More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Keli Goff

Keli Goff

Posted: October 19, 2010 09:08 AM

When Secretary of State Hillary Clinton recently issued a public apology after it was revealed that researchers from the U. S. Public Health Service intentionally infected Guatemalan patients with sexually transmitted diseases, the revelation recalled for many Americans unfortunate memories of the Tuskegee experiment. Though the cases had some clear differences (namely that in Guatemala, researchers affiliated with the U.S. government stand accused of infecting unsuspecting patients with a disease, while in Tuskegee they stand accused of intentionally withholding lifesaving treatment) the fundamental tragedy remains the same. The worst-case scenario is that our government preyed upon some of humanity's most powerless. The best-case scenario is that it looked the other way as others did. Any way you slice it our government failed to live up to the most basic tenets of human decency, and certainly to the greatness that is our democracy.

In reading about the Guatemala travesty, I began thinking that for all of the flaws that our great yet imperfect country may have, at least I can take comfort in knowing that we are evolving for the better and that nothing like that will ever happen again. Not in my lifetime. And then I realized that it is. Right now. Yet it is as though there is more collective outrage about medical travesties that happened decades ago than about the ones happening before our very eyes today.

Clearly I am not the only one who feels this way.

This weekend, while stumping for his old pal Gov. Deval Patrick, the president was interrupted by hecklers. He then did something he rarely does (although some think he should do more.) He got angry.

My first reaction to his anger: It's about damn time.

My second reaction: He shouldn't be angry with the hecklers but angry that they are right. As the hecklers challenged President Obama on his administration's seemingly lackluster commitment to battling AIDS the president sternly replied, "One of the great things about being a Democrat is, we like arguing with each other. But to the folks concerned about AIDS funding, I would say 'take a look at what the Republican leadership has to say about AIDS funding.'"

As far as retorts go that strikes me a little like Sarah Palin threatening, "Well if you think I'm an intellectual lightweight you just wait until you meet my friend Christine O'Donnell." My point is if the president's best defense is that at least he's better than the alternative, which is a party comprised of candidates who think condoms are irrelevant to the fight against AIDS (speaking of O'donnell) and that gay men and sexually active single women should be marginalized (speaking of too many GOP candidates to name), then isn't that basically like admitting he doesn't really have a strong defense at all?

Which brings me to this question. If one preventable disease was emerging as the single biggest killer of members of a minority community and a white president appeared to treat the issue as an after thought, what would the reaction of the NAACP or the National Council of La Raza or (insert your own group here) be? Yet I am beginning to get the distinct impression that the AIDS crisis affecting all Americans, but officially annihilating people who look like me, ranks somewhere on the president's list of priorities between his wife's childhood obesity initiative and whether or not to neuter Bo, the family dog.

And in case you haven't noticed, this president is black.

Now before those of you who love the president (I'm looking at you, Mom) fire off your angry e-mails to me about how many other pressing issues he has before him, and how he must focus on issues that affect all Americans, not just black Americans, you can save your ink, because I have actually written that piece before.

And I still happen to believe it. But I also happen to believe that just as I do not want others to hold President Obama to different, unfair standards because he is black (even though some clearly do) I am also not going to hold him to a different, lesser, standard because he is black.

AIDS is no longer just the leading cause of death of black women my age, but it is becoming one of the leading causes of death among black people, period. According to the latest CDC numbers half of those living with HIV in this country are now black, even though we make up approximately 13 percent of the population. To put those figures in context, 1 in 22 black Americans is at risk for being diagnosed with HIV in our lifetime.

I expect any president sitting in the White House to not only care about numbers like these, but to vocally and passionately say that they do publicly and to flex some serious policy muscle to back it up -- regardless of what color that president is. But here is the growing concern that I am beginning to have about this particular president on this particular issue. It's long been known that some women who become the first in their companies to be promoted fear being seen as "too pro-women" in the eyes of their male peers, and subsequently bend so far over to accommodate that fear that they end up not really helping other women at all, thus defeating one of the greatest arguments for diversity. I similarly fear that the president may bend over so far to prove people like me who said he is "the president of all Americans, not just black Americans" right, that he may just break his back, politically and policy speaking, in the process.

