Tag Archives: HIV/AIDS

The Effects Of HIV On The Body

by D Gregory Smith

Once the human immunodeficiency virus (HIV) enters your body, it launches a direct attack on your immune system. It gradually weakens your natural defenses against disease and infection and can affect every part of your body. Find out how here.

world-aids-day-300x300The human immunodeficiency virus (HIV) seeks and destroys CD4+ cells, a type of T lymphocyte (T cell). T cells are critical to the immune system. They’re responsible for warding off diseases and most infections, including viral infections.
HIV targets the type of cells that would normally fight off an invader like HIV. As the virus replicates, it damages or destroys the infected CD4+ cell and produces more virus to infect more CD4+ cells. Without treatment, this cycle continues in most infected people until the immune system is badly compromised, leaving them open to many serious infections and illnesses. Many of the illnesses that people compromised immune systems get are rare in people with functioning immune systems.
How quickly the virus progresses varies from person to person. Factors like your age, overall health, and how quickly you’re diagnosed and treated can make a difference.
Acquired immunodeficiency syndrome (AIDS) is the final stage of HIV. At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. Not everyone with HIV will go on to develop AIDS.
Importantly, many of the effects described here are related to the failure of the immune system in progressing HIV and AIDS. Many of these effects are preventable with early antiretroviral treatment, which can preserve the immune system. However, for anyone without access to effective antiretroviral treatment, these effects remain possible.
Immune System
Your immune system prevents your body from acquiring the diseases and infections that come your way. White blood cells defend you against viruses, bacteria, and other organisms that can make you sick.
When HIV enters the body, it goes straight for the CD4+ T cells that are a lynchpin for the operation of the entire immune system. As the virus infects and kills more of these T cells, your immune system grows weaker, and you become more susceptible to illness.
Early on, symptoms may be mild enough to be dismissed. Within a few months of becoming infected, most people experience a flu-like sickness that lasts a few weeks. Symptoms may include:
fever
chills
night sweats
diarrhea
headache
muscle aches
joint pain
sore throat
rash
swollen lymph glands
mouth or genital ulcers
The first stage of HIV is called the acute infection stage. The virus reproduces rapidly at this stage. You may not have much in the way of serious symptoms, but there are usually large quantities of virus in your blood. Many people are unaware of their HIV status at this point, but the risk of transmission during the acute infection stage is very high. Acute infection may cause flu-like symptoms, including decreased appetite, headache, night sweats, and others.
The next stage is called the clinical latent infection state. On average, it lasts 8 to 10 years. In some cases, it lasts much longer than that. You may or may not have symptoms during this stage.
As the virus advances, CD4 count decreases more drastically. This can lead to symptoms like:
fatigue
shortness of breath
cough
fever
swollen lymph nodes
weight loss
diarrhea
If HIV infection advances to AIDS, the body becomes prone to opportunistic infections. People with advanced HIV/AIDS are at increased risk of a number of infections, including a herpes virus called cytomegalovirus. It can cause problems with your eyes, lungs, and digestive tract.
Kaposi’s sarcoma, another possible infection, is a cancer of the blood vessel walls. It’s rare among the general population, but common in people who are HIV-positive. Symptoms include red or dark purple lesions on the mouth and skin. It can also cause problems in the lungs, digestive tract, and other internal organs.

HIV/AIDS also puts you at higher risk of developing lymphomas. An early sign of lymphoma is swollen lymph nodes.

Respiratory and Cardiovascular Systems
HIV increases the risk of colds, influenza, and pneumonias. According to the American Lung Association, HIV/AIDS can lead to opportunistic lung diseases. Without preventive treatment, people with advanced HIV are susceptible to tuberculosis, pneumonia, and a disease called pneumocystis carinii pneumonia (PCP). PCP causes trouble breathing, cough, and fever.

