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EXCLUSIVE: Pelosi reflects on long career, LGBTQ advocacy

Former Speaker credits activists who fought for AIDS funding, marriage equality

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Rep. Nancy Pelosi (D-Calif.) (Photo courtesy of the Office of Nancy Pelosi)

Rep. Nancy Pelosi (D-Calif.) sat down with the Washington Blade in her office Tuesday evening for an exclusive interview just weeks after formally stepping down from leadership, having led her party in the House for 20 years, including as Speaker. 

Pelosi reflected on the role she has played in landmark legislative achievements, including milestones in the fight for LGBTQ rights. She also addressed some current events that have earned significant attention from political observers and the beltway press. 

So much of the historic progress over the past few decades in advancements toward the legal, social, and political equality of LGBTQ Americans, including those living with HIV/AIDS, was facilitated directly or otherwise supported by Pelosi’s leadership in Congress, but she was quick to credit the tireless work of individual activists and LGBTQ, civil rights, and HIV/AIDS advocacy groups.

“I attribute the success with [fighting] HIV/AIDS and everything that came after,” from legislation on hate crimes to marriage equality, “to the outside mobilization” of these activists and organizations, she told the Blade.

Despite positioning herself as an advocate for LGBTQ rights well before that position was popular, Pelosi said she is unaware of any instances where she may have suffered political consequences as a result. Regardless, she said, “I don’t care.”  

The more she has been criticized for championing LGBTQ rights in Congress, “the more proud I am” of that work, Pelosi added. 

Pelosi has always been a strident LGBTQ ally, guided by her commitment to justice, love, and fairness as ordained by the teachings of her Catholic faith. These ideals are in perfect alignment, she said, as opposed to the position held by many opponents of LGBTQ rights who nevertheless claim to believe we are all created in God’s image. 

During an interview with Larry King, when serving as the San Francisco Democratic National Convention host committee chairwoman in 1984, Pelosi said the late television host remarked: “I just don’t understand how a Catholic girl who grew up in Baltimore, Maryland is such a champion for gay rights.”

“You’ve answered your own question,” Pelosi told him, referring to his mention of her Catholicism. “It is our faith that tells us that we’re all God’s children, and we must respect the dignity and worth of every person.”

Pelosi’s time in Congress began with the AIDS crisis, and she has kept up the fight ever since 

After committing herself and the Congress to the fight against HIV/AIDS during her first speech from the floor of the House in 1987, Pelosi said some of her colleagues asked whether she thought it wise for her feelings on the subject to be “the first thing that people know about you” as a newly elected member.

They questioned her decision not because they harbored any stigma, but rather for concern over how “others might view my service here,” Pelosi said. The battle against HIV/AIDS, she told them, “is why I came here.”

“It was every single day,” she said. 

Alongside the “big money for research, treatment, and prevention” were other significant legislative accomplishments, such as “when we] were able to get Medicaid to treat HIV [patients] as Medicaid-eligible” rather than requiring them to wait until their disease had progressed to full-blown AIDS to qualify for coverage, said Pelosi, who authored the legislation.

“That was a very big deal for two reasons,” she said. First, because it saved lives by allowing low-income Americans living with HIV to begin treatment before the condition becomes life-threatening, and second, because “it was the recognition that we had this responsibility to intervene early.”

Other milestones in which Pelosi had a hand include the Housing Opportunities for People with AIDS program, President Bush’s PEPFAR (President’s Emergency Plan For AIDS Relief) initiative, the Affordable Care Act (which contains significant benefits for Americans living with HIV/AIDS), and funding for the Ending the Epidemic initiative. 

The last appropriations bill passed under Pelosi’s tenure as Democratic leader in December contained an additional $100 million boost to HIV/AIDS programs. 

These and other hard-won victories over the years – from the biomedical progress made possible by investment in research to foreign aid packages that have saved countless lives overseas – have often come despite staunch opposition from lawmakers, particularly congressional Republicans.

For instance, the late former Sen. Jesse Helms of North Carolina opposed federal funding for HIV/AIDS research because he considered it tantamount to the government’s endorsement of “the homosexual lifestyle” responsible for the spread of the disease in the U.S.

