National
Concerns for future emerge at U.S. Conference on HIV/AIDS
‘I’m done being treated like shit in the country I grew up in’
More than 2,400 people, including public health experts, scientists, physicians, local government officials, and community activists, turned out for the 29th annual United States Conference on HIV/AIDS, which took place Sept. 4-7 at the Marriott Marquis Hotel in D.C.
Organized by the D.C.-based group NMAC, formerly known as the National Minority AIDS Council, the conference is considered the nation’s largest and most comprehensive gathering of experts involved in addressing the HIV/AIDS epidemic in the U.S.
NMAC spokesperson Pavni Guharoy said NMAC officials will be completing a final count of the conference participants based on registration numbers later this week, but she said the current estimated attendance was at least 2,500.
The conference included more than 100 workshop sessions that focused on a wide range of issues related to the status of the HIV/AIDS epidemic in the U.S., with a focus on the large and growing number of people living with HIV who are 50 years of age or older.
Information released at the conference shows that as of 2022, of the nearly 1.1 million people living with HIV in the U.S., approximately 54 percent were 50 years of age or older.
Many of the sessions addressed the needs, concerns and sometimes stigma faced by diverse communities of people living with HIV and those at risk for HIV, including African American, Latinx, and LGBTQ communities, both those who are aging as well as young adults.
The conference also included four plenary sessions in which all conference attendees listened to two-dozen prominent keynote speakers. Among them was former U.S. National Institutes of Health official Dr. Anthony Fauci, who pointed out that continuing advances in HIV research have led to effective medical intervention that changed AIDS from a once fatal illness to a condition in which people with HIV can live “a normal life span.”
Other keynote speakers included Earvin ‘Magic’ Johnson, the acclaimed basketball player who became an advocate for people with HIV after testing positive for HIV 33 years ago, and Dr. Rachel Levine, who made history by becoming the first out transgender person to be confirmed by the U.S. Senate in 2021as an appointee by then-President Joe Biden as a U.S. Assistant Secretary of Health.
Also speaking was Jeanne White-Ginder, the mother of Ryan White, who was diagnosed with AIDS in 1984 at the age of 13 from a blood transfusion. White-Ginder told conference attendees how Ryan faced discrimination when he was initially barred from going to his school in Indiana out of fear that he could transmit the virus to others at school.
In a moving presentation, she told how Ryan became one of the nation’s early advocates for people with HIV/AIDS up until the time of his death in 1990, one month before his high school graduation. She said then-U.S. Sen. Edward Kennedy (D-Mass.) invited her to come to Washington to help lobby for a bill Kennedy introduced and which Congress passed in her son’s honor called the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in August 1990.
“Now, today, thanks to your hard work and dedication, Ryan’s bill and your bill, too, provides treatment and support to more than half a million Americans in big cities, small towns and rural communities across the country,” she said. “It has dramatically reduced suffering. It has enabled people to live with HIV, to live long and healthy lives.”
But White-Ginder joined the many conference speakers, including Magic Johnson, in calling on attendees and the public to urge Congress to reject the dramatic cuts in funding for federal AIDS programs, including the Ryan White program, proposed by President Donald Trump and Republican congressional leaders for the Fiscal Year 2026 federal budget.
Among those calling on the AIDS community and allies to speak out against the proposed budget cuts were Paul Kawata, NMAC’s outgoing executive director and CEO, who is retiring Oct. 7, and Harold Phillips, the former director of the White House Office of National AIDS Policy during the Biden administration and current NMAC Deputy Director for Programs who was chosen to succeed Kawata as NMAC CEO.
NMAC officials, led by members of its board of directors, praised Kawata for his 36 years of service as NMAC’s leader and his dedication to the cause of service and support for people with HIV and AIDS.
Kawata reflected on his work at NMAC and his concerns over the current political climate in Washington in a sometimes-emotional farewell address at one of the conference’s plenary sessions on Sept. 5.
“I’ll be honest with you. After 36 years the thought of leaving all of you is much more difficult than I thought it was going to be,” he told the gathering. “You are my family. You are the people that I love,” he said.
“You taught me how to be a better version of me. And I am so extraordinarily grateful for everything that you have given me,” he continued. “And you will always be a part of my heart.”
