Democratic Presidential Candidates Respond To Questions About Needle-Exchange Programs, Sex Education

From Kaiser Daily: Most Democratic presidential candidates would support lifting a ban on federal funding for needle-exchange programs and replacing abstinence-only sex education with comprehensive HIV prevention programs if elected, according to a survey released Wednesday ahead of World AIDS Day, the AP/Sioux City Journal reports. The survey was conducted by AIDS Project of Central Iowa, Planned Parenthood of Greater Iowa and several other groups in the state. It included three questions and was sent to Democratic and Republican presidential candidates (AP/Sioux City Journal, 11/29).

The questions are:

• Do you support the Early Treatment for HIV Act (ETHA), which expands Medicaid for HIV-positive people who would otherwise need to become completely disabled in order to qualify for Medicaid-covered services?
• Do you support the replacement of funding for international and domestic "abstinence only" HIV prevention programs with scientifically based, comprehensive, age-appropriate sexuality education programs?
• Do you support access to sterile syringes, as a means of protecting public health, by lifting the ban on federal funding for syringe exchange? (Survey text, 11/28).

Among the Democratic candidates, Sen. Joe Biden (Del.), former Sen. John Edwards (N.C.), Sen. Barack Obama (Ill.) and New Mexico Gov. Bill Richardson met the deadline for the survey and all answered "yes" to the three questions. Answers from Sen. Hillary Rodham Clinton (N.Y.) were too late to be included in materials distributed by the coalition. However, her campaign "did respond 'yes' to the questions" after the deadline, Becky Johnson with the AIDS Project of Central Iowa said.

Former New York City Mayor Rudy Giuliani and former Massachusetts Gov. Mitt Romney, both of whom are running for the Republican presidential nomination, declined to answer the questionnaire. The remaining Republican and Democratic candidates did not respond, according to the AP/Journal.

The coalition in a statement said there has been a "lack of leadership at all levels that has allowed HIV to continue to spread through inaction and failed promises." The other agencies involved in the questionnaire include the American Red Cross Central Iowa Chapter, Lutheran Services in Iowa Refugee Cooperative, Urban Dreams, Community HIV/Hepatitis Advocates of Iowa Network and Creative Visions (AP/Sioux City Journal, 11/29).

The survey is available online.

Hillary Clinton to Talk About HIV/AIDS at Evangelical Mega-Church

Hillary Clinton will be participating in a Global Summit on HIV/AIDS and the Church, according to a report in Newsmax.  Clinton was invited to speak by evangelical power-player Pastor Rick Warren.  The event takes place at Warren’s Saddleback Church in Lake Forest, California.

Warren is best known as the other of The Purpose Driven Life, and been a strong HIV Advocate for HIV/AIDS.  Warren has often criticized the evangelical church, and Baptists, in particular for being  "known for what we’re against rather than what we’re for.”

This is not the first time a Presidential Candidate has appeared at the Saddleback Church.  Barack Obama appeared at the 2006 Summit on HIV/AIDS, where he delivered his most substantive speech on HIV/AIDS of this campaign.

Evangelicals were once considered the core of the Republican Party, but are now considered a more diverse group of voters.  Democratic National Committee Chair Howard Dean recently addressed the National Baptist Convention, and the Democrats Faith in Action Program, created by Dean, has been reaching out to people of all faiths.

Giuliani HIV/AIDS Advisor: Cause for Concern

From Kaiser: A recent opinion piece by Sally Pipes -- president and CEO of the Pacific Research Institute, a think tank that receives some funding from drug companies -- about intellectual property rights and compulsory licenses for patented antiretroviral drugs is "frightening," Andrew Green, a publishing fellow, writes in the American Prospect. If Pipes were "just running a think tank with pharmaceutical funding, it could be read as a shill piece and dismissed. But there's more to Pipes' biography: She is also a health care adviser to Rudy Giuliani," the former New York City mayor who is running for the Republican presidential nomination, Green adds (Green, American Prospect, 11/15).

In her opinion piece, Pipes says it was a "staggering display of cluelessness" for Rep. Tom Allen (D-Maine) and Sen. Sherrod Brown (D-Ohio) to sponsor a resolution that praises the Thai government for its decision to issue compulsory licenses to make generic versions of patented antiretroviral drugs. She adds that Thailand's actions "threaten to upset the economic incentives that allow Western firms to produce novel cures," saying, "Without patent protections, the drug industry as we know it would collapse, and development of new drugs would be significantly curtailed" (Kaiser Daily HIV/AIDS Report, 10/18).

Pipes opinion piece "can be read both as a signal that her role is expanding and as a preview of the HIV/AIDS policy she is encouraging Giuliani to adopt, specifically one without regard for the immediate need for as many cheap generic antiretrovirals as possible," Green writes. According to Green, while this is "cause for concern," the "real crisis" is that "Giuliani might actually be receptive to her arguments."

