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HIV groups praise Obama for 2013 budget request

Domestic programs see increase, but research and int’l efforts cut

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President Obama’s budget request for the upcoming fiscal year has won praise for including an increase in funds for domestic HIV treatment programs, although concerns persist about flat-funding for research programs and reductions in the chief program aimed at fighting the global AIDS epidemic.

The White House unveiled on Monday the president’s $3.8 trillion proposal to fund the U.S. government for fiscal year 2013, which includes funds for federally funded HIV/AIDS programs. The proposal was sent to Congress for lawmakers to act on and amend before passing into law.

Advocates for HIV/AIDS programs were largely happy with the recommendations made by the president on funding levels, which the White House says increases HIV/AIDS funding by $800 million, particularly with the Ryan White AIDS Drugs Assistance Programs, which providesĀ grants to states for HIV/AIDS support services.

Carl Schmid, deputy executive director of the AIDS Institute, said the budget demonstrates Obama’s “strong commitment” to fight HIV by increasing funds “for prevention and lifesaving care and treatment for those who cannot afford it in the United States.”

ā€œPresident Obama recognizes the importance of the federal governmentā€™s role in addressing infectious diseases, such as HIV, and the need to provide care and treatment to people with HIV/AIDS to keep them healthy and reduce new infections,” Schmid said. “We now urge Congress to show the same level of support as it considers federal spending priorities for the upcoming year.”

Under the budget, funding for the Ryan White AIDS Drug Assistance Program would increase by $102 million over the FY-12 levels that Congress appropriated for a total of $1 billion. Additionally, the president also proposes an increase of $20 million for Part C of the Ryan White HIV/AIDS Program to fund primary care for more than 550,000 people who have HIV/AIDS.

The increase will likely be welcome to news to individuals on wait lists for these programs. According to the National Alliance of State and Territorial AIDS Directors, 4,118 people are on ADAP waiting lists in 12 states and more than 445 people in six states have been disenrolled from the program due to budget constraints and growing enrollment.

Brian Hujdich, executive director of HealthHIV, also commended the president for increasing domestic HIV/AIDS funding, which he said is necessary until the government fully implements the health care reform law signed in 2009.

ā€œThe president has clearly identified HIV as a priority in 2013 by increasing funding for HIV care and treatment to those in the U.S. who cannot afford it, expanding access to life-saving HIV medication for the uninsured and underinsured, and increasing HIV prevention funding,ā€ Hujdich said.

On World AIDS Day in December, President Obama announced an additional $35 million for the ADAP program andĀ $15 million more for Part C of the Ryan White program. The proposed budget continues funds for those programs into FY-13 and increases it.

But funding for Ryan White hasn’t increased across the board. Obama proposes a decrease of $8 million to Part D of the Ryan White Program, which funds programs aimed at youth, women and families.

Other domestic HIV/AIDS programs are also seeing continued funds. The proposal requests $330 million for the Department of Housing & Urban Developmentā€™s Housing Opportunities for Persons with AIDS (HOPWA) program, which addresses housing needs for people with HIV/AIDS. The funding level this programs has been reduced by $2 million.

The president proposes an increase of HIV funding at the Centers for Disease Control and Prevention (CDC) by $40 million. These funds are expected to help CDC focus on communities most impacted by HIV, including blacks and gay men, by increasing testing programs and linking people to care.

ObamaĀ also restores a $10 million cut to HIV Adolescent and School Health as young people continue to account for new HIV infections. Congress cut that program in FY-12 by 25 percent of its budget.

Despite these funds, advocates are also concerned about flat-level funding for research programs that develop new ways to combat HIV/AIDS. The National Institutes for Health, the nation’s medical research agency, was allocatedĀ $31 billion in the president’s budget proposalĀ ā€”the same overall level as FY-12.

With regard to specific HIV/AIDS initiatives at NIH, the budget proposes $3.1 billion for intramural and extramural HIV/AIDS-related research.Ā Funding for HIV/AIDS research was about $3.2 billion in FY-12.

Michael Cole-Schwartz, spokesperson for the Human Rights Campaign, expressed concern about funding for these research programs while generally supporting the level of HIV/AIDS funding in the budget.

“Given the constraints imposed by last yearā€™s budget agreement, we are very happy to see some significant increases in key areas, including for the AIDS Drug Assistance Programs and early intervention in vulnerable populations,” Cole-Schwartz said. “However, we are concerned by flat funding and cuts in other areas, particularly at the National Institutes of Health, where ongoing research on HIV/AIDS is critical to the goal of ending the epidemic.”

