Feds’ HIV Budget Rescues ADAP- But At A Price

I’ve written that the Feds’ HIV budget has been released. It’s not all good news.

 My Bilerico article here.

MT Anti-Gay Preachers On The Run

Read all about it here.

Presence

People often ask me how I listen to other people all day long and not go crazy. First of all, I don’t really ever look at what I do as “listening to people’s problems”. Yesterday, I was asked for some words to describe what I do, and my philosophy for doing it, and I came up with this:

Other people’s problems are exactly that.
Making them your own is not only arrogant- it’s unhealthy, exhausting and robs people of the creative pain that makes a life rich.
Being with them as they go through it is a privilege, but it is not always a call to action.
Presence is worth more than all the advice in the world. 

Works for me…

Feds to Release 1.89 Billion for ADAP, HIV Care

From The Michigan Messenger:

The federal government Monday announced more than $1.89 billion in funding to states to fight the HIV epidemic with access to care and with more cash for the failing AIDS Drug Assistance Program.

According to an HHS press release, $813 million of that money will go directly to the ADAP programming. An additional $8,386,340 will be issued as a supplement to 36 states and territories currently facing a litany of unmet needs and access issues. The additional money is designed to help those programs reduce or eliminate their waiting lists. They also released an additional $40 million to assist states and territories currently refusing coverage for people in need to reduce the number of people waiting.

ADAP provides access to the costly anti-retroviral medications that have turned HIV into a more manageable disease since its appearance 30 years ago. The drugs can cost tens of thousands of dollars a year in the U.S. The program also assists in paying for drugs to treat opportunistic infections that HIV positive persons can suffer as a result of diminished immune functions.

The ADAP Advocacy Association shows that as of Sept. 22, 10 states had waiting lists totaling nearly 9,000 people awaiting access to the life saving medications:

ADAPs with Waiting Lists
(8,785 individuals in 10 states*, as of September 22, 2011)

Florida: 4,098 people
Georgia: 1,732 people
Idaho: 37 people
Louisana: 1,112 people
Montana: 28 people
North Carolina: 354 people
Ohio: 9 people
South Carolina: 367 people
Utah: 59 people
Virginia: 989 people

In addition to funding ADAP programming, the feds also announced millions in funding for direct medical care as well as programming to assist minorities — who are particularly hard hit by the epidemic — in accessing medical care for the infection.

Kudos to all the activists and HIV care advocates who worked hard for this- and for those of you who signed our petition….

Hans Kung: “Pope as Putin?”

Yes, the question is asked- among many other (to me) more fascinating things in the Swiss theologian’s interview with Der Spiegel. Excerpt:

SPIEGEL: More than a year ago, you wrote an open letter to all bishops in the world, in which you offered a detailed explanation of your criticism of the pope and the Roman system. What was the response?

Küng: There are about 5,000 bishops in the world, but none of them dared to comment publicly. This clearly shows that something isn’t right. But if you talk to individual bishops, you often hear: “What you describe is fundamentally true, but nothing can be done about it.” It would be wonderful if a prominent bishop would just say: “This cannot go on. We cannot sacrifice the entire Church to please the Roman bureaucrats.” But so far no one has had the courage to do so. The ideal situation, in my view, would be a coalition of reformist theologians, lay people and pastors open to reform, and bishops prepared to support reform. Of course they would come into conflict with Rome, but they would have to endure that, in a spirit of critical loyalty.

SPIEGEL: That’s what led to the Reformation 500 years ago. But at the time, the Roman system was incapable of understanding the criticism from within the ranks.

Küng: After 500 years, we are surprised that the popes and bishops of the day did not realize that a reform was necessary. Luther didn’t want to divide the Church, but the pope and the bishops were blind. It seems that a similar situation applies today.

This man occupies a secure place in my pantheon of heroes…. Full, fascinating interview here.

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New Microbicide May Block HIV From Entering Cells

H I V

More good news on the HIV research front.

From Science Daily:

University of Utah researchers have discovered a new class of compounds that stick to the sugary coating of the AIDS virus and inhibit it from infecting cells — an early step toward a new treatment to prevent sexual transmission of the virus. 

Development and laboratory testing of the potential new microbicide to prevent human immunodeficiency virus infection is outlined in a study set for online publication in the journal Molecular Pharmaceutics.

