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Posts Tagged ‘politics’

HIV and Gay Media: The Vanishing Virus

Wednesday, February 27th, 2013

The turning point could be traced to August of 1998. It was the month that, for the first time in well over a decade, the Bay Area Reporter did not have a single AIDS obituary submitted for publication. The promise of protease inhibitor medications had been realized, and it felt for many that our long community nightmare was coming to a close.

The milestone in the life of San Francisco’s LGBT newspaper was celebrated around the country and became a media story unto itself. “AIDS Deaths Take Holiday,” trumpeted the Pittsburgh Post-Gazette. “For Once, No AIDS,” said the Wilmington Morning Star. The headline in the Spokesman Review assured us that “No News is Good News.” The Bay Area Reporter’s own front page carried two words in enormous type: “No Obits.”

That could be seen as the moment in which coverage of HIV in gay media began to fade.

Today, the LGBT community is celebrating other milestones with joyful regularity. The right to serve openly in the military. Marriage. Growing acceptance and political muscle.

HIV/AIDS has largely moved off the front page and out of public consciousness. Despite newsworthy data such as increased HIV transmission among gay men and the ongoing slaughter of gay black men in particular, those stories feel stale. It has all been said so many times before. Even new storylines, such as Pre- and Post-Exposure Prophylaxis, cure research advocacy, and tools on the horizon such as rectal microbicides, it’s become harder to capture the imagination or interest of the gay community. When new data was reported recently showing that half of the 20-year-old gay men today will have HIV by the time they’re 50 (and if they’re black, that figure rises to a whopping 70 percent), the news barely rated a tweet or newspaper item.

What, then, is the responsibility of LGBT media in this climate of rising infection rates and a bored readership? Are they simply reflecting the community’s waning interest, or do they have a responsibility to keep HIV in the headlines, to serve as advocates for better public awareness?

I was just in the perfect place to ask these questions: The 2013 LGBT Media Journalists Convening, held in Philadelphia and sponsored by the National Lesbian and Gay Journalists Association. About 100 media professionals, including a healthy dose of bloggers like myself, attended the event, which educates LGBT journalists on various issues so they we might report on them with more authority. Those issues this year were transgenders, immigration, aging, labor, and international rights.

The absence of HIV/AIDS wasn’t lost on me, I assure you (AIDS activists called them out about this in real time in the event’s Twitter feed at #LGBTmedia13) and it became the topic of my interviews with various people in attendance. Their very personal answers – and undeniable passion for the cause of HIV in many cases – sure made it a little easier to understand the tough choices they are making every day. I will be very interested in your reaction.

Aside from my griping over HIV coverage, it really was terrific to be in the company of a lot of dedicated journalists, and I appreciate very much the work done to mount the event, including the contributions of Bil Browning of The Bilerico Project (pictured with me above, at right).

Is sparse HIV coverage just a sign of the times? Is it progress? And what can we do to increase visibility again?

The journalists in my video provide some answers, but I especially liked the observation by gay political activist David Mixner, who reminded me that coming out, whether as gay men or as someone living with HIV, is the greatest tool in fighting stigma and helping people see the importance of the issue. I’m glad I have some company in the poz blogosphere, but we can always use more voices. Anyone who has the ability to share their story, online or across the dinner table, can make an awesome contribution.

Meanwhile, I’m going to keep nudging my LGBT media colleagues, and I encourage you to do the same.

Thanks for watching, and please be well.

Mark

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Posted in Books and Writings, Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 7 Comments »

The Private War That Killed Spencer Cox

Wednesday, January 2nd, 2013

“My most courageous self, the best man that I’ll ever be, lived more than two decades ago during the first years of a horrific plague… I miss the man I was forced to become.”
– “Once, When We Were Heroes,” 2007

AIDS did not kill Spencer Cox in the first, bloodiest battles of the 1980’s. It spared him that.

The reprieve allowed Spencer’s brilliance as co-founder of the Treatment Action Group (TAG) to forge new FDA guidelines for drug approval and help make effective HIV medications a reality, saving an untold number of lives.

Such triumph by a man still in his twenties might have signaled even greater achievements ahead. Instead, Spencer found himself adrift in the same personal crisis as many of his contemporaries, who struggled for a meaningful existence after years of combating the most frightening public health crisis of modern times.