Spencer Lieb, the AIDS Instituteā€™sĀ HIV/AIDS research coordinator, said the flat-level funding for NIH is peculiar given the president’s past support for this program.

ā€œThis is surprising given the recognition President Obama has given to the recent monumental advances in biomedical prevention research conducted by the NIH and the need for continued prevention research, including on vaccines and new drug therapies,ā€ Lieb said.

Additionally, the budget makes cuts to efforts to combat HIV/AIDS programs overseas. Obama’s proposal cutsĀ more than a half billion dollars, or almost 13 percent, fromĀ the Presidentā€™s Emergency Plan for AIDS Relief (PEPFAR), which was established by President George W. Bush to provide anti-retroviral treatment to people with AIDS overseas.

Judith Aberg, chair of the HIV Medicine Association, said in a statement funding for PEPFAR in Obama’s request “falls short” of support needed “to put us on course to end AIDS globally.”

“The president is not providing the resources necessary to fulfill his commitment to putting 6 million on HIV treatment under the program or to scale up male circumcision or prevention of vertical transmission programs,” Aberg said. “Now is not the time to retreat on our investment in either of these lifesaving programs.”

Shin Inouye, a White House spokesperson, justified the reductions in PEPFAR by saying the program is “a real life success story of doing more with less” because it continues efficiency while lowering costs.

“The most important metric forĀ PEPFARĀ is lives saved, not dollars spent, and through smart investments we are delivering results,” Inouye said.

According to the White House, the necessary funds for PEPFAR are lower because of generic drugs, the ability to ship commodities more cheaply in addition to task-shfiting to nurses and community health workers. Inouye said the cost to the United States per-patientĀ of providing treatment for AIDS patients has fallen by over 50 percent since 2008.

 

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National

TransTech Social removing barriers to trans success

ā€˜Technology was the key to my freedomā€™

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From left, TransTech members B Hawk Snipes, E.C. Pizarro III, Ang R Bennett, and Adrian Elim. (Photo by Lexi Webster Photography)

It is common knowledge that women earn 84% of the average worker. Less common knowledge? Trans women earn 60% of the average worker. Trans men and non-binary people come in at around 70%, while 16% of all trans people make less than $10,000 annually.Ā 

E.C. Pizarro was lucky, and he knew it. He had a BFA in graphic design and had taught himself how to code. As a stealth trans man in a corporate job, he had access to a stable wage and good benefits. ā€œPeople that do not have experiences in corporate America or with equitable employment don’t realize [these things] are privileges that a lot of people don’t have access to.ā€ 

He wanted to give back and was gearing up to bring more volunteer work into his life by participating in a fraternity for trans men. When he went to a TransTech event and learned about the educational and career resources for trans people who face barriers to entering the workforce, he knew he had found his place. 

At the event he met, Angelica Ross. Yes, that Angelica Ross, of ā€œPoseā€ and ā€œAmerican Horror Story.ā€

Before she was Candy, Ross was a self-taught coder. She went from posing for an adult website to doing its back-end coding to teaching her trans siblings how to succeed in tech.Ā 

ā€œTechnology was the key to my freedom,ā€ Ross said in an interview with The Plug. ā€œTechnology took me from being exploited on someoneā€™s website to building my own websites and to building websites for other people and getting paid to do so.ā€

Pizarro was impressed and wanted to help. ā€œI went up to Angelica and I was like ā€˜Hey, I’m a trans man. These are my skills. I’m down to volunteer and do any type of workā€”the one caveat is that I’m stealth. You can’t tell anybody that I’m trans.ā€™ā€

For four years, Pizarro helped from mostly behind the scenes, sometimes getting side-eyed since people thought he was a cis man in trans spaces. ā€œI was still stealth as the Director of Social Media and Communications for the National Trans Visibility March in 2019,ā€ Pizarro says, chuckling a little.

But by that point, Ross ā€” who headlined the 2019 march ā€” was overextended trying to balance being a world-famous actress, advocate, and businesswoman. 

She needed someone to step in as executive director of TransTech and looked to the group of dedicated volunteers. Pizarro was elected by his peers to take the reins of the organization. 

