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AIDS group criticizes Obama as int’l conference approaches

Others praise administration, call attacks ‘misplaced’

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Tom Myers, chief of public affairs and general counsel for the AIDS Healthcare Foundation (Blade photo by Michael Key)

President Obama is facing criticism from an HIV/AIDS group for not yet committing to speak at the upcoming International AIDS Conference and not doing more to confront the global and domestic epidemic. Other groups, meanwhile, are calling the criticism of Obama misguided.

On Monday, theĀ AIDS Healthcare Foundation held a news conference in D.C. at the offices of Parry, Romani, DeConcini & Symms Associates to call on Obama to speak at the conference and take more action to confront HIV/AIDS. The organizationĀ providesĀ advocacyĀ and medical care to more than 166,000 people with HIV/AIDS in 26 countries.

Tom Myers, chief of public affairs and general counsel for the AIDS Healthcare Foundation, was particularly critical of Obama for not yet confirming that he’ll make an appearance at the upcoming 19th International AIDS Conference, which will will take place at D.C.’s Walter E. Washington Convention CenterĀ during the week of July 22.

“We are here to express our concern and dismay that, less than twoĀ weeks from the start of the conference, President Obama has yet to commitĀ to attending it,” Myers said. “In the 20-odd year history of this conference, it is virtuallyĀ obligatory for the head of state of the host nation to address the conferenceĀ at its opening.”

It’s the first time since 1990 that the conference will take place in the United States. Organizers agreed to hold the conference in D.C. after the lifting of the HIV travel ban in 2009, which had prevented HIV-positive foreign nationals from entering the United States. The process for removing the ban started under the Bush administration through legislative action and ended under the Obama administration.

As of Monday, the conference hadn’t yet announced whether it had received confirmation that Obama would speak. Shin Inouye, a White House spokesperson, said he had no updates on whether Obama will attend the conference.

Former President Bill Clinton has agreed to speak at the conference this year as well as former first lady Laura Bush. High-ranking administration officials who are set to speak include Secretary of Health & Human Services Kathleen Sebelius andĀ Eric Goosby, U.S. Global AIDS Coordinator.

It’s not unprecedented for the head of state to be absent from the conference, according to organizers. The Canadian prime minister didn’t speak when the conferences were held in that countryĀ in 1996 in Vancouver or 2006 in Toronto, nor did Spain’s prime minister attend the 2002 conference in Barcelona. In 1990, then-President George H.W. Bush didn’t address the conference in San Francisco, but then-Secretary of Health & Human Services Louis Sullivan delivered remarks at the closing ceremony.

While criticizing Obama for not confirming his attendance,Ā Myers at the same time said the administration wasn’t doing enough to confront HIV/AIDS and said “it may beĀ better if the president not attend the conference if he is coming without anyĀ concrete proposals to fix these problems.”

For starters, Myers criticized the president for cutting funds in the fight against the global AIDS epidemic, calling on Obama to restore the money that was cut from PEPFAR, as part of the fiscal year 2013 budget request.

“Internationally, the Obama administration is the first administrationĀ to actually propose cutting funding to Americaā€™s efforts, including cuttingĀ almost half a billion dollars from PEPFAR, the Presidentā€™s EmergencyĀ Plan for AIDS Relief,” Myers said. “A retreat in the efforts to fight the global epidemic isĀ unprecedented.”

The sentiment that Obama has taken a step back in global fight against HIV/AIDS was echoed byĀ Omonigho Ufomata, the AIDS Healthcare Foundation’s director of global policy and advocacy.

“We demand he restore funding to PEPFAR and expand treatment prior to addressing the International AIDS Conference,” Ufomata said. “We have a blueprint for stopping AIDS, i.e get more people on treatment, but that can only be achieved if President Obama gets real about the money.”

Further, Myers faulted Obama for not providing enough support to the AIDS Drug Assistance Program, the primary program for providing lifesaving HIV/AIDS drugs to low-income people, saying the wait list for the programs stands at 2,000 people.

“Domestically, President Obama has presided over the longest and deepest waiting listsĀ for the AIDS Drug Assistance Program, or ADAP in history,” Myers said. “ADAP is theĀ primary program for providing lifesaving HIV/AIDS drugs to uninsuredĀ people of limited means in this country and for years, thousands of people, atĀ one point almost 10,000 people, have had to wait to receive these drugs.”

Myers called on Obama to redirect funds within the Department of Health & Human Services “to immediately end the ADAP waitlists once and for all.”