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Rep. Nancy Pelosi speaks at the NGLCC National Dinner in 2018. (Blade photo by Michael Key)

Asked how she might compare anti-LGBTQ members like Helms with whom she worked in the past to those serving today, Pelosi said the most salient difference is the homophobic and transphobic attitudes among lawmakers in previous decades were in many cases borne out of ignorance. 

Pelosi said that while the prejudice was “horrible [back] then” and she was “impatient” with lawmakers in the House who exhibited attitudes similar to those expressed by Helms, at that time people who held those views were often “just not up to date on what was happening in the world.” 

(Pelosi noted that, for his part, Helms seemed to soften his stance on matters concerning HIV/AIDS. She suspects U2 frontman Bono may have successfully appealed to Helms as a parent, but “I don’t know exactly.”)

By contrast, today’s lawmakers, like the overwhelming majority of Americans, “must have a growing awareness of [LGBTQ] people in their own communities, maybe in their own families,” Pelosi said. “They’re really in a different world,” which means, they “have made a decision that they’re going to be anti-LGBTQ,” she said, adding that hate and prejudice today is most often directed at the trans community. “It’s completely unacceptable.” 

Asked to share her thoughts on the many scandals that have unfolded over the past couple of months concerning gay freshman GOP Rep. George Santos of New York, Pelosi pointed out that while the congressman has dominated headlines recently, other members of the House Republican caucus who have weaponized homophobia and transphobia to a far greater extent than he are much more dangerous. 

But first, Pelosi said that House Democrats would never do what the Republican leadership has done by tolerating the embattled freshman congressman to protect their slim majority control of the chamber.

Santos is “almost a joke; he’s become a punch line,” Pelosi said. “He’s outrageous, and there’s no way he should be allowed to serve” given the extent to which the congressman has failed to exhibit the “dignity” required of members who are privileged to serve in the House of Representatives.

At the same time, “there are people over there who are more seriously dangerous to the freedoms in our country than him” Pelosi said. She pointed to the hate mongering and fear mongering in which many of Santos’s Republican colleagues have engaged, including “the things that that they say about trans families and, just, the injustice of it all.” 

Rep. Nancy Pelosi visits the site of the Pulse massacre in 2016.

The aim of these far-right lawmakers extends far beyond undermining the rights of LGBTQ people, of course. Pelosi noted that, “you have to remember, with all of these things, whether we’re talking about women’s right to choose – we’ve always expanded freedoms. And now with this Supreme Court, they’re narrowing freedoms with women’s right to choose” by the revocation of constitutional protections for abortion via last year’s ruling in Dobbs v. Jackson Women’s Health Organization. 

Breaking the ‘marble ceiling’

Rep. Nancy Pelosi is presented with a rainbow-jeweled gavel at an LGBTQ staffer event on Capitol Hill in 2012. (Washington Blade photo by Michael Key)

During a lecture last year hosted at the University of California, Berkeley, Barbara Boxer, who formerly represented California in the House and then in the Senate, commented on the historic significance of Pelosi’s election to become the first woman Speaker of the House of Representatives in 2006. “The fact that a woman could get into the leadership like this, to win the trust of all these men, it’s more extraordinary than you can imagine,” Boxer said. 

Boxer has also been a trailblazer for women in politics. She was the first woman to chair the Marin County Board of Supervisors, and after her election to serve in the upper chamber alongside California’s senior Sen. Dianne Feinstein, the two became the first pair of women to represent any state in the U.S. Senate.

Asked how she managed to secure the votes from, particularly, the older men in her caucus without compromising her values, Pelosi told the Blade, “I just did what I believed” rather than coming to Congress to “change other people’s behavior.” 

She said that many of her male colleagues “had to get over their own negative attitudes” concerning the prospect of electing a woman to lead their party in the House, but “I wasn’t going to wait until then.”

At the same time, Pelosi acknowledged that “it took courage to vote for a woman as speaker,” noting that when she was sworn in back in 2007, she took the opportunity to thank the men who had supported her speakership. (She was elected unanimously on the first ballot.)

Pelosi said that prior to her speakership, she had always believed that the prospect of Americans electing a woman president was likelier to happen in her lifetime than members of Congress – who tend to be older men – voting for a woman speaker.

“I thought the American people were more ready than the Congress” to break the “marble ceiling,” she said. 