Pointing to members of the NMAC staff, both current and former members in the audience, Kawata said, “NMAC is NMAC because of what you do every single day with your life. You fight to make a difference in the world. And I am honored and privileged to call you my friends.”
Without mentioning the Trump administration by name, Kawata had harsh words for what he said was happening now in the United States and its impact on people living with HIV.
“I’m not going to lie to you,” he said. “I’m done being treated like shit in the country that I grew up in. I’m done being told that I’m a second-class citizen because of who I love,” he continued. “It’s not my America anymore. And I’m worried for our future.”
He added, “We always talk about the pendulum of justice, about the arc of justice. And I really want you to know in this moment, as difficult and as awful and how hellacious it is, we are on the right side of history. We are the ones who will change the world.”
In his remarks at the conference’s closing Sept. 7 plenary session, Fauci said, “We’re in very difficult times. You don’t need me to tell you that. But we’ve got to continue to put the pressure on what we did in the ‘80s with the activist groups, to make sure we do end the epidemic.”
He noted that he was at his job as director of the U.S. National Institute of Allergies and Infectious Diseases in the early 1980s, when the AIDS epidemic first surfaced and the AIDS patients he and his colleagues cared for, had little chance of survival.
“Fast forward now, 44 years, extraordinary things have happened,” Fauci said. “We now have drugs that you are all very aware of that can have an individual living with HIV live essentially a normal life span in putting under the care and the availability of drugs,” he continued.
“We know what U equals U – something that we didn’t imagine some years ago. That undetectable equals untransmissible,” he said, referring to the current HIV medication that suppresses the HIV virus to an undetectable level that prevents an infected person from transmitting it to someone else.
“And right now, with these drugs that we have for the prevention of HIV we have what we actually hoped for years ago – and that is to end the HIV epidemic,” he said.
Dr. Rachel Levine, who during the Biden administration served in the dual role as Assistant Secretary of Health at the U.S. Department of Health and Human Services and as director of the U.S. Public Health Service Commissioned Corps, also spoke at the closing session of the conference.
She noted that she began her career as a pediatric physician in 1983 in New York City, at the time of the early stages of the AIDS epidemic. From that time through her years as Assistant Secretary of Health, Levine said she observed first-hand the skills and dedication of doctors, nurses, and others who cared for people with HIV/AIDS who she described as the HIV care workforce.
“The HIV care workforce since that time has been incredibly dedicated, with many people working for decades,” she said. “And working to end the HIV epidemic in the United States and around the world. We applaud you. You are in this room. We applaud you arduously for your dedication and for your passion.”
Levine also noted that the cuts in funding and large-scale federal worker layoffs brought about by the Trump administration have had a direct impact on the HIV care workforce.
“Many dedicated public health leaders, including most of the HIV and infectious disease team who I worked with in my office at HHS have had their positions eliminated,” she said. “These hard-working civil servants went to work every single day to support the health and wellbeing of all Americans, including those living with HIV.”
She added, “And we know that there are shortages in HIV care. And it is so critical at this challenging time that we support you, the HIV care workforce.”
Many conference attendees said Magic Johnson played a leading role in boosting morale and spirit at the 2025 U.S. Conference on HIV/AIDS by his inspirational speech at the Sept. 5 plenary session.
Upon receiving a prolonged, standing ovation after being introduced as the next speaker, Johnson said, “When I think about 33 years living with HIV in a moment that changed my life forever. And what a blessing to be here 33 years later to tell that story at a time when there was only one drug.”
Johnson added, “Wow, and they said it probably is a death sentence for myself, and I had to wrap my arms around making the toughest decision I probably had to make in my life, which was to retire from the NBA.”
Among other things, Johnson said his doctors told him that while he was physically capable of continuing to play basketball, the stress of an 80-game season could impact his immune system and lower his T-cell count.
With the support of family, friends, and his community, Johnson said he miraculously survived the early days without a known fully effective HIV drug. And at the request of community activists, he agreed to speak out as a well-known figure and a person with HIV to inform “my community,” especially people of color, he said, about how to live with HIV and how uninfected people can lower their risk.
“But what I do, I adhere to my doctor. I take my meds. I work out, and then I love life and myself,” he said.