Gay activists like Spencer were consumed by AIDS for so many gruesome years that many of them were shocked, once the war abated, to see how little around them had changed. Climbing from the trenches, they saw a gay culture that must have seemed ludicrous, packed with the same drug addictions, sexual compulsions and soulless shenanigans that AIDS, in its singular act of goodwill, had arrested for a decade or so.

They found themselves in a world in which no one wants to see battle scars, where intimacy is manufactured on keyboards and web sites, where any sense of community had long since faded from the AIDS organizations and now only makes brief appearances in 12-step meetings, or as likely, in the fraternity of active crystal meth addicts chasing deliverance in a dangerous shell game of bliss and desolation.

The dark allure of meth, a drug so devoured and fetished by gay men today that it is now a leading indicator of new HIV infections, enticed Spencer at some point along the way. The drug is known to whisper empty promises about limitless power and sexual escape, while calming the addict’s ghosts and sorrows for miserably brief periods of time.

When Spencer Cox died on December 18, 2012, in New York City, the official cause of death was AIDS-related complications, which is understandable if post-traumatic stress, despair and drug addiction are complications related to AIDS.

Spencer believed that this connection exists. His own writings for the Medius Institute for Gay Men’s Health (an organization he co-founded after his work with TAG) focus on exactly the issues that were distressing him personally: Crystal meth abuse. Loneliness. Risk taking. Feelings of confusion after years of accomplishment and purpose.

In retrospect you can read his work and break the private code written between the lines. It spells out “HELP ME.”

Spencer’s life during this period and beyond was difficult, by many accounts. The Medius Institute failed due to a lack of funding, defeating Spencer’s effort to address mental health issues among gay men. His drug addiction spiraled and ebbed and raged again, until he finally retreated to Georgia to live with family for a few years.

When Spencer returned to New York City last September, many of his closest friends had lost track of him. There is uncertainty about his last months, and no evidence that his addiction was active, but what little medication compliance he managed had been abandoned completely, setting the stage for his final hospitalization.

Spencer Cox died without the benefit of the very drugs he had helped make available to the world. He perished from pneumonia, in an ironic clinical time warp that transported him back to 1985. It was as if, having survived the deadliest years of AIDS, having come so close to complete escape, Spencer was snatched up by the Fates in a vengeful piece of unfinished business.

AIDS has always been creative in its cruelty. And it has learned to reach through the decades with the second-hand tools of disillusionment and depression and heart-numbing traumas. Or, perhaps, using the simple weapon of crystal meth, with all of its seductions and deceits.

Yes. There are many complications related to AIDS.

To consider “survivor’s guilt” the culprit behind the death of Spencer Cox is a popular explanation but not necessarily an accurate one. That condition suggests surviving when other, presumably worthier people, did not. Sometimes guilt has nothing to do with it.

For many of our AIDS war veterans, the real challenge today is living with the horror of having survived at all.

Mark

(PHOTO CREDIT: Walter Kurtz)

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Posted in Books and Writings, Gay Life, Living with HIV/AIDS, Meth and Recovery, My Fabulous Disease, News, Prevention and Policy | 50 Comments »

AIDS2012: The ‘My Fabulous Disease’ Video Collection

Tuesday, July 31st, 2012

AIDS2012 was exactly as I had hoped: an enormous “summer camp” for advocates from around the globe, and I had a blast bringing their stories to you. Let others cover the medical updates and the big name speakers. I wanted to give you a sense of the people who are doing the work on the front lines – with a few bigwig interviews along the way.

Every day I sought out stories I thought would interest you and took a ton of footage (with the help of my talented camera person and schlepper Tina Robles). After a bite of free food from whatever reception was happening, I tried to make it to at least one evening event. And then back to my hotel, where I reviewed the footage, did my best to conceive a theme for the day, and then started editing. I’m quick at the editing part, but it still took 4-5 hours, into the wee hours of the morning. Then I’d sleep for a couple hours and start again. I’ll need the two years between now and AIDS2014 just to catch up!

Here are links and a review of each of the six video blogs I produced during the week. Simply click the title to see the posting and watch the video.

