Warning! Gonorrhea Threat Is Real

HIV isn’t the only reason to use condoms. From Tim Horn:

The last line of therapeutic defense against gonorrhea is losing its strength, according to an editorial published February 9 in the The New England Journal of Medicine. With no new antibiotics effective against the sexually transmitted infection (STI) on the horizon, Gail Bolan, MD, of the U.S. Centers for Disease Control and her fellow authors are worried about an upswing in gonorrhea samples showing to be less susceptible to cephalosporins—the only class of drugs still widely effective against the bacteria.

“It is time to sound the alarm,” the authors state. “During the past 3 years, the wily gonococcus has become less susceptible to our last line of antimicrobial defense, threatening our ability to cure gonorrhea and prevent severe [associated illnesses].”

Gonorrhea, caused by the bacteria Neisseria gonorrhoeae, is the second most commonly reported communicable disease in the United States, with more than 600,000 new cases reported annually. Typically spread through sexual activity, it disproportionately affects vulnerable populations such as minorities who are marginalized because of their race, ethnicity or sexual orientation.

Untreated gonorrhea can cause serious and permanent health problems in both women and men. Gonorrhea is a common cause of pelvic inflammatory disease (PID), affecting roughly 750,000 women every year in the United States. It can be painful and may lead to internal abscesses—pus-filled “pockets” that are hard to cure. PID can also lead to fallopian tube damage and ultimately cause infertility or increase the risk of ectopic pregnancy.

In men, gonorrhea can cause epididymitis, a painful condition of the ducts attached to the testicles that may lead to infertility if left untreated.

Gonorrhea can also spread to the blood or joints, which can be life threatening. Additionally, gonorrhea can make it easier to either transmit or become infected with HIV.

…[the increased resistances] Bolan and her colleagues note, were most pronounced in the western United States (up to 3.6 percent) and among men who have sex with men (up to 4.7 percent).

Full story here.

New STD Rates “Shockingly High” (dgsma.wordpress.com)
Chlamydia, Gonorrhea On The Rise In U.S. – And Young Women Most Likely To Be Infected (blisstree.com)
Scientists sound alarm over threat of untreatable gonorrhea in United States (eurekalert.org)
Just In Time For Valentines Day The Gift That Keeps On Giving……. GONORRHEA!!!!! (thatgirlnamednaima.wordpress.com)

Guest Post: All Across The Land, Religious support For Marriage Equality Continues To Grow

Feb9 by D Gregory Smith

(From Bondings 2.0)
By Francis DiBernardo, Director, New Ways Ministry

As if the legislative victory on marriage equality in Washington State were not evidence enough of a major shift in the landscape of public opinion on this issue, Robert Jones of the Public Religion Research Institute has highlighted important data about religious (including Catholic) support for these initiatives. In a HuffingtonPost.comcolumn he writes:

Image via Wikipedia

” . . . a new exploration of 2011 polling by Public Religion Research Institute offers decisive evidence that the old assumptions about battle lines between secular proponents and religious foes no longer hold. Majorities of five major religious groups and the religiously unaffiliated favor allowing gay and lesbian couples to marry, compared to three major religious groups who oppose same-sex marriage. On the side supporting same-sex marriage, the religiously unaffiliated (72 percent) are joined by majorities of Jews (76 percent), Americans affiliated with a non-Judeo-Christian religion (63 percent), white Catholics (56 percent), Hispanic Catholics (53 percent) and white mainline Protestants (52 percent). Together, these religious groups make up approximately 45 percent of the general population.”

Even more importantly, Jones notes that even where opposition to marriage equality does exist among religious groups, evidence is strong that the younger generation is much more supportive than their elders, signaling that future change is imminent:

“. . . [A] generational gap signals that with the passage of time, this intense resistance may ebb. Even among white evangelical Protestants — the group most opposed to same-sex marriage — nearly 4-in-10 (39 percent) white evangelical Protestant Millennials favor allowing gay and lesbian couples to marry legally, a rate that is more than 20 points higher than that of white evangelicals ages 30 and older (18 percent). The same is true of Catholics: 66 percent of Catholic Millennials favor allowing gay and lesbian couples to marry, 15 points higher than Catholics ages 30 and above (51 percent).”