This was a turning point for Pizarro. ā€œI’m very passionate about tech and for me a small sacrifice of being open with my trans experience to liberate other trans people,ā€ he said. ā€œI felt like if that’s something I got to do, then I’m gonna do it.ā€

And he did it. The infrastructure Ross put together worked: with mentorship, education, community, and networking with trans-accepting employers, trans people were gaining financial security and independence. 

So, Pizarro focused on expanding TransTech as widely as possible. ā€œWe have grown exponentially over the last three years,ā€ he says. ā€œWhen I took over in 2021, we had about 800 members based in the United States. Now we support over 6,700 members across 50 countries.ā€

TransTech is filling a demonstrated need within specifically the trans community. New research from LGBT Tech found that 68% of transgender adults use the internet to find LGBTQ-friendly employment (compared to 38% of cisgender LGBTQ+ adults). More than 70% of all LGBTQ adults use the Internet to access educational content.

Accessibility is central to the TransTech programming. Despite the growth, everything remains free. ā€œThereā€™s no membership fee. All of our programming is free. All of the certifications and educational resources are free,ā€ Pizarro says. 

They know the financial burden the trans community faces ā€” 29% of trans adults live in poverty. ā€œIf weā€™re asking anyone to up-skill [for a cost] and these are the things they are going through, we are asking them to invest in their future versus their meal today.ā€Ā 

Pizarro believes that accessibility is more than just making the training free. He wants the community to understand that tech work is something they are innately capable of doing. 

ā€œTransTech was built on the foundation of nontraditional tech. It’s not always coding. It’s graphic design. It’s social media. It’s video editing. It’s anything that uses a piece of technology and nowadays almost everything uses a piece of technology,ā€ says Pizarro.

He emphasizes to participants: ā€œYou’re in tech and you don’t even know it,ā€ pointing out how many already utilize tech skills like marketing and monetization with their social media accounts.

Some people involved in the programming are nervous about entering the ā€œtech worldā€ because of headlines about tech layoffs. He makes sure to emphasize that unlike in some other jobs, tech companies often pay generous severance packages, which gives employees ā€œbreathing room.ā€ Pizzaro explains that ā€œonce you have experience with one tech company, you can go someplace else and make a substantial amount of money as well.ā€ 

While TransTech is designed for the gender-diverse community, the programming is open to everyone Pizarro explains. ā€œWe just ask that you don’t be transphobic.ā€ (Or any of the other -phobics too, he says, listing them off.) He also emphasizes that this allows trans members who are not out to comfortably participate. 

Pizarro wants everyone to understand that they donā€™t just belong in tech, but they make tech better. ā€œTech is most profitable when you have diverse people building the tech and using the tech,ā€ Pizarro says. ā€œThere is an intentional funding as well as support to diversity tech because they understand how that impacts the product.ā€

He also reminds participants that they have developed transferrable skills in every part of their lives. ā€œI like to tell people if you can manage your life as a trans person in the United States or anywhere you can manage a project.ā€

Angelica Ross was a self-taught coder before she hit it big with ā€˜Pose.ā€™ (Washington Blade file photo by Linus Berggren)
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District of Columbia

Fire by arson forced temporary shutdown of Glorious Health Club

Spa and art gallery catering to gay
men expects to reopen in August

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(Photo from Glorious Health Club's Facebook page)

In a little noticed development, D.C.ā€™s Glorious Health Club, which bills itself as a spa, art gallery, and community center catering to gay men, was forced to close on May 19 after one or more unidentified suspects ignited a fire inside the club that D.C. fire department officials have ruled an act of arson. 

Robert Siegel, the clubā€™s owner, told the Washington Blade that he and investigators with the D.C. Fire and Emergency Medical Services Department believe one or more yet unidentified suspects broke into the kitchen of the former warehouse building where the club is located at 2120 West Virginia Ave., N.E.  

According to Siegel, investigators with the fire departmentā€™s arson squad believe a flammable liquid was used to start the fire in the kitchen and in two other locations within the building.

ā€œThree separate fires were started,ā€ Siegel said. ā€œThey started one on a staircase and one on the upstairs storage area,ā€ he said in addition to the one in the kitchen. He said about 40 patrons were in the club at the time the fire started, and all were able to leave without injury. 

Siegel said the fire caused $500,000 worth of damage to his building, with some of the damage caused ā€” understandably he said ā€” by fire fighters who had to rip open doors and break through the roof to gain access to the flames that engulfed parts of the interior of the building. He said he arranged for repair work to begin after the fire was extinguished.