The MSM Pre-Conference (“Gay Day”)

Since less than 5% of the programming for AIDS 2012 is targeting to MSMs (Men who have Sex with Men), a special one-day pre-conference is held the day AIDS 2012 convenes to address the needs and issues of this population.

My report includes a chat with United States Rep. Barbara Lee (right), who has just introduced comprehensive HIV prevention and anti-stigma legislation; the advocates fighting laws that criminalize people with HIV (like Sean Strub and Edwin Bernard), a little social research on Grindr (the gay man’s cruise phone app), a chat with Positive Frontiers editor Alex Garner about getting rejected (and rejected others) during the dating process, and a visit to an AIDS2012 Reunion poz social event.

Opening Ceremonies at the AIDS2012 Conference

In this brief video episode from the first official day of AIDS2012 the party is rolling, with an outdoor concert (steps away from the AIDS quilt) featuring Weyclef Sean and Cornel West (!), dancing dignitaries, and a somewhat surprise ending!

The fact is, Day One was a light day, the calm before the storm, as people poured into DC and braced themselves for the busy week ahead. And it was my last chance to get a decent night’s sleep.

AIDS2012 Day Two: Stigma, Singers and Subways

Day Two of the international AIDS conference (AIDS2012) roared through its first full day on Monday, and there are sights to behold. This episode is a lot of fun.

I spent some time in the exhibit hall critiquing the fashions (and the issues) of various attendees with fashion maven Jack Mackenroth (poz and proud veteran of “Project Runway”), started a YouTube rivalry with inspirational singer Jamar Rogers (“The Voice,” right), and learned about HIV and aging from an expert with the Terrence Higgins Trust. I also had the chance to speak with the head of the CDC’s HIV/AIDS Division about their new “Let’s Stop HIV Together” campaign, in which Jamar and myself both participate.

And, with all the talk at the conference about the devastating effects of HIV stigma, I found validation of my own HIV status in the unlikeliest of places: the Gallery Place subway station.

AIDS2012 Day Three: The March to End AIDS!

I know my tank top looks kinda slutty, but it was damn hot, people.

Several contingents marched and protested separately throughout the city – marching for housing, and civil rights, and in protest of the pharmaceutical industry’s “intellectual property” policies – and then convened in front of the White House. Whereas the march and rally at AIDS2010 in Vienna was a peaceful affair, our proximity to the White House, the aggressive crowd and the police on horseback all lent an air of old time activism circa 1987.

The people included in the video can speak for themselves, and quite eloquently. Maybe it was the emotions of the event — anger, nervousness, pride — but it was an exhausting day. I felt the residue of grief for lost friends in a way I haven’t experienced in years.

This is my favorite, no doubt, and I’m proud of the visual and audio techniques I employed to give some historical context to the event.

AIDS2012 Day Four: The Global Village

It was time for a tour of the heart and soul of AIDS2012: The Global Village. This massive hall is the only part of the conference open to the public, and it has a grass-roots feel, crafted from the love and devotion of hundreds of community groups who are doing “the work on the ground” in cities and small towns throughout the world.

Thank God I’m a video blogger, because words escape me when trying to describe the colors and displays and most importantly, the committed people behind it all. You’re about to meet drag queens who make their living handing out condoms, sex workers demanding an end to criminalization, young prevention workers from far-flung corners of the planet, a stunning photo exhibit from the Ukraine… the list goes on.

AIDS2012 Day Five: Farewell to the Voices of the World

Our little summer camp for global AIDS advocates (and physicians, and commercial interests) had come to a close, and there are images that will be knocking around in my head for weeks to come (and some, forever).

I begin this video with the astonishingly talented performance poet Mary Bowman, a young woman with HIV showing us her heart and soul on stage. It’s a jumping off point for this final, brief video, in which I pay tribute to the people on the front lines who are the very essence of this conference. They are the ones with the “star power.”

This opportunity to share my experiences at AIDS2012 was a distinct honor and privilege, my friends. My deepest thanks to you all for the many cross-postings and shares and tweets. This was a week I will never forget.

Enjoy the videos, and please be well.