HIV raises the risk of pulmonary arterial hypertension (PAH). PAH s a type of high blood pressure in the arteries that supply the lungs. It puts added strain on the heart.
If you have HIV and have become immunocompromised (have a low T cell count), you’re susceptible to tuberculosis (TB), a leading cause of death in people who have AIDS. TB is an airborne bacterium that affects the lungs. Symptoms include chest pain and a bad cough that may contain blood or phlegm. Symptoms can linger for months.
Digestive System
A common HIV-related infection is called candidiasis. Symptoms include inflammation of and a white film on the tongue. It can also cause inflammation of the esophagus, which can make it difficult to eat. Another viral infection that affects the mouth is oral hairy leukoplakia, which causes white lesions on the tongue.
Salmonella infection is spread through contaminated food or water and causes diarrhea, abdominal pain, and vomiting. Anyone can get it, but if you have HIV, you’re at higher risk of serious complications from this infection.
Consuming contaminated food or water can also result in a parasitic intestinal infection called cryptosporidiosis. It affects the bile ducts and intestines. It can be particularly severe and cause chronic diarrhea in people who have AIDS. Cryptosporidiosis infection can occur in people with effective immune systems, but it can become a chronic problem in people with CD4 levels under 200.
HIV-associated nephropathy (HIVAN) is when the filters in your kidneys become inflamed, making it harder to remove waste products from your bloodstream.
Problems with your digestive tract can decrease your appetite and make it difficult to eat properly. Weight loss is a common side effect of HIV.

Central Nervous System
There are significant neurological complications of AIDS. Even though HIV doesn’t generally directly infect nerve cells, it does infect the cells that support and surround nerves in the brain and throughout the body.
All of the mechanisms of HIV-associated neurologic damage aren’t completely understood, but it’s likely that infection of these support cells contribute to nerve injury. Advanced HIV infection can damage nerves (neuropathy). Small holes in the conducting sheaths of peripheral nerve fibers (vacuolar myelopathy) can cause pain, weakness, and difficulty walking.
HIV/AIDS can cause HIV-associated dementia or AIDS dementia complex, two conditions that seriously affect cognitive function.
Toxoplasma encephalitis is another possible complication of advanced HIV. People with AIDS are at increased risk of inflammation of the brain and spinal cord due to this parasite found commonly in cat feces. Symptoms include confusion, headaches, and seizures.
Some common complications of AIDS include memory impairment, anxiety, and depression. In very advanced cases, hallucinations and frank psychosis can occur. Some people experience headaches, balance issues, and vision problems.

Skin
One of the more obvious signs of HIV/AIDS can be seen on the skin. A weakened immune response leaves you more vulnerable to viruses like herpes. Herpes can cause you to develop sores around your mouth or genitals.
People with HIV are at increased risk of shingles, which is caused by herpes zoster, the virus that gives you chickenpox. Symptoms of shingles include a painful rash, often with blisters.
A viral skin infection called molluscum contagiosum involves an outbreak of bumps on the skin. Another condition is called prurigo nodularis. It causes crusted lumps on the skin, as well as severe itching.

– See more at: http://www.healthline.com/health/hiv-aids/effects-on-body#sthash.IOtHxYfO.dpuf

Yes. I am. Positively Speaking.

by Timber

By Timber

I have struggled with writing this blog for some time. I didn’t know when the right time was going to be to do it. There have been many factors influencing my decision. My partner, family, friends, work, theatre, etc. It’s been a bumpy ride and very challenging spiritually, emotionally, socially and physically. As I sit here in the middle of a snow storm next to my roaring fire in the comfort of my own home, I am mostly content. It feels safe here. The dogs are relaxing, the birds are quiet and I have the house to myself. I can almost feel like I am strong and nothing is changed. Nothing is different. Everything is going to be okay. But, four innocuous words, put together, could change that in an instant. You see, I have a secret. But I don’t like secrets. They cause way too much stress. No, it’s not that I’m gay. That’s no secret to anyone. I mean, HELLO!!! Do you know me? The secret is even larger than that. It is earth-shattering, in some aspects. It is a heavy burden to bear. And I’m finally at the point where I don’t know if I can, or should, keep it in the closet any longer. This is my secret. And, it is very scary for me to share it with you. I don’t know what it will do to my social standing or my friendships. There are select people in my life that already know. My partner, first and foremost, my family and some of my very close friends. And they have all been overwhelmingly supportive. I am hoping that there are more people like that out there. I’m sure that others already know because of the way that gossip spreads through the “grapevine,” but I want to be sure that people are hearing it from the horse’s mouth.