In response to the challenge facing people with HIV under the current political situation, Johnson said, “We got to pull ourselves together and continue this fight, because it’s important and we got to keep this at the forefront. Now, HIV and AIDS kind of slipped back. We got to bring it back up.”
Among other things, he said the nonprofit foundation he helped to form has “given away over $15 million” in grants to HIV/AIDS organizations. “And we will continue to do that because of the work you are doing.”
He received another thunderous applause and standing ovation upon the completion of his speech.
Phillips, who will succeed Kawata as NMAC’s CEO on Oct. 7, told the Washington Blade he believes this year’s U.S. Conference on HIV/AIDS was “extraordinary” under difficult circumstances.
“I think so, because this year we did this without a lot of federal support,” he said. “And many of the attendees – the federal government, HRSA, the Ryan White program told them they couldn’t use their grant funds to attend the conference, which was a shame.”
Phillips added, “But I think with a crowd of over 2,400, some people found a way to be here regardless and thought that it was important, and the topic was important enough. And I think our listening sessions, our workshops, our plenaries hopefully gave them what they needed to continue to be activated to serve people living with HIV. “
“And also gave them a sense of hope, especially in these dark times that we can continue to work to end the HIV epidemic,” he said.
National
At Alliance Defending Freedom’s summit, church and state are one
House Speaker Mike Johnson (R-La.) among speakers
Uncloseted Media published this article on July 23.
By SPENCER MACNAUGHTON | Earlier this month, hundreds of people filled a conference room in San Diego. These included Speaker of the House Mike Johnson, Assistant Secretary of Health Admiral Brian Christine, OpenAI executive Dean Ball, and the attorneys general of West Virginia and Idaho.
They all came together for Alliance Defending Freedom’s 2026 Summit. The Christian legal group, also a Southern Poverty Law Center-designated anti-LGBTQ hate group, described the event as a “gathering of leaders from many different spheres, including law, public policy, media, business, education, and Christian leadership.”
Johnson — who has said that “homosexual relationships are inherently unnatural and … society cannot give its stamp of approval to such a dangerous lifestyle” — was a featured speaker.
In his speech, he seemed unconcerned with the separation of church and state: “It is so encouraging to Kelly and I to be among friends and fellow warriors for this cause and people who understand that God is not done with America yet. … ADF’s on the very tip of the spear, front line, defending those very truths and keeping the door open for the spread of the Gospel. This is our moment. I’m telling you, I believe the next season … is going to be the greatest season of this ministry since its inception.”
That ministry is one that has espoused aggressively anti-LGBTQ views since its inception in the early 1990s. It was co-founded by a group of evangelical men, including Alan Sears, who co-authored a book called “The Homosexual Agenda: Exposing the Principal Threat to Religious Freedom Today.” Since then, ADF has opposed gay marriage and supported bans on gay sex and on gender-affirming care for minors.
After helping overturn Roe v. Wade, ADF lawyers have led key victories at the Supreme Court. In 303 Creative v. Elenis, SCOTUS ruled that a website designer could refuse service to gay weddings. And this year they convinced the Court to overturn Colorado’s ban on conversion therapy and to uphold state laws in West Virginia and Idaho that ban trans girls from playing on girls’ sports teams.
At the summit, ADF President Kristen Waggoner, who has promoted conversion therapists and consistently misgenders trans people, interviewed these states’ attorneys general.
“The lawyers who were defending women’s sports were among the best I’ve ever seen in my entire life,” West Virginia Attorney General JB McCuskey told Waggoner.
Similar to Johnson, Trump’s Assistant Secretary of Health Christine showed his commitment to governing based on conservative Christianity. He gave a Bible-thumping speech against gender transition and trans healthcare, saying that it “contradicts … the deeper moral order that is woven into creation itself. For Genesis 1:27 informs us that God created man in his own image. … Male and female” He also said the “complementary relationship between man and woman is divine” and advocated for youth with gender dysphoria to receive care from a pastor.
All of these remarks from politicians made me think of the interview I published earlier this week with Pete Hegseth’s pastor, Doug Wilson. He wants a Christian theocracy in America and told me that: both the perpetrator and the victim should be disciplined in some cases of marital rape; that transgender people are “sad;” that execution is justifiable for certain homosexual acts; and that gay sex should be illegal.