Jones is not the only voice proclaiming this new evidence. On February 7th, the Pew Forum on Religion and Public Life issued a report that went deeper into the statistics on Catholics:

“Among Catholics as a whole, supporters of same-sex marriage now outnumber opponents (52% vs. 37%). In 2010, Catholics were more evenly divided on the issue, with 46% favoring same-sex marriage and 42% expressing opposition. A majority of white Catholics (57%) now express support for same-sex marriage, while Hispanic Catholics continue to be closely divided (42% favor same-sex marriage, 42% are opposed).”

On the Washington Post’s “On Faith” blog, Ross Murray of GLAAD, also notes the important shift in how the media covers the religious angle of the marriage equality debate:

“In 2008, the ‘gays versus religion’ frame was strongly entrenched in the mentality of the American public. Much of the driving force behind Prop 8, in terms of both organization and money, came from the leadership of the Roman Catholic and Mormon churches. People of faith who were personally supportive of marriage equality didn’t speak out, or felt that their support of LGBT people would be seen as being at odds with their faith.

“That is no longer the case. We are in a new reality.”

Murray’s blog post continues with example after example of religious groups speaking out for marriage equality in the media, including the Catholic coalition, Equally Blessed, of which New Ways Ministry is a member, along with Call To Action, DignityUSA, and Fortunate Families.

Murray notes that the religious voice in political debates is not only good for the outcome of the debate, but good for religious LGBT people themselves:

“It is indeed a new reality. In less than four years, our country has come from being one that pitted LGBT people against people of faith. Those of us who hold both of identities of LGBT and faithful no longer have that same struggle. We are not being called to deny our God or the way that God made us. This affirmation from the courts, the increasing public acceptance, and the leadership of people of faith in the call for LGBT inclusion affirms us in our faith, our identity, and our place in this country.”

(The prolific Murray also has a HuffingtonPost column on the same topic, but from a slightly different perspective. It is definitely worth a read, too.)

And by the way, in the Washington State initiative, which began this post, the only thing left for it to become law is the signature of Governor Christine Gregoire, a Catholic, who has pledged to do so. Reports say that signature can come as early as next week.

All Across the Land, Religious Support for Marriage Equality Continues to Grow (newwaysministryblog.wordpress.com)
Often Overlooked, Sisters Are At Equality Forefront (dgsma.wordpress.com)
Catholic Progressives: Speak Up! (dgsma.wordpress.com)
N.Y. Times Reports Incorrectly on Catholic Opposition to Marriage Equality (newwaysministryblog.wordpress.com)
Religious Divides in Support for Same-Sex Marriage (queeringthechurch.com)

Kaiser Permanente Announces HIV Challenge

Jan30 by D Gregory Smith

When healthcare gets it right, I think it’s important to notice.
Contrary to the HMO stereotype, Kaiser Permanente has taken on the challenge of HIV and instituted policies and guidelines for the effective care and treatment of persons with HIV- to dramatic effect:

English: The Ordway Building, One Kaiser Plaza...

Image via Wikipedia

Kaiser Permanente announced (January 26th) the Kaiser Permanente HIV Challenge to help health care providers nationwide improve health equity for people living with HIV by increasing access to HIV care and improving health outcomes.

The HIV Challenge was announced at the Center for Medicare & Medicaid Innovation Care Innovations Summit in Washington, D.C. ( www.hcidc.org ).

Kaiser Permanente, the nation’s largest nonprofit health care provider, has treated more than 60,000 people since the HIV epidemic emerged 30 years ago, and has reduced disparities among its current HIV population of more than 20,000 people by working to meet or exceed the objectives of the U.S. National HIV / AIDS Strategy.

The crux of the HIV Challenge (kp.org/hivchallenge) is to challenge other private health care providers and public and community health clinics to increase the number of HIV-positive people getting effective treatment by sharing Kaiser Permanente’s toolkit of clinical best practices, provider and patient education materials, mentoring, training and health IT expertise.

(Watch the excellent video series about Kaiser’s HIV Challenge here)

HIV is still an epidemic in the United States, with 56,000 people becoming infected each year and more than 1.1 million Americans living with HIV, but one in five people with HIV don’t know they are infected.

“The organizations presenting challenges here today are pushing the best minds in the country to create a better health care system. They represent exciting solutions to help address some of the nation’s most urgent health needs,” said CMS Acting Administrator Marilyn Tavenner.

