The issue is AIDS. Where do the candidates stand on education, healthcare, discrimination? Your vote is a weapon. Use it. We are at war.
Most HIV policy in the USA happens at the state and local levels. Choose your issue. Call your candidates. Vote for harm reduction.
Decriminalization
Education
Healthcare
What should I ask my state and local candidates ahead of the 2020 elections?
If you live in a state that criminalizes HIV (gray or white on the map), you can ask:
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According to the CDC, nearly 100% of HIV transmissions are accidental, because it can take ten years to show symptoms of HIV. In fact, people who know they have HIV and take their medication consistently and correctly cannot sexually transmit HIV. Will you support modern medicine by pushing to repeal HIV criminalization and enhanced sentencing laws?
If they ask about people with HIV taking their meds, you can say:
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“People who have HIV can’t transmit HIV to others if they take their medication consistently because there is not enough virus in their bodies to make anyone sick. Most people with HIV take their medication correctly, because they do not want to get sick themselves.”
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“If you want more details, go to HIV.gov, which is the CDC’s HIV site.”
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Black Americans account for over 40% of people with HIV in the United States, so laws that punish people for getting and transmitting HIV hurt Black communities the most. These laws also scare people away from getting tested or staying in treatment for HIV. Will you help end the HIV epidemic in the Black community by repealing HIV criminalization and enhanced sentencing laws?
If you live in a state that does not specifically criminalize HIV (pink or purple on the map), you can ask:
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Many OSHA and other labor laws that were written years ago incorrectly state that people can get HIV from spit, laundry, or casual contact, even though researchers have proven that this is not possible. Some labor laws even lump HIV and Hepatitis together, despite the fact that they are transmitted differently. Will you advocate for immediately reviewing our OSHA and other labor laws to ensure they are correct about how HIV is transmitted?
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Many public employees in our state, such as teachers and police, incorrectly believe they can get HIV from spit, toilet seats, and so on. Authority figures with outdated beliefs harm members of the public who have HIV. This is not a small group of people — the current risk of getting HIV in the USA is about 1 in 100. Will you advocate for mandatory HIV sensitivity trainings for all public employees?
What should I ask my state and local candidates ahead of the 2020 elections?
If you live in a state that does not mandate medically-accurate HIV education (any color but pink), ask state and local candidates:
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According to the CDC, modern medicine makes HIV/AIDS almost 100% preventable and treatable. Will you support legislation that mandates medically-accurate HIV education, in accordance with CDC recommendations?
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Currently, some students in our state learn about HIV while others do not. Students who don’t learn about HIV at school are more likely to be exposed to the virus. Will you advocate for compliance measures that ensure HIV education is being taught consistently across all public schools?
If you live in a state that already mandates medically-accurate HIV education (pink states), ask state and local candidates:
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Currently, many local schools can hide that they are out of compliance with the state mandate for medically-accurate HIV education because there are no meaningful compliance measures. Will you advocate for meaningful compliance measures that ensure HIV education is being taught consistently across all public schools?
If the candidate asks for an example of poor compliance, you can say:
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Teachers have anonymously reported that they feel pressured to check off a box stating that they’ve taught about HIV, even when they haven’t.
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Students still report being taught offensive misinformation, like that you can get HIV from toilets.
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According to the CDC, modern medicine, such as PrEP and U=U, makes HIV/AIDS almost 100% preventable and treatable — but many districts are still teaching students information from the 1990s. Will you support legislation that requires regularly updating curricula to reflect 21st-century medical accuracy, in accordance with CDC recommendations?
How to answer common followup questions (ALL states):
If the candidate asks about modern HIV medicine, you can say:
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“PrEP and U=U are daily medication regimens that are more effective than condoms at preventing HIV transmissions. PrEP is for people who do not have HIV; U=U is for people who do have HIV. Both are backed by the NIH, CDC, and WHO. These medication regimens protect against all methods of HIV transmission. Very few students currently learn this at school.”
If the candidate asks for specifics about PrEP/U=U, you can say:
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“PrEP is a daily pill that prevents people who do not have HIV from getting HIV. It is FDA-approved and has been available for several years. Taken correctly, it reduces risk by about 99%.”
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“U=U is a shorthand way of saying that people who do have HIV can’t transmit HIV to others if they take their FDA-approved medication consistently. This is because there is not enough virus in their bodies to make anyone sick. Used correctly, U=U is 100% effective against sexual transmission.”
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“If you want more details, go to HIV.gov, which is the CDC’s HIV site.”
Vote for Harm Reduction
Medicaid Expansion Qs
Expanded Healthcare
Patient Protection and Affordable Care Act
Situation 1: If you live in a state that does not have the Medicaid Expansion (white on the map) ask state and local candidates:
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The Affordable Care Act enabled thousands of Americans who had been denied affordable healthcare because of a preexisting condition, like HIV, an opportunity to get health insurance. Will you advocate to expand Medicaid to include those with incomes at or below 138% of the federal poverty level?
If the candidate asks for more information about HIV and the Medicaid expansion, you can say:
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“Expanding Medicaid helps decrease the number of HIV transmissions. Under the ACA, health insurance must cover preventive care, including HIV testing for everyone ages 15-65. If more people are insured, then more people can afford to get tested and learn their status sooner. People who know they have HIV are much less likely to transmit HIV than people who don’t know they have HIV.”
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“People living with HIV in states that haven’t expanded Medicaid have to wait for an AIDS diagnosis before they become eligible. When we insure people with HIV sooner, they have access to life-extending care before their immune systems have been seriously damaged, and everyone saves money on medical expenses because the people stay healthy.”
If the candidate expresses concerns about paying for Medicaid, you can say:
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“It is fully funded by the Federal Government for the first three years.”
If it seems like the candidate would be more persuaded by talking about something other than HIV, you can say:
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“Treatment for HIV and other chronic illnesses is extremely costly for people without affordable insurance. By expanding Medicaid, more Americans will be able to afford the medications that they need to survive.”
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Situation 2: If you live in a state that has the Medicaid Expansion (any other color), ask state and local candidates:
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Some states use Section 1115 waivers to make modifications to Medicaid. While some of these waivers are helpful, many have been used to limit access to care. Will you oppose creating or renewing Section 1115 waivers that make it more difficult for people to get health insurance?
If the candidate asks for an example of a harmful waiver, you can say:
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“Some states have added a Health Risk Assessment provision, which makes it harder for people with certain occupations, pre-existing conditions, and family histories to get care. Other states have eliminated retroactive coverage for all enrollees, including people with disabilities and seniors. There are other types of harmful waivers as well.”
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