News
Biden seeks to ramp up money to beat HIV/AIDS in budget request
$267 million increase sought to end domestic epidemic
President Biden’s formal budget proposal for the U.S. government in the upcoming fiscal year has advocates in the fight against HIV/AIDS cheering over the commitment to increase funds to confront the domestic epidemic, although one group is criticizing the proposal for seeking to flat-fund international programs.
The fiscal year 2022 proposal, unveiled last Friday, would afford an additional $246 million for domestic HIV testing, prevention and treatment programs for the Ending the HIV Epidemic initiative, which seeks to end HIV by 2030, and would also provide a general boost of $46 million to Ryan White HIV/AIDS programs and $20 million for HUD’s Housing Opportunities for People with AIDS (HOPWA).
Carl Schmid, executive director of the HIV + Hepatitis Policy Institute, said in a statement Biden is “demonstrating his commitment to ending HIV in the United States” in the budget request to Congress.
“While it falls short of what is needed and the community has requested, if this funding is realized it will continue the momentum already created and make further progress in ending HIV in the U.S. Efforts to end HIV will help eradicate an infectious disease that we have been battling for the last 40 years and help correct racial and health inequities in our nation,” Schmid said.
The total $670 million requested by the White House for the Ending the HIV Epidemic initiative breaks down as follows:
- Centers for Disease Control & Prevention: $100 million in new money for a total of $275 million;
- Ryan White: $85 million in new money for a total of $190 million;
- Community Health Centers for PrEP: $50 million in new money for a total of $152 million;
- National Institues of Health: $10 million in new money for a total of $26 million;
- Indian Health Services: $22 million in new money for a total of $27 million.
Counterinituitively, each of those numbers is actually below what the Trump White House proposed in the previous administration’s final budget request, with the exception of the proposed increase in money for Community Health Centers for PrEP and flat-lining for money for Indian Health Services.
The requested increase in funds for the Ending the HIV Epidemic was expected. Biden had signaled he’d seek the additional $267 million in funding in the “skinny budget” issued by the White House in February that preceded the more formal and detailed request to Congress last week.
Biden requests the increase in funds after he campaigned on ending the domestic HIV epidemic by 2025, an ambitious goal many advocates in the fight against HIV/AIDS were skeptical about achieving.
Nick Armstrong, the AIDS Institute’s manager of advocacy and government affairs and co-chair of the AIDS Budget & Appropriations Coalition, said in a statement the time to ramp up efforts against HIV has come as the nation emerges from the coronavirus pandemic.
“Public health departments have made herculean efforts to battle COVID over the past year,” Armstrong said. “But now it is time to reinvigorate neglected efforts to end the HIV, opioid, and viral hepatitis epidemics. Congress must go above and beyond what the president has proposed to bolster our critical public health infrastructure to protect Americans against infectious disease.”
The budget now goes on to Congress, which has authority on whether or not to appropriate funds consistent with the president’s request. Congress could either meet, short fund or even exceed in money the request by Biden as part of that process.
Schmid said via email to the Blade he’s optimistic about getting an agreement from Congress for an increase in funds to fight HIV/AIDS based on the “strong bipartisan support the proposal has enjoyed in the past.
“We still have work to do with the Congress due to so many demands on the budget but I am fairly confident Congress will support it, they have been anxious to see what the Biden administration does with the program in his budget and we have the answers now,” Schmid said. “The Biden-Harris administration firmly supports ending HIV.”
Although Biden was lauded for the increase in funds in domestic HIV programs, international programs are a different matter. The White House has essentially flat-funded programs designed to fight the global HIV epidemic, including the President’s Emergency Plan for AIDS Relief, or PEPFAR, or the Global Fund to Fight AIDS, Tuberculosis & Malaria.
Matthew Rose, director of U.S. Policy and Advocacy at the New York-based Health GAP, said in a statement Biden’s budget proposal “displays a lack of bold leadership motivated to end the HIV pandemic.”
“If the U.S. had continued fully funding PEPFAR since 2003 instead of letting funding levels slip into a flat-line for more than a decade, the HIV pandemic would look remarkably different today,” Rose said. “This is not a budget to end AIDS – and it could have been. This is not a budget to end the COVID-19 pandemic – and it could have been. The unconscionable lack of political will in recent years has created a world in which people cannot get access to the life-saving services they need.”