You see, the reason I am giving away my secret is because I am an activist (if you hadn’t already noticed. . .tee hee). I want to educate people and I want to make people aware that this still happens. Let me give you just a little bit of background and we will kind of take it from there. I sit here and think of vipers like Dave Agema, the Michigan National Committeeman. “Folks, they (gay people) want free medical because they’re dying (when they’re) between 30 and 44 years old,” the paper quotes Agema saying last week. Funny. . .I’m almost 40 and I’m not dead. And, Dear Mr. Agema, I pay for my own health insurance. I pay all of my co-pays and even the costs that my insurance doesn’t cover. One of the things that the Affordable Care Act has done for me is to ensure that I don’t have to shell out 5 figures per year (yes, that much) because an insurance company might not want to cover my “pre-existing condition.” Perhaps Davey-boy thinks that I got what I deserved because I’m gay. Perhaps, he secretly rejoices with each new diagnosis of HIV because that means there will be one less queer in the world. Think again, Dave. I did not become HIV positive because I was promiscuous or because I was an IV drug user. As a matter of fact, I found out completely by mistake. That story will be told later. But, what I CAN tell you is that I got this disease because I loved and trusted someone. I was in a long term relationship. However, that person did not have the same respect for me and completely and totally betrayed my trust. The person lied to me about his status and there was ample opportunity to tell the truth. It would not have changed the way I felt about him, but it might have changed some of my behavior. That is the thing that I have struggled with the most out of all of this. I loved someone. I became HIV positive. The sense of betrayal is overwhelming at times. A friend of mine said it to me the best: The measure of a man and his heart is not the love he gives simply to feel validated and “loved” in return. Your heart is unconditional. . . But a human being that loves, that really understands being a living breathing man, doesn’t take advantage of that – he protects it and cares for it and nurtures is like the precious thing it is. He stole that and abused it and bent that into something twisted just to steal what he could, out of fear, of other’s love and affection. He put you all in harm’s way to protect himself, and he used love as his weapon to do it. It is the most awful sin a person who claims to be human can commit.  (Thank you, Amber Meyer) I found out the results on February 13th, 2012. How’s that for an early Valentine’s Day present? When I talked with my partner (who is negative, thankfully), I asked him how this was going to affect our relationship. He said, “I don’t understand what you mean. This is “For Better or For Worse, In Sickness and In Health.” Isn’t that what we decided? I love you for who you are, not what you have or don’t have.” I cried. But don’t you dare EVER tell anyone that! I will deny it with my last breath! I have an image to maintain, here. . . But, for the record, I am healthy. I have been seeing a doctor since I found out. I am on one pill a day that keeps my viral load undetectable and my T cells have been steadily climbing since I started. I am back to a normal level. I am sick less often and my energy has started to come back. And now, I am ready to fight. I am ready to educate. I am ready for whatever the world has to throw at me. I am here. I am LIVING!! And I am not going to die anytime soon. My doctor told me to expect to live to a ripe old age (80+), that is, if I quit smoking. My thoughts are along the same lines, but that is unless I push an old woman out from in front of a bus and I bite the dust saving her life. Although, it would be my luck that she would sue my estate because she broke a hip. . . If you feel that this blog would help someone, please share it. If it moved you, please share it. And remember, as I have said before, we all know someone who is HIV positive. And now, you know me. And this is what living with HIV looks like:

MT World AIDS Day Award Acceptance Speech

by D Gregory Smith

Once upon a time, there was a boy who grew up in a small town- in a time when things were said to be simple- but they were not.

For him.

He was unlike the other kids in ways that weren’t always noticeable to the people around him. He felt things a bit more keenly. He noticed things that other kids didn’t. He wasn’t great at sports, he wasn’t big and strong.

But he was smart.

And sometimes that meant he got picked on even more than other kids.

So he used that.

It made him tough. His parents were good, loving people. His church provided comfort. His books helped him escape.

Maybe it was God, maybe it was chance- it doesn’t really matter what made him different. He just was.

The fact remained that this boy- indistinguishable from a million other little boys- just wanted to be loved, even though he was different.

And when he grew up, he still wanted to be loved – sometimes desperately. Sometimes he trusted people who weren’t trustworthy- simply because the promise of love is often enough to make us overlook danger and potential tragedy.

The promise of love.

That’s what brings us here today.

That’s why I got infected. That’s how I got infected.

The promise of love. Not what you think about when you think of AIDS.