Considering the parallel special counsel investigations into alleged mishandling of classified documents by President Joe Biden and former President Donald Trump, Pelosi has perhaps unwittingly strengthened the case for America to elect a woman president by virtue of her unblemished record as a steward of sensitive, top-secret information. 

“I have 30 years of experience in intelligence. I have been on the [House Intelligence] Committee, the top Democrat on the Committee, ex officio on the Committee, a speaker and [Democratic] leader [in the House],” Pelosi said. 

She distinguished the rules by which she and other members of Congress are governed, which prohibit the removal or relocation of classified documents, from the policies that the Commander in Chief must follow, which are comparably more permissive. 

Regardless, Pelosi said, “the documents are to be respected,” along with the rules and procedures for how they should be handled. 

There are also important distinctions to note between the allegations against Trump and Biden, Pelosi said. “When you see the former president obstructing access to the documents, and you see this president saying, ‘I’ve instructed my lawyers to look for whatever is there and make them available to the Justice Department,’ that’s two different things,” she said. 

Additionally, Pelosi said, from the information that has been made available so far, it seems that Trump was in possession of a greater volume of documents whose contents were more sensitive than those at issue in Biden’s case. 

Pelosi’s LGBTQ fans celebrate her accomplishments 

Rep. Nancy Pelosi hugs activist Mike Almy at the certification of ‘Don’t Ask, Don’t Tell’ repeal in the U.S. House on Dec. 21, 2010. (Washington Blade photo by Michael Key)

In November, the Human Rights Campaign, America’s largest LGBTQ advocacy organization, issued a statement following Pelosi’s announcement of her plans to step down from Democratic leadership but continue to represent her constituents in California’s 11th Congressional District in the House. 

“Speaker Pelosi has been the tip of the spear on watershed advancements for the LGBTQ+ community,” HRC President Kelley Robinson said in a statement, pointing to her 1987 speech on the AIDS crisis and “forceful advocacy for marriage equality long before its mainstream popularity,” both before she was elected as speaker. 

The Clinton-era Defense of Marriage Act, which banned federal recognition of same-sex marriages, was signed into law in 1996 with overwhelming support from both parties in both chambers of Congress; 342 members of the House voted for the proposal, with Pelosi joining only 64 other House Democrats, one independent, and one Republican in her opposition. 

“During [Pelosi’s] tenure as Speaker,” HRC noted, “the House of Representatives passed an historic hate crimes law [the Matthew Shepard and James Byrd Jr. Hate Crimes Prevention Act], repealed the discriminatory ‘Don’t Ask, Don’t Tell’ law, led the fight to enact the Affordable Care Act, and vocally opposed bans on transgender members serving in our nation’s military.” 

Pelosi’s leadership was bookended with Congress’s passage late last year of the Respect for Marriage Act, which is credited as the greatest legislative victory for LGBTQ Americans since the 2010 repeal of “Don’t Ask, Don’t Tell.”  

Speaker of the House Nancy Pelosi stands with Rep. Jerrold Nadler (D-N.Y.) at the enrollment for the Respect for Marriage Act in the U.S. House on Dec. 8, 2022. (Photo courtesy of the Office of Nancy Pelosi)

Outside the U.S. Capitol building, Pelosi has also been celebrated by the LGBTQ community for signaling her support through, for example, her participation in some of the earliest meetings of the NAMES Project AIDS Memorial Quilt, her meeting with the survivors of the 2016 Pulse nightclub massacre, and her appearance at a host of LGBTQ events over the years.  

Of course, at the same time, Pelosi has been a constant target of attacks from the right, which in the past few years have become increasingly violent. During the siege of the Capitol on Jan. 6, 2021, her office was ransacked by insurrectionists who shouted violent threats against her. A couple of weeks later, unearthed social media posts by far-right Rep. Marjorie Taylor Greene (Ga.) revealed she had signaled support for executing Pelosi along with other prominent House Democrats. And last October, the speaker’s husband Paul Pelosi suffered critical injuries after he was attacked by a man wielding a hammer who had broken into the couple’s San Francisco home. 

Pelosi told CNN last week that her husband is “doing OK,” but expects it will “take a little while for him to be back to normal.”