I realize that the administration can't just write a blank check when it comes to funding AIDS prevention efforts, but I'm not asking for that. I'm asking that just as he and his wife use the power of their image so effectively to inspire black Americans on a host of other issues -- from eating healthier to placing a greater value on education -- that they use their image to inspire more black Americans to take greater care with their sexual health. It's something I know they have the capacity to do because they have done it before -- in Africa where they championed the importance of AIDS awareness before adoring crowds who welcomed the then-U.S. Senator and his beautiful wife like rockstars. (Click here to see video of the Obamas abroad discussing the issue of AIDS with the people of Africa.)

Considering Washington, D.C. has one of the worst per capita AIDS rates in the nation, I'm wondering why the White House hasn't duplicated the president and first lady's AIDS testing promotion efforts in Africa, right in their own backyard.

Or just as the White House recently hosted a private screening of the phenomenal new documentary on education reform Waiting for "Superman," no doubt in part to demonstrate and publicize the administration's commitment to that issue, how about hosting a private screening of the phenomenal new documentary, The Other City about efforts to address the AIDS epidemic in our nation's capitol?

Unless of course the White House is afraid that a film that calls attention to the failures of public officials to address this crisis might hit too close to home for its current occupant.

Now I know there are those of you reading this who feel strongly that AIDS is a preventable disease and therefore our efforts and resources are better spent on diseases we have no idea how to prevent, from Parkinson's to certain forms of cancer. But here's what I would say. People choose to smoke cigarettes but the community-wide collateral damage of those who do not eventually became so great (from children whose health is affected by a parent who smokes, to families that are devastated emotionally and financially when a loved one dies from or is incapacitated by a smoking related illness) that it warranted the government to take action and regulate the tobacco industry. And I can tell you this much: there are a lot more people who have sex than smoke. So it is in all of our interests to stop pretending this is someone else's problem. Because based purely on the numbers, if that someone else isn't already someone close to you, it will be soon.

Which brings me to Ronald Regan.

Though progressives may have a litany of reasons to criticize the Reagan presidency, Americans of all political stripes should be able to agree on at least one. Ronald Reagan all but ignored the AIDS crisis that unfolded during his administration, not even acknowledging the disease publicly until more than 20,000 Americans had already died from it. His silence did more than any other president to date to help the disease, and it's greatest co-conspirator -- ignorance about the disease -- to spread. (During the 2008 primary when President Obama controversially credited Reagan with changing the trajectory of America in a way Presidents Clinton and Nixon did not, I don't think this is what he had in mind.) But if the latest statistics from the Centers for Disease Control continue moving in the direction that they are then Reagan may soon have some competition for title of "President who Could Have Done the Most to Tackle the American AIDS crisis but didn't."

In July the Obama administration unveiled its official National HIV/AIDS Strategy. While the goals it outlined ("reducing the number of new infections, increasing access to care and optimizing health outcomes for people living with HIV and AIDS, and reducing health-related disparities") are certainly laudable, ultimately they only matter if the president is willing to expend his public political capital on the fight. So far he -- and the first lady -- appear hesitant to do so. The role that race may be playing in that calculation appears further evidenced by how little the racial disparities of this disease are mentioned in his public remarks on the topic. (And how little it comes up in White House documents on the topic, save for one posting on the White House website on black men and AIDS.)

At the ceremony outlining the administration's AIDS strategy the president said:

..."We have learned what we can do to stop the spread of the disease...And we've been reminded of our obligations to one another -- obligations that, like the virus itself, transcend barriers of race or station or sexual orientation or faith or nationality. So the question is not whether we know what to do, but whether we will do it. Whether we will fulfill those obligations; whether we will marshal our resources and the political will to confront a tragedy that is preventable."

Here's hoping the president is finally angry enough to marshal the political will to confront this preventable tragedy.