But I want you to think about it.

When I moved back to Montana almost seven years ago, I made a promise: that no gay kid would ever be so starved for love and support- would not be so handicapped by shame- that they couldn’t stay here and have a happy, successful, healthy and safe life if they wanted to. I would do everything in my power to make it happen.

So I came out as gay- and HIV positive- just to show that there is no shame in having a disease. It’s a virus, it’s not a judgment.

A microscopic being that happens to live in my body. And I want to keep it from living in any one else’s.

And so do you, I hope.

This disease  has been around for over three decades. And yet the state of Montana has never allocated state funds for its prevention. Not a penny.

Which begs the question- why?

Is it because of the shame at how the disease is transmitted?

Is it because we might have to talk about sex, needles, addiction and shame and fear?

Isn’t thirty two years long enough to avoid having this hard conversation?

In the Montana that little boy grew up in- that I grew up in- we prided ourselves on helping out where it was needed. We filled sandbags, we stopped when it looked like people were in trouble on the road, we ran to the fire house when the siren rang.

But not for HIV. Not for AIDS. Well, let me correct that.

A few very brave people did stand up. They braved ridicule and stigma to hold candlelight vigils and to hold the hands of people whose parents were too afraid to touch them. I know. I was there. I held some of those hands. And so did Laurie Kops and probably a few others in this room.

I’m not trying to toot my own horn here, but it’s important that we get back to something very basic here in the state of Montana.

Caring for our people.

ALL people.

It’s time to recognize that all people deserve the promise of love in their lives. Deserve the dignity and respect that I believe God gives everyone simply by being born. Deserves the respect of having information and materials at their disposal provided by the state that is charged with enabling public health and well-being.  It’s what I want out of my taxes- I hope it’s what you want from yours.

There are a few legislators here you can tackle on the way out….

My life is good. I have family that love me, a partner who is always there for me and more friends than any man ever deserves.

But it could be better.

Somewhere in the state of Montana there is a kid who doesn’t believe that he’s worthy of love.

And he’s part of our responsibility. Because he does deserve love. And he deserves help to be healthy about it.

Shame is keeping us from health.

Kinda crazy, isn’t it?

It’s time to have those hard conversations.

It’s time to stop shame in its tracks.

It’s time to return the promise of love to all Montanans.

Thank you for listening- and for this awesome award.

8737_10151910268658682_354499644_n

2013 World AIDS Day honorees Stephanie Cole, Chris Gehring, Chantz Thilmony, Greg Smith Lisa Fairman with Gov Bullock and DPHHS Director Opper

1463690_10201678908587883_103939675_n

Me and a really cool Governor

1451423_10152073348853307_136558517_n

Related articles

Analysis: Most At-Risk For HIV Not Studied

by D Gregory Smith

 

New Analysis of World’s Premier AIDS Conference Finds Poor Coverage of Populations Most-at-Risk for HIV

Hundreds of Organizations Worldwide Call on Conference Organizers to Increase Meaningful Coverage of Gay Men, Transgender People, People Who Inject Drugs, and Sex Workers

A new report produced by a coalition of global advocacy organizations shows that the International AIDS Conference (IAC) program continues to lack meaningful coverage of populations most-at-risk for HIV, including men who have sex with men (MSM), transgender people, people who inject drugs (PWID), and sex workers. Over 220 organizations from more than 70 countries around the world have called on the organizers of the IAC to take concrete measures to increase coverage of HIV-related issues concerning the health and human rights of these populations worldwide.

The report features a systematic quantitative audit and qualitative analysis of the topics and countries covered by abstracts on most-at-risk populations at the 2012 IAC, also known as AIDS 2012. These populations are also called “key populations,” because they are both key to the epidemic’s dynamics and key to the response. As an in-depth examination of research presented at the world’s premier AIDS conference, the report also offers a glimpse into the current state of research on these key populations globally.

The quantitative audit of the AIDS 2012 program showed that only 17% of all abstracts presented at the conference were exclusively focused on MSM, transgender people, PWID, or sex workers. Some key populations were better represented than others. The percent of all abstracts exclusively dedicated to each key population was 8% for MSM, less than 1% for transgender people, 5% for PWID, and 4% for sex workers.