Health care disparities are gaps in the quality of care associated with inequities encountered by racial, ethnic, poor and marginalized groups. The HIV Challenge is part of Kaiser Permanente’s larger work to identify, measure, research and eliminate disparities in health and health care in the United States. To learn more go to kp.org/healthdisparities.

“Too many people are unaware they have HIV because access to effective prevention and care is insufficient,” said Michael Horberg, MD, director of HIV/AIDS for Kaiser Permanente, executive director of research for Mid-Atlantic Permanente Medical Group, and a member of the Presidential Advisory Council on HIV/AIDS. “People with HIV need to get into treatment because quality HIV treatment prevents others from getting infected. Patients on effective therapy and better case management are living longer and more productive lives. However, quality HIV treatment requires effort.”

Kaiser Permanente has demonstrated excellence in HIV clinical care outcomes with:

HIV mortality rates that are half the national average
94 percent median treatment adherence among patients regularly in care and on antiretroviral therapy
No disparities among its black and Latino HIV-positive patients for both mortality and medication rates, compared to a 15 percent higher rate in the United States for mortality and for medication
89 percent of its HIV-positive patients are in HIV-specific care within 90 days, compared to 50 percent in the U.S. within one year
69 percent of all its HIV-positive patients have maximal viral control compared to 19 percent to 35 percent nationally

As part of its HIV Challenge effort, Kaiser Permanente is sharing these best practices and tools for private health care providers and community health clinics to replicate: quality improvement programs that measure gaps in care; testing, prevention and treatment guidelines; how to set up multi-disciplinary care team models that emphasize the “medical home” so HIV specialists, care managers, clinical pharmacists and providers work together; and education for both the provider and patient.

For more details on the HIV Challenge, to download the best-practices toolkit and to watch videos of success stories in setting up HIV clinics and reducing disparities, go to: kp.org/hivchallenge

“Our success in the treatment of patients with HIV/AIDS results from the excellence of our clinicians, our advanced IT systems, our integrated delivery system and our effective coordination across specialties,” said Robert Pearl, MD, chief executive officer and executive medical director of The Permanente Medical Group and Mid-Atlantic Permanente Medical Group. “In the same way that we have reduced the chances of our patients dying from cardiovascular disease and cancer significantly below the national averages, we have achieved outstanding clinical outcomes for our patients with HIV/AIDS.”

The National HIV/AIDS Strategy ( http://www.aids.gov/federal-resources/policies/national-hiv-aids-strategy/ ) calls for increased testing so that all Americans can know their HIV status, increased access to culturally sensitive prevention messages, community-targeted prevention and condom and clean needle access. NHAS also calls for improving access to quality HIV care because HIV medications not only improve individuals’ health and extend their life expectancy, they also reduce their risk of transmitting HIV to others. A recent scientific study found that effectively treating HIV patients with antiretroviral medications reduces HIV transmission by 96 percent. The study, known as HPTN 052, found that treating people with antiretroviral drugs before they are symptomatic can reduce the amount of virus in the blood sufficiently to reduce the risk of sexual transmission of HIV to an uninfected partner.

The Kaiser Permanente HIV Challenge is part of Kaiser Permanente’s ongoing research of HIV and HIV treatment. Published Kaiser Permanente research studies include:

A study that found there are no disparities by race or ethnicity in risk of AIDS and death among HIV-infected patients in a setting of similar access to care, despite lower anti-retroviral therapy adherence among Latinos and blacks compared to whites.
A study that found HIV-infected patients are at increased risk for cancer as a result of both their impaired immune system and lifestyle factors, such as smoking.
A study that found 17 measures, such as screening and prevention for infections and monitoring of antiretroviral therapy, should be adopted uniformly to improve the quality of HIV care and treatment nationwide.
A study that found that cholesterol medications can work well among certain HIV patients who are at risk for cardiovascular disease.

About the Care Innovations Summit:

Sponsored jointly by the Department of Health and Human Services, the Centers for Medicare & Medicaid Services, Health Affairs, and the West Wireless Health Institute, the Care Innovations Summit brings together more than 1,000 health care leaders, entrepreneurs, innovators, government officials, and finance experts to stimulate investment in a high-quality, sustainable health care system. Made possible by the Affordable Care Act and the Obama Administration’s commitment to open government, the Summit represents a new opportunity for industry and government to work together to help spur innovation in the public and private sectors to improve health care quality as never before and lower costs through improvement.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 8.9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: http://www.kp.org/newscenter .