The ADF Summit is glossy and polished. And while its messaging may be less explicit than Pastor Wilson’s, the track record of the organizations shows they have the exact same desires. They’re just deeply strategic in what they say and when and how they say it.
I believe the political power players who attended this year’s summit know this. They know they are endorsing an organization whose members have essentially called for the illegalization of most — if not all ‚ forms of queer behavior and presentation.
In the last few years, these perspectives have become increasingly embedded in the highest rooms of the federal government and they have been effective in stripping away LGBTQ rights. Wilson, who just installed a full-time pastor in Washington to lead services, says there are 10 to 20 government officials who align with his church’s ideology.
It is vital for Americans to keep their eyes wide open to the ultimate goal of groups like ADF: to create a United States that leaves LGBTQ people without rights and that pushes us back in the closet.
Puerto Rico
LGBTQ ‘human rights crisis is unfolding in Puerto Rico’
Activist spoke at Congressional Hispanic Caucus briefing in D.C. on July 15
An activist from Puerto Rico who spoke at a Congressional Hispanic Caucus briefing last week in D.C. said anti-LGBTQ laws and policies have left the LGBTQ community in the U.S. commonwealth even more vulnerable.
“A human rights crisis is unfolding in Puerto Rico — one that disproportionately affects LGBT+ people, particularly transgender and nonbinary Puerto Ricans,” said True Self Foundation Executive Director Miguel Vázquez-Rivera.
The True Self Foundation and LatinoJustice PRLDEF participated in the briefing that took place on July 15.
Vázquez-Rivera during the briefing highlighted several anti-LGBTQ laws and policies that have been implemented since Gov. Jenniffer González took office in January 2025. These include Law 63-2025, which prohibits gender-affirming healthcare for anyone under 21, and Law 26-2026, which prohibits the University of Puerto Rico and other “government facilities” from installing “mixed or gender-neutral multi-occupancy restrooms.”
“The legislation aims to strengthen public safety standards while ensuring that no individual is subjected to unlawful discrimination,” noted the Puerto Rico Federal Affairs Administration on Feb. 25 in a press release after González signed it.
González, a Republican who is a member of the pro-statehood New Progressive Party, was Puerto Rico’s resident commissioner in the U.S. House of Representatives before she became governor. González supports President Donald Trump.
Vázquez-Rivera during the briefing highlighted anti-LGBTQ measures that have been introduced in the Puerto Rico Legislative Assembly. These include House Bill 164, which would prohibit transgender athletes from school sports teams that correspond with their gender identity, and House Bill 131, which would allow faith-based adoption agencies to deny services to same-sex couples.
“The overwhelming scientific evidence is clear: children raised by same-sex parents do just as well as those raised by different-sex parents,” said Vázquez-Rivera. “What matters is not the gender or the sexual orientation of the parents; but the presence of love, stability, and support.”
Trump upon taking office for a second time on Jan. 20, 2025, signed his “Defending Women from Gender Identity Extremism and Restoring Biological Truth to the Federal Government” executive order. Among its provisions is the federal government’s recognition of two genders: male and female.
Vázquez-Rivera noted “other proposals” in Puerto Rico “would recognize only ‘biological sex’ in government documents, prohibit inclusive language throughout public institutions, continue challenging recognition of nonbinary identities, and reverse protections for LGBT+ students previously adopted by the University of Puerto Rico.”
“The challenges facing LGBT+ Puerto Ricans cannot be viewed as isolated debates about healthcare, sports, bathrooms, or language,” said Vázquez-Rivera. “They are part of a much larger picture.”
“Puerto Rico is already confronting poverty, disaster recovery, healthcare shortages, and economic instability,” he added. “When discrimination is added to these realities, existing inequities become even deeper. Mental health worsens. Families are displaced. Communities become more vulnerable.”
Vázquez-Rivera further stressed “these issues are interconnected, and our response must be as well.” He also urged the LGBTQ rights movement to do more to support — and fund — advocacy efforts in Puerto Rico.
“Ultimately, this is not about granting special rights,” said Vázquez-Rivera. “It is about ensuring that more than three million American citizens living in Puerto Rico have the same opportunity to live healthy, safe, and dignified lives as every other American.”
The Puerto Rican government has not responded to the Washington Blade’s request for comment.