Among her fans in progressive circles, Pelosi – who has been a towering figure in American politics since the Bush administration – has become something of a cultural icon, as well. For instance, the image of her clapping after Trump’s State of the Union speech in 2019 has been emblazoned on coffee mugs.

“What is so funny about it,” Pelosi said, is rather than “that work [over] all these years as a legislator,” on matters including the “Affordable Care Act, millions of people getting health care, what we did over the years with HIV/AIDS in terms of legislation, this or that,” people instead have made much ado over her manner of clapping after Trump’s speech. And while the move was widely seen as antagonistic, Pelosi insisted, “it was not intended to be a negative thing.” 

Regardless, she said, “it’s nice to have some fun about it, because you’re putting up with the criticism all the time – on issues, whether it’s about LGBTQ, or being a woman, or being from San Francisco, or whatever it is.” 

Rep. Nancy Pelosi talks with Blade reporter Christopher Kane on Tuesday, Jan. 24. (Photo courtesy of the Office of Nancy Pelosi)
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Van Hollen speaks at ‘ICE Out for Good’ protest in D.C.

ICE agent killed Renee Nicole Good in Minneapolis on Jan. 7

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U.S. Sen. Chris Van Hollen (D-Md.) speaks at the 'ICE Out for Good' rally in D.C. (Washington Blade photo by Michael Key)

U.S. Sen. Chris Van Hollen (D-Md.) is among those who spoke at an “ICE Out for Good” protest that took place outside U.S. Customs and Border Protection’s headquarters in D.C. on Tuesday.

The protest took place six days after a U.S. Immigration and Customs Enforcement agent shot and killed Renee Nicole Good, a 37-year-old woman in Minneapolis.

Good left behind her wife and three children.

(Video by Michael K. Lavers)

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Advocates say MTG bill threatens trans youth, families, and doctors

The “Protect Children’s Innocence” Act passed in the House

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U.S. Rep. Marjorie Taylor Greene (R-Ga.) speaks at a press conference on Sept. 20 for her anti-trans legislation. (Washington Blade photo by Michael Key)

Georgia Congresswoman Marjorie Taylor Greene has a long history of targeting the transgender community as part of her political agenda. Now, after announcing her resignation from the U.S. House of Representatives, attempting to take away trans rights may be the last thing she does in her official capacity.

The proposed legislation, dubbed “Protect Children’s Innocence Act” is among the most extreme anti-trans measures to move through Congress. It would put doctors in jail for up to 10 years if they provide gender-affirming care to minors — including prescribing hormone replacement therapy to adolescents or puberty blockers to younger children. The bill also aims to halt gender-affirming surgeries for minors, though those procedures are rare.

Greene herself described the bill on X, saying if passed, “it would make it a Class C felony to trans a child under 18.”

According to KFF, a nonpartisan source for health policy research, polling, and journalism, 27 states have enacted policies limiting youth access to gender-affirming care. Roughly half of all trans youth ages 13–17 live in a state with such restrictions, and 24 states impose professional or legal penalties on health care practitioners who provide that care.

Greene has repeatedly introduced the bill since 2021, the year she entered Congress, but it failed to advance. Now, in exchange for her support for the National Defense Authorization Act, the legislation reached the House floor for the first time.

According to the 19th, U.S. Rep. Sarah McBride (D-Del.), the first trans member of Congress, rebuked Republicans on the Capitol steps Wednesday for advancing anti-trans legislation while allowing Affordable Care Act tax credits to expire — a move expected to raise health care costs for millions of Americans.

“They would rather have us focus in and debate a misunderstood and vulnerable one percent of the population, instead of focusing in on the fact that they are raiding everyone’s health care,” McBride said. “They are obsessed with trans people … they are consumed with this.”

Polling suggests the public largely opposes criminalizing gender-affirming care.

A recent survey by the Human Rights Campaign and Global Strategy Group found that 73 percent of voters in U.S. House battleground districts oppose laws that would jail doctors or parents for providing transition-related care. Additionally, 77 percent oppose forcing trans people off medically recommended medication. Nearly seven in 10 Americans said politicians are not informed enough to make decisions about medical care for trans youth.

The bill passed the House and now heads to the U.S. Senate for further consideration.