For more information:
Danielle Cass, danielle.x.cass@kp.org, 510-267-5354
Farra Levin, farra.r.levin@kp.org, 510-267-7364

SOURCE Kaiser Permanente

Kaiser Plays Key Role In Nationwide AIDS Treatment Challenge (sanfrancisco.cbslocal.com)
AIDS: “The Unnecessary Epidemic” (dgsma.wordpress.com)
Kaiser study: Cancers more likely for HIV-positive (sfgate.com)
Earlier antiretroviral therapy might reduce the burden of cancer in those with HIV (eurekalert.org)

Lesbian Healthcare Study

Jan28 by D Gregory Smith

I like to help students out- especially when it involves greater understanding of our community. Please pass along to others who may qualify.

LESBIAN RESEARCHER SEEKING PARTICIPANTS FOR STUDY ON LESBIANS’ EXPERIENCES WITH HEALTHCARE PROFESSIONALS
My name is Melissa St. Pierre and I am a lesbian doctoral student from the University of Windsor (ON, Canada). I am looking for women who are interested in participating in a research study. You can participate if:

You are a lesbian.

You are 16 years or older and live in Canada
OR
You are 18 years or older and live in the United States

Chance to win 1 of 5 $100 cash prizes!

This study has received clearance from the University of Windsor’s Research Ethics Board.

To find out more, go to: http://www.uwindsor.ca/lesbianhealthstudy. Questions? Prefer to fill out a paper survey? Contact me at stpier4@uwindsor.ca or at 519-253-3000 ext. 4703.

Lesbo-Care: A Viable Healthcare Option That Also Fights Terrorism (sweetmotherlover.wordpress.com)
Lesbians And Bi-Sexual Women Show Increased Breast Cancer Risk (medicalnewstoday.com)
Study: Adolescent Children Of Lesbian Parents Are Just As Well-Adjusted As Peers From Opposite-Sex Couples (thinkprogress.org)
New Study Proves Lesbians To Be Better Parents (practikel.com)

Often Overlooked, Sisters Are At Equality Forefront

Jan24 by D Gregory Smith

What do you know about nuns?

Image by neil1877 via Flickr

I’m not talking about the caricatured, stereotyped and ridiculous portrayals by movies, television and popular culture (Dead Man Walking and a few others excepted). You’ve probably seen pictures of nuns marching for civil rights in the sixties. You may heard of the selfless sacrifices made by sisters in the missionary field. And you may know a sister (or two) who have changed your life for the better.

I do. Several, in fact.

Sisters have been on the cutting edge of social issues (it can be argued) for over a thousand years- much of the hierarchy cannot claim even a fraction of the social justice work these women have accomplished. They have been working (often very quietly) to keep the fundamental message of Jesus alive- the message that compassion, dignity and respect is the only response to every human person.

What you may not know is this: they are also some of the fiercest advocates of social justice for LGBT persons.

New Ways Ministry, a Catholic organization dedicated to promoting understanding and dignity for LGBT persons, has an excellent blog post about the work of religious sisters for LGBT equality. Excerpt:

It’s no secret–though it’s not well-known, either–that high on the list of Catholic supporters of LGBT equality are nuns. Communities of women religious have consistently been supportive of education, dialogue, and justice activities for LGBT people since the late 1970s.

After Vatican II, when nuns’ communities re-evaluated their charisms and ministries, they quickly realized that the church had long neglected lesbian/gay rights and that this was an issue that cried for justice. They responded positively and actively.

Johnson’s article highlights the reason that nuns can be so steadfast:

“American nuns don’t want to fight the official church, but neither are they likely to sacrifice the integrity of their consciences for the sake of peace.”

At New Ways Ministry, we are indebted to our Sisters for financial, spiritual, and practical support over our 35 year history. More New Ways Ministry programs have been held in convents and motherhouses than in any other type of Catholic facility by far.

Read the full post here– and follow their blog on Twitter– it’s a heartening voice in a religious climate that is often far from charitable.

So if you have a negative view about nuns, consider changing your mind. And if you know a sister who’s braving the forefront of equality- thank them. Send them this post, in fact.

We owe them more than we think.