Mark

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Posted in All Other Video Postings, Books and Writings, Family and Friends, Gay Life, Living with HIV/AIDS, Meth and Recovery, My Fabulous Disease, News, Prevention and Policy | 5 Comments »

AIDS2012: Farewell to the Voices of the World

Saturday, July 28th, 2012

Our little summer camp for global AIDS advocates (and physicians, and commercial interests) has come to a close, and there are images that will be knocking around in my head for weeks to come (and some, forever).

The seven foot Mexican drag queen handing out condoms springs to mind, of course. The astonishingly talented performance poet Mary Bowman (right), showing us her heart and soul on stage. And escape artist Daniel Bauer‘s highly personal show mixing magic with confessions from his life as a gay man living with HIV. Seeing presentations by mentors I admire, such as Sean Strub and Edwin Bernard. The Australian chief justice with a gay partner of 43 years, giving me suggestions on maintaining a long marriage (“Give in,” he advised).

In this farewell video posting, I pay tribute to the people on the front lines who are the very essence of this conference. They are the ones with the “star power,” and they fill me with renewed commitment and energy that might possibly last until AIDS2014 in Melbourne, Australia.

Thanks for watching, my friends. It has been my privilege to be your tour guide and I deeply appreciate your many notes and cross-posts and “likes” on Facebook. I like you very much, too.

Please be well,

Mark

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Posted in Gay Life, Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 4 Comments »

AIDS2012 Day Four: The Global Village

Friday, July 27th, 2012

It’s time for a tour of the heart and soul of the international AIDS conference in Washington, DC: The Global Village. This massive hall is the only part of the conference open to the public, and it has a grass-roots feel, crafted from the love and devotion of hundreds of community groups who are doing “the work on the ground” in cities and small towns throughout the world.

Thank God I’m a video blogger, because words escape me when trying to describe the colors and displays and most importantly, the committed people behind it all. You’re about to meet drag queens who make their living handing out condoms, sex workers demanding an end to criminalization, young prevention workers from far-flung corners of the planet, a stunning photo exhibit from the Ukraine… the list goes on.

Why wait? Take a look at my video report. Welcome to the Global Village!

Thanks for watching, and please be well.

Mark

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Posted in Gay Life, Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 5 Comments »

AIDS2012 Day Three: The March to End AIDS!

Thursday, July 26th, 2012

It’s difficult sometimes, writing about an event that so easily lends itself to images and sound. Such is the case with the AIDS2012 March to End AIDS, the subject of today’s video blog episode from the conference.

The people included in the video can speak for themselves, and quite eloquently. Maybe it was the emotions of the event — anger, nervousness, pride — but it was an exhausting day. I felt the residue of grief for lost friends in a way I haven’t experienced in years.

Just before the various HIV/AIDS marching groups convened in front of the White House, my camera person (Tina Robles of HealthCentral) and I had lunch a few blocks away. I realized that she’s in her twenties and no one who lived through AIDS in the 1980′s had ever described for her what those years were like. I told her about the foxhole mentality, the guest rooms that became makeshift hospices, and the pure horror of waiting to be the next to go.

“Well…” she asked softly, after listening to my tales, “how can you possibly keep such a positive attitude after going through all that?”

“Because my joy is an enormous ‘Fuck You’ to AIDS,” I said. And it’s only in that moment that I realized how right that seemed, and that my departed friends would approve — and would be cheering me on during the protest.

Tina had never been to any kind of street demonstration, and was bravely filming our antics at the front of the massive line of protesters at the front fence of the White House. But, bless her heart, when the cops came out in force and demanded that we retreat, Tina handed me the camera and wished me luck and took safety in the park across the street. I don’t blame her. The crowd was edgy and the adrenaline was pumping.

This is my favorite episode of my AIDS2012 coverage so far, and I hope you will enjoy it and share it with others.

Thanks, and please be well.

Mark

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Posted in Gay Life, Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 14 Comments »

HIV Criminalization Face-Off: One Poz Man and His Accuser

Tuesday, February 7th, 2012

What if you could witness a face-to-face confrontation between a man living with HIV and the sex partner accusing him of not revealing his status? Wouldn’t you like to be a fly on that wall? The fireworks could be mighty, as emotions raged between the furious accuser and the positive person trying to defend his actions. What might that meeting look like, exactly?