According to reporting by Erin Reed of Erin In The Morning, three Democrats — U.S. Reps. Henry Cuellar and Vicente Gonzalez of Texas and Don Davis of North Carolina — crossed party lines to vote in favor of the felony ban, joining 213 Republicans. A total of 207 Democrats voted against the bill, while three lawmakers from both parties abstained.

Advocates and lawmakers warned the bill is dangerous and unprecedented during a multi-organizational press call Tuesday. Leaders from the Human Rights Campaign and the Trevor Project joined U.S. Rep. Becca Balint (D-Vt.), Dr. Kenneth Haller, and parents of trans youth to discuss the potential impact of restrictive policies like Greene’s — particularly in contrast to President Donald Trump’s leniency toward certain criminals, with more than 1,500 pardons issued this year.

“Our MAGA GOP government has pardoned drug traffickers. They’ve pardoned people who tried to overthrow the government on January 6, but now they want to put pediatricians and parents into a jail cell for caring for their kids,” said Human Rights Campaign President Kelley Robinson. “No one asked for Marjorie Taylor Greene or Dan Crenshaw or any politician to be in their doctor’s office, and they should mind their own business.”

Balint, co-chair of the Congressional Equality Caucus, questioned why medical decisions are being made by lawmakers with no clinical expertise.

“Parents and doctors already have to worry about state laws banning care for their kids, and this bill would introduce the risk of federal criminal prosecution,” Balint said. “We’re talking about jail time. We’re talking about locking people up for basic medical care, care that is evidence-based, age-appropriate and life-saving.”

“These are decisions that should be made by doctors and parents and those kids that need this gender-affirming care, not certainly by Marjorie Taylor Greene.”

Haller, an emeritus professor of pediatrics at St. Louis University School of Medicine, described the legislation as rooted in ideology rather than medicine.

“It is not science, it is just blind ideology,” Haller said.

“The doctor tells you that as parents, as well as the doctor themselves, could be convicted of a felony and be sentenced up to 10 years in prison just for pursuing a course of action that will give your child their only chance for a happy and healthy future,” he added. “It is not in the state’s best interests, and certainly not in the interests of us, the citizens of this country, to interfere with medical decisions that people make about their own bodies and their own lives.”

Haller’s sentiment is echoed by doctors across the country.

The American Medical Association, the nation’s largest organization that represents doctors across the country in various parts of medicine has a longstanding support for gender-affirming 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,” their website reads.

Rodrigo Heng-Lehtinen, senior vice president of public engagement campaigns at the Trevor Project, agreed.

“In Marjorie Taylor Greene’s bill [it] even goes so far as to criminalize and throw a parent in jail for this,” Heng-Lehtinen said. “Medical decisions should be between patients, families, and their doctors.”

Rachel Gonzalez, a parent of a transgender teen and LGBTQ advocate, said the bill would harm families trying to act in their children’s best interests.

“No politician should be in any doctor’s office or in our living room making private health care decisions — especially not Marjorie Taylor Greene,” Gonzalez said. “My daughter and no trans youth should ever be used as a political pawn.”

Other LGBTQ rights activists also condemned the legislation.

Tyler Hack, executive director of the Christopher Street Project, called the bill “an abominable attack on the transgender community.”

“Marjorie Taylor Greene’s last-ditch effort to bring her 3-times failed bill to a vote is an abominable attack on the transgender community and further cements a Congressional career defined by hate and bigotry,” they said. “We are counting down the days until she’s off Capitol Hill — but as the bill goes to the floor this week, our leaders must stand up one last time to her BS and protect the safety of queer kids and medical providers. Full stop.”

Hack added that “healthcare is a right, not a privilege” in the U.S., and this attack on trans healthcare is an attack on queer rights altogether. 

“Marjorie Taylor Greene has no place in deciding what care is necessary,” Hack added. “This is another attempt to legislate trans and queer people out of existence while peddling an agenda rooted in pseudoscience and extremism.”

U.S. Rep. Mark Takano (D-Calif.), chair of the Congressional Equality Caucus, also denounced the legislation.

“This bill is the most extreme anti-transgender legislation to ever pass through the House of Representatives and a direct attack on the rights of parents to work with their children and their doctors to provide them with the medical care they need,” Takano said. “This bill is beyond cruel and its passage will forever be a stain on the institution of the United States Congress.”