Giuliani has "expressed an interest in continuing and possibly expanding the President's Emergency Plan for AIDS Relief," but it is "apparent" he has "thought little about what that actually means," Green says. In addition, Giuliani has not described his HIV prevention strategy or whether he would expand treatment options, according to Green. "His lack of investment or concern about the issue leaves him vulnerable to insiders like Pipes, whose business-first agendas are prepackaged," Green writes. He adds that it is "not outlandish to think that [Giuliani] might make AIDS relief contingent on buying brand-name antiretrovirals" or "levy trade restrictions and financial penalties on countries, like Thailand, that determine the best way to immediately reach the most HIV/AIDS patients is to produce their own antiretrovirals."

Green suggests that all presidential candidates "study the AIDS policy Democrat John Edwards has introduced," adding that the "first move Giuliani should make, though, is to send Pipes back to the sideline and hire some advisers whose values aren't predicated on profit margins" (American Prospect, 11/15).

HIV/AIDS Advocate Joines Rudy Giuliani Campaign

The Rudy Guiliani campaign announced on Friday that openly gay Republican Party activist Carl Schmid has joined the Guiliani campaign as a co-chair of the campaign's DC leadership team.

Carl Schmid stated “As Mayor of New York, Rudy Giuliani cut taxes, cut crime, and got hundreds of thousands of people off the welfare rolls and back to work all while working with a heavily Democratic City Council. That’s the kind of strong leadership we need in the White House.”

Schmid currently serves as the Director of Federal Affairs for the AIDS Institute, a conservative-leaning national HIV/AIDS advocacy organization.

Schmid, a 2004 delegate to the Republican National Convention, has played an active role in the DC Republican Party.

Hillary Clinton Endorses 08 Stop AIDS Platform

Forbes Magazine reports that Hillary Clinton has signed the 08 Stop AIDS platform, committing to support $50 billion dollars by 2013 to fight the global HIV/AIDS epidemic.

Clinton joins John Edwards & Bill Richardson in supporting $50 billion over five years to fight HIV/AIDS globally. Edwards released his plan to fight HIV/AIDS in September which included the $50 billion goal and other 08 Stop AIDS goals, though he has not formally endorsed the platform. Bill Richardson endorsed the platform earlier this year.

While Obama released his plan to fight HIV/AIDS in October, it did not include the $50 billion commitment. AIDS activists who have talked to him on the campaign trail report he has been unwilling to commit to a specific amount.

Unlike Obama & Edwards, the Clinton campaign has not yet released their own HIV/AIDS agenda. Activists had planned to target Clinton at a protest at the October 30th Democratic Presidential Debate. With news of the Clinton endorsement of 08 Stop AIDS, the demonstration will focus more broadly on raising awareness of HIV/AIDS in the 2008 campaign.

Mike Huckabee Compares Safe Sex to Domestic Violence and Drunk Driving

With Sam Brownback, the darling of the religious right, pulling out of the race for the White House, the right appears to be giving Mike Huckabee a second look. Frontrunners Giuliani and Romney are suspect among the "republican wing of the republican party" due to their past history of tolerance towards the LGBT community. Huckabee, however, has an anti-gay track record. And as a Baptist Minister, he has instant credibility with the right.

So while Brownback considers endorsing Giuliani, Mike Huckabee continues to say all the things the religious right wants to hear, including support for federal funding of abstinence-only-until-marriage programs.

Overwhelming evidence tells us abstinence-only programs do not work. Even a 10-year study funded by Congress itself, shows that they these programs don't work, and they might as well be throwing the money out the window.

Huckabee, however, recently told the Christian Broadcasting Network:"Abstinence education provides a valuable counterweight to peer pressure and the message young people get from the popular culture encouraging casual relationships and separating sex from love, commitment and marriage. I do not believe in teaching about sex or contraception in public schools. That is the responsibility of parents. "I am disappointed that funding for abstinence education is not likely to be renewed by the Democrat Congress. This reversal only emphasizes how important it is for Republicans to take back Congress and win the White House with an authentic conservative in 2008."I miss the America I grew up in where the Gideons gave Bibles to fifth graders instead of school nurses giving condoms to eighth graders. With so much at stake, it's important that we return to the core values and guiding principles which have made our country great."