In this video, you’re about to find out.

Amidst the highly charged emotions of the HIV criminalization debate, “sides” are developing. One side believes that those with HIV who do not tell their sex partners about their status should go to jail. Period. But others claim that there is little public health benefit to laws against non-disclosure because they discourage people from getting tested – you can’t be prosecuted if you don’t know your status — and there are often prosecutions in which the risk of transmission is remote or even non-existent.

But taking firmly entrenched sides helps no one. We’ve simply got to get educated beyond our gut reactions to these prosecutions. We all could use more understanding about HIV criminalization laws, how they are being applied, and whether or not they are truly serving the public good. It’s also important that we understand the anger of those who feel they were put at risk and are seeking retribution.

A full list of HIV criminalization laws – and convictions globally (including for each of the states of the USA ) can be found at http://www.gnpplus.net/criminalisation/. To find multiple resources on what to do if one is at risk of prosecution, who to call for help, what the law is in every state, or get palm cards with links to resources, visit The Positive Justice Project.

Mark vs MarkBut back to the video: I couldn’t help but wonder what might happen if an HIV positive man had to sit down with his accuser and explain himself. So, through the magic of some creative editing, I produced this video episode of “My Fabulous Disease” to give a voice to the opinions and feelings of both parties. You can decide if I was successful.

I used this editing technique to comic effect in the “My T-cells Could Use a Facelift” episode (the infamous video about butt padding, among other things). I’ve been looking for a good reason to do it again, and I thought this topic fit the format perfectly.

Thanks for watching, and please be well.

Mark

(I’m always glad when you “share” my postings with the buttons below. But this post could mean the difference between someone understanding the law — and making a mistake that could land them in jail. So I encourage you to share and re-post this one in particular. Thanks.)

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Posted in Gay Life, Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 23 Comments »

The Day Larry Kramer Dissed Me

Tuesday, January 31st, 2012

The mall was abuzz, with people darting in and out of stores, wrangling their kids and chatting on cell phones. I preferred it that way, because it kept Larry in a fairly calm state of quiet attention, ever vigilant as to where and when his next mortal enemy might appear.

“Hold the railing, Larry,” I instructed as we stepped onto the escalator. He was still wobbly from the blood rush of spotting a confederate sticker in the parking garage and I felt protective when strolling with such a national treasure.

“How about I just lick the ass of a green monkey?” Larry replied. “If you knew the germs on these rubber banisters you’d slit your fucking wrists…” He trailed off.

Larry Kramer2“Then hold my hand, Larry,” I countered. He complied, if only so he could launch our clenched hands above our heads, as if we’d just been pronounced married or one of us had won a title match. He kept our hands there the whole flight up the escalator. When I glanced at him his eyes were years away and his lips moved quietly. A White House protest, I figured. Or perhaps a pharma demonstration.

Well, he likes this and he’s calm, I thought. Maybe we can do this on the way back down.

It was hard enough getting him to the mall at all. I had arrived at his place just in time to break up an altercation between Larry and the mother of the Girl Scout from whom he had ordered eighty boxes of Thin Mints, which were presently scattered across his front porch and had suffered the wrath of Larry’s ACT UP boots.

Larry had no intention of paying for the cookies, as it turns out. He was ferociously screaming that his non-payment was to help bankrupt the corporate pimps RAPING THAT LITTLE GIRL! Both the mother and the girl in question had taken refuge in their car, the girl crying hysterically about not wanting to be raped, while I managed to hold Larry back from beating their Honda with a lawn sprinkler until they made their eventual escape.

But that was, after all, fully two hours ago, and multiple indignations could befall Larry Kramer in the course of an afternoon. All things considered, we were having a lovely day.

There were minor snafus, of course. Already, a Sprint salesperson had paid dearly for his unfamiliarity with rollover minutes or the level of employee giving to needle exchange. As we passed Abercrombie & Fitch, Larry stopped in their doorway and bellowed “FAGGOTS!” again and again, for two full minutes. It might have gone on were it not for an astute customer in the Barnes & Noble, who brought over a copy of “The Normal Heart” for his signature. The gesture appeased him, then produced weeping and finally Larry’s agreement to relax on a bench while I stroked his back.