ā€œI expect weā€™ll be reopening in about a month from now,ā€ he said. ā€œAnd weā€™ll be a bigger and better place.ā€

Fortunately, Siegel said, most of the artwork and art exhibits located in the club were not damaged.

ā€œIt was basically the kitchen, patio, and the roof,ā€ he said, adding that much of the solar panels he had on the roof were destroyed by the fire or by firefighters seeking to gain access to the building. 

ā€œAnd the fire was so hot it did structural damage to the roof,ā€ he said. ā€œIt actually melted steel. Weā€™re talking about 50-foot steel beams that have to be replaced,ā€ he told the Blade. ā€œThatā€™s $100,000 right there.ā€Ā 

Vito Maggiolo, a spokesperson for the D.C. Fire and Emergency Medical Services Department, said the fire was ā€œruled incendiary/arsonā€ and isĀ ā€œunder active investigation.ā€Ā 

It could not immediately be determined if one or more people responsible for the fire targeted the Glorious Health Club because itā€™s a gay community establishment. 

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National

House Republicans propose steep cuts in federal AIDS budget

Advocacy groups say move would eliminate ā€˜Ending HIV Epidemicā€™ initiative

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The Ending the HIV Epidemic initiative was launched during the administration of President Donald Trump.

The Republican-controlled U.S. House Subcommittee on Labor, Health, and Human Services, Education, and Related Agencies approved a spending bill on June 26 that calls for cutting at least $419 million from federal AIDS programs that AIDS activists say would have a devastating impact on efforts to greatly reduce the number of new HIV infections by 2030.

The subcommitteeā€™s proposed bill, which includes billions of dollars in cuts in a wide range of other federal health, education, and human services related programs, is scheduled to be considered by the full House Appropriations Committee on July 10. Officials with AIDS advocacy groups say they are hopeful that the full committee, like last year, will refuse to approve the proposed cuts in the AIDS budget.

The proposed GOP cuts would eliminate $214 million from the U.S. Centers for Disease Control and Preventionā€™s HIV prevention programs, $190 million from the Ryan White HIV/AIDS Program, and $15 million from the Department of Health and Human Services Secretaryā€™s Minority HIV/AIDS Program.

Activists say the impact of those cuts would kill the federal governmentā€™s Ending the HIV Epidemic initiative, which among other things, calls for reducing the number of new HIV infections in the U.S. by 75 percent by 2025 and by 90 percent by 2030. The activists point out that ironically the Ending the HIV Epidemic initiative was launched during the administration of President Donald Trump.

 ā€œInstead of providing new investments in ending HIV by increasing funding for testing, prevention programs, such as PrEP, and life-saving care and treatment, House Republicans are again choosing to go through a worthless exercise of cutting programs that the American people depend on and will never pass,ā€ said Carl Schmid, executive director of the HIV + Hepatitis Policy Institute.

ā€œWhile we vigorously fight these cuts, we look forward to working with the entire Congress in a bipartisan fashion on spending bills that can actually become law,ā€ Schmid said in a statement.

 Schmid noted that the bill also includes provisions known as ā€œpolicy ridersā€ that would take away rights and protections from women, such as access to birth control and abortion, and for minorities, including LGBTQ people.

According to a statement released by the office of Rep. Rosa DeLauro (D-Conn.), who is the ranking minority member of the House Appropriations Committee, one of the policy riders would ā€œblock the Biden administrationā€™s policies to ensure nondiscrimination on the basis of gender identity and sexual orientation.ā€™  The statement says another policy rider would ā€œprevent policies or programs intended to promote diversity, equality, or inclusion.ā€

Most political observers believe the Democratic-controlled U.S. Senate would also kill the GOP proposed policy riders and cuts in the AIDS budget if the full Republican-controlled House were to approve the budget bill passed by the appropriations subcommittee.

Rep, Tom Cole (R-Okla.), who serves as chair of the full House Appropriations Committee, released a statement on June 27 defending the  subcommitteeā€™s bill and its proposed spending cuts. ā€œThe bill provides appropriate and fiscally responsible funding to ensure these departments can continue to perform their core missions while also acknowledging the fiscal realities facing our nation,ā€ he said.

ā€œImportantly, the bill pushes back on the Biden administrationā€™s out-of-touch progressive policy agenda, preventing this White House from finalizing or implementing controversial rules or executive orders,ā€ Cole said in his statement. ā€œIt also preserves long standing bipartisan policy provisions protecting the right to life.ā€

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