In fact, the metaphor-inclined Huckabee, recently went so far as to compare safe-sex to domestic violence and drunk driving. Huffington Post reports that at a recent campaign stop, Huckabee was asked if his religious views would get in the way of funding HIV prevention. His answer in part:

"If we really are serious about stopping a problem, whether it's drunk driving...we don't say "Don't drive 'as drunk'?" ...This is an illogical thing that we apply to that one area that we don't apply to any other area. And I'm open-minded to all the arguments, if someone can convince me a little reckless behavior is OK. Maybe that's the message. But it would seem to me that if we're consistent in saying reckless behavior is undesirable we should ask people to move their behavior to the standard and not move the standard to the behavior...We don't say that a little domestic violence is OK, just cut it down a little, just don't hit quite as hard. We say it's wrong."

You can see the video of the exchange here

The Barack Obama Plan to Fight HIV/AIDS

The following is a reprint of the Barack Obama Plant to Fight HIV/AIDS, released in October, 2007

Barack Obama, Fighthing HIV/AIDS Worldwide

“We are all sick because of AIDS - and we are all tested by this crisis. It is a test not only of our willingness to respond, but of our ability to look past the artificial divisions and debates that have often shaped that response. When you go to places like Africa and you see this problem up close, you realize that it's not a question of either treatment or prevention – or even what kind of prevention – it is all of the above. It is not an issue of either science or values – it is both. Yes, there must be more money spent on this disease. But there must also be a change in hearts and minds, in cultures and attitudes. Neither philanthropist nor scientist, neither government nor church, can solve this problem on their own - AIDS must be an all-hands-on-deck
effort.” -Barack Obama, World AIDS Day Speech, Lake Forest, CA, 12/1/06

BARACK OBAMA’S PLAN TO COMBAT GLOBAL HIV/AIDS

There are 40 million people across the planet infected with HIV/AIDS, including more than 1 million people in the U.S., with nearly 8,000 people dying every day of AIDS. Barack Obama believes that we must do more to fight the global HIV/AIDS pandemic, as well as malaria and tuberculosis. In 2006, Obama traveled to Kenya and, along with his wife Michelle, took an HIV/AIDS test to encourage African men and women to be tested for the disease. Obama believes in working across party lines to combat this epidemic and joined Senator Sam Brownback (R-KS) at a large California evangelical church to promote greater investment in the global AIDS battle. As president, Obama will continue to be a global leader in the fight against AIDS.

HIV/AIDS IN AMERICA

Develop a National HIV/AIDS Strategy: Obama has pledged that, in the first year of his presidency, he will develop and begin to implement a comprehensive national HIV/AIDS strategy that includes all federal agencies. The strategy will be designed to reduce HIV infections, increase access to care, and reduce HIV-related health disparities. His strategy will include measurable goals, timelines, and accountability mechanisms.

Fix the Nation’s Health Care System: 47 million Americans are uninsured in this country. Barack Obama is committed to signing universal health care legislation by the end of his first term in office that ensures all Americans have high-quality, affordable health care coverage. Obama’s plan will save a typical American family up to $2,500 every year on medical expenditures by providing affordable, comprehensive and portable health coverage for every American; modernizing the U.S. health care system to contain spiraling health care costs and improve the quality of patient care; and promoting prevention and strengthening public health to prevent disease and protect against natural and man-made disasters. His health plan will ensure that people living with HIV have access to lifesaving treatment and care.

Fight Disparities: HIV has hit some communities harder than others. For example, while African-Americans make up 13 percent of the U.S. population, they make up 49 percent of new HIV/AIDS cases. AIDS is the leading cause of death in African-American women aged 25-34, and the third leading cause of death in African-American men in the same age group. In 2005, 64 percent of women living with HIV/AIDS were black. Obama will tackle the root causes of health disparities by addressing differences in access to health coverage and promoting prevention and public health, both of which play a major role in addressing disparities. He will also challenge the medical system to eliminate inequities in health care through quality measurement and reporting, implementation of effective interventions such as patient navigation programs and diversification of the health workforce.

Improve Quality of Life for Those Living with HIV/AIDS: Obama is a strong supporter of the Ryan White Care Act (RWCA), which provides critical access to life-saving treatment and care for over half a million lowincome Americans with HIV/AIDS. The RWCA is one of the largest sources of federal funds for primary health care and support services for patients with HIV/AIDS. The bill was named after Ryan White, an Indiana teenager whose courageous struggle with HIV/AIDS helped educate the nation. Throughout the reauthorization process of the RWCA, Obama worked closely with RWCA service providers, the Chicago Department ofPublic Health, and the Illinois Department of Public Health to analyze and find ways to improve the program for Illinois and for the nation. Obama will continue to protect the multifaceted care upon which RWCA beneficiaries depend.

Assure Adequate and Safe Housing for Those Living With HIV: Obama supports increased funding for Housing Opportunities for People with AIDS (HOPWA) and other pertinent housing programs. These programs aim to assure that adequate and safe housing is available for all disabled and low-income people with HIV/AIDS in the U.S.

