Opinions
One AIDS march that should end
As D.C. prepares to walk, let’s remember those suffering in Vietnam
On Saturday, Oct. 29, thousands of people in Washington will walk to raise attention and money for HIV/AIDS. AIDS walks in cities throughout the world are an occasion to remember those who have died and to renew our hopes for an end to the epidemic.
There was an AIDS walk in southern Vietnam last year too, in Lam Dong province, and in some ways it looked like any other. People walked behind a banner reading “No prejudice and discrimination against HIV/AIDS patients.” There were speeches, films and performances, many around the theme of “universal access and the right to health care.”
But looking closer, it became clear that this wasn’t a walk in solidarity, or remembrance, or hope. It was a forced march.
Hundreds of marchers stood in rows, in identical clothes. There were no smiles or frivolity. No demands were chanted for the government to do more. No joyful or tearful reunions. The march did not pass through the gay district nor did it wind its way downtown to the halls of government and power.
The march was at the “School for Education, Vocational Training and Job Placement No. 2.” Despite its benign-sounding name, the “school” is really a detention center for drug users. Detainees face years of forced labor and physical abuse, including torture.
The HIV epidemic in Vietnam is concentrated among injection drug users, who desperately need community-based, effective services for drug dependency treatment and HIV prevention and care. But something is seriously rotten when “education” centers operating as forced labor camps organize AIDS marches under slogans calling for an end to prejudice against people living with HIV.
It is equally perverse that some of the world’s most significant bilateral and multilateral donors fund services inside these centers, seeming to turn a blind eye to the abuses there.
Vietnam’s forced labor centers are a remnant of a hard-line communist approach. Drug users were one of many social groups rounded up and subjected to “re-education through labor” following the victory of North Vietnam in 1975.
But as Vietnam’s economy has modernized, the system has expanded. In 2000, there were 56 drug detention centers across Vietnam; by early 2011, that number had risen to 123. The length of time in detention has steadily grown.
Human Rights Watch interviewed people who had been held in various centers under the control of Ho Chi Minh City authorities. Many were afraid they could be sent back to detention, where they would face more forced labor and abuse. Three had been held in “School No. 2.” They told us they husked cashews, made shopping bags and sewed clothes, all in the name of “labor therapy.” Detainees who refused to work were beaten or put in punishment cells.
Even when they received some payment, those wages were garnished for food, lodging and “management fees.” People told us of leaving “rehabilitation” centers owing money that they, or their families, had to pay.
Rates of HIV inside the centers are hard to state with any certainty: estimates have ranged from 15 to 60 percent. Most centers offer no medical care, so donors such as the [US] President’s Emergency Plan for AIDS Relief (PEPFAR), the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank have supported programs for detainees.
It’s easy to understand why the donors are there. The government centers hold thousands of drug users, and it’s harder to reach drug users outside of detention when they live in fear of being arrested. Donor agencies told us that they couldn’t turn their back on people in these centers, who might die without their support.
Yet donors are turning their backs when it comes to documenting abuses in the centers, and demanding that the Vietnamese government shut them down. Without doubt, HIV treatment can be life-saving. However, under Vietnamese law, HIV-positive people in detention have a right to be released if drug detention centers can’t provide appropriate medical care. Donor support for expanded HIV treatment inside centers can have the perverse impact of enabling the government to continue detaining people living with HIV, maximizing profits while still denying detainees effective drug dependency treatment.
In 2009, more than $100 million was provided by international funders for AIDS programs in Vietnam. That sort of money should buy a lot more accountability than has been seen. The centers have been shown repeatedly to be ineffective at treating drug dependence and should be immediately shut down. Until they are, donors should demand that Vietnam stop detaining new drug users and release all those currently living with HIV. Donors should support community-based drug treatment, which is less expensive, more effective and more respectful of human rights.
“No prejudice against HIV/AIDS patients.” That’s a banner worth walking behind. To make it real in Vietnam will require those walking in Washington to ask tough questions of U.S. global AIDS policies. Act locally, think globally. Those who are out on Saturday should raise money for local efforts to fight AIDS, but walk in solidarity with those who are locked up, tortured and forced to march in Vietnam.
Joe Amon is the director of the health and human rights division at Human Rights Watch.
Opinions
Skipping Memorial Day crowds in Rehoboth Beach
After 30 years, I’ve become allergic to large gatherings
There are a lot of things about getting older that are great. I love retirement, love the cruises I take, time at my favorite coffee shops, both in D.C. and at the Coffee Mill in Rehoboth. Then there are some not so great things. I have had a few health issues, which luckily, I have fully overcome. Some issues you can do something about, others you can’t. One of the things I have come to realize is, I no longer enjoy big crowds, and this is something I can do something about. Just avoid them.
I have spent every holiday weekend since buying my place in Rehoboth, and that is going on 30 years, at the beach. I go for Christmas and New Year’s, Martin Luther King, Jr. weekend, President’s Day, Memorial Day, and Labor Day. Add a few extra holidays I may be missing like Veterans’ Day, if it falls on a weekend. This is the first year I won’t be there on Memorial Day, and it is by choice. Instead, will be staying in D.C. Some will ask why, and my simple answer is to avoid the crowds. I keep thinking of the crowds last Memorial Day and decided to see how it goes skipping it this year.