Despite these criticisms, Obama has generally received praise for his work on HIV/AIDS.Ā On World AIDS Day in December, President Obama announcedĀ an additional $35 million for the ADAP program andĀ $15 million more for Part C of the Ryan White Care Program as well as aĀ three-year, $4 billion pledge to the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Additionally, under the FY-13 budget request, funding for the Ryan White AIDS Drug Assistance Program wouldĀ increase by $75 million. The budget also bumps up $1 billion for AIDS drug assistance programs, an increase of $67 million above the previous fiscal year’s levels. The administration is predicting this funding will end ADAP waiting lists next year.

A White House official, speaking on condition of anonymity, said PEPFAR is able to accomplish more with less money in previous years as the number of people the United States directly supports with lifesaving antiretroviral treatmentĀ has more than doubled from around 1.7 million to more than 3.9 million.

“PEPFAR continues to improve efficiency and lower costs,” the official said. “By using generic drugs, shipping commodities more cheaply, task-shifting to nurses and community health workers as appropriate, and linking AIDS services to other programs (such as maternal and child health), the per-patient cost to the U.S. of providing anti-retroviral treatment for AIDS patients has fallen by over 50 percent since 2008.”

Based on this commitment, the leaders of other HIV/AIDS groups said they didn’t share the criticisms levied against Obama by the AIDS Healthcare Foundation.

Carl Schmid, deputy executive director of the AIDS Institute, said he’s still hoping Obama will make an appearance at the AIDS conference, but believes the criticism is “misplaced” and should be directed elsewhere.

“We feel the president has been leading on domestic AIDS and has put forth an ambitious National HIV/AIDS Strategy, passed health care reform, and proposed budget increases for ADAP and HIV prevention,” Schmid said. “While he could always do more, we feel the criticism is misplaced and instead the focus should be on some members of the Congress, many of whom want to repeal health reform and cut funding to AIDS programs.”

Chris Collins,Ā vice president and director of public policy for the Foundation for AIDS Research, or amfAR, said Obama has “greatly advanced” the domestic response to HIV.

“His national strategy, the Affordable Care Act ā€” these are game changers in the domestic epidemic, so we should be proud of what the president has done on domestic AIDS,” Collins said.

Collins added he wants “to see increases” in PEPFAR funding, but said Obama has made historic commitments to the Global Fund to Fight AIDS, Tuberculosis, and MalariaĀ and “new and more substantial commitments in terms of scaling up services.”

Asked by the Washington Blade during the news conference if Obama deserves credit for increasing funds for the Ryan White Care Program, Myers said Obama deserves some praise, but more is needed.

“The problem is, again, even with that, the ADAPĀ waiting list Ā­ā€“ and ADAP is a part of the Ryan White Program ā€” itā€™s chronic, itā€™sĀ ongoing. …Ā So, again, increases that have occurred, credit is whereĀ credit is due, but the point is, it is not enough,” Myers said.

Michael Weinstein, president of theĀ AIDS Healthcare Foundation, who joined the conference via telephone, dismissed Obama’s increase in funds for the Ryan White Care Program on the basis that a minority percentage of people with HIV/AIDS are in regular care under the program.

“We areĀ sending out a really mixed message when we have more waiting lists for these drugĀ programs and weā€™re telling people that they should be tested,” Weinstein said. “I mean, why would theyĀ want to get tested when they donā€™t know if they can have access to treatment? But theĀ bottom line is that to have only 41 percent of people in routine care and having more thanĀ 600,000 people who either donā€™t know that theyā€™re positive or are not in routine care isĀ not a success.”

Weinstein added his organization has tried “without a lot of success”Ā to enlist help from the administration in bringing down the cost of medications, saying the federal government could offer more support “in negotiations with theĀ drug companies to make these drugs more accessible.”

Blade photo editor Michael Key contributed to this report.

CORRECTION: An initial version of this article misquoted the AIDS Institute’s Carl Schmid as saying the AIDS Healthcare Foundation’s criticisms of Obama were “misguided.” The word he used was “misplaced.” The Blade regrets the error.

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U.S. Supreme Court

Concern over marriage equality in US grows two decades after first Mass. same-sex weddings

Gay and lesbian couples began to marry in Bay State in 2004

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(Bigstock photo)

Two decades after Massachusetts became the first state to legalize same-sex marriage, a new study reveals both significant progress and ongoing challenges for married LGBTQ couples in the U.S., with a growing sense of insecurity about the future of their rights.

The Williams Institute at UCLA School of Law surveyed 484 married same-sex couples from all 50 states and D.C. The study, released Monday, marks the 20th anniversary of legal same-sex marriage in the U.S.

Researchers found that 93 percent of respondents cited love as a primary reason for marrying, with 75 percent also mentioning legal protections. Over 83 percent reported positive changes in their sense of security, and 74.6 percent noted improved life satisfaction since marrying.

However, the study also highlighted persistent discrimination and growing concerns about the future. About 11 percent of couples who had a wedding reported facing prejudice during the planning process.