Health GAP is calling on Congress to approve a budget with at least a $750 million increase for PEPFAR and $2.5 billion in increased funding over the next four years to scale up HIV prevention and treatment and mitigate harms to the HIV response done by the COVID-19 pandemic, the statement says.
Additionally, Health GAP is calling on Biden to name “a highly qualified nominee” to serve as the U.S. Global AIDS Coordinator, the statement says.
Politics
Log Cabin Republicans to honor Scott Presler
Event to take place at Capitol Hill Club on Friday
The Log Cabin Republicans, a group representing LGBTQ conservatives and their allies within the Republican Party, is set to honor gay conservative commentator and activist Scott Presler on Friday.
Presler will receive the organization’s 2026 “Game Changer Award” during its Spring Forward Cocktail Reception at the Capitol Hill Club, a private club steps from the U.S. Capitol that regularly hosts Republican political events.
Presler has risen to prominence through a combination of pro-LGBTQ conservative activism, political organizing, and a series of controversial affiliations.
He first gained national attention in 2017 for organizing the “March Against Sharia” rallies across the country. The demonstrations came amid heightened tensions in Portland, Ore., following a deadly attack on a metro train, in which Jeremy Joseph Christian killed two people and injured others after harassing Muslim women for wearing a hijab.
The rallies were organized in partnership with ACT for America, which advocates against what it describes as “the threat of radical Islam” in the U.S. and has been labeled a hate group by the Southern Poverty Law Center. Presler volunteered with the organization for three months.
He has said he was first motivated to “fight Muslim extremism” following the Pulse nightclub massacre, he told NPR, in which a gunman who pledged allegiance to ISIS killed 49 people at an LGBTQ nightclub in Orlando, Fla. The site now serves as a memorial to the victims of the attack.
Born May 15, 1988, in Jacksonville, Fla., Presler is the son of a U.S. Navy captain and was raised in both Florida and Fairfax County. He later attended George Mason University, where he earned a degree in criminal justice.
In addition to his anti-Islam activism, Presler has been involved in a number of other high-profile and controversial efforts. He co-founded “Gays for Trump” and attended their 2017 DeploraBall in Maryland for the first inauguration of Trump. According to a 2021 report from Media Matters for America, he also promoted the QAnon conspiracy movement through social media posts in 2018 and 2019.
He has also faced criticism tied to his early political work. According to a 2023 report from Politico Playbook, Presler’s work with the Republican Party of Virginia in 2016 ended after he allegedly engaged in sexual activity in a shared office space and posted explicit images online.
Beyond ideological activism, Presler has also organized community-focused initiatives. In 2019, he led a widely publicized cleanup effort in Baltimore that drew more than 100 volunteers and resulted in approximately 29 tons of trash being removed. The event was a result of criticism from President Donald Trump, calling the area, represented by then-U.S. Rep. Elijah Cummings (D-Md.) a “rodent infested mess.”
Presler has also been active in election-related organizing, leading a two-day “Stop the Steal” demonstration at the Pennsylvania State Capitol following the 2020 presidential election. He has appeared on the “War Room” podcast hosted by former Trump strategist and well-known right-wing populist conspiracy theorist Steve Bannon.
He has also expressed a controversial stance within the LGBTQ community for supporting then-candidate Trump for President over Hillary Clinton. He told prioritizing Second Amendment rights over certain LGBTQ policy goals, saying he is more supportive of gun rights than efforts to codify same-sex marriage, and adding, “I 100 percent believe in the notion that armed gays don’t get bashed. It is our right to feel safe.”
Presler voiced his support for the Florida Parental Rights in Education Act, more commonly referred to as the “Don’t Say Gay” law, signed into law by Republican Gov. Ron DeSantis in 2022.
Cuba
Cuba bajo presión y sin respuestas
Cubanos no hablan en términos geopolíticos. Hablan de sobrevivir
Las tensiones entre Estados Unidos y Cuba han vuelto a subir de tono. No es algo nuevo, pero este momento se siente distinto. Las medidas más recientes desde Washington buscan cerrar aún más los espacios financieros del gobierno cubano, limitar sus fuentes de ingreso y presionar sectores clave de la economía. No es simbólico. Es una política directa.