Don’t get me wrong, I am thrilled for all the businesses at the beach when they are swamped with people. And glad those people who want to be there are having a great time, and don’t mind when the lines to get into Aqua and Diego’s are around the block. Or when my favorite place for coffee, The Coffee Mill, has a line when I get there at 7 a.m. When you can’t get a reservation at the Pines or even Ava’s. But last year it finally occurred to me why I wasn’t having as much fun as I used to, and realized it was because I have become allergic to crowds. So, for the first time this year, I determined I was going to stay away and see how it feels. I may regret it after a few hours at home in D.C., or when seeing friends’ posts on Instagram and Facebook. But am going to take that chance. One thing I do regret missing is the incredible annual brunch thrown by my friend Robert, and his husband, but am determined to see what it feels like not being at the beach for the kick-off holiday weekend of the summer.
To wean myself away, I did go last weekend. Had a great time seeing friends. Had fun at Aqua each evening for happy hour; went to a great party at CAMP in honor of their new Executive Director Dr. Robin Brennan. I’ve had a chance to chat with her, and believe they made a great choice when hiring her. Then on Friday evening I went to the Washington Blade annual season kick-off party at Diego’s and met the new Steve Elkins Fellow, Thomas Weaverling, and am sure he will do a great job. It was wonderful to see Ashley Biden there accepting the award given posthumously to Beau Biden for all he did for the LGBTQ community. Then on Saturday I stopped in at Freddie’s Beach Bar for the Cloud Nine reunion. That brought back so many good memories. It was coordinated by the inimitable Fay Jacobs. It was back then when I did like crowds, the more the merrier, and remember dancing all evening on the small crowded dance floor. Some people at the reunion reminded me of all the years I hosted an annual Memorial Day party, actually the first 10 years I had my place at the beach. It was catered by the Blue Moon, when my friend Rob was there, and they brought the Champagne, hors d’oeuvres, and even a bartender. I just had to have fun, and I did. The thought of doing that today is a little overwhelming, and I think it is about age.
So, this year I will see how much I miss being at the beach for the holiday weekend. Then after my June trip to France, will decide whether I want to do the same for the Fourth of July. I kind of look forward to seeing what my thoughts on it are, and how it goes.
For those of you at the beach, I hope the place is a zoo, of the best kind, and you all have a fabulous time.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Opinions
GLAA’s 2026 primary election ratings show candidates agree on basics
We applaud all who are standing up for human rights in D.C.
Our local elections in D.C. this year will be the most consequential in a long time, as we will get a new mayor, several new Council members, and a new delegate to Congress. It also comes amid the most intensive and far-ranging federal attacks on our self-determination in the history of Home Rule, along with concerted efforts to deprive members of our communities of their rights and well being. As always, GLAA publishes our policy brief and ratings on candidates to help inform voters as they make these momentous decisions. This year, our policy brief and candidate questionnaire are a recommitment to promoting the basics: basic human rights, basic human needs, and basic human decency.
Though GLAA does not issue endorsements, we do rate candidates. Of the candidates who responded, mayoral candidate Janeese Lewis George, and Ward 1 Council candidates Rashida Brown, Miguel Trindade Deramo, and Aparna Raj received a +10, the highest possible rating a candidate can receive from GLAA. This indicated strong agreement with GLAA, thoughtful answers, and an impressive record of action on the issues presented in our brief and policy questionnaire. Other high scores include Oye Owolewa, the highest scoring candidate for the Council At-Large primary election, with a score of 9, and Doni Crawford, who scored the highest in the Council At-Large special election, with 6.5.
For the 2026 primary and special elections, candidates are in broad agreement with GLAA’s policy priorities. In seven out of 10 of our priorities, each candidate indicated agreement. Total consensus on core issues signals that whomever is elected to Council and mayor, we should expect to hold our elected officials accountable to our goals of protecting home rule, resisting federal overreach, advancing transgender healthcare rights, and eliminating chronic homelessness in the District. Other areas of agreement include ending food insecurity, building equitable energy infrastructure, and ensuring robust access points to public benefits. While candidates agree on the basics, they distinguish themselves in the depth and creativity in their responses, and their record on the issues. To read and review their responses in depth, visit glaa.org or outvotedc.org.
As D.C.’s oldest LGBTQ advocacy organization, we know the power that queer people have in local elections. Our queer siblings are among the privileged and the dispossessed. For our communities, this can be an opportunity and an obligation. GLAA’s policy brief is an invitation and call to action. When we do better to support those at the margins, we see an increase in our collective wellbeing. Using a “queer lens” we can see radical and concrete ways that the District can use our power to uplift us all.
We hope the candidate ratings, their responses, and our policy brief are useful to the community as we make decisions during this consequential year. We applaud all who are standing up for D.C., for human rights, for civil rights. We invite you to join us in the work to create the queer future we all deserve.
Benjamin Brooks is president of GLAA; Darby Hickey is secretary.