Related articles

Nuns at forefront of corporate activism (mumbailaity.wordpress.com)
What You Probably Didn’t Know About MLK (subzinfo.wordpress.com)
The Church vs. the church (newwaysministryblog.wordpress.com)
ALL ARE WELCOME: Say the Words (newwaysministryblog.wordpress.com)
Some Good News (dgsma.wordpress.com)
Marriage Equality Gaining Momentum in Two States with Catholic Governors (and Among Catholic Mayors, too) (newwaysministryblog.wordpress.com)

Washington State Has The Vote It Needs To Pass Marriage Equality

Jan23 by D Gregory Smith

According to our friend Andy over at Towleroad:

Image via Wikipedia

Washington state has the votes to legalize same-sex marriage after State Sen. Mary Margaret Haugen says she’ll support the marriage equality bill, KIRO reports:

In a statement, Haugen said, “I know this announcement makes me the so-called 25th vote, the vote that ensures passage. That’s neither here nor there. If I were the first or the seventh or the 28th vote, my position would not be any different. I happen to be the 25th because I insisted on taking this much time to hear from my constituents and to sort it out for myself, to reconcile my religious beliefs with my beliefs as an American, as a legislator, and as a wife and mother who cannot deny to others the joys and benefits I enjoy.”

Haugen’s announcement comes as the first hearings on the measure are being held in Washington’s capitol. Twenty-five votes are required for passage of the bill in the state Senate, and Haugen’s would be the 25th committed vote.

Haugen’s full statement is powerful and realistic and human. She obviously took this seriously, went past the rhetoric and used that most amazing tool of humanity- the conscience. And everyone who wrestles with the issue of marriage equality- or is affected by it should read it.

It’s with the full story here.

Marriage Equality Gaining Momentum in Two States with Catholic Governors (and Among Catholic Mayors, too) (newwaysministryblog.wordpress.com)
Marriage Equality Within Reach in Washington: AP (towleroad.com)
Republicans, Local Governments Endorse Marriage Equality Effort In Washington State (thinkprogress.org)
Spokesman-Review Opinion: “Gays Deserve Same Rights” (dgsma.wordpress.com)
A Civil Discussion on Civil Marriage (newwaysministryblog.wordpress.com)

Racism, Unleashed

Jan23 by D Gregory Smith

Because we have an African American in the White House, and a chequered American past as far as racial equality (and inequality for that matter) are concerned, it was only a matter of time.

To play the (Aryan) race card.

Little Green Footballs is reporting that Fox Nation has posted a video that has resulted in hundreds of racist, offensive comments:

Image via Wikipedia

As we’ve noted at LGF many times, Fox Nation, official discussion forum of Fox News, has become utterly indistinguishable from a neo-Nazi hate site like Stormfront. And here’s another graphic, disgusting demonstration.

Yesterday, whatever race-baiting goon runs that site posted a video of Sheila Jackson Lee, criticizing Newt Gingrich’s racist code words:

Sheila Jackson Lee: Newt Using ‘Codewords’ to be Racist – Newt Gingrich – Fox Nation

Of course, they knew exactly what would happen; that’s why they posted the video. Fox Nation commenters responded with a torrent of outraged whining and denials: “Democrats are the real racists,” “Sheila Jackson Lee is the real racist,” “There’s no racism in America,” “I’m sick of being accused of racism,” etc. etc. etc.

And there were real, disgustingly racist and hateful comments posted throughout the site- which they’ve taken down. Comments are now closed. But if you want to see what they said, you can go to Little Green Footballs site, linked above. I won’t reprint them here.

This is nothing new- it started the second Obama started to gain traction in the primaries. You remember the jokes, the pictures, the sneers. But there are arguments, like Lee’s, that the Republican challenger’s rhetoric is inflammatorily “coded” to incite fear and disgust in his audience without actually sounding the alarm- especially as a white Southerner familiar with the race-baiting fear tactics so popular (and effective) in the 60’s.

Do I believe the President can handle this rhetoric? I do. He will do it with his characteristic intelligence and grace.

What bothers me is this: A significant part of the American Public too easily fall into this unenlightened position of racial ridiculousness. And Fox News just seems to be fanning those flames- “out of concern for America,” mind you.

Watch closely, America. It’s out there.