This post originally appeared on TheLoop21.com for which Goff is a political blogger.

www.keligoff.com

 
 
 

Follow Keli Goff on Twitter: www.twitter.com/keligoff

 
 
  • Comments
  • 193
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
Page: 1 2 3 4 5  Next ›  Last »  (5 total)
photo
janmB
INSPIRED
06:37 AM on 10/20/2010
We also had a beginning alzheimer's president during Reagan's second term in particular. He formerly apologized for not remembering signing the papers re---arming the Contra's or giving WMDs to Saddam.
Ronald Reagan: if you don’t [stop Medicare] and I don’t do it, one of these days you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.” [1961]
It wasn't the ONLY thing he was wrong about....look at where the trickle-down has got us to ..today
when some still support this mythology .
photo
HUFFPOST SUPER USER
aspiecelia
01:09 AM on 10/20/2010
There is good treatment for AIDS now, the disparities for care are economic for the most part. One doctor who treats people who have retroviruses says her HIV positive patients are "hale and hearty", but her patients with Chronic Fatigue Syndrome/ME are very ill and she would rather have HIV if she had to have a retrovirus. For about thirty years the CDC/ NIH blocked research, diverted funds from congress for research on CFS/ME to other projects, and presented information to make the medical community and media believe it was a mental illness. Now through research by the Whitmore Peterson Institute we know it is most likely caused by a retrovirus. There were scientists all along who said it was caused by a retrovirus, the government went after them. The retrovirus was not screened at blood banks and people were told CFS/ME was not contagious. This went on for about thirty years! This story is even worse than AIDS. Yes people with CFS/ME do die younger and do get cancer just like those with AIDS and all the while they keep getting told they are imagining it. The medical community with a few exceptions has been very abusive to those with this illness and there have been many suicides. It causes brain lesions, MS-like symptoms, memory problems, pain, brain fog, dizziness, low blood volume, immune system dysfunction, and severe fatigue to name just a few symptoms. There story is bigger than race, think corporations.
Sergeant
Dress Right
09:02 PM on 10/19/2010
Unless I missed it I didn't see any reference to Bush who spent more money on AIDS in Africa than Obama.
HUFFPOST SUPER USER
castleb
12:20 AM on 10/20/2010
Good for Bush. Did he spend it in the first two years of his presidency? If Obama were to spend money on AIDS in Africa now, his critics would find some sinister motive behind it or call him names, like socialist, communist, anticolonialists etc. etc. etc. The good he does here at home is caricatured and/or vilified. Not even Bush, who plunged us into an unprovoked war, has been as viciously maligned.

Consider that G.H. Bush and Bill Clinton are working together to relieve the distress of third-world countries. Compassion should be nonpartisan.
07:52 PM on 10/19/2010
"When Secretary of State Hillary Clinton recently issued a public apology after it was revealed that researchers from the U. S. Public Health Service intentionally infected Guatemalan patients with sexually transmitted diseases"
Does this statement imply that all the people who were dying like flies in the 80's the victims of this act? And now it's the responsibility of public officials to fix the problem? Well, this is not a straightforward proposition. This may be over the head of any president.
06:51 PM on 10/19/2010
People of color and condoms... discuss.. no really it is a discussion that needs to happen because the guys do not like to use them and more importantly YOUR GETTING SICK and we care about you please have this discussion.
photo
HUFFPOST SUPER USER
terri autorino
06:37 PM on 10/19/2010
President Obama is the most honorable and intelligent person we will ever have as president.

OBAMA/BALDWIN 2012!!!
Sergeant
Dress Right
09:03 PM on 10/19/2010
Honorable, true. Intelligent, no question. Failure, also true.
11:06 PM on 10/19/2010
Honorable my b*tt. He is a sell-out. Intelligent--big deal, his "intelligence" brought us his Republican economic team...
HUFFPOST SUPER USER
castleb
11:43 PM on 10/19/2010
My heart goes out to these media pundits who must lose sleep every night as they try to think of something else to pin on President Obama.

Is there some kind of contest going, some "trivial pursuit" or game of "Can you top this?" Or is it simply baiting readers into throwing verbal brickbats at one another while the usual suspects demonize the president.

Pathetic.
06:35 PM on 10/19/2010
Palin*O'Donnell 2012!
07:31 PM on 10/19/2010
Mam - I believe it is wrong to say terriyying things like that.
04:18 AM on 10/20/2010
LOL!
06:05 PM on 10/19/2010
Interesting how we damn other countries for human rights violations eh?
06:36 PM on 10/19/2010
Why not? 'Hypocrisy' is the USA's biggest export.
Sergeant
Dress Right
09:06 PM on 10/19/2010
And hope for millions who want to come to the USA. You must be foreign.
HUFFPOST SUPER USER
pjean
Consultant
05:39 PM on 10/19/2010
Keli I'm sure if he focussed on it you would be one of the main people complaining about how he doesn't spend enough time talking about the economy and people losing their job...
05:36 PM on 10/19/2010
HIV in the black community is mostly from down low brothers who are released from prisons. Most people who are in the know (pharma execs and doctors who treat HIV) are aware of this. This is not something which can be legislated nor is there 'second hand' HIV so stop the tobacco comparison.

