just as the disease was on a glide path to extinction thanks to new drugs, HIV/AIDS got a boost from a federal court in Texas.

On Sept. 7, U.S. District Judge Reed O’Connor ruled that the government can’t require an employer-sponsored health care plan to cover a therapy that prevents the spread of a disease that has already killed more than 700,000 Americans. The decision in Braidwood Management Inc. v. Becerra is not just poorly argued; it is flat-out cruel.

Perhaps the best feature of the Affordable Care Act (ACA) of 2010, nicknamed Obamacare, was a requirement that insurance offer coverage of specified preventive care procedures and therapies, such as colon cancer screening and influenza immunizations.

In June 2019, the U.S. Preventive Services Task Force, an advisory panel of experts, issued a “Grade A” recommendation for pre-exposure prophylaxis, or PrEP, a medicine that is 99% effective in preventing HIV transmission during sex. The first PrEP drug, Truvada, had been approved seven years earlier by the Food & Drug Administration. On Jan. 1, 2021, the federal government required plans to cover PrEP with no copay, coinsurance, or deductible.

Even before the mandate, the Centers for Disease Control and Prevention (CDC) credited PrEP with helping reduce new HIV infections in the U.S. by 8% between 2015 and 2019 “after a period of general stability.” The CDC now calls PrEP “a key prevention strategy for ending the HIV epidemic in the U.S.,” a goal for 2030 set by both the Trump and Biden administrations.

The way to end AIDS once and for all is to get PrEP to those who need it most. Researchers are developing intravaginal rings, implants, antibodies, and long-lasting injectables. Although PrEP use has risen by a factor of eight in just five years, three-quarters of those most at risk are not using the therapy.

The success of the lawsuit by a group of self-described Christian business owners and employees will make access even more difficult. The plaintiffs argued that the preventive care mandate for PrEP violated their constitutional right to religious freedom. In the complaint, Dr. Steven Hotze said that he was unwilling to pay for a health plan covering PrEP “because these drugs facilitate or encourage homosexual behavior, which is contrary to [his] sincere religious beliefs.”

Hotze, whose vitamin company ran afoul of the FDA for COVID-19 claims, was indicted in April on aggravated assault charges involving a bizarre search for ballots after the 2020 election.

In the PrEP case, Hotze’s objection went beyond gay sex. He complained that providing coverage of the drugs facilitates and encourages “sexual activity outside of marriage between one man and one woman” as well as illegal drug use.

Judge O’Connor agreed. He went even further, ruling that members of the Preventive Services Task Force were “unconstitutionally appointed.”

In a previous case, O’Connor had ruled that the entire ACA was unconstitutional, but the Supreme Court reversed that decision last year. The current ruling draws on the Religious Freedom Restoration Act (RFRA) of 1993, which was enacted by Congress after the Supreme Court ruled in Employment Division v. Smith that the protection of the free exercise of religion in the First Amendment does not entitle anyone to a religion-based exception from a general law.

In recent years, writes Michael Dorf of the Cornell University Law School, “conservative Christians have increasingly relied on [RFRA] to obtain exceptions from laws involving insurance coverage for contraception and abortion.”

For example, in Burwell v. Hobby Lobby, a 2014 case, the Supreme Court held that a company owned by religious Christians could be excused from an obligation to pay for health insurance that covered “forms of contraception that the owners regarded as tantamount to abortion.”

But the ruling in the Braidwood case is far more sweeping. The Hobby Lobby plaintiffs considered abortion itself immoral. In this case, it’s not PrEP that Braidwood considers immoral; it’s certain kinds of sexual activities. By substantially lowering the risk of contracting HIV/AIDS, this twisted logic goes, PrEP is a facilitator of what Hotze considers immoral. And by offering insurance that covers PrEP, Braidwood says it becomes complicit.

There is a serious cost to this attenuated argument. By decreasing access to PrEP, people will needlessly become ill and, in some cases, die. The economy will also be burdened with the cost of treating a disease that can be prevented.

Modern science has developed therapies that are ending the spread of a dangerous, mortal virus. Easing access to these medicines is clearly a legitimate function of government — undoubtedly, a compelling interest. What can be more selfish and foolish than to erect needless obstacles for those who want to protect themselves and people around them?

James K. Glassman, a former Under Secretary of State in the George W. Bush administration, is an adviser to health care companies and non-profits.

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Corporate LGBTQ Pride 2026 on life support

A rainbow washout as marketing dollars disappear

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(Photo by insidestudio/Bigstock)

Terrified of becoming targets of right wing media and activists, businesses and brands are fleeing Pride support in 2026. The fear of boycotts and retribution have seen Pride sponsorships plummet to previously unseen levels. Further, there is now a complete corporate reevaluation of marketing and advertising activities in the LGBTQ consumer sector writ large. 