The qualitative analysis of abstracts on these populations was even more revealing, indicating that more abstracts on key populations focused on individual risk factors (40%) than any other topic, including structural factors [e.g. policy, stigma, violence] (26%); primary prevention (19%); testing, care, and treatment (15%); and surveillance (10%). Only 29% of abstracts on key populations focused on describing interventions, while 71% described vulnerabilities without offering any detailed solutions.

“This meager level of coverage on issues concerning our communities at the International AIDS Conference is unacceptable,” said Dr. George Ayala, Executive Director of the Global Forum on MSM & HIV (MSMGF) and co-author of the report. “Not only was there a comparatively low number of abstracts on key populations at the conference, but the content of these abstracts was largely divorced from the most urgent needs of key populations as identified by members of the populations themselves.”

The report cites the body of abstracts at AIDS 2012 focused on MSM as an example of the gap between the kind of research prioritized by key population stakeholders and the kind of research ultimately presented at the conference. Ahead of AIDS 2012, the MSMGF conducted a global survey of nearly 300 MSM advocates and service providers around the world to identify the topics they felt would be most important to address at the conference. The top three themes were “Prevention,” “Stigma and Discrimination,” and “Law and Criminalization.” Of all abstracts presented at AIDS 2012, the percentage dedicated to these themes in relation to MSM was 1.6%, 0.5%, and 0.3%, respectively.

“After thirty years of AIDS, we know key populations are at much greater risk than the general population in nearly every country around the world,” said Allan Clear, Executive Director of the Harm Reduction Coalition and co-author of the report. “Our communities deserve proper attention, and mounting evidence argues that addressing HIV among key populations is central to ending the global AIDS crisis. It is time for the IAC and the broader AIDS response to start addressing HIV among key populations in a more equitable, more appropriate, and ultimately more effective way.”

In addition to examining the number and focus topics of abstracts on key populations, the report also assessed geographic coverage. Of all abstracts on key populations, nearly 40% focused on North America and Western Europe. A country-level analysis revealed that nearly two-thirds of all key population abstracts were concentrated in 10 countries alone. Of the remaining 79 countries represented in these abstracts, 32 had only 1 abstract on 1 key population. Numerous regions and countries with concentrated epidemics among key populations were either underrepresented or entirely absent.

“The poor coverage of topics concerning key populations, especially from lower-income countries, may reflect inequitable global funding for research on key populations as much as it reflects the IAC’s processes that reinforce these inequities,” said JoAnne Keatley, Director of the Center of Excellence for Transgender Health at the University of California, San Francisco and co-author of the report. “The IAC’s organizers must update the conference’s processes to ensure the event is as valuable as possible for addressing the urgent HIV epidemics among key populations. As the premier platform for sharing the latest research on HIV and AIDS, it must lead the global AIDS research field to do the same.”

“The IAC represents a unique and powerful opportunity to impact the global AIDS epidemic,” said Anastacia Ryan, Global Policy Officer on HIV and Sex Work at the Global Network of Sex Work Projects (NSWP). “The conference offers unparalleled potential to shape the industry’s discourse, funding priorities, and locus of scientific inquiry, giving key affected populations the recognition they deserve as partners in fighting the epidemic. By updating its processes to increase meaningful engagement with and coverage of key populations, the IAC will not only support the development of more effective strategies to address the needs of key populations, it will bring the global AIDS response closer to developing the comprehensive solutions we need to end the epidemic.”

The report concluded with a set of 5 recommendations for measures that can be taken by conference organizers to increase meaningful coverage of key populations at future IACs. The recommendations include conducting community consultations, issuing targeted calls for abstracts, and advocating with large funders and research institutions for more appropriate funding and support for research on key populations. A total of 221 organizations from 73 countries endorsed the recommendations for action.

The full report, entitled “Coverage of Key Populations at the 2012 International AIDS Conference,” is available online at http://www.msmgf.org/files/msmgf//Advocacy/AIDS2012_KeyPopulations.pdf  The report was jointly produced by the Global Forum on MSM & HIV (MSMGF), Global Action for Trans* Equality (GATE) , the Center of Excellence for Transgender Health (CoE), the Harm Reduction Coalition, the International Network of People Who Use Drugs (INPUD), Different Avenues, and the Global Network of Sex Work Projects (NSWP).