The Persona of the Pot Calling the Kettle Black (AGAIN), Sheila Jackson Lee accuses Newt Gingrich of Using Code Words (gds44.wordpress.com)
Rep. Sheila Jackson Lee: Newt Uses “Codewords” To Be Racist (alan.com)
Is Newt ‘Subtly Racist’? (theroot.com)

Catholics and Gays: Joel Connelly Calls Out The Church

Jan18 by D Gregory Smith

The Seattle PI’s Joel Connelly has an illustrious history of commentary in Seattle. I’ve enjoyed him for years. But in Monday’s Seattle Post-Intelligencer, he makes one of the best cases for the Catholic Church to give up the paranoid same-sex marriage rhetoric- and his seasoned, well-reasoned thoughts beg to be shared. Excerpt:

The bishops see themselves as shepherds, but American Catholics are not sheep. They think and act independently. A recent survey by the Public Religion Research Institute found that nearly three quarters of Catholics favor letting gays and lesbians marry (43 percent) or form civil unions (31 percent).

“Catholics are more supportive of legal recognitions of same-sex relationships than members of any other Christian tradition and Americans overall,” the survey concluded.

The church is also hurting itself: Its social activism, defense of human dignity and witness to peace should make it a beacon for all who seek justice. Instead, the church is pilloried as an instrument of reaction.

Its wounds are self inflicted, a classic case of clerical error. As the National Catholic Reporter put it, editorializing after New York legislators approved marriage equality last spring:

“Even if the bishops had a persuasive case to make and the legislative tools at their disposal, their public conduct in recent years — wholesale excommunications, railing at politicians, denial of honorary degrees and speaking platforms at Catholic institutions, using the Eucharist as a political bludgeon, refusing to entertain any questions or dissenting opinions, and engaging in open warfare with the community’s thinkers as well as those, especially women, who have loyally served the church — has resulted in a kind of episcopal caricature, the common scolds of the religion world, the caustic party of ‘no’.”

Connelly is taking a fair and balanced approach, using the Catholic tradition of social justice and charity to argue for the reality of human experience- in this case the reality of same-sex relationships. The very reality of them flies in the face of the “Natural Law‘ argument:

“Jesus befriended those who were marginalized because He knew it was only in the security of loving, unconditional relationships that hearts and lives are healed,” argues writer Justin Cannon, reflecting the Christian faith as taught to us by Matthew, Mark, Luke and John.

Not only healed, but enriched. I’ve witnessed a warm, very traditional moment over the years. A goofy, dreamy smile crosses the face of a friend, who after years of playing the field announces “Well, I met this woman (or guy)!” It signals a readiness to settle down. My natural reaction is to say, “You lucky dog!” and to be there, in affection and support, when the knot is tied.

Life together is a natural passage in life. Yet, according to “natural law” the Catholic church frowns on my friends who fall in love with somebody of their own gender. It violates nature, according to a U.S. Conference of Catholic Bishops statement, because such “inherently non-procreative” relationships “cannot be given the status of marriage.”

The church’s positions are, as state Sen. Ed Murray put it Friday night, “hurtful” as well as contradictory.

Out of one side of its mouth, the church condemns “all forms of unjust discrimination, harrassment and abuse” against gays and lesbians. At the same time, the Cathechism of the Catholic Church describes “deep-seated homosexual tendencies” as “objectively disordered.”

As my critical thinking professor at Carroll College taught me, the Church’s argument is flawed. It can’t have it both ways. It either acknowledges the reality of same-sex relationships- the reality of the complexity of human love as a gift from God- or it becomes the ubiquitous symbol of fantasy, its credibility falling off the edge of its own absurdly flattened earth.

Connelly’s brave, full essay is here.

Across the Land, Catholic Support for Marriage Equality Grows (newwaysministryblog.wordpress.com)
Catholic Leaders Lash Out at Gay-Marriage Bill, but Do Seattle’s Liberal Catholics Have the Courage to Lash Back? (slog.thestranger.com)
The Catholic Hierarchy: “Suffer The Little Children.” (dgsma.wordpress.com)
A Woman Working for St. James Cathedral Grabbed My Hand and Tried to Steal My Pen to Make Me Stop Writing About the Seattle Church’s Campaign to Ban Marriage Equality (slog.thestranger.com)