The bill is unlikely to advance in the Senate, where it would need 60 votes to pass.

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LGBTQ Democrats say they’re ready to fight to win in 2026

DNC winter meetings took place last weekend in Los Angeles

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Then-Vice President Kamala Harris speaks at the 2024 Democratic National Convention in Chicago on Aug. 22, 2024. The former vice president spoke at the Democratic National Committee's annual winter meetings in Los Angeles. (Washington Blade photo by Michael Key)

The Democratic National Committee held its annual winter meetings in Downtown Los Angeles over the weekend, and queer Democrats showed up with a clear message for the national organization: don’t abandon queer and transgender people.

Following last year’s disastrous presidential and congressional elections, many influential pundits and some powerful lawmakers called on Democrats to distance the party from unpopular positions on trans rights, in order to win swing districts by wooing more conservative voters.

But members of the DNC’s LGBTQ Caucus say that’s actually a losing strategy.

“There are still parts of our party saying we need to abandon trans people in order to win elections, which is just not provable, actually. It’s just some feelings from some old consultants in DC,” LGBTQ Caucus Chair Sean Meloy says.

Some national Democrats are already backtracking from suggestions that they walk back on trans rights. 

California Gov. Gavin Newsom grabbed national attention in March when he suggested that it was “deeply unfair” for trans girls to play in women’s sports. But last week, he doubled down on support for trans rights, claiming to have signed more trans-rights legislation than any governor in the country, and entering into feuds on X with Elon Musk and Nicki Minaj over his support for trans kids.

Democrats are also clearly feeling the wind in their sails recently after major election victories in Virginia and New Jersey last month, as well as victories in dozens of local and state legislative elections across the country in 2025. 

“[Abigail] Spanberger in Virginia didn’t win by dodging the trans question. She won by attacking it, confronting it, and that’s how she got ahead,” says Vivian Smotherman, a trans activist and at-large member of the DNC’s LGBTQ Caucus.

“Trans people are not a problem. We are a resource,” Smotherman says. “For my community, surviving into adulthood is not a guarantee, it’s an accomplishment. You don’t walk through a survival gauntlet without learning things … I’m not begging the DNC to protect my community. I’m here to remind you that we are the warriors tempered by fire, and we are fully capable of helping this party win.”

At its own meeting on Friday, the LGBTQ Caucus announced several new initiatives to ensure that queer and trans issues stay top of mind for the DNC as it gears up for the midterm elections next year.

One plan is to formalize the DNC’s Trans Advisory Board as distinct from the LGBTQ Caucus, to help introduce candidates across the country to trans people and trans issues.

“One in three people in this country know a trans person. Two-thirds of Americans don’t think they do,” Smotherman says. “So the real problem is not being trans, it’s that you don’t know us. You cannot authentically support a trans person if you’ve never met one. 

“That’s why my first goal with this Trans Advisory Board is to host a monthly Meet a Trans Person webinar. Not as a spectacle, as a debate, but as a human connection, and I will be charging every state chair with asking every one of their candidates up and down the board if they know a trans person. And if that person doesn’t know a trans person, I’m gonna have that state chair put them on that webinar.”

The LGBTQ caucus is also opening up associate membership to allies who do not identify as LGBTQ, in order to broaden support and connections over queer issues.

It’s also preparing for the inevitable attacks Republicans will throw at queer candidates and supporters of LGBTQ issues. 

“These attacks are going to come. You have to budget money proactively. You have to be ready to fight,” Meloy says. “There are some local party chairs who don’t want to recruit LGBTQ candidates to run because these issues might come up, right? That’s an absolutely ludicrous statement, but there are still people who need support in how to be ready and how to respond to these things that inevitably come.” 

“The oldest joke is that Democrats don’t have a spine. And when they come after us, and we do not reply, we play right into that.” 

Meloy also alluded to anti-LGBTQ tropes that queer people are out to harm children, and said that Democrats should be prepared to make the case that it’s actually Republicans who are protecting child abusers – for example, by suppressing the Epstein files.

“They are weak on this issue. Take the fight, empower your parties to say, ‘These people have nothing to stand on,’” Meloy says.

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