Alarmingly, nearly 80 percent of respondents expressed concern about the potential overturning of the 2015 Obergefell v. Hodges decision, which legalized same-sex marriage nationwide. This anxiety has been exacerbated by initiatives like Project 2025, a conservative policy blueprint that some fear could roll back LGBTQ rights if implemented.

The possibility of a former President Donald Trump victory in the upcoming election has further intensified these concerns. Many respondents cited Trump’s previous U.S. Supreme Court appointments and his statements on LGBTQ issues as reasons for their apprehension. One participant stated, “The thought of another Trump presidency keeps me up at night. We’ve come so far, but it feels like our rights could be stripped away at any moment.”

The current political climate has 29 percent of respondents considering moving to another state, with 52.9 percent citing socio-political concerns as a primary reason. This reflects a growing sense of insecurity among LGBTQ couples about their rights and freedoms.

Brad Sears, founding executive director of the Williams Institute, noted, “The data clearly show that marriage equality has had a profound positive impact on same-sex couples and their families. However, it also reveals ongoing challenges and serious concerns about the future of these rights in light of current political trends and the upcoming election.”

Christy Mallory, legal director at the Williams Institute and lead author of the study, added, “This research provides crucial insights into the lived experiences of same-sex couples two decades after marriage equality began in the U.S. The high level of concern about potential loss of rights underscores the continued importance of legal protections and public support for LGBTQ+ equality.”

The study found that 30 percent of surveyed couples have children, with 58.1 percent of those parents reporting that marriage provided more stability for their families. However, many of these families now worry about the security of their legal status in the face of potential policy changes and shifting political landscapes.

As the nation reflects on two decades of marriage equality, the study underscores both the transformative power of legal recognition and the ongoing need for vigilance in protecting LGBTQ+ rights. The findings highlight the complex reality faced by same-sex couples in America today: Celebrating hard-won progress while grappling with uncertainty about the future, particularly in light of upcoming political events and potential shifts in leadership.

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State Department

State Department hosts meeting on LGBTQ rights and foreign policy

Event took place before Pride Month reception

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Secretary of State Antony Blinken speaks at the State Department Pride Month event on June 27, 2024. (Screen capture via Forbes Breaking News YouTube)

Secretary of State Antony Blinken on Thursday hosted a group of LGBTQ activists and politicians from around the world at the State Department.

The event ā€” described as a “Convening on U.S. Foreign Policy: National Security, Inclusive Development, and the Human Rights of LGBTQI+ Persons” ā€” took place before the State Department’s annual Pride Month reception. Participants included:

ā€¢ Jessica Stern, the special U.S. envoy for the promotion of LGBTQ and intersex rights

ā€¢ U.S. Ambassador to the U.N. Linda Thomas-Greenfield

ā€¢ U.S. Trade Representative Katherine Tai

ā€¢ U.S. Ambassador to India Eric Garcetti

ā€¢ Suzanne Goldberg, senior advisor to the Under Secretary of State for Civil Security, Democracy, and Human Rights

ā€¢ Under Secretary of State for Civilian Security, Democracy, and Human Rights Uzra Zeya

ā€¢ U.S. Agency for International Development Senior LGBTQI+ Coordinator Jay Gilliam

ā€¢ USAID Counselor Clinton D. White

ā€¢ National Security Council Senior Director for Democracy and Human Rights Kelly Razzouk

ā€¢ Assistant U.S. Secretary of Health Adm. Rachel Levine

ā€¢ National Security Council Human Rights Director Jess Huber

ā€¢ U.N. Assistant Secretary General for Human Rights Ilze Brandt Kehris

ā€¢ Icelandic Ambassador to the U.S. BergdĆ­s EllertsdĆ³ttir

ā€¢ Council for Global Equality Co-Executive Director Mark Bromley

ā€¢ Outright International Senior Advisor for Global Intersex Rights Kimberly Zieselman

ā€¢ Essy Adhiambo, executive director of the Institute for Equality and Non Discrimination in Kenya

ā€¢ Pau GonzĆ”lez, co-chair of Hombres Trans PanamĆ” and PFLAG-PanamĆ”

“Forty-five years ago, thousands gathered in D.C. in what became the first national march for LGBTQI+, demanding their voices be heard,” said Thomas-Greenfield in a post to her X account that showed her speaking at the event. “We must continue to carry forward the spirit of these pioneers and fight for equal rights and dignity for all.”

President Joe Biden in 2021 signed a memo that committed the U.S. to promoting LGBTQ and intersex rights abroad as part of his administrationā€™s overall foreign policy.

“LGBTQI+ rights are human rights,” said Blinken. “Our government has a responsibility to defend them, to promote them ā€” here and everywhere.”