“You could do with a little less drama, you know,” I offered.

“Fucking murderers,” he replied, but his fatigue was setting in. “Drug companies. Politicians.”

“Let’s not forget organ donors, sweetie. And surgeons who install livers into the bodies of old, wrung out former drug users.” Larry made a dismissive, huffing sound.

“You’re an apologist, Mark. You forget too much.”

“You remember too much, pumpkin. Now let’s check out Macy’s. I need socks.”

The Macy’s perfume spritzer girl couldn’t list the chemical compounds in “Citrus Spring,” so of course Larry brought her to tears by saying it was she, and not the perfume, that smelled like a dead lab rat. He upped the ante by grabbing bottles of nail polish from the counter and splashing her in Jungle Red while screaming “the WHOLE WORLD is WATCHING!

Then all hell broke loose.

Security arrived and found a crying, seemingly blood-soaked spritzer girl and Larry, elated at the appearance of men in uniform, dropping to his knees, continuing his chants, and then collapsing onto the floor in his best dead body position. A twittering crowd quickly formed, some of whom had followed incredulously since the scene at Abercrombie.

I considered making a chalk outline of Larry — I kept a piece in my jacket for occasions like this and it gave him such joy — but something in me snapped.

“Get up this instant, Larry,” I ordered, and he opened a dead eye. The security gentlemen seemed relieved someone was taking charge of the deranged elderly man lying prone before them. “I’ve had enough for one day. Save it for the National Mall. World AIDS Day is coming!”

He cocked his head towards me. “What would you know about AIDS, Mark? You’ve never had infections! Where are your lesion scars? You still have your first fucking liver, you pretender! You lightweight!

A woman in a nursing uniform broke through the crowd and looked back and forth between the spritzer and Larry, trying to determine who needed help most urgently. Everyone, including the sales girl, nodded in Larry’s direction.

“Sir, have you fallen? Do you understand me?” she asked him.

“Fuck yes. Shame on your profession and your paralyzed inaction in the face of… of…” Larry contemplated what the woman’s worst offense might be while surveying the floor around him in hopes of locating more red polish to splatter. He found none.

“Sir,” she went one, not yet convinced of his stability, “who is president of the United States?”

God I wish you hadn’t asked that, I thought.

“Shall we catalog them?” Larry bellowed. His second wind was now in full gale force. “First, Ronald Reagan has the blood of our brothers and sisters, too many of them, on his hands. He murdered them as sure as I’m standing here,” a posture which was technically inaccurate, although Larry did allow his oratory to raise him to a kneeling position.

“I can take him from here,” I interjected, and pulled Larry up and beside me. “If you’ll just allow me to get him home…”

“And then Bush continued the slaughter! He treated us like shit!” came the next outcry.

The security men agreed without hesitation. “If you can take responsibility for your father and agree to exit immediately…” one of them said. I actually half laughed at their mistake, and at the irony.

“No problem,” I promised, and we said our goodbyes as Larry’s outbursts trailed again and we walked back to the escalators.

He took the railing without protest or remark, and that disappointed me. I kind of missed riding down with our clasped hands thrust defiantly in the air.

—————————
This is a work of fiction. I have never had the honor of meeting Mr. Kramer. Originally posted in May of 2010, I couldn’t resist sharing it again. And yes, I have it on good authority that Mr. Kramer enjoyed it.

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Posted in Books and Writings, Gay Life, Living with HIV/AIDS, My Fabulous Disease | 3 Comments »

HIV Positive Criminals: Have Sex, Go to Jail

Thursday, December 29th, 2011

This may be the defining HIV issue of our time, and it is a true test of our compassion and understanding of both HIV stigma and the law. Please read this closely.

JailHandsAround the country, and without leadership or guidelines from the Federal government, individual states have taken it upon themselves to draft laws that “protect” people from those of us with HIV. Whether using bio-terrorism statutes (!) or simple “assault with a deadly weapon,” people with HIV who do not disclose their status to their sexual partners are risking arrest and prosecution.