The full list of recommendations and endorsements can be found online at http://www.msmgf.org/files/msmgf//Advocacy/Action_Alerts/AIDS2014_CCC_Signatures.pdf. 

 

Related articles

Light A Candle

by D Gregory Smith

My address at the AIDS Outreach Candlelight Vigil 2012:

You may have heard the saying, “It is better to light one candle than to curse the darkness”

For more than 30 years we have been struggling to support people with HIV. We have struggled with shame, anger, deep grief and injustice.

We have lost many good men, women and children.

Husbands, wives, mothers, fathers, sisters, brothers, sons and daughters. Friends.

It was easy back then to just curse the darkness- blame it for not being light.

But there were people who refused to do that.

They raised their voices, they publicly shared their grief, their outrage, their compassion.

They refused to sit helplessly in the dark- they searched for light. And because they found it, we have come a long way from the darkness of 30 years ago.

In some ways, the story of AIDS is something of a human triumph.

In moving from shame to dignity, people began to live longer with medication breakthroughs. People acted out of love, not fear.

People lit candles.

We are just learning that treatment is prevention- HIV+ people on medication are much less likely to pass on the virus.

That means getting everyone at risk tested. And if they are positive, to get them on meds as soon as possible. If we did this, we could stem the tide.

But we know the people most at risk are not being tested. We also know why: Denial, fear and shame are holding that testing room door shut. Cursing the darkness rises once again.

It’s time once again to search for candles to light.

I know we have a difficult job to do. We have to push testing without stigmatizing those infected. We have to ask people to care for their health- and the health of their community, without creating a too-rosy picture of life with HIV.

How do you say “Don’t get HIV. But, if you do get it, it’s not the disaster your worst fears whisper to you”?

It’s hard. But we believe we’re making progress.

Because the most important thing we have learned in 30 years is compassion. It’s the common denominator in all that we do.

It’s what we bring tonight to remember the loved ones we have lost to HIV- what we use to dignify their memory.

I believe that we are witnessing the beginnings of the triumph of compassion over the fear and stigma and shame and ignorance of our past. We are witnessing the beginnings of the inevitable triumph of light over darkness- but only if everyone lights that candle….

People at risk are people- they are worthy of dignity, compassion and respect.

People with disease are still people- they are worthy of dignity, compassion and respect. 

It’s what I believe. I also think it’s what you believe- because you’re here.

“It’s better to light a candle than to curse the darkness.”

As a symbol of that optimism, tonight we light candles.

We represent our hope, our loss, our pain, our shame, our dignity and our resolve with the light of some flickering candles.

Because we refuse to sit in darkness.

Because dignity is worthy of light.

Fact:

by D Gregory Smith

Click for data

AIDS Vote 2012

by D Gregory Smith

What is AIDS Vote 2012?

This is an important election year especially as we consider where we are with the HIV & AIDS epidemic.AIDS Vote 2012 is a national awareness-raising and education campaign designed to inform candidates and voters of the public policies necessary to advancing the fight against HIV/AIDS. We demand a country in which the lives and health of individuals, workers, families and communities are prioritized over ideology and the interests of the wealthy and corporations. We have the science, the treatments, and the resources to end theHIV epidemic, but do we have the political will?

If elected, how would they fight HIV/AIDS?

What will the next President of the United States, whomever he will be, do to help combat AIDS/HIV both domestically and abroad? Click here for more information on both candidates stances on the issue as well as their plans for future AIDS funding.

Your vote matters!

One of the most important rights we enjoy as citizens of our state and nation is the right to vote. Click herefor information regarding how and where to register to vote in the state of Montana.

(Thanks to Open AID Alliance)

Specifics: Obamacare and HIV

by D Gregory Smith

click for more info

From Think Progress By Tara Culp-Ressler

A new brief from the Kaiser Family Foundation reports that President Obama’s health care reform represents a significant step forward for Americans with HIV, helping to expand health insurance to many HIV-positive individuals who would be “otherwise unable to access affordable and stable health care coverage.” Representing hugely important tactics to continue addressing the HIV/AIDS epidemic, several of Obamacare’s provisions will have a directly positive impact on the estimated 1.1 million Americans who live with the HIV virus:

  • Obamacare will prevent insurance companies from denying HIV-positive Americans coverage simply based on their HIV status. The health care reform law prohibits insurance companies from discriminating based on pre-existing conditions, including HIV. Before Obamacare, Americans living with HIV often struggled to find insurance companies willing to take them on — according to the Kaiser Family Foundation, just 13 percent of HIV-positive individuals were covered under private insurance in 2010.
  • Obamacare’s expansion of the Medicaid program helps low-income Americans with HIV who otherwise wouldn’t qualify for coverage. Over 40 percent of HIV-positive Americans accessed their health insurance through the Medicaid program in 2010, and expanding Medicaid even further will extend additional coverage to this community. Furthermore, under Obamacare, HIV-positive individuals do not have to have to be diagnosed with AIDS as a precursor to qualifying for Medicaid coverage. Although this was an old eligibility requirement for the program, the health reform law ensures the states that accept Obamacare’s Medicaid expansion will not have to impose this restriction on Americans living with the HIV virus.
  • HIV-positive Americans will no longer reach limits on the amount of treatment their insurance companies are willing to cover. Obamacare eliminates lifetime coverage caps and phases out annual limits, which will help all Americans with chronic conditions — including the Americans who rely on treatment for HIV infections — continue to be able to afford the care they need without reaching an arbitrary cut-off set by their insurance companies.
  • HIV testing will likely be covered under Obamacare. This year, the U.S. Preventive Services Task Force is expected to recommend routine HIV screenings as a part of regular preventative care, similar to a routine blood pressure test. Since the health reform law requires insurers to cover the preventive services recommended by the Preventative Services Task Force, a new standard for HIV testing could ensure that it becomes a standard part of annual check-ups. The Centers for Disease Control estimates that about 20 percentof the total population of Americans who are infected with HIV don’t know they have the virus, so regular tests that don’t incur an out-of-pocket expense could help encourage more Americans to learn their status.
  • Since Obamacare helps close the prescription drug coverage gap for Medicare beneficiaries, HIV-positive individuals will be more likely to afford their drug treatments for the virus. By closing the “donut hole,” or the gap in coverage for expensive prescription drugs under the Medicare program, Obamacare will help ensure that older Americans living with HIV aren’t unable to afford any of the 26 antiretroviral drug treatments that can be used to combat HIV infections. Twelve percent of Americans with HIV relied on Medicare for their health coverage in 2010, and that number may rise significantly as the population of HIV-positive Americans continues to age.
  • Obamacare increases resources for HIV research and prevention. The health care reform law allocates $10 billion over ten years for a new fund that focuses on prevention, wellness, and public health activities. In 2010, $30 million from that fund was awarded to the Centers for Disease Control for HIV prevention activities, including new investments in HIV surveillance and testing among high-risk populations.
Related articles

Rehberg’s Anti-LGBT Record

by D Gregory Smith

…is spelled out by ThinkProgress:

Rep. Denny Rehberg (R-MT)

In June, Montana Republicans nominated Rep. Denny Rehberg (R-MT) to challenge incumbent Sen. Jon Tester (D). Unlike Tester, a fairly reliable supporter of LGBT equality, Rehberg has opposed the LGBT community at every opportunity.

Over his time as Lt. Governor of Montana, his unsuccessful 1996 Senate campaign, his 12 years in the House of Representatives, and this Senate campaign:

1. Rehberg proudly pranked a fellow Congressman with a gay-mocking “Idaho Travel Package.” In 2008, after Idaho’s Sen. Larry Craig (R) plead guilty to lewd conduct involving a male police officer in a Minneapolis-St. Paul International Airport restroom, Rehberg decided to leave a care-package for Rep. Mike Simpson (R-ID). On a congressional trip to the Middle East, Rehberg reportedlyleft “a stuffed sheep with gloves attached to it, a Village People CD, books on cross-dressing and sign language and a T-shirt that reads, ‘My senator may not be gay, but my governor is Butch.’” The governor of Idaho’s name is C.L. “Butch” Otter. A spokesman claimed “no offense was intended,” Rehberg boasted that he was proud of the travel package and “spent a bit of time putting the things together.”

