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2004 HIV Drug Guide

2004 HIV Services Directory

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Editor's Note: Divide and Conquer

 

Gay men are having unprotected sex… .

Intravenous-Drug Users (IDUs) are sharing unclean works… still.

Sex workers are engaging in high-risk activities… once more.

Heterosexual individuals are “barebacking” (not using condoms) with numerous partners… as usual.

 

We fault the FDA for delaying drug approval. We blame the pharmaceutical industry for developing anti-HIV medicines that are too powerful (yes, the drugs need to be improved, but the fact is that HIV therapy is basically a form of chemotherapy). We claim that the ads for these medicines are too misleading, because they don’t accurately represent the reality of being on anti-HIV therapy.

I have friends who swear that when AIDS funding started drying up for the good ole boys here in the U.S., the good ole boys went global. Africa, Asia, Eastern Europe. They demand that pharmaceutical companies and the government package up these same anti-HIV meds, and ship them off, at discounted prices, to far away developing countries. But they still refuse to look into their own backyard and notice the “third world” rates of infection in rural areas, in prisons and communities of color.

Have you heard it? Have you read it? Attack, after attack, after counterattack—activist vs. advocate, women vs. men, heterosexuals vs. gays vs. bisexuals vs. transgender, positives vs. negatives, community based organizations vs. AIDS service organizations. I recently spent an entire day reading a seemingly endless stream of articles and e-mails that were pointing fingers in every-which-way and laying blame for the current day predicament. Activist sell-outs. False prophets. Bankruptcy. Corporate greed. Traitors. Conspiracy theories.

Who the hell can we trust? Toss out your meds. Quit your support group. While you’re at it toss out those damn HIV mags with them (this one too). And don’t think you can trust those nifty little web sites or your doctor. Everyone’s on the take.

Is there a divide and conquer conspiracy at work upon us? Has everyone gone crazy? What the hell is going on here? We sound like a bunch of hypocrites. Worst of all, we are behaving like a bunch of schizophrenics.

People living with and impacted by HIV in every part of the globe have a right to act up, act out by whatever means necessary. But after twenty years of struggle, twenty years of deaths, twenty years of new infections, twenty years of re-infections, more deaths and now an ultra-conservative White House…

Are we running scared and looking in every direction for a scapegoat?

Rather than acting out, are we acting in upon ourselves?

Seriously speaking, the reality of sex in the age of AIDS, staying negative or living positive, deciding on a treatment regimen that best fits your life(style) and building a productive life is a complicated and individualized process. The “fault” for increasing rates of HIV infection can not be simply laid at the door of pharmaceuticals, or defined by federal regulation, nor rationalized in a witty commentary.

What’s real? People & HIV. And they continue to shoot up together with dirty works in New York’s Spanish Harlem, and they are sexin’ each other up in parks, bars and bathhouses in Seattle without protection or knowledge of their HIV status. And let’s not forget that People and HIV are hookin’ up in the low country of Georgia, in the Mississippi Delta, and state prisons.

There are individuals living with HIV in the U.S., on complex antiretroviral therapy, who still don’t understand the basics of HIV and AIDS. Hell, there are people living right here in the U.S. who don’t access healthcare or HIV therapy. Just imagine the work ahead of those engaging HIV in Africa.

Yes, we are flawed. Yes, we are angry, and full of fear, superstitions, and frustrations. And rightfully so, but rather than feeding shamelessly on each other, let’s try something new, let’s try something old. Let’s reaffirm our commitment to do something constructive. Write a letter to the President, or your representative in Congress declaring your support to increase funding for domestic HIV/AIDS prevention, care, housing and research; join a protest to express your outrage at pharmaceuticals’ practices and federal government policies; or volunteer at a local agency and help someone living with HIV. Don’t cost ya’ nothin’.

Let someone know you still care, that you still remember, in this the twentieth year that the first cases of AIDS were reported.

 

Charles E. Clifton

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