You’re already having a visceral response to this scenario, aren’t you? You may have the vague feeling that anyone who doesn’t disclose their HIV+ status to a partner probably deserves to be punished. Don’t worry, you’re not alone. Not only do most people support laws forbidding sex without disclosing an HIV+ status, but even a majority of gay men support such laws, and it is understandable, albeit a misinformed view, as to why.

Many of us know someone who was infected by a partner who didn’t disclose their status, or even lied about it. I have friends who dated someone claiming to be negative, until they found a telltale prescription drug bottle and then discovered they had been infected. Worse yet are the news reports showing some big, scary black man who has been raping white women and infecting them with HIV. How could anyone argue against bringing these liars and malicious infectors to justice?

But the sad fact is, most prosecutions under these laws are not being imposed against those who are deliberately malicious or even criminally negligent. They are being imposed using not science, but the same ignorance, stigma, homophobia and racism that has plagued HIV/AIDS throughout the years. And well intentioned people like you and me are buying into it.

In Texas, a man is serving more than twenty years for spitting on a cop, despite the impossibility of transmitting HIV. And in the vast majority of cases against people having sex without disclosing, no transmission even occurred. In fact, whether or not there was any real risk of transmission is of little concern to prosecutors. People on medication with no viral load, for whom transmission is a remote possibility if at all, are being sentenced to jail time for not disclosing — even if they used a condom and did not transmit a thing. And the sentences are outrageous: decades of jail time in many cases.

Consider the black woman for whom disclosing her HIV status is more than a mere embarrassment; it could mean the collapse of her support network, the loss of a job or even physical danger. She is a compliant patient with no viral load, and insists her sex partner uses a condom. He somehow learns of her HIV status, calls the cops, and she is prosecuted and imprisoned. These are not fantasy scenarios, they are happening with increasing speed around the country.

The effect of these laws on public health is sobering. If those who know their status risk prosecution for not disclosing, and those who don’t get tested at all can have sex without legal consequences, how does that draw people into HIV testing? As activist Sean Strub says, “Take the test and risk arrest.”

The laws in some states are written so strictly that it is a legal risk for any HIV positive person to have sex at all. All the prosecutors need is to know you are HIV positive and you had sex with your accuser. If the accuser claims you didn’t disclose, you’re in for an uphill battle convincing a judge otherwise. You’re saddled with the distasteful nature of any positive person actually having sex, and if it was gay sex, well, God help you.

Activist Sean Strub has taken this issue up as a personal crusade. I first met Sean two years ago when I produced a video blog with him discussing the issue of HIV criminalization. He took it to the United Nations AIDS Committee last month, and brought along two heartbreaking stories in the testimony of Robert Suttle and Nick Rhoades.

Please take three minutes to watch the testimony of Robert, who was jailed for six months and will be labeled a sex offender for years — it is emblazoned on his driver’s license in red block letters.

And then watch Nick describe how he had protected sex with a partner, and an undetectable viral load, and by not disclosing his status he found himself in solitary confinement for months.

Sean’s own testimony about people with HIV being viewed as “vectors of disease,” with less rights but more responsibility to disclose, and you may view this issue quite differently than you do now.

Sean has also produced a trailer for a film he is producing, “HIV is Not a Crime,” and I urge you to watch it.

I have been invited by Sean to assist him in his work for the next several weeks, and will devote the month of January to helping him establish an online resource for the issue, culminate stories of those prosecuted, and bring the maddening personal stories of those prosecuted to a broader audience.

Is your record of disclosing your status perfect? Mine isn’t. I have been a compliant patient for many years and have an undetectable viral load. There has been instances in which disclosure felt unsafe, or I was in environments such as public sex clubs in which no one is asking or telling.

I don’t believe I deserve to go to jail for those indiscretions. Do you?

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Posted in Living with HIV/AIDS, My Fabulous Disease, News, Prevention and Policy | 25 Comments »

The Value of Asking for What You Want

Tuesday, December 6th, 2011

Remember when we were little, and if we wanted something we simply asked for it? It felt easy. It seemed natural. And if there was really something special we had to have, there was a golden opportunity every year to ask the person who made all things possible. Santa Claus.

Santa ListBut then we got older, and life became more complex, and we were told it was better to give than to receive. Asking for what we wanted felt selfish, and many even a sign of weakness.