North Carolina
In the middle of the Bible Belt, a summer camp lets trans kids exhale
Adulthood feels possible at Transcending Adolescence
Uncloseted Media published this article on July 18.
By SAM DONNDELINGER | On a June night in rural North Carolina, dozens of campers sat around the fire as a counselor asked them to close their eyes.
“Picture a place where you feel completely safe,” they were told. “Think about what it looks like and how it feels, what you can hear, smell, and taste.”
When they were invited to share what they had imagined, one camper described sitting in a circle with other trans people. It was dark. Trees surrounded them. Mosquitoes buzzed.
“‘That place is here, and this is the place where I feel safe,’” Jacob Hofheimer, one of the camp’s founders, recalled the camper saying. “It got all of us.”
For many of the 8- to 17-year-olds who attend Transcending Adolescence, the weeklong summer camp offers a reprieve from the calculations they have to make in their day-to-day lives: Who knows they are trans? Who can be trusted? Which bathroom can they legally use?
At a time when 40 percent of transgender and nonbinary youth seriously considered attempting suicide in the past year, and 90 percent of LGBTQ youth reported that recent anti-LGBTQ laws, policies, and debates cause them stress or anxiety, those questions never disappear. But at this camp, young people are given space to ask them openly and to a community that understands why they need to.
“It really made me smile knowing that there’s a lot of people out there like me,” Ruby, a 12-year-old camper, told Uncloseted Media. “I’m putting myself out there, I’m being myself and no one judges me.”
Origins
Transcending Adolescence was founded in 2019 by Jacob and his wife Chrissy Hofheimer. The trans married couple wanted to create a camp for queer kids in America’s South, where affirming resources can be difficult to find.
Surrounded by thick woods and the backdrop of the Appalachian Mountains, campers swim, tie-dye shirts, complete ropes courses, roast marshmallows and perform in shows. They also gather for conversations about healthy relationships, medical care, legal rights, bathroom anxiety, coming out, misgendering, depression, substance use, and self-esteem.
“A huge part of it is that every single person there is trans or gender diverse, including the staff,” says Rory Sowers, a 19-year-old junior counselor from Florida. “That’s just something that you don’t get to experience a lot, especially as a young trans person.”
Sowers first attended Transcending Adolescence as a camper during its inaugural year in 2021. He returned three times before becoming a junior counselor.
“There’s so much that trans folks have to worry about just going about their day-to-day lives, especially living in the South,” Sowers says. “I was able to come into myself a lot more when I didn’t have all of those anxieties on my back.”
A place to be ‘just Ruby’
For 12-year-old Ruby, pre-camp anxiety was intense.
When she attended camp in June of last year, it was the first time traveling to another state without her parents.
“I was nervous about having someone there not really understanding me … and not really accepting me,” says Ruby, whose name has been changed to protect her privacy.
Outside camp, Ruby worries about how other people perceive her, according to her mom, Kate, whose name has also been changed. She says her daughter has to consider a litany of questions cis kids don’t have to worry about: “‘What if someone finds out? Are they looking at me? Do I look the part?’ … All these thoughts go through her head every single day.”
Before camp, Ruby had been struggling so intensely that her family had questioned whether it might feel easier for her “not to be who she was,” Kate says. Ruby had faced bullying in school, prompting her family to withdraw her and homeschool her for the remainder of fifth grade.
“I couldn’t really go anywhere without picking [at] myself because I was anxious,” Ruby says.
But when she arrived at camp, a lot of Ruby’s anxiety subsided. She didn’t have to introduce herself through the lens of being trans. She could just be herself: a funny, theatrical, outgoing 12-year-old who likes Beyoncé, improvises rap battles, and wants to be in the center of dance shows.
“She can just go there and just be [Ruby],” Kate says. “[Being trans] is only a little piece of her. There’s so much more to her, and she’s able to do that for the whole week. … It was completely life-changing for her.”
Research suggests that spaces like Transcending Adolescence can have powerful mental health effects.
Young people tend to fare better when they feel they belong and have access to peers and adults who understand them. In one small study from 2021, participants of a six-day LGBTQ summer camp reported increased resilience, self-esteem and quality of life. Focus groups indicated that transgender and nonbinary campers found an affirming environment that offered social opportunities they had been unable to find elsewhere.
