Today, Hornet, the world’s premier gay social network, announced the company will join the international Undetectable = Untransmittable (U=U) campaign becoming the first gay social network to support the initiative. Hornet, which has a longstanding history of community engagement around gay men’s health, is working to combat HIV stigma by continuing to raise awareness that an undetectable viral load means HIV is untransmittable. This partnership will utilize one of the largest global LGBTQ platforms to empower people living with HIV, stimulate conversations about sexual health and advance the principle that access to health care is a fundamental human right.
The CDC, UNAIDS and over 500 organizations from 65 countries have confirmed the science behind the U=U campaign verifying that an undetectable HIV viral load means HIV is untransmittable. Science has proven a person achieves an undetectable viral load when medication suppresses the virus to levels so low it can’t be measured by tests. This means an HIV-positive individual can live a long and healthy life and the virus cannot be passed on. Taking medication as prescribed ensures a person will continue to be undetectable. Hornet will continue their commitment to educate the global community about U=U and combat HIV stigma.
“Our partnership with Hornet will help lift the fear about transmitting HIV, and it will begin to dismantle the HIV stigma and ignorance that is still widespread in gay communities,” said Bruce Richman, who leads the U=U campaign and is HIV positive. “The very definition of what it means to live with HIV is changing, and that changes everything for our lives and for the epidemic.
There are many complex reasons why someone may not achieve an undetectable viral load. All HIV-positive individuals have a right to live free of stigma and discrimination and to pursue a fulfilling sexuality. To access medication and achieve an undetectable viral load is a privilege, and Hornet and U=U will work together to ensure that all people living with HIV have the right to quality health care and medications, so they can live long and healthy lives.
“We are very excited about this partnership with U=U. We’ve been committed to creating an online space that is free of stigma and discrimination. U=U has been a grassroots movement that has advanced basic principles of science while empowering people living with HIV and we are happy we can be a part of that. I’ve had HIV-positive and undetectable in my Hornet profile for years. It’s a way for me to affirmatively declare my status, educate others on the benefits to your health of being undetectable, and combat HIV-related stigma.” said Alex Garner, Senior Health Innovation Strategist at Hornet.
Hornet and the U=U campaign will conduct a series of events in key cities around the globe to maximize the reach of the partnership and U=U campaign. The first event will be in NYC in February, followed by other activities in Paris, Sao Paulo, and Taipei.
Medicare, though not at the forefront of the healthcare debate like the Affordable Care Act and Medicaid are, is still a big concern in some circles.
What is the true status of Medicare? Is it good, bad, or somewhere in between? What would happen if Medicare was eliminated?
In this post, we’re going to discuss some pros and cons of Medicare.
Pros of Medicare
Medicare Provides Coverage to Those Who Wouldn’t Have Coverage
In many senses, Medicare does “work.” Thanks to the program, millions of aging adults have been able to receive coverage when they otherwise wouldn’t be able to afford it. Prior to 1965, when Medicare was created, around 9 millions older adults didn’t have health coverage. That number is significantly higher than the 400,000 seniors who were uninsured in 2014. Medicare also covers many younger Americans with disabilities who would not be able to get healthcare otherwise.
Consider the implications if Medicare didn’t exist. Older Americans, who typically need the most medical treatment, would find themselves paying exorbitant medical costs directly out of pocket. The total paid every year would be staggering, most likely exceeding their annual income.
Individuals with disabilities would be totally dependent on their caretakers, who may or may not be able to afford medical care.
Clearly, Medicare is useful because it covers so many people.
Medicare Costs Very Little Every Month
Medicare enrollees generally are qualified for free Part A but must pay a small amount out of pocket every month for Part B. This number is estimated to cost around $134 per month. When you compare this to the out-of-pocket cost of operations, prescriptions, and other associated costs, the savings are huge.
More and more Americans enroll in Medicare Advantage plans each year, and enrollment is expected to keep growing in the future. If fact, enrollment was at 17.6 million in 2016, tripling from 5.3 million in 2004. Part C enrollees made up 31 percent of the 57 million Medicare recipients as of 2016.
MA plans offer beneficiaries an alternative way to get Medicare benefits through plans sold by private insurance companies that contract with the Centers for Medicare & Medicaid Services (CMS).
You get all the Medicare program benefits of Part A hospital insurance and Part B medical insurance, together known as Original Medicare*, when you enroll in Part C (Medicare Advantage). Plus, Medicare Advantage plans may provide additional benefits (dental, vision, etc.) at a minimal cost.
These services are essential to older Americans who would suffer otherwise.
Medicare Has Led to Prescription Innovations
The inception of Medicare created a massive market for drug companies. Suddenly, millions of Americans had access to prescriptions they wouldn’t have had otherwise. When pharmaceutical companies saw the untapped potential in the Medicare market, they began investing billions of dollars in the development of drugs tailored specifically for seniors.
As John Holohan, fellow at the Health Policy Center at the Urban Institute, notes, “A market began for drug companies and medical device manufacturers; when you have a market willing to pay for [products], it’s worth making the investment.”