I wish we could look at this differently. Admitting we want something can be liberating. It acknowledges we are human, and there is grace, beauty even, in revealing our need and being vulnerable and allowing someone to help us.

Just because we don’t ask for toys anymore doesn’t mean we don’t want anything. We want friendship. We want to be accepted. We want our health. Maybe it’s asking a friend to listen, or wanting a medication with fewer side effects.

Just saying, I need this. I want to feel better. Or, I need you.

Wanting is not limited to children, my friends. But we might take a lesson from their transparency. Sometimes the answer, the help we need, the gift waiting for us, will only appear when we take a chance, when we finally have the courage to ask for what we want.

Happy holidays, and please be well.

Mark

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(I don’t think I’ve ever been more excited about a video blog than the one premiering here next week: The “My Fabulous Disease” Holiday Spectacular! A dozen of my relatives have come together to bring you comedy, Christmas cookies, a little drag, a visit from Santa — and some very candid feelings about loving a family member with HIV/AIDS. I hope you’ll come back next week and meet the family! — Mark)
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PLUS…

rest area sign 1A word, if I may, about my recent posting “The Long Road Home from Relapse,” which managed to break traffic records on my blog, generate amazingly supportive comments, and also became its own source of concern among some of my fellows in recovery. As a few of the comments suggested, my drug relapse was a serious event that even I may not fully appreciate just yet, much less be able to distill its lessons to my readers. Some felt that writing about it so soon after the fact seemed cavalier. I’d like to say that my actual recovery process — the work I do on a daily basis to rebuild and maintain a clean and sober life — involves many things that are completely unrelated to my writing. It is ongoing and intimate and I take it very seriously. I considered withholding the relapse from my blog, but it just felt dishonest not to talk about it. My point is, there is work ahead for me that I hold dear and will keep to myself, my sponsor and my God. As Tony Kushner writes in the last line of Angels in America, “the great work continues.”

Nick RhoadesThe madness continues of criminalizing those with HIV who do not (allegedly) reveal their HIV status to their partners, and new cases are piling up around the country. These include many prosecutions in which protection was used and no transmission occurred. But only now have we been able to hear the voices of those who have experienced this Kafkaesque nightmare. In his upcoming documentary “HIV is Not a Crime,” AIDS activist and writer Sean Strub gives voice to the “criminals.” Their stories are riveting and heartbreaking, like that of Nick Rhoades, right. You can view a terrific trailer on YouTube, and I dare you not to let it make your blood boil, positive or not. I urge you to take a look and get educated on what is becoming a defining HIV issue for our time.

CNN ReporterDid you catch all the media attention last week stating that people with HIV aren’t taking very good care of themselves? Oh yes indeedy, the news reports, with headlines like Few in US with HIV have virus under control, and HIV Out Of Control In US Patients, seemed to suggest that it was people living with HIV who somehow haven’t been doing the right thing to maintain their health. And that’s a load of hooey, as my dad used to say. It turns out that the reports were misrepresenting a new CDC study showing that less than half of HIV patients have access to proper treatment. As in, not their fault. This distinction was made in an eye-opening blog posting by Housing Works, in which the actual study vs. the media reporting is clearly explained. “We are facing major budget cuts in homeless services, housing, testing and prevention,” blogger Kenyon Farrow states. “These all prevent people with HIV from staying healthy and make many more people vulnerable to infection… By focusing media scrutiny on government officials, the public would be better informed about who’s really ‘out of control.’”

7The Windy City Times continued a remarkable year-long commitment to covering AIDS this week, which is really a story in itself — a gay paper intent on maintaining visibility of the crisis in commemoration of the 30-year milestone. So I am especially excited that the paper chose to run a profile about My Fabulous Disease as part of their World AIDS Day coverage. Writer Joe Franco, intrepid journalist that he is, took the time to both interview me and actually watch most of my videos, if you can imagine. In his piece he manages to discuss AIDS, community, comedy, drug addiction and drag. In other words, it’s a fair representation of what you get around here on a regular basis. My mom loved it.

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Posted in Books and Writings, Living with HIV/AIDS, My Fabulous Disease, Prevention and Policy | 6 Comments »