No more rainbow washing. For the past 30 years, corporations have literally wrapped their brands in rainbow colored monikers during the month of June. This practice, know as “rainbow washing,” sought to ingratiate companies with the over $1 trillion LGBTQ consumer segment. From rainbow filled Oreos to rainbow wrapped Burger King Whoppers, brands actively engaged in developing relationships with this coveted consumer. Now, it’s considered taboo. 

No more multi-million dollar beer sponsorships in the aftermath of the Bud Light disaster. For the first time since the over 100 Pride festivals accepted marketing opportunities, major brands including Bud Light, Miller and Corona have decided that reputational risk, boycotts and the like are more dangerous than the commercial reward. Their non-participation and the significance of this loss cannot be overstated. 

When right-wing bloviators co-opted the meaning of the word woke, they turned a positive definition into a pejorative. Now, corporations and brands are petrified of being labeled as woke, and in turn, are curtailing marketing outreach to niche consumer segments, LGBTQ included.

Anti-woke legislation has now appeared in a multitude of states, primarily around transgender issues. Bathroom bills, as they are known, are ubiquitous. Boys playing in girls sports,is portrayed as a national emergency.  These issues are a constant presence on social media as well as at every level of government, and have had a major impact on LGBTQ-related corporate activities.

But perhaps most devastating, is the federal government effort to enact elements of the right-wing’s Project 2025 agenda, seeking to eradicate DEI at every level. Companies, universities, and nearly all institutions that previously championed diversity, equity, and inclusion, have rapidly and radically disbanded and defunded all DEI efforts and activities within their organizations. Discontinuing supplier diversity initiatives, defunding support for internal ERG’s (employee resource groups), and decamping from participation in HRC’s (Human Rights Campaign) Equality Index. Importantly, this index is considered  the gold standard for corporate DEI evaluation, and its repudiation is having a profound effect on corporate behavior.  

DEI is now in the ICU on life support, with little chance of resuscitation. Companies that once embraced DEI have retreated in fear, in spite of critical positive facts. In 2023, McKinsey and Company, no bastion of liberalism stated, “that for five years, our research has shown a positive, statistically significant correlation between company financial outperformance and diversity, on the dimensions of both gender and ethnicity.”

What happens next is unknown. We have entered uncharted territory where the confluence of so many factors is having negative effects. June 2026 has seen many companies severely curtail or fully exit partnerships with Pride organizations and LGBTQ marketing programs in general, citing among other things, economic concerns. However, no company can honestly deny that overall fear and the increasingly hostile climate for DEI and LGBTQ issues have prompted brands to rethink their overall support and initiatives. This, despite pressure from stakeholders and shareholders, and vital employee recruitment and retention efforts. 

Political winds have outcomes. It would be naïve to think that there might be an immediate rethinking should the Congress or presidency change parties. Business cycles, though more agile than government, take longer to work through. Years, not months. So just as quickly as “rainbow washing” has come to a precipitous end, so too is the arrival and reckoning with the blistering Rainbow Washout.


Andrew A. Isen is the founder and president of WinMark Concepts, a D.C.-based marketing and communications firm. For 35 years, WinMark has been advising companies and brands on defining and developing effective LGBTQ business strategies. 

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Cowardly corporations abandon LGBTQ America

Execs are hiding in the closet this Pride season. Should we ever welcome them back?

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(Photo by Meni Photos/Bigstock)

I had a thought provoking conversation with Billy Porter over Memorial Day weekend. The talented and opinionated star asked me how things were going at the Blade and in D.C. given the current administration in the White House.

It was a loaded question. The short answer is that things in D.C. are pretty terrible these days — the economy is down, inflation and gas prices are up; small businesses and non-profits are struggling amid widespread government funding cuts; and, yes, media outlets large and small are also feeling the pinch. Even the aesthetics of our once beautiful city are suffering (see the White House lawn).

For queer-identified businesses, the news is worse, as major corporations across the country have reduced or eliminated support for anything deemed “DEI,” which includes LGBTQ causes and support for Pride celebrations. 

When I explained all of this to Porter, he replied with a quick and definitive comment that has left me thinking for weeks: “And when the pendulum swings back, don’t let those companies back in. Ever.”

There are certainly some big companies that continue to live their values and stand by the LGBTQ community — Absolut, Marriott, Walmart, Coca-Cola. But so many others have abandoned us at a challenging time — Target, Bud Light (and most beer brands), PepsiCo, Accenture, among a long list.

There’s a lot of cynicism about so-called “rainbow capitalism,” or the practice of companies profiting off of the LGBTQ community especially during Pride month. We’ve seen all sorts of silly pandering in recent years — rainbow Oreos and Doritos come to mind.