The addition of Medicare Part D Prescription Drug Plans and Medicare Advantage Prescription Drug Plans—both sold through private insurance companies—also gave Americans wider access to prescription medicines. Medicare beneficiaries have had access to these plans since 2006, and enrollments have increased every year since. In 2006, 22.5 million (52 percent) people on Medicare were enrolled in Part D compared to 40.8 million (71 percent) in 2016, according to the Kaiser Family Foundation. With millions of Americans receiving Medicare prescription drug benefits, this may have given pharmaceutical companies more opportunities to develop drugs for this market.
Medicare Has Resulted in Increased Medical Standards
With the creation of Medicaid and Medicare, Congress created a set of standards for hospital enrollment in the programs. As time went on, the government become more and more involved in overseeing these standards and now requires public reporting on things such as hospital infection rates and readmissions.
This public accountability forces hospitals to perform due diligence in ways they might not otherwise.
As Karen Davis, director of the Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg School of Public Health, notes, “When hospitals find out they aren’t as good as other hospitals, they get serious about improving. When they find out it’s possible to have lower rates of infections, for instance, they try to find out what good practices are and follow them to get good results.”
Cons of Medicare
Medicare Costs a Huge Amount to Administrate
In 2016, Medicare spending totaled $588 billion. Currently, that’s approximately 15% of the overall federal budget. That number isn’t expected to get smaller, with many estimating that the percentage will go up to around 18% over the next decade.
When you consider that this staggering amount could be spent on other valuable programs, such as education, eliminating poverty, mental illness cures, and social justice, it at least causes you to question the overall efficiency of the program.
Poor Health Can Actually Cost More
The Kaiser Family Foundation says that those who reported themselves to be in poor health and on Medicare had out-of-pocket costs 2.5 times higher than the healthier beneficiaries.
While it’s somewhat hard to evaluate what this statistic means given that self-reporting isn’t always reliable, it does raise questions.
Granted, Medicare does offer a significant number of free preventive programs to enrollees that can cut down on health problems. And, many of the individuals on Medicare suffer from preventive conditions (particularly before the implementation of ACA).
Hospital Stays Still Cost a Lot
Even for those enrolled in Medicare, hospitals stays can still be extraordinarily expensive, easily running into the thousands. This highlights several issues.
As noted, many of those on Medicare suffer from preventable conditions and are hospitalized for those conditions. This places an increased burden on hospitals, which can then drive up the prices across the board for all patients.
Additionally, because many Medicare enrollees are in a low-income bracket, they can’t afford these stays, placing a crushing burden on them and putting the hospital in a difficult spot.
While Medicare certainly helps those who are struggling medically, it also creates significant strain on the overall healthcare system in the United States.
Older Enrollees See Costs Skyrocket
“Medicare enrollees 85 and older spend three times more on healthcare than those aged 65 to 74,” according to a Kaiser Family Foundation report. In some ways, this should be expected because more medical issues arise as a person gets older.
However, it also reveals that Medicare doesn’t adapt well for the oldest adults. A truly efficient system would take the increased costs into account and spread those across all enrollees.
Medicare Attracts Fraudulent Doctors
In 2017, the United States charged 412 doctors with medical fraud, amounting to $1.3 billion. Unfortunately, much of this fraud was connected directly to the opioid epidemic currently happening in the country. As the New York Times reported, “Nearly one-third of the 412 charged were accused of opioid-related crimes. The health care providers, about 50 of them doctors, billed Medicare and Medicaid for drugs that were never purchased; collected money for false rehabilitation treatments and tests; and gave out prescriptions for cash, according to prosecutors.”
In addition to the Medicare funds lost through fraud, the government must also employ a significant task force to investigate potential crimes, adding yet more expenses to the Medicare program.
Medicare Costs Taxpayers a Huge Amount
In 2014, an astonishing 38% of Medicare funds came from payroll taxes. With the current Medicare tax rate set at 2.9% (split between employers and employees) — and an additional 0.9% for those making more than $200,000 — this represents a significant amount of money coming out of each paycheck.
While it’s certainly understandable that Medicare funding must come from somewhere, it raises the issue of whether private insurance companies could be more efficient in terms of funding their programs.
Conclusion
The Medicare debate isn’t going anywhere anytime soon. It’s been part of the landscape for over 50 years and will probably continue to be around in one form or another for many years to come.
When enrolling in an insurance plan, your best bet is to do plenty of research. Find out what’s available and what benefits are offered. You may be able to get a better, equally affordable plan through a private insurance company.
In the past few decades, HIV has gone from being a fatal diagnosis to a manageable disease. Although no known cure exists, researchers have developed antiretroviral therapies (ARTs) that stop the HIV virus’ ability to make copies of itself in the body. Effectively, this means that individuals with HIV who consistently comply with the regimen can keep their infection under control and live a long life.
ART takes a multi-pronged approach to combating HIV – patients often have to take at least three different drugs daily to suppress their infection. With that regime comes a host of challenges, like lifelong adherence to daily medication, the cost of drugs and regular checkups, and drug resistance, to name a few.
In a paper published this year, ViiV Healthcare, a pharmaceutical company specializing in HIV therapy development, showed that another, more streamlined treatment method might be on the horizon. The LATTE-2 study combined two drugs into an injectable therapy that could be delivered to patients every eight weeks – and found it to be as effective as a daily oral treatment.
A long-acting therapy would be an exciting and momentous shift in the landscape of HIV treatment. Compared to daily oral treatments, it could improve medication adherence and ease the psychological burden of taking HIV drugs and disclosing HIV status. But getting the therapy from exciting idea to viable product is likely to be pricey, so it’s crucial to work in the meantime toward improving HIV diagnosis rates and overall treatment accessibility.