Desde Estados Unidos, el mensaje es claro. Se busca provocar cambios que no han ocurrido en más de seis décadas. También hay un componente interno, una presión política que responde a sectores del exilio que llevan años exigiendo una postura más dura. Todo eso forma parte del escenario.
Pero esa es solo una parte.
Del lado cubano, la respuesta sigue un patrón conocido. El gobierno habla de agresión externa, de guerra económica, de un embargo que se endurece. Cada medida se convierte en argumento para reforzar su narrativa y cerrar filas. No hay espacio para reconocer errores propios. Todo apunta hacia afuera.
Mientras tanto, la vida en la isla va por otro camino.
La crisis energética que hoy vive Cuba no empezó con estas medidas. Lleva años acumulándose. El sistema eléctrico está deteriorado, sin mantenimiento suficiente, con fallas constantes. Los apagones no son nuevos. Lo que ha cambiado es la frecuencia y la duración.
Durante años entró petróleo a Cuba, especialmente desde Venezuela. Hubo acuerdos. Hubo suministro. Y aun así, la vida del cubano no mejoró. La electricidad seguía fallando, el combustible seguía racionado, el transporte seguía siendo un problema diario.
Entonces la pregunta sigue siendo la misma.
Si el petróleo estaba entrando, ¿por qué nada cambiaba?
¿Dónde fue a parar ese recurso?
¿Dónde está el dinero que generó?
Hoy se habla de restricciones al petróleo como si fueran la causa principal de la crisis. No lo son. Empeoran una situación ya frágil, pero no la explican completamente.
Hay una historia más larga que no se puede ignorar.
Lo mismo ocurre con las brigadas médicas.
Durante años se presentaron como un gesto de solidaridad internacional. Y en muchos casos lo fueron. Médicos cubanos trabajaron en condiciones difíciles, salvaron vidas, sostuvieron sistemas de salud en otros países. Eso es real.
Pero también funcionaron como una de las principales fuentes de ingreso del Estado cubano.
Muchos de esos profesionales no recibían el salario completo por su trabajo. Una parte significativa quedaba en manos del gobierno. En algunos casos, ni siquiera tenían control sobre el dinero que generaban.
Y hay algo más duro.
Si uno de esos médicos decidía no regresar a Cuba, ese dinero no llegaba a su familia. Se quedaba retenido.
Hoy varios países están revisando o cancelando esos acuerdos. Y otra vez, la respuesta oficial es señalar hacia afuera. Pero la pregunta sigue siendo inevitable.
¿Se está perdiendo un modelo de cooperación o un sistema que dependía del control sobre sus propios profesionales?
Dentro de Cuba, la conversación suena diferente.
La gente no habla en términos geopolíticos. Habla de sobrevivir. De cómo llegar al final del día. De los apagones, de la comida que no alcanza, del transporte que no aparece, de una vida que cada vez se hace más difícil.
Hay quienes miran las medidas de Estados Unidos con cierta expectativa. No porque quieran más escasez, sino porque sienten que el sistema no cambia por sí solo. Hay una sensación de estancamiento que pesa.
Pero esa expectativa convive con una realidad concreta.
Las sanciones no golpean primero a quienes toman decisiones. Golpean al ciudadano común. Al que hace la fila. Al que pierde la comida por falta de electricidad. Al que no tiene cómo moverse.
Esa es la contradicción.
El gobierno cubano pide solidaridad internacional. Y la recibe. Países que envían ayuda, organizaciones que se movilizan, voces que defienden a la isla.
Pero hay otra pregunta que también está ahí.
¿Esa ayuda llega realmente al pueblo?
La falta de transparencia en la distribución de recursos es parte del problema. Porque no se trata solo de lo que entra, sino de lo que realmente llega a quienes lo necesitan.
Reducir lo que pasa en Cuba a un conflicto entre dos gobiernos es no querer ver el cuadro completo.
Aquí hay responsabilidades compartidas, pero no iguales.
Estados Unidos ejerce presión con efectos reales sobre la economía cubana. Eso no se puede negar. Pero dentro de la isla hay un sistema que ha tenido décadas para corregir, para abrir, para responder a su gente, y no lo ha hecho.
Esa parte no se puede seguir esquivando.
Yo escribo esto como cubano. Desde lo que vi, desde lo que viví y desde la gente que sigue allá tratando de resolver el día.