2. Rehberg has consistently fought against marriage equality and even domestic partnership benefits for same-sex couples. In his Senate campaign kickoff, he told supporters: “I will never, ever, ever be ashamed to stand for the life of the unborn child and the sanctity of traditional marriage.” He has indeed shown no shame, votingtwice for a federal constitutional amendment requiring “marriage in the United States shall consist only of the union of a man and a woman.” He also voted for a 2011 amendment reaffirming the unconstitutionalDefense of Marriage Act (DOMA), a 2007 amendment restricting the District of Columbia government from using any federal funding to provide domestic partnership benefits, and a 2004 bill of questionable constitutionality to strip federal courts of the right to review whether DOMA is unconstitutional. In May, he reiterated his support also for his state’s same-sex marriage ban, saying “Montana’s state constitution says ‘Only a marriage between one man and one woman shall be valid or recognized as a marriage in this state,’ and I agree.”

3. Rehberg railed against hate crimes protections for LGBT Americans, calling them “extremist.”….

There’s much more. AND a video.

If you’ve needed some clearly spelled out reasons to deny this man the Senate seat the Tea Party is so desperately seeking to claim, click the link below.

Rehberg’s anti-LGBT Record.

 

Related articles

Hard Truths (About Gay Men & HIV)

by D Gregory Smith

From NAPWA’s Positive Voice Newsletter:

National Gay Men’s HIV/AIDS Awareness Day – NGMHAAD – is coming September 27, three months to the day after National HIV Testing Day, and hard on the heels of July’s landmark International AIDS Conference (IAC) in Washington, D.C. We have two messages this year: Be aware, know your risk, and, Let’s end this epidemic! Because we matter – and we can.

Speaker after speaker at IAC returned to this year’s good but challenging news: yes, we still need more science to stamp out HIV – more and better antivirals, an effective vaccine, and a functional cure – but we already have all the biomedical tools we need to make new HIV infections a thing of the past. The hard part is reaching “key populations” – groups with high rates of existing infections and new infections because they have been marginalized, stigmatized, denied civil rights, and excluded from health care.

NGMHAAD is for one of those “key populations:” this country’s men who have sex with men (MSM). NAPWA founded NGMHAAD in 2008 because we want them to know the epidemic isn’t over. We want them to know how high their HIV risk really is – because so many are already infected, and too many don’t know it. And we want them to know that we’ve come a long way since AIDS was first reported in 1981, and even further since Stonewall, but stigma is still driving this epidemic and gay men don’t have to take it anymore.

So let’s look at some numbers and see what that the gay men’s HIV epidemic looks like in the U.S.

The July 28 issue of The Lancet opened an admirable series of articles on HIV among gay men worldwide with a look at epidemiology, and reported that HIV prevalence among men who have sex with men in its North American region is a jaw-dropping 15.4% – almost one in six. The real prevalence may be a little lower – The Lancet assumes that only 3.7% of American men are MSM, a number we think is too low, and raising the estimated number of MSM would reduce the calculated prevalence a little – but it’s still clear that prevalence is breathtakingly higher among MSM than in the rest of the population.

Let’s calculate just how much higher.

About 251 million Americans are 15 or older. If 5 percent of the men are MSM, we have 6.3 million MSM and 245 million “others” 15-and-older in this country. We’re all familiar with the CDC’s estimates that 1.2 million Americans are living with HIV, and 60% of them are MSM. That gives us 480,000 infections in 245 million “others,” for a prevalence of 0.2% – one in five hundred. It also gives us 720,000 infections in 6.3 million American MSM, for a prevalence of 11.5% – just shy of one in eight. HIV prevalence among American MSM is almost 60 times what it is in the rest of the population.

That means HIV-negative MSM who are active with partners whose status they don’t know are at much higher risk than many realize. So the first and most important message of National Gay Men’s Awareness Day is – simply – be aware. Know your status. Know your risk. If you aren’t absolutely sure you know your own and your partner’s status, keep your condoms handy.

In September 10’s Positive Voice, we’ll write about how we got to where we are and what’s needed to deal with the MSM epidemic on the ground. Why near-universal testing is so important when prevalence is already so high. The need to confront stigma and talk frankly about sex in communities where this is deeply uncomfortable. The need for pride and love. The need to have culturally competent and welcoming health care for MSM.

And in the September 24 issue, just three days before NGMHAAD, we’ll remember the quarter-million (at least) American MSM who have died of AIDS and examine our responsibility as their survivors to demand action to end this epidemic once and for all. Now that we can, we must.

Related articles