But corporate America has frequently been called upon to play an important role in advancing equality. From implementing inclusive and affirming hiring and workplace practices (especially in places lacking legal protections) to using their influence to advance public policy, our corporate allies have helped us in myriad ways. To suggest we don’t need them ignores the many accomplishments corporate leaders have made on our behalf. They stepped up to fight bathroom bills in North Carolina and they successfully blunted Mike Pence’s notorious “license to discriminate” law in Indiana.

That was then. Fast forward to 2026 and under pressure from the corrupt Trump administration, our former corporate allies have run for cover. They are cowards. Their cynical abandonment of the LGBTQ community has grave consequences. New York City Pride ran $800,000 short last year after major sponsors like Mastercard and Nissan pulled out, according to a recent report in the Wall Street Journal. San Francisco Pride fell $300,000 in debt last year when Anheuser-Busch and others pulled out, the Journal noted. Phoenix Pride has filed for bankruptcy. There will be many other casualties. 

The topic of how to respond if and when the pendulum swings back is a popular one right now in the LGBTQ movement. Do we replace corporate sponsorship dollars with grants and individual donations? That’s easier said than done. Do we take their money and forgive these transgressions? Or do we follow Porter’s advice and tell them to fuck off? 

Nonprofits, Pride organizations, and queer media outlets like the Blade have some thinking to do about this. No one is in business to turn away sponsors and ad dollars. But we have a responsibility to our customers, readers, and community to operate ethically. An ad in the Blade carries a lot more subtext and meaning than an ad in the Washington Post. 

To those companies and executives hiding in the closet this Pride season: Shame on you. To the companies standing with us: Our sincere gratitude. Our community’s memory is long and we will not forget those who resisted Trump’s anti-DEI crusade to stand on the right side of history.


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

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Confronting homophobia at school

Queer students should feel comfortable and safe in the classroom

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(Screen capture via DC News Now/YouTube)

A couple weeks ago, I was walking into my school’s cafeteria, about to get lunch. As I navigated around groups of students, I heard a student shouting “ fa**ot!” over and over again at one of his friends, as some kind of joke or playful insult. How do I know it was a joke? Because I’ve seen countless amounts of people at my school call each other this slur, or other homophobic language while bantering with their friends. The prevalence of homophobia in my school, even if it’s not directed at queer people, is troubling.

As an openly queer student, I’ve experienced homophobia in school since middle school. During middle school, I was teased, bullied, and ostracized just because I tried to live as my authentic self. My classmates knowingly asked me uncomfortable and invasive questions about my sexuality, and I was called all types of dehumanizing names. The bullying was so bad that I would frequently isolate myself during school, just so I could get a break from all of the harassment I went through. I felt like I was an outcast, so I’d constantly hide myself behind books or my computer. I started to develop depressive and suicidal thoughts, and every day I had to go to school was a nightmare for me. 

When I eventually graduated middle school and started high school, I was elated to discover that there were many more queer students at my school, some of whom I’d eventually get to know and become friends with. However, the homophobia I faced did not go away, but instead took a new form. Instead of hearing homophobic slurs directed at me, they’re now used as if they were another insult, like “stupid” or “idiot,” despite the fact that they carry much more weight. I still have to face the effects of the normalization of homophobia and homophobic language in schools, and it isn’t just my school that has this problem.

According to the District of Columbia Public Schools Panorama Survey, only 45 percent of gay and lesbian students, 37 percent of bisexual students, and 39 percent of transgender or nonbinary students in DCPS schools say that students in their school show them respect. Across the entire district, over half of LGBTQ students feel as if they are not respected in school which is both heartbreaking, yet not surprising to see as a queer student myself. And this is a consistent trend across all of America. According to Glisten’s 2025 National School Climate Survey, which polls LGBTQ youth about their school climate, two-thirds of LGBTQ students said they felt unsafe at school due to their sexual orientation or gender identity. In addition, 63 percent of students reported hearing homophobic remarks from peers, and 62 percent and 68 percent of participants experienced harassment or assault based on sexual orientation or gender identity respectively. 

School should be a place where queer students should feel comfortable and safe, a place where they can learn and prosper. Instead, so many are mistreated and abused, and feel as if they’re an outsider in their own community. Teachers and administrators should be striving to create a LGBTQ+ friendly space where all kinds of students can work toward their goals in an environment where they feel accepted and loved. 

(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. Quinn McPherson is a rising sophomore at Benjamin Banneker Academic High School, one of Youthcast Media Group’s journalism class partners. YMG founder, former USA Today health policy reporter Jayne O’Donnell, contributed to this report.)

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