Ghana
Intersex lives, constitutional freedom, and the dangerous future of Ghana’s Human Sexual Rights and Family Values Bill
Lawmakers continue to consider draconian measure
There is a dangerous silence surrounding intersex lives in Ghana — a silence shaped by fear, misinformation, cultural misunderstanding, and institutional neglect. Today, amid discussions around the possible passage of the Human Sexual Rights and Family Values Bill, 2025, that silence risks becoming law, reinforcing exclusion and deepening the marginalization of already invisible lives.
Much of the national debate surrounding the bill has focused on LGBTQ+ identities. Yet buried within it are implications for intersex persons that many Ghanaians do not fully understand because intersex realities remain largely invisible.
Intersex persons are born with natural variations in chromosomes, hormones, reproductive anatomy, and/or genital characteristics that do not fit typical definitions of male or female bodies. Intersex is not a sexual orientation or gender identity. It is a biological reality. Ghana’s Commission on Human Rights and Administrative Justice (CHRAJ) has clearly acknowledged this distinction.
Despite this distinction, the bill mistakenly collapses intersex realities into a legal framework linked to LGBTQ+ criminalization.
Although the bill contains only limited references to intersex persons, under certain medical exceptions, these references do not amount to recognition or protection. Instead, they frame intersex bodies as abnormalities requiring regulation, correction, and institutional management. This approach is inconsistent not only with Ghana’s constitutional guarantees of dignity, equality, privacy, and liberty, but also with emerging African and international human rights standards. The African Commission on Human and Peoples’ Rights Resolution on the Promotion and Protection of the Rights of Intersex Persons in Africa – ACHPR/Res.552 (LXXIV) 2023 affirms protections relating to bodily integrity, dignity, freedom from discrimination, and against harmful medical practices. Additionally, the United Nations has repeatedly condemned medically unnecessary and non-consensual interventions on intersex children. Rather than affirming the humanity and autonomy of intersex persons, the bill risks legitimizing systems of surveillance, coercion, violence, and institutional erasure.
This is not protection.
It is managed erasure.
A child born intersex in Ghana already enters a society shaped by secrecy and stigma. Families are often pressured to hide intersex children or seek “correction” to make their bodies conform to social expectations.
The bill risks intensifying this pressure.
Clause 17 creates space for “approved service providers” to support interventions relating to intersex persons, yet offers little protection around informed consent, bodily autonomy, confidentiality, or coercive treatment. Under the language of “correction” or “support,” harmful interventions may become normalized.
The intersex community has documented painful lived experiences of intersex Ghanaians that reveal the devastating consequences of stigma and invisibility.
One heartbreaking case involved intersex twins born in Ghana’s Eastern Region in 1993, who were repeatedly forced to move from village to village because of rejection and ridicule. After losing their father, their main source of protection and support, they became even more vulnerable and reportedly experienced severe emotional distress, including suicidal thoughts linked to years of stigma and exclusion. This is what invisibility looks like in practice.
Another painful example is the story of Ativor Holali, whose lived experience exposed the cruel realities intersex persons face in sports and public life. Ativor Holali endured invasive scrutiny, public humiliation, and social suspicion because her body did not conform to rigid expectations of femininity. Rather than being protected as a Ghanaian athlete deserving dignity and privacy, she became the subject of speculation, gossip, and institutional discomfort.
Her experience reflects a broader social crisis: when society insists that every body must fit a narrow binary definition, intersex people are forced to defend their humanity in spaces where dignity should already be guaranteed.
Intersex Persons Society Of Ghana (IPSOG)’s Ŋusẽdodo research further revealed that approximately 70 percent of intersex respondents reported depression, anxiety, trauma, or severe emotional distress linked to medical mistreatment, family rejection, bullying, and social exclusion.
The bill risks transforming these existing prejudices into institutional policy. Several provisions risk deepening surveillance, restricting advocacy, weakening confidentiality, and discouraging public education around intersex realities. Intersex-led organizations providing healthcare guidance, legal referrals, psychosocial support, and community services may face serious challenges.
This places IPSOG and other intersex-led organizations in Ghana at serious risk.
For many intersex Ghanaians, these spaces are not political luxuries.
They are survival mechanisms.
Governments derive legitimacy by protecting the natural rights of all persons, including dignity, liberty, bodily autonomy, and freedom from arbitrary interference. The bill raises concerns because it risks weakening these protections for intersex persons through surveillance, coercive interventions, and restrictions on advocacy.
Ghana’s Constitution declares that “the dignity of all persons shall be inviolable.” Articles 15, 17, 18, and 21 specifically protect dignity, equality, privacy, expression, and freedom of association. These protections should apply equally to intersex persons.
Intersex persons are not threats to Ghanaian culture.
Intersex children are not moral dangers.
Intersex bodies are not political weapons.
They are human beings deserving dignity, healthcare, safety, and constitutional protection.
The true measure of a democracy is how it protects those most vulnerable to exclusion. At this moment, Ghana faces a choice: deepen fear and silence, or uphold dignity, bodily autonomy, and constitutional freedom for intersex persons.
History will remember the choice we make.
Fafali Delight Akortsu is the founder and president of the Intersex Persons Society of Ghana (IPSOG).