Blinken noted consensual same-sex sexual relations remain criminalized in 64 countries, with the death penalty in 11 of them.

He specifically highlighted Uganda’s Anti-Homosexuality Act and Hungarian Prime Minister Viktor OrbĆ”n’s government’s “smearing scapegoating, stigmatizing LGBTQI+ persons ā€” vilifying them with degrading labels, denying them equal rights, normalizing violence against them.” (Gay U.S. Ambassador to Hungary David Pressman this month marched in the annual Budapest Pride parade.)

Blinken noted Iraqi MPs earlier this year “passed legislation that punishes same-sex relations with up to 15 years in prison.” He also pointed out that Indonesian lawmakers approved a new criminal code banning extramarital sex.

“In a nation where same-sex couples cannot marry, these laws effectively make all same-sex conduct illegal and they undermine privacy for all Indonesians,” said Blinken.

“Weā€™re defending and promoting LGBTQI+ rights around the world,” he said.

Blinken noted seven countries ā€” Barbados, St. Kitts and Nevis, Antigua and Barbuda, Dominica, Namibia, Singapore, the Cook Islands ā€” have decriminalized consensual same-sex sexual relations over the last two years. He also highlighted Greece, Liechtenstein, and Thailand this year extended marriage rights to same-sex couples, and other countries are banning so-called “conversion therapy.”

“These achievements are possible because of incredibly courageous human rights defenders and government partners on the ground, but I believe Americaā€™s support is indispensable,” said Blinken. “When we engage ā€” sometimes publicly, sometimes privately, sometimes both ā€” when we share our own knowledge and experience, we can and we do achieve change.”

Blinken also announced the U.S. now considers sexual orientation and gender identity are part of the International Covenant on Civil and Political Rights that took effect in 1976.

“This is one of the key treaties committing nations to upholding universal rights,” he said. 

“In our regular reporting to the council on human rights, we will continue to include incidents of discrimination or abuse committed against LGBTQI+ persons, now with the clear framework of this well-supported interpretation,” added Blinken.Ā “That will further empower our efforts.”

Blinken reiterated this point and the Biden-Harris administration’s commitment to the promotion of LGBTQ and intersex rights abroad when he spoke at the State Department’s Pride Month event.

“Defending, promoting LGBTQI+ rights globally is the right thing to do, but beyond that, itā€™s the smart and necessary thing to do for our country, for our national security, for our well-being,” he said.

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The White House

Jill and Ashley Biden headline White House Pride celebration

First lady celebrated historic pardons of LGBTQ veterans

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First lady Jill Biden speaks at the White House Pride event on June 26. (Washington Blade photo by Michael Key)

First lady Jill Biden and the president and first lady’s daughter, Ashley Biden, headlined the White House Pride celebration on the South Lawn on Wednesday, followed by a performance by singer and actress Deborah Cox.

“My dad has built the most pro-equality administration” in history, Ashley Biden said, crediting the work of LGBTQ people of color like Marsha P. Johnson, a prominent figure in the Stonewall uprising of 1969, as well as “so many of you [who] have continued to lead their fearless fighting against against injustice here and around the world.”

She introduced her mother as “the woman who taught me to be myself up showed me in so many ways how I can make a difference” and who “works every single day, tirelessly, to ensure that all people have the opportunities and freedoms that they deserve.”

“I hope that all of you feel that freedom and love on the South Lawn today,” Jill Biden said.

Her remarks were briefly interrupted by a protestor’s chants of “no Pride in genocide,” which was drowned out by chants of “four more years.”

The first lady noted how many of the attendees came “here from states that are passing laws targeting LGBTQ Americans.”

“There are those who see our communities and our families and wish to tear them down,” she said, “those who can’t see that the world is so much bigger and [more] beautiful than they know ā€” but when our homes are threatened, when they strip away our rights, and deny our basic humanity, we say, ‘not on our watch.'”

“Pride is a celebration, but it is also a declaration,” the first lady said, highlighting the U.S. Supreme Court’s ruling in Obergefell v. Hodges nine years ago, which established marriage equality as the law of the land.

She then credited the accomplishments of the Biden-Harris administration on matters of LGBTQ rights, including the repeal of the previous administration’s ban on military service by transgender servicemembers and the FDA’s loosening of restrictions on blood donation by gay and bisexual men.

The first lady also celebrated the president’s announcement earlier on Wednesday that he will pardon LGBTQ veterans who were discharged and court martialed because of their sexual orientation or gender identity.

“We will never stop fighting for this community,” she said.

First lady Jill Biden and daughter, Ashley Biden, attend the White House Pride celebration on June 26, 2024. (Washington Blade photo by Michael Key)
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