As for Reagan, give me a break. Personal choices and behavior caused the spread of the disease. Further, the supervisors of San Francisco could have closed the bath houses where this disease spread like wildfire but that would not have sat well with the large gay population. Can't have it both ways.

Bush II tripled aid to Africa to combat HIV and poverty. http://www.washingtonpost.com/wp-dyn/content/article/2006/12/30/AR2006123000941.html
06:58 PM on 10/19/2010
Well stated:)
Sage Benjamin
whitebeach
Hey, buddy, can you spare a micro-bio?
05:30 PM on 10/19/2010
Let's see. In the 1980s AIDS was a newly discovered disease that was causing many thousands of deaths in the United States, and President Reagan virtually ignored it for years while it spread widely and infected hundreds of thousands more, and during all this time he did little or nothing toward instituting programs aimed at addressing the disease. In 2010, AIDS is extremely well-established on the world and national medical maps and huge federal and other resources are dedicated, through major institutions and foundations, to combatting it. If President Obama doesn't speak often about AIDS, he therefore has "something in common" with Reagan. Yeah. Right.
05:30 PM on 10/19/2010
@Keli,
Although I admire your writing about the epidemic of AIDS among African Americans I would like to point out that the CDC is only characterizing those new AIDS cases that are reported. "Reported cases" are a blessing and a curse. I think that the number of cases reported among African Americans can be contributed to the aggressive public health campaign to "know your status" (blessing). However "knowing the status of African Americans" has stigmatized an already marginalized group (curse). There is little support for people suffering from HIV/AIDS in the African American community. In order to address disparities our community has to create a a culturally sound system (infrastructure) to support our brothers and sisters who are combating HIV/AIDS. Only then can the President truly provide meaningful support to combat this disease among AA.
Now that we know "our status' the POTUS has initiated a comprehensive strategy to combat the spread of the disease and to prevent new cases among African Americans. Can you tell me if $$ are in the initative which supports this type of infrastructure (capacity building)?
05:19 PM on 10/19/2010
Hello Keli,
Obama and Reagan do have something in common, and it is something to brag about: They both believe that marriage is between a man and a woman.
Thanks:)
Sage Benjamin
HUFFPOST SUPER USER
dojone
nada
05:15 PM on 10/19/2010
I worked with long-term HIV survivors in the late 80's and 90's, most of whom were white gay men. One of my areas of interest was always why some people with the same diseases survive better/longer than others. The guys I worked with were active in ACT-UP and they also started their own clinic and attended every city council meeting held until they were heard and provided with some assistance. I recall about the same time seeing a group of African American people in Atlanta raising H E L L because someone wanted to put an AIDS hospice in their neighborhood. Having lived in Atlanta in the late 60's that always struck me as very ironic that people who had been victimized in housing, wanted to discriminate against someone else. I have again recently been thinking about the personality traits of those guys who survived until some useful treatments came along. They had all been bullied as teenagers and had learned to deal with being different and with being outcasts and still had the gall to expect society to help them as they helped themselves. Maybe it has to do with the way people handle discriminatory behavior. If you are not getting what you need from the government, you need to make more noise and see what you can do to help yourself and others, in the meantime. I believe that Obama does have a couple of other problems on his plate, like the economy for example.
05:12 PM on 10/19/2010
The funny thing is this is 15min meeting for Obama...tops. Here's how it goes: Obama to COS (Chief of Staff) while waiting for his next appointment "You know I heard we aren't doing what we need to on HIV/AIDS, staff out a report and see how much money we can get for the next budget". A day later, he reads the 15-20 page report and calls the Sec. of Health and Human Services, "I got a memo on HIV/AIDS, I want you to push for this, NOW".

Okay, so it's a bit more complicated, but not by much. He's the President, he has a HUGE staff (a whole government to be exact) that does most of the reserach and execution of his orders--all he has to do is care enough to give a "go" order. This is why Obama can do 25 things at one---he's not actually doing it, everyone is.