ADAP Watch 1/13/2012

Jan16 by D Gregory Smith

ADAPs With Waiting Lists (4,717 individuals in 12 states*, as of January 12, 2012)
State	Number of Individuals on ADAP Waiting List	Percent of the Total ADAP Waiting List	Increase/Decrease From Previous Reporting Period	Date Waiting List Began
Alabama	47	1%	-44	October 2011
Florida	1,301	28%	135	June 2010
Georgia	1,275	27%	-12	July 2010
Idaho	6	0.1%	-3	February 2011
Louisiana**	628	13%	27	June 2010
Montana	11	0.2%	-2	January 2008
Nebraska	17	0.4%	2	October 2011
North Carolina	126	3%	1	January 2010
Ohio	0	0%	0	July 2010
South Carolina	164	3%	0	March 2010
Utah	32	1%	0	May 2011
Virginia	1,110	24%	7	November 2010
* As a result of FY2011 ADAP emergency funding, Alabama, Florida, Georgia, Idaho, Louisiana, Montana, North Carolina, Ohio, South Carolina, Utah, and Virginia were able to reduce the overall number of individuals on their waiting lists. ** Louisiana has a capped enrollment on their program. This number represents their current unmet need.

ADAPs With Other Cost-Containment Strategies: Financial Eligibility (445 Individuals in 6 States, as of November 9, 2011)
State	Lowered Financial Eligibility	Disenrolled Clients
Arkansas	500% to 200% FPL	99 clients (September 2009)
Illinois	500% to 300% FPL	Grandfathered in current clients from 301-500% FPL
North Dakota	400% to 300% FPL	Grandfathered in current clients from 301-400% FPL
Ohio	500% to 300% FPL	257 clients (July 2010)
South Carolina	550% to 300% FPL	Grandfathered in current clients from 301-550% FPL
Utah	400% to 250% FPL	89 clients (September 2009)

ADAPs with Other Cost-containment Strategies (instituted since April 1, 2009, as of November 9, 2011)

Alabama: reduced formulary Arizona: reduced formulary Arkansas: reduced formulary Colorado: reduced formulary Florida: reduced formulary, transitioned 5,403 clients to Welvista from February 15 to March 31, 2011 Georgia: reduced formulary, implemented medical criteria, participating in the Alternative Method Demonstration Project Illinois: reduced formulary, instituted monthly expenditure cap ($2,000 per client per month), disenrolled clients not accessing ADAP for 90-days Kentucky: reduced formulary Louisiana: discontinued reimbursement of laboratory assays North Carolina: reduced formulary North Dakota: capped enrollment, instituted annual expenditure cap Ohio: reduced formulary Puerto Rico: reduced formulary Utah: reduced formulary Virginia: reduced formulary, restricted eligibility criteria, transitioned 204 clients onto waiting list Washington: instituted client cost sharing, reduced formulary, only paying insurance premiums for clients currently on antiretrovirals Wyoming: capped enrollment, reduced formulary, instituted client cost sharing

ADAPs Considering New/Additional Cost-containment Measures (before March 31, 2012***)

Alaska: reduce formulary Florida: lower financial eligibility Kentucky: reduce formulary Montana: reduce formulary Oregon: reduce formulary Puerto Rico: reduce formulary Tennessee: establish waiting list Wyoming: establish waiting list, lower financial eligibility, institute client cost sharing

Access to Medications (as of November 9, 2011)

Case management services are being provided to ADAP waiting list clients through ADAP (2 ADAP), Part B (9 ADAPs), contracted agencies (5 ADAPs), and other agencies, including other Parts of Ryan White (4 ADAPs).

For clients on ADAP waiting lists who are currently on or in need of medications, 11 ADAP waiting list states can confirm that ADAP waiting list clients are receiving medications through either pharmaceutical company patient assistance programs (PAPs), Welvista, or other mechanisms available within the state.

***March 31, 2012 is the end of ADAP FY2011. ADAP fiscal years begin April 1 and ends March 31. To receive The ADAP Watch, please e-mail Britten Pund at bpund@NASTAD.org.

HIV Prevention Urged; Activists Protest AIDS Drug Assistance Waitlists: VIDEOS (towleroad.com)
Obama Admin Releases $1.89 Billion In Grants For HIV/AIDS Funding (thinkprogress.org)
Merck And The ADAP Crisis Task Force Announce New Agreement To Improve Access And Care For People With HIV (medicalnewstoday.com)
The AIDS Drug Assistance Programs Wait List (bilerico.com)

MLK Day 2012

Jan16 by D Gregory Smith

Have we not come to such an impasse in the modern world that we must love our enemies – or else?

The chain reaction of evil – hate begetting hate, wars producing more wars – must be broken, or else we shall be plunged into the dark abyss of annihilation.

~Martin Luther King, jr