Expand Funding for Research: Barack Obama will expand funding for research, especially for prevention options including a vaccine and microbicides. Microbicides are a class of products currently under development that women apply topically to prevent transmission of HIV and other infections. Obama led an effort with Senator Olympia Snowe (R-ME) and others to introduce the Microbicide Development Act, which will accelerate the development of products that empower women in the battle against AIDS. In the United States, the percentage of women diagnosed with AIDS has quadrupled over the last 20 years. Today, women account for more than one quarter of all new HIV/AIDS diagnoses.

Promote AIDS Prevention: In addition to assuring access to treatment, Obama believes we need to increase the focus on preventing new infections. We cannot keep pace with treatment needs if we don’t also focus on prevention. This means pursuing a strategy that relies on sound science and builds on what works. Obama supports comprehensive sex education that is age-appropriate. He supports increasing federal appropriations for science-based HIV prevention programs. Obama supports the JUSTICE Act, which would prevent transmission of HIV within the incarcerated population. He also supports legislation that would lift the ban on federal funding for needle exchange as a strategy to reduce HIV transmission among injection drug users and their partners and children.

Bring Medicaid Coverage to Low-Income, HIV-Positive Americans: Obama is a co-sponsor of the Early Treatment of HIV Act, which would provide Medicaid coverage to more low-income, HIV-positive Americans.

GLOBAL HIV/AIDS

Reauthorize and Revise PEPFAR: The U.S. has dramatically increased funding for global HIV and AIDS programs through the President’s Emergency Program for AIDS Relief (PEPFAR), but the program has faced controversy. Obama believes that our first priority should be to reauthorize PEPFAR when it expires in 2008 and rewrite much of the bill to allow best practices – not ideology – to drive funding for HIV/AIDS programs.

In addition, Obama supports adding an additional $1 billion a year in new money over the next five years to strengthen and expand the program to Southeast Asia, India, and Eastern Europe, where the pandemic is expanding.

Increase Investments for HIV Treatment: Barack Obama is committed to increasing U.S. investments in the capacity building needed to ensure that poor countries are able to develop the health care infrastructure necessary to prevent and treat HIV/AIDS, promote basic health care, reduce the spread of malaria and TB, and prevent and, if necessary, contain the spread of avian flu and other pandemics.

Increase Contribution to the Global Fund: Obama supports increasing U.S. contributions to the Global Fund for AIDS, malaria, and TB so that our assistance is coordinated with aid provided by other governments and private donors and so that the burden on poor countries is reduced.

Provide Access Through Trade: Barack Obama believes that people in developing countries living with HIV/AIDS should have access to safe, affordable generic drugs to treat HIV/AIDS. He will break the stranglehold that a few big drug and insurance companies have on these life-saving drugs. Obama supports the rights of sovereign nations to access quality-assured, low-cost generic medication to meet their pressing public health needs under the WTO’s Declaration on Trade Related Aspects of Intellectual Property Rights (TRIPS). He also supports the adoption of humanitarian licensing policies that ensure medications developed with U.S. taxpayer dollars are available off-patent in developing countries.

Achieve the Millennium Development Goals: As president, Barack Obama will double U.S. foreign assistance from $25 billion per year to $50 billion per year to ensure the U.S. does its share to meet the Millennium Development Goals, including halving the number of people who die of tuberculosis and/or are affected by malaria. In 2005, Obama cosponsored the International Cooperation to Meet the Millennium Development Goals Act. Barack Obama will target this new spending toward strategic goals, including helping the world’s weakest states to build healthy and educated communities, reduce poverty, develop markets, and generate wealth. He will also help weak states to fight terrorism, halt the spread of deadly weapons, and build the health care infrastructure needed to prevent and treat HIV/AIDS as well as detect and contain outbreaks of avian influenza. Obama will dedicate as much funding to HIV/AIDS as possible – without cutting into other critical foreign assistance programs – to ensure a comprehensive fight against this global pandemic.

Reduce Debt of Developing Nations: Developing nations are amassing tremendous amounts of foreign debt that limit their economic development and make investments in public health, education, and infrastructure extremely difficult. Debt in Sub-Saharan Africa stands at $235 billion, 44 percent of the region’s gross domestic product and an increase of 33 percent since 1990. Obama would work with other developed nations and multilateral institutions to cancel remaining onerous debt while pushing reforms to keep developing nations from slipping into fiscal ruin. Obama also would better coordinate trade and development policies to use the full range of America’s economic power to help developing nations reap the benefits of the global trading system. Obama cosponsored the Multilateral Debt Relief Act of 2005 to provide multilateral debt relief to Heavily Indebted Poor Countries.