In 2016, the World Health Organization released a report highlighting that over 40 percent of people living with HIV do not know they are infected. This is thanks to a long-term latent stage of HIV infection, during which the virus slowly multiplies and individuals can display very mild symptoms, or none at all. If people are unaware of their positive status, they can continue to transmit the virus to others; between 2010 and 2015, the number of new HIV infections per year dropped, but only from 2.2 million to 2.1 million. To overcome these statistics, more resources need to be invested into creating affordable and accessible HIV detection strategies, particularly for individuals facing financial and/or access-related barriers to testing and treatment.
It’s recommended that HIV-positive individuals begin treatment right away, but the reality of ART-related costs can be an insurmountable barrier. Because of the variety in medical coverage and insurance plans, many patients are unable to cover the cost of ART, which can range from several hundred to several thousand dollars per month. This high cost of treatment disproportionately burdens low-income patients and drives the disparity in rates of HIV that puts certain minority groups at a greater risk of infection.
Where does the LATTE-2′s drug combination fit into this complex picture? Currently, the study is in phase two of a three-phase clinical trial. It enlisted adults with HIV who, for 20 weeks, followed a current standard-of-care: a three-drug combination taken daily to prevent the HIV virus from multiplying. After 20 weeks, patients were split into three cohorts: one continued the oral therapy regime, while the other two were given an injectable combination of drugs every four weeks or eight weeks. For two years, each patient’s HIV levels were regularly measured and they were monitored for any adverse effects associated with the treatment. Incredibly, over 80 percent of patients in each group had low levels of HIV by the end of the study, with no significant differences between any of the treatments.
If the new regimen continues to demonstrate effectiveness, it can be put on the market as a branded drug to be used in patients with HIV. Along with other branded ART drugs, it’s likely to cost hundreds to thousands of dollars per year. Like many new drugs, this is done intentionally to offset the costs of years of research and production that brought the drug to market. But as a consequence, this fuels the divide between HIV treatments that exist and HIV treatments that are affordable. Until patents run out, allowing for generic drugs and resulting price reductions, it’s unlikely that the reality of actually accessing and affording HIV treatment will substantially change.
In the meantime, we are continuing to learn more about how HIV functions, how it infects the body, and how it can be treated. Ultimately, a better understanding of the disease will drive us towards an accessible and sustainable solution for people living with HIV all over the world.
Until that happens, more work needs to be done to prevent HIV, increase the ease of testing, and interface with policymakers on how to lower the cost of treatment. We have taken a step forward in developing HIV therapies, but are several steps behind in making sure they get to the individuals they intend to treat.
Collecting information on these deaths is complicated by the fact that many trans people are misgendered in reports following their death.
There have been over 270 reported murders of trans and gender non-conforming people in the past year.
There has been a total of 2,609 reported cases in 71 countries worldwide since Transgender Day of Remembrance began in January 2008.
The names on this list are only of cases that have been reported and have attracted local media attention. The more accurate number is likely much higher, according to the Trans Murder Monitoring Project.
Argentina
Sofía Mailén Santillán
Mercedes, Argentina
1-Dec-16
Beaten to death
A. Villegas
Quilmes, Argentina
14-Jan-17
Shot in the head
Cindy Crawford Revlon
Buenos Aires, Argentina
1-Jun-17
Decapitated
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Pamela Tabarez
Rosario, Argentina
25-Jul-17
Shot multiple times
Eyelen
Tucuman, Argentina
18-Aug-17
Beaten
Brazil
Juninho da Mangueira
Guarus, Brazil
21-Nov-16
Shot at least five times.
Paola Bracho
Manaus, Brazil
24-Nov-16
Suffocated
Michele Rios
Rio de Janeiro, Brazil
26-Nov-16
Cause unclear
Patricia Araujo not reported
Sao Paulo, Brazil
27-Nov-16
Shot in the head and burned
Dandara
Natal, Brazil
28-Nov-16
Shot in the head
Name unknown
Joao Pessoa, Brazil
2-Dec-16
Asphyxiation
M. Dias Machado
Pontal do Parana, Brazil
3-Dec-16
Shot at least three times
Will Rhillary Silva
Viamao, Brazil
7-Dec-16
Shot
Name unknown
Rio de Janeiro, Brazil
7-Dec-16
Shot
R. da Silva de Sá
Maceio, Brazil
10-Dec-16
Shot in the head
G. Aquino de Godoy
Curitiba, Brazil
14-Dec-16
Shot in the head
D. de Souza
Campos, Brazil
17-Dec-16
Shot in the neck and back
J. R. T. Gomes
Crato, Brazil
18-Dec-16
Stoned to death
Gabriel Gomes
Goiania, Brazil
21-Dec-16
Shot multiple times at the same incident as F. Braz
F. Braz
Goiania, Brazil
21-Dec-16
Shot multiple times at the same incident as Gabriel Gomes
Paula Raio Laser 50
Fortaleza, Brazil
23-Dec-16
Shot
Jake Helen
Contagem, Brazil
31-Dec-16
Shot five times
Flávia Victoria Lima
Sorocaba, Brazil
31-Dec-16
Cause unclear
L. C. Marinho
Nova Cruz, Brazil
4-Jan-17
Stabbed
W. H. Soares dos Santos 16
Teresina, Brazil
6-Jan-17
Shot
Mierala da Silva
Bauru, Brazil
13-Jan-17
Beaten
Moranguinho
Paranangua, Brazil
15-Jan-17
Shot
Agatha Lios
Brasilia, Brazil
18-Jan-17
Cause not reported
Sandra
Rio de Janeiro, Brazil
19-Jan-17
shot
Lady Dyana
Manaus, Brazil
19-Jan-17
Stabbed
J. A. dos Santos
Itabaianinha, Brazil
26-Jan-17
Shot to death
Paola Oliveira
Russas, Brazil
30-Jan-17
Stoned to death
Name unknown
Recife, Brazil
3-Feb-17
Drowned; legs were tied down
Agatha Mont
Itapevi, Brazil
4-Feb-17
Suffocated
Name unknown
Guaruja, Brazil
8-Feb-17
Stoned to death
Dandara dos Santos
Fortaleza, Brazil
15-Feb-17
Beaten and stoned to death by a mob
Name unknown
Caçapava, Brazil
17-Feb-17
Shot to death
A. da Silva Maciel
Distrito de São Sebastião, Brazil
18-Feb-17
Shot
Mirella de Castro
Belo Horizonte, Brazil
19-Feb-17
Suffocated
Camila de Souza Magalhães
Sao Gonçalo, Brazil
25-Feb-17
Beaten
Emanuelle Muniz
Anapolis, Brazil
26-Feb-17
Stoned to death
Lorrane
São Luiz, Brazil
26-Feb-17
Shot to death
Z. Marrocos
Guarabira, Brazil
28-Feb-17
Stabbed to death
Michelly Garcia
Pelotas, Brazil
3-Mar-17
Shot
Name unknown
Goiania, Brazil
6-Mar-17
Shot
Rubi
Luziania, Brazil
6-Mar-17
Shot
Sandra
Laranjeiras do Sul, Brazil
8-Mar-17
Beaten
Jennifer Celia Henrique (Jenni)
Florianopolis, Brazil
10-Mar-17
Beaten
Name unknown
Cachoeirinha, Brazil
12-Mar-17
Burned to death
Lexia
Santa Fe do Sul, Brazil
13-Mar-17
Stabbed
Camila Albuquerque
Salvador, Brazil
15-Mar-17
Shot
Bruninha
Ourinhos, Brazil
16-Mar-17
Stabbed
Paola
Street Joao Candido do Camara, Brazil
22-Mar-17
Stabbed
Paulina
Recife, Brazil
23-Mar-17
Shot multiple times
Uilca or Wilka
Loteamento Luiz Gonzaga, Brazil.
26-Mar-17
Stabbed
Name unknown
Acara, Brazil
2-Apr-17
Beaten
Name unknown
Campo Grande, Brazil
3-Apr-17
Not reported
R. Félix da Silva
Guarariba, Brazil
4-Apr-17
Shot to death
Bianka Gonçalves
Primavera do Leste, Brazil
7-Apr-17
Shot to death
Camila
Sao Jose do Campos, Brazil
10-Apr-17
Beaten
Vitoria Castro
Araguaina, Brazil
10-Apr-17
Beaten
Hérica Izidório
Fortaleza, Brazil
12-Apr-17
Beaten
Name unknown
Curitiba, Brazil
12-Apr-17
Beaten
Gaby
Feira de Santana, Brazil
12-Apr-17
Shot to death
Name unknown
Itabuna, Brazil
16-Apr-17
Shot to death
Samilly Guimarães
Rio de Janeiro, Brazil
20-Apr-17
Shot to death
Marooni
Belem, Brazil
22-Apr-17
Stabbed
A. Ribeiro Marcossone
Curitiba, Brazil
23-Apr-17
Shot over 25 times
Eloá Silva
Joao Pessoa, Brazil
27-Apr-17
Shot multiple times
Name unknown
Barcarena, Brazil
29-Apr-17
Stabbed
Uilca
Vitoria de Santo Antao, Brazil
29-Apr-17
Shot to death
Layza Mello
Vilha Velha, Brazil
30-Apr-17
Shot to death
Name unknown
Belem, Brazil
30-Apr-17
Shot to death
Samaielly
Lauro de Freitas, Brazil
30-Apr-17
Shot to death
Sophia Castro
Contagem, Brazil
3-May-17
Cause unclear
C. A. Lima da Silva
Monhangape, Brazil
6-May-17
Shot to death
R. C. Silva Pereira
Barretos, Brazil
7-May-17
Deliberately struck by a vehicle
Thadeu Nascimento
Grande do Retiro, Brazil
7-May-17
Shot and beaten
Jennifer
Itaitinga, Brazil
9-May-17
Shot multiple times
Fernanda
Ponta Grossa, Brazil
10-May-17
Shot
Chaiane
Cachoeira do Sul, Brazil
13-May-17
Stabbed
Ketlin
Juazeiro do Norte, Brazil
13-May-17
Stabbed
Name unknown
Fortaleza, Brazil
13-May-17
Stabbed
Name unknown
Morro Agudo, Brazil
15-May-17
Beaten to death
Pâmela
Belo Horizonte, Brazil
21-May-17
Stabbed to death
Lalá
Feira de Santana, Brazil
25-May-17
Shot to death
Grace Kelly
Lauro de Freitas, Brazil
25-May-17
Suffocated
Joyce Jane Padilha
Rio de Janeiro, Brazil
26-May-17
dismembered
Sheila Medeiros
Tres Pontas, Brazil
29-May-17
Cause not reported
Laryrssa Moura
Governador Valadares, Brazil
31-May-17
Shot in the back
Natasha
Castanhal, Brazil
5-Jun-17
Multiple gunshot wounds
A. Alves Nascimento
Criciúma, Brazil
5-Jun-17
Shot to death
Natasha
Varginha, Brazil
6-Jun-17
Shot multiple times
Name unknown
Salvador, Brazil
10-Jun-17
Shot in the neck, belly, shoulder, and back.
Renata Vieira
Uberlândia, Brazil
14-Jun-17
Beaten to death
E. Shyne
Rio de Janeiro, Brazil
15-Jun-17
Tortured
Julhão Petruk
Fortaleza, Brazil
15-Jun-17
Shot multiple times
Name unknown
Caraguatatuba, Brazil
16-Jun-17
Stabbed
Bárbara
Maceió, Brazil
18-Jun-17
Struck by a vehicle
Name unknown
Belo Horizonte, Brazil
19-Jun-17
Shot to death
Camily Victoria
Belo Horizonte, Brazil
22-Jun-17
Shot to death
Denise
Aracaju, Brazil
24-Jun-17
Shot to death
C. Barroso de Oliveira
Ananindeua, Brazil
24-Jun-17
Shot to death
Nicolly Santos
Vitória de Santo Antão, Brazil
24-Jun-17
Stabbed multiple times
Ney Oliveira
Apuarema, Brazil
25-Jun-17
Stabbed to death
Salomé Bracho
São Luís do Curu, Brazil
25-Jun-17
Shot to death
Tabata Brandão
Rondonópolis, Brazil
25-Jun-17
Shot to death
Carla
Maceió, Brazil
28-Jun-17
Stabbed to death
Lola
Sorriso, Brazil
2-Jul-17
Cause not reported
Rayane
Fortaleza, Brazil
2-Jul-17
Shot
Larissa
Fortaleza, Brazil
2-Jul-17
Multiple gunshot wounds
Vicky Spears
Diadema, Brazil
3-Jul-17
Shot
Anna Sophia
João Pessoa, Brazil
8-Jul-17
Shot in the head
Bruna dos Santos
Pelotas, Brazil
9-Jul-17
Beaten and shot
Cauã
Porto Alegre, Brazil
9-Jul-17
Shot
Thalia
Rio Verde, Brazil
14-Jul-17
Shot
Sophia
Campo Mourão, Brazil
17-Jul-17
Stabbed to death
Michele
Caxias, Brazil
17-Jul-17
Shot
Leona Albuquerque
Salvador, Brazil
17-Jul-17
Shot multiple times
Camila Guedes
Monte Mor, Brazil
20-Jul-17
Stabbed
Gil Pereia da Costa
Rio Branco, Brazil
20-Jul-17
Shot twice
Gabriela Sousa
Maracanaú, Brazil
21-Jul-17
Shot
E. A. da Silva
Maceio, Brazil
21-Jul-17
Shot
Name unknown
Belo Horizonte, Brazil
22-Jul-17
Stabbed to death
Natalia Pimentel
Várzea Grande, Brazil
25-Jul-17
run over multiple times
Aurinete
Patos do Piauí, Brazil
31-Jul-17
Stabbed
Name unknown
João Pessoa, Brazil
1-Aug-17
Shot in the head.
Mary Monttila
Palmeira dos Índios, Brazil
2-Aug-17
Stabbed
Charliane
Itabuna, Brazil
2-Aug-17
Shot
Bruna Laclose
Pinheiro Machado, Brazil
6-Aug-17
Stabbed
Paulinha
Palmares, Brazil
8-Aug-17
Stabbed
T. J. Gomes da Silva
João Pessoa, Brazil
12-Aug-17
Shot
Dianna
Limoeiro, Brazil
18-Aug-17
Shot
Evelin Ferrari
Caruaru, Brazil
22-Aug-17
Shot
Lilly
Cachoeira, Brazil
27-Aug-17
Shot to death
Daniele Jesus Lafon
Poços de Caldas, Brazil
2-Sep-17
Stabbed with a pair of scissors
Flávia
Santos, Brazil
3-Sep-17
Shot
Rai
Petrolândia, Brazil
3-Sep-17
Stoned to death
Ana Carolina Nascimento
Araraquara, Brazil
5-Sep-17
Beaten to death
Nicole
Sorriso, Brazil
5-Sep-17
Stabbed
Alessandra
São Paulo, Brazil
7-Sep-17
Shot
Bruna Monteiro
Taguatinga Sul, Brazil
8-Sep-17
Shot to death
Lorane
Camocim de São Felix, Brazil
9-Sep-17
Shot
Larissa Paiva
Serra, Brazil
14-Sep-17
Serra, Brazil
Safira
Salvador, Brazil
15-Sep-17
Shot to death
Name unknown
Camaçari, Brazil
16-Sep-17
Shot
Ana Coutti
Cabo Frio, Brazil
18-Sep-17
Multiple gunshot wounds
Kaleane
Belo Horizonte, Brazil
20-Sep-17
Shot in the head
Spencer
Campinas, Brazil
23-Sep-17
Beaten and stabbed
D.R.P.
Campinas, Brazil
24-Sep-17
Stabbed to death
Pâmela
Moreilândia, Brazil
25-Sep-17
Shot and beaten
Danhy Zn
Leme, Brazil
25-Sep-17
Not specified
Rayssa
Uberaba, Brazil
26-Sep-17
Shot twice
Lu Brasil
Altamira, Brazil
26-Sep-17
Cut and strangled
Renatha Lemos
Nova Mamoré, Brazil
30-Sep-17
Burned
Natália
Fortaleza, Brazil
30-Sep-17
Shot
Canada
Sisi Thibert
Montreal, Quebec, Canada
18-Sep-17
Stabbed to death
Chile
Vanessa Valenzuela
Viña del Mar, Region Valparaiso, Chile
28-Apr-17
Beaten with hammers and sticks by five people who yelled “kill the fag.”
Colombia
Alejandro Polanco Botero
Risaralda, Colombia
30-Nov-16
Shot four times in the head
Vikichy
Cali, Colombia
20-Jan-17
Stabbed in the chin and stomach
Silvana Fabian Pineda
La Dorada, Colombia
28-Jan-17
Multiple gunshot wounds
Angelo Ramos
Garzon, Colombia
9-Feb-17
Not reported
Name unknown
Chaparral, Colombia
16-Feb-17
Beaten to death
C. Camilo Valencia
Valle del Cauca, Colombia
19-Feb-17
Shot
Thursday, the Human Rights Campaign (HRC) Foundation, released Promising Practices for Serving Transgender & Non-Binary Foster & Adoptive Parents, a groundbreaking new guide designed to help foster care and adoption agencies recruit, certify and support qualified transgender and non-binary adults to become resource parents for young people who need safe, welcoming homes.
“With more than 100,000 young people awaiting adoption across the country, it is urgent for all prospective foster and adoptive parents, including trans and non-binary adults, to feel safe and welcomed in our nation’s foster care system,” said Mary Beth Maxwell, HRC’s Senior Vice President for Programs, Research, and Training. “Discrimination and disrespectful treatment too often create significant barriers for transgender and non-binary people wishing to become resource parents. All parents, no matter their gender identity, deserve the same opportunities to welcome youth into their families, and this detailed resource provides agencies with the information and tools they need to make that a reality.”
The guide offers information on inclusive policies, practices, terminology, and the current legal landscape for LGBTQ prospective parents. It also provides safe and affirming techniques for trans-inclusive data collection, recruitment, and training for agency staff and volunteers. It’s release coincides with National Adoption Month, which is marked every November.
“From Florida to California, foster care and adoption agencies have been reaching out to us, seeking more information on including and supporting both transgender and non-binary parents and youth,” said Alison Delpercio, Deputy Director of HRC’s Children, Youth and Families Program. “Through trainings, the implementation of inclusive policies, and the information contained in this guide, practitioners will gain a fuller perspective on the challenges facing transgender and non-binary adults and learn best practices on how to better welcome them.”
Delpercio continued, “Transgender and non-binary people are fully equipped to be loving and caring resource parents and many bring unique strengths to supporting children and youth with experiences in the foster care system. We just need to create the structures to support these parents.”
The guide also features the personal accounts of transgender and non-binary adoptive parents across the country. A transgender foster dad from California shares the fears he had before becoming a foster parent: “I was afraid of the process because I was certain I would have been humiliated for being transgender. In the past, I had to endure a lot of negative attitudes and verbal harassment simply for being transgender, and I was afraid of disclosing my gender history to my case manager for similar reasons. Since there were no other visible transgender and non-binary foster parents, I wasn’t sure what I was going to encounter.”
An estimated two million LGBTQ adults in the U.S. are interested in adoption, but the LGBTQ community often remains an untapped resource when it comes to finding families for children and youth in foster care. This guide will help agencies increase their pool of prospective foster and adoptive parents by ensuring they have the policies and practices in place to welcome and support LGBTQ resource families.
HRC’s All Children – All Families project promotes LGBTQ cultural competency among child welfare agencies through innovative resources, including an online agency self-assessment tool, comprehensive staff training, free technical assistance and more. Agencies across the country recognize the importance of this work and use ACAF resources to improve practice with LGBTQ youth and families.
KEY WEST, Fla. — The Key West Business Guild and its LGBT Visitor Center have relocated to a new, larger location. The guild, acclaimed as one of America’s leading gay business associations and among the oldest in the nation, and its visitor center are now located at 808 Duval St.
The new location is within Key West’s “Pink Triangle,” which includes a cluster of LGBT bars, entertainment clubs and stores around the 700 and 800 blocks of the iconic Duval. The area also is home to four permanent rainbow crosswalks that the city installed in May 2015.
The guild opened its doors in 1978 to support the LGBT community and promote tourism to the all-welcoming subtropical island of Key West. Today the organization and its visitor center provide important services to the destination’s LGBT visitors and their allies.
The island welcomes an estimated 225,000 LGBT visitors each year.
“We estimate 20 percent or more of Key West’s annual visitors self-identify as LGBT, and we are proud to assist thousands of travelers each year,” said the guild’s executive director, Matt Hon.
Services provided by staff members at the visitor center include recommendations for accommodations, dining, entertainment and attractions. The center also offers a wide selection of brochures, an LGBT map of the island and information about special offers and ways to maximize the Key West vacation experience.
The guild office and center are open Monday through Saturday from 9 a.m. to 5 p.m. for walk-ins. Visitors also can call the guild for assistance at 305-294-4603 or e-mail office@gaykeywestfl.com.
In response to significant attacks on the rights of LGBTQ people, an unprecedented number of parents of transgender young people have come together to sign a declaration of rights seeking protections for their children and all transgender people from discrimination, violence and harassment. The declaration, signed by 1,400-plus parents and organized by the Human Rights Campaign Foundation, the educational arm of the nation’s largest LGBTQ civil rights organization, comes as the nation marks Transgender Awareness Week, and one year after HRC launched its groundbreaking national Parents for Transgender Equality Council in the wake of Donald Trump’s election.
“What started as a council of 25 parents of transgender youth one year ago has grown into a movement of more than 1,400 parents demanding dignity and fairness for their children,” said HRC President Chad Griffin. “These courageous parents represent tens of thousands more across the nation and the challenges facing their families must be addressed by our policymakers and public officials. From building welcoming schools to ending violence against transgender women of color, our work will not be complete until every child in America and around the globe is afforded the opportunity, safety and respect that everyone deserves.”
The 1,400 signatories represent all fifty states and Washington, DC, demonstrating the breadth and diversity of the community of parents of transgender young people. Among the goals articulated by the brave and dedicated parents are the need for nationwide, comprehensive protections from discrimination, inclusive school policies, criminal justice reforms, and access to affirming health care.
The declaration reads, in part: “Despite our progress, we see our children growing up in a world where equality for all is not yet guaranteed. We seek universal respect, dignity, and the promise of safety for our children, and for all transgender people.”
“Our children are not political pawns,” said Peter Tchoryk, parent of a transgender youth and a member of HRC’s Parents for Transgender Equality Council. “They are young people simply hoping to learn and live productive lives. But because politicians like Donald Trump and Mike Pence have chosen to target them for discrimination, our families have been called to defend ourselves from their vicious attacks. Our country has been here before. This declaration demonstrates that our families exist in communities across the country and that we won’t relent until our children are safe from discrimination, harassment and violence.”
HRC’s Parents for Transgender Equality was launched in November of 2016 to amplify the voices of parents of transgender youth. Increasingly, the political attacks facing transgender people target the youngest in the community. Earlier this year, when the Trump-Pence Administration rescinded lifesaving guidance promoting the protection of transgender students, HRC’s Parents for Transgender Equality council sent a letter to the administration from more than a thousand parents demanding that the Obama-era guidance be preserved.
Throughout Transgender Awareness Week, HRC will discuss many of the urgent and important issues facing the transgender community — including support for youth and families, workplace equality, military service, and combatting violence against members of the transgender community. The week concludes on Monday, November 20, with Transgender Day of Remembrance, a time when the community comes together at vigils across the country to honor those lost in the past year.
PrEP is an effective method of preventing HIV that is available and can be affordable to most people who want to use it. But not everyone at risk for HIV knows about it, and many people who could benefit from PrEP believe it’s not for them.
A recent panel discussion hosted by New America Media and the San Francisco Department of Public Health explored this very issue with six representatives working in the field of HIV prevention in San Francisco.
Speaking about their work and the diverse communities they serve, the panelists shared some of the important barriers that people of color, trans women and young people face related to PrEP knowledge, access and adherence.
Who is PrEP for?
Panelists highlighted the lack of diversity in PrEP campaigns and advertisements that lead groups of people to conclude that PrEP isn’t an option for them.
“PrEP is for everyone, because HIV affects everyone,” said Tapakorn Prasertsith, HIV prevention program supervisor at API Wellness. “It’s not just for men who have sex with men. But, our communities don’t feel represented at all.”
Some trans women, said Prasertsith, are confronting stigma because early PrEP research lumped trans women into categories with men who have sex with men.
“PrEP has been presented as a ‘gay drug,’ and trans women are [referred to] as gay men. Representation has been a real struggle,” said Prasertsith. “A lot of trans women I work with will say, ‘I’m not a sex worker so I don’t need PrEP.’ So this is another stigma we’re fighting.”
Terrance Wilder
Terrance Wilder, the DREAAM Project program coordinator for San Francisco AIDS Foundation, emphasized that promotional campaigns for PrEP have not visually represented people of color in an authentically visual way. People of color, women and trans people may not think that PrEP is an option for them if they don’t see people who look like them in PrEP promotional materials.
Jorge Vieto, a health systems navigator at GLIDE Foundation, works with clients who are marginally housed, who stay at shelters, who live in encampments or are recently released from jail.
One barrier, said Vieto, is that many people they work with don’t know that PrEP is available. “We also realized that most people had the misconception that PrEP wasn’t for them. PrEP uptake in San Francisco has primarily been by white gay men. When I talk to the populations I serve, they don’t see themselves in advertisements. They don’t see themselves in prevention efforts.”
Jorge Zepeda, manager of Latino Programs at San Francisco AIDS Foundation, said that it’s important for media campaigns promoting PrEP access to realize that Latinos and Latinas are not all the same. And, that there are important distinctions between Latinos born in the U.S. and those who are immigrants.
Jorge Zepeda
“[Realizing this] will help us understand the needs, and how we are going to support our community,” said Zepeda. “We are a beautiful, diverse group of individuals. We may share a language, we may share a continent. But we are also unique. Talk to us.”
Although access to PrEP or patient assistance programs does not require proof of residency, this is a common concern for people who are wary of accessing social services for this reason, said Michael Barajas, a PrEP navigator at the San Francisco Department of Public Health.
Michael Barajas
“This is something I have to stress to people I communicate with,” said Barajas, who serves Spanish-speaking clients in the Mission neighborhood of San Francisco. “We let them know it [residency status] doesn’t matter. We can still get them access to medication.”
Competing life concerns
The panelists all agreed that competing life concerns are a significant barrier to many people in the communities they serve.
Denny David, deputy director of LYRIC, said that it’s difficult for marginalized young people to think about taking care of their health when they feel systematically disconnected from institutions including school, religious communities, places of employment and health care.
“PrEP is more than just popping a pill,” said David. “It’s about an entire shift in point of view. It’s a sign of, I’m taking a step or stand for my self-worth. And it’s about envisioning a future self where you’re alive, happy and loved.”
LYRIC serves many youth clients who are people of color, immigrants and transgender or gender non-conforming. Many are homeless or marginally housed, and the percentage of clients experiencing homelessness is increasing every year.
“When you don’t know where you’re sleeping at night, remembering to take a pill is challenging,” said David.
Wilder, from San Francisco AIDS Foundation, expressed this same concern about the young men of African descent he sees in the DREAAM program.
“If you don’t know where you’re going to lay your head at or where your next meal is coming from, or if there are things going on in your family, it’s going to be hard to think about the daily discipline of taking a pill every day,” said Wilder.
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Learn more about PrEP & find PrEP services
PleasePrEPme.org is a website linking people seeking PrEP services to PrEP providers across the U.S. The site includes a searchable directory (by state, zip code or street address) for users to find PrEP clinics and PrEP clinicians with hours, contact information and health insurances accepted for each listing.
San Francisco City Clinic offers free and low-cost sexual health care to people in the Bay Area regardless of immigration or insurance status. They offer same-day PrEP enrollment during drop-in hours:
For trans people, San Francisco City Clinic offers PrEP services by appointment Thursdays from 8 am – 11 am or during the drop-in hours.
San Francisco AIDS Foundation offers free PrEP services at Strut (470 Castro Street in San Francisco) and at their main office (1035 Market Street in San Francisco). Find more information and make an appointment online.
A second transgender candidate has won a spot on the Minneapolis City Council.
Phillipe Cunningham narrowly won a northwestern Minneapolis ward by defeating longtime incumbent and council president Barb Johnson. His victory wasn’t announced until Wednesday afternoon, due to the instant-runoff voting system Minneapolis uses.
Cunningham is a 29-year-old transgender man. His victory follows one by Andrea Jenkins, a transgender woman who easily won a seat on the City Council Tuesday night.
It adds to a banner night for transgender people in public office. Danica Roem became the nation’s first openly transgender state lawmaker by winning a Virginia Statehouse seat.
Victory Fund, a group that advocated for LGBT candidates, said Jenkins was the nation’s first openly transgender woman elected to a major city’s governing board.
Transgender candidates across the nation won historic races Tuesday night – including Danica Roem, who will become the first openly trans person to win and serve in a state legislature. Four trans candidates won their state and local elections, with one more possible as results trickle in, almost doubling the number of trans elected officials in the country and solidifying 2017 as the year of the trans candidate.
“Hostile political forces at every level of government are targeting the trans community with legislation and policies that deny their equality,” said Aisha C. Moodie-Mills, President & CEO of Victory Fund. “Tonight was about fighting back – an unprecedented number of brilliant trans candidates asking for the votes of tens of thousands of Americans, and getting them. They are victorious because they focused on the local issues that matter most to their constituents – better schools, improved transportation and civil rights for all people. But it is also an undeniably historic night for the LGBTQ movement and for trans equality, having moved the needle on what is possible for a trans leader who aspires to run for office and make positive change. Now we have more trans voices in the halls of power, and 2017 will be remembered as the year of the trans candidate.”
Victory Fund invested heavily in its trans endorsed candidates this cycle, bundling hundreds of thousands of dollars in down-ballot races to dramatically increase the number of trans elected officials in the country. It sent staff to get out the vote for Danica Roem, Andrea Jenkins and Phillipe Cunningham, and provided regular campaign strategy sessions to help them target constituents and get out the vote.
Danica Roem, Virginia House of Delegates, District 13: Danica will become the first out trans person to win and serve in a state legislature, and will be the only out trans state legislator in the nation once she takes office. Victory Fund raised more than $200 thousand to help her defeat three primary opponents, and then 25-year incumbent Bob Marshall, who proudly describes himself as “chief homophobe” of the Virginia state legislature. Victory Fund also organized dozens of volunteers to help get out the vote on election day and in the days leading up to it.
Andrea Jenkins, Minneapolis City Council, Ward 8: Andrea is the first openly trans woman ever elected to the city council of a major U.S. city, and will be the only openly trans person of color currently serving in elected office anywhere in the nation. Andrea was