Though this environment can be transformative, it’s intimidating at first for some. Jacob remembers asking one camper from Texas his pronouns during medical check-in, and the boy responding that he used “guy pronouns” because he “was a guy.”
Jacob recalled him being closed off and leery of the “hippie-dippy nonsense.”
But on the second-to-last night, Jacob overheard him speaking with a fellow camper.
“‘When I first came here, I thought that I was a disgusting, mutilated pig and an alien, and nobody would ever love me because I’m trans,’” Jacob recalls the camper saying. “‘And now I know that being trans doesn’t make me disgusting. It’s actually a beautiful thing.’”
He later texted Jacob to say the camp had given him confidence during the school year.
“‘Half the time, I forget that I’m trans,’” Jacob remembers him writing. “‘I’m just a guy. I’m just me.’”
“Finding places where you literally see yourself and can be seen by others for who you are is important during adolescence. It’s a human need,” Stephen Russell, professor of social and family dynamics at Arizona State University, told Uncloseted Media. “For trans youth, especially those who may not feel fully accepted at school, at home or in their faith communities, a camp where their identity isn’t something they have to navigate or defend, but is simply centered as part of who they are, can be transformative.”
Filling the gaps
The Hofheimers know that these spaces can transform the mental health of trans youth because they experienced it firsthand when they met while working as lifeguards at a summer camp for young queer people in New Hampshire.
The camp was doing important work, Jacob says, but many of its attendees came from privileged families in New England and other parts of the country where affirming programs were more accessible. Far fewer came from places such as Florida, Georgia, and Texas.
That’s why, for the location of the camp, they intentionally chose North Carolina, a state that has laws on the books that exclude trans girls from participating in sports, restrict the instruction of LGBTQ topics in schools and ban gender-affirming care for trans youth.
“Access is really, really important,” Chrissy says, adding that while the camp costs $1,975 for the week, they offer robust financial aid, including a $1,500 “no questions asked” subsidized rate for families who can’t afford it.
At the camp, the staff educates campers about anti-trans laws, coming out, and how to have conversations with their doctors about gender-affirming care.
“The kids want to talk about this stuff,” Jacob says. “That was the gap that we identified.”
For Chrissy, baking education into the camp’s programming is personal: When she was transitioning as a young adult, accessing informed medical care was difficult. During consultations, doctors either quoted prices she could not afford or refused to treat her. One told her that they did not “put boobs on men.”
Desperate to change her chest, Chrissy turned to a friend who had undergone illegal silicone injections without an apparent complication. She received what she believed were similar injections in Florida.
But the substance wasn’t silicone, she says, and it hardened and became intertwined with her breast tissue. Seventeen years later, Chrissy underwent a double mastectomy to fix the damage.
This experience became one of the driving forces behind the camp’s educational work.
“Accurate information might have changed the course of my life,” Chrissy says.
To provide information that breaks out of the TikTok and Reddit misinformation bubble many campers exist in at home, Chrissy and Jacob bring in experts and host nightly fireside chats.
Each night, campers gather around for structured conversations about the nuances of being trans. They talk about coping with misgendering, managing bathroom anxiety, identifying red and green flags in relationships, asking for help, and caring for their mental health.
Jacob, who is a certified nurse practitioner, helps answer questions about gender-affirming care. A trans attorney explains policies affecting campers in different states and separates the practical effects of those laws from incomplete information and political fearmongering.
“It made me think about the people who I tell I am trans to and what I have to do to make sure I feel comfortable telling them,” Ruby says. “It let me think about all these questions I had but didn’t really know how to ask.”
Building what comes next
Chrissy hopes the results from the camp’s program will eventually be replicated across the country.
For now, roughly 30 campers come together for one week each summer. Some arrive unhappy about being sent to camp. But by the final day, Sowers says, those same campers are often crying because they do not want to leave.
They return home to the same schools, states, and political climates where they have to decide when it is safe to disclose their identities and how to respond when someone does not understand them.
But at camp, Ruby, among the other campers, found a weeklong respite and saw trans adults who were not merely surviving but building careers, relationships, and communities.
“After the camp, I really haven’t been talking about how I feel insecure that I’m trans,” Ruby says. “I can’t wait to go back and see the people I met and [meet] new friends.”
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