Porque al final, más allá de lo que se diga entre gobiernos, la realidad es otra.
Cuba hoy está más apretada, sí. Pero también lleva años arrastrando problemas que nadie ha querido enfrentar de verdad.
Y mientras eso siga así, da igual lo que venga de afuera. El problema sigue estando adentro.
Tennessee
Tenn. lawmakers pass transgender “watch list” bill
State Senate to consider measure on Wednesday
The Tennessee House of Representatives passed a bill last week to create a transgender “watch list” that also pushes detransition medical treatment. The state Senate will consider it on Wednesday.
House Bill 754/State Bill 676 has been deemed “ugly” by LGBTQ advocates and criticized by healthcare information litigators as a major privacy concern.
The bill would require “gender clinics accepting funds from this state to perform gender transition procedures to also perform detransition procedures; requires insurance entities providing coverage of gender transition procedures to also cover detransition procedures; requires certain gender clinics and insurance entities to report information regarding detransition procedures to the department of health.”
It would require that any gender-affirming care-providing clinics share the date, age, and sex of patients; any drugs prescribed (dosage, frequency, duration, and method administered); the state and county; the name, contact information, and medical specialty of the healthcare professional who prescribed the treatment; and any past medical history related to “neurological, behavioral, or mental health conditions.” It would also mandate additional information if surgical intervention is prescribed, including details on which healthcare professional made a referral and when.
HB 0754 would also require the state to produce a “comprehensive annual statistical report,” with all collected data shared with the heads of the legislature and the legislative librarian, and eventually published online for public access.
The bill also reframes detransitioning as a major focus of gender-affirming healthcare — despite studies showing that the number of trans people who detransition is statistically quite low, around 13 percent, and is often the result of external pressures (such as discrimination or family) rather than an issue with their gender identity.
This legislation stands in sharp contrast to federal protections restricting what healthcare information can be shared. In 1996, Congress passed the Health Insurance Portability and Accountability Act, or HIPAA, requiring protections for all “individually identifiable health information,” including medical records, conversations, billing information, and other patient data.
Margaret Riley, professor of law, public health sciences, and public policy at the University of Virginia, has written about similar efforts at the federal level, noting the Trump-Vance administration’s push to subpoena multiple hospitals’ records of gender-affirming care for trans patients despite no claims — or proof — that a crime was committed.
It has “sown fear and concern, both among people whose information is sought and among the doctors and other providers who offer such care. Some health providers have reportedly decided to no longer provide gender-affirming care to minors as a result of the inquiries, even in states where that care is legal.” She wrote in an article on the Conversation, where she goes further, pointing out that the push, mostly from conservative members of the government, are pushing extracting this private information “while giving no inkling of any alleged crimes that may have been committed.”
State Rep. Jeremy Faison (R-Cosby), the bill’s sponsor, said in a press conference two weeks ago that he has met dozens of individuals who sought to transition genders and ultimately detransitioned. In committee, an individual testified in support of the bill, claiming that while insurance paid for gender-affirming care, detransition care was not covered.
“I believe that we as a society are going to look back on this time that really burst out in 2014 and think, ‘Dear God, What were we thinking? This was as dumb as frontal lobotomies,’” Faison said of gender-affirming care. “I think we’re going to look back on society one day and think that.”
Jennifer Levi, GLAD Law’s senior director of Transgender and Queer Rights, shared with PBS last year that legislation like this changes the entire concept of HIPAA rights for trans Americans in ways that are invasive and unnecessary.
“It turns doctor-patient confidentiality into government surveillance,” Levi said, later emphasizing this will cause fewer people to seek out the care that they need. “It’s chilling.”
The Washington Blade reached out to the American Civil Liberties Union of Tennessee, which shared this statement from Executive Director Miriam Nemeth:
“HB 754/SB 676 continues the ugly legacy of Tennessee legislators’ attacks on the lives of transgender Tennesseans. Most Tennesseans, regardless of political views, oppose government databases tracking medical decisions made between patients and their doctors. The same should be true here. The state does not threaten to end the livelihood of doctors and fine them $150,000 for safeguarding the sensitive information of people with diabetes, depression, cancer, or other conditions. Trans people and intersex people deserve the same safety, privacy, and equal treatment under the law as everyone else.”
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