…”Most of the anti-HIV drugs in clinical trials target the machinery involved in viral replication,” says the study’s senior author, Patrick F. Kiser, associate professor of bioengineering and adjunct associate professor of pharmaceutics and pharmaceutical chemistry at the University of Utah.

“There is a gap in the HIV treatment pipeline for cost-effective and mass-producible viral entry inhibitors that can inactivate the virus before it has a chance to interact with target cells,” he says.

As scientists learn more about how HIV attaches to CD4 cells, there will be more and possibly less problematic ways to treat and prevent HIV infection.

Full story here.

Unpacking “Class Warfare”

Whether you believe that asking those with more to share a greater part of the public burden is socialism or simply good citizenship, you can’t deny that there are heated feelings on the topic. I am of the persuasion that greed and selfishness- if further assisted by government, will be the demise of this country.

Paul Krugman has some excellent points in today’s New York Times. Among them:

As background, it helps to know what has been happening to incomes over the past three decades. Detailed estimates from the Congressional Budget Office — which only go up to 2005, but the basic picture surely hasn’t changed — show that between 1979 and 2005 the inflation-adjusted income of families in the middle of the income distribution rose 21 percent. That’s growth, but it’s slow, especially compared with the 100 percent rise in median income over a generation after World War II.

Meanwhile, over the same period, the income of the very rich, the top 100th of 1 percent of the income distribution, rose by 480 percent. No, that isn’t a misprint. In 2005 dollars, the average annual income of that group rose from $4.2 million to $24.3 million.

So do the wealthy look to you like the victims of class warfare?

….On one side, we have the claim that the rising share of taxes paid by the rich shows that their burden is rising, not falling. To point out the obvious, the rich are paying more taxes because they’re much richer than they used to be. When middle-class incomes barely grow while the incomes of the wealthiest rise by a factor of six, how could the tax share of the rich not go up, even if their tax rate is falling?

Full story here.

Another Reason To Start HIV Meds Early

From Science Daily:

Researchers at Weill Cornell Medical College and GHESKIO (Groupe Haitien d’Etude du Sarcome de Kaposi et des Infections Opportunistes) have shown that early treatment of HIV not only saves lives but is also cost-effective.

And the recommended blood levels of T-cells as markers to start treatment is creeping up:

Before 2009, the World Health Organization (WHO) recommended waiting to initiate antiretroviral therapy (ART) for HIV until a patient’s CD4+ T cells fall below 200 cells per cubic millimeter. But in that year, a randomized clinical trial completed by Weill Cornell researchers at the GHESKIO clinic in Port-au-Prince, Haiti, demonstrated that early ART decreased mortality by 75 percent in HIV-infected adults with a CD4 cell count between 200 and 350 cells/mm3. As a result, the WHO now recommends that ART is started in HIV-infected people when their CD4 cell count falls below 350 cells/mm3.

Full story here.

Celebrate the Freedom to Read during Banned Books Week – Sept. 24-Oct. 1

From The ACLU:

HELENA, MT —Almost since Montana’s beginnings people have been trying to control what we read. Books have been targeted for being too violent, too insulting, too sexy or just plain too dangerous.

  • In 1902 Butte banned “The Story of Mary MacLane by Herself” as morally corrupt and insulting to Butte and its citizens.
  • During WWI Montana banned, and some towns even burned, German books as part of the Sedition Act.
  • Just last year, a parent challenged the use of Newberry Award-winning book “The Absolutely True Diary of a Part-Time Indian” in Helena Public Schools’ curriculum. The ACLU of Montana was there, as were more than 100 supporters of intellectual freedom who successfully fought for the novel’s retention.

The ACLU takes a strong stance for the First Amendment and everyone’s right to read what they choose.

Celebrate Banned Books Week, Sept. 24-Oct. 1 by learning more about book banning, finding out what you can do to protect intellectual freedom, reading a banned book or attending a Banned Books Week event near you hosted by the ACLU or Montana or the Montana Library Association’s Intellectual Freedom Committee.

*Great Falls — Monday, Sept. 26
12:00 Noon
Montana State University – Great Falls, Heritage Hall

*Helena — Monday, Sept. 26
6:30 p.m.
Lewis and Clark County Library

*Plentywood — Monday, Sept. 26
7 p.m.
Sheridan County Library

*Butte — Tuesday, Sept. 27
12:00 Noon
Montana Tech Library

*Bozeman — Tuesday, Sept. 27
12:00 Noon
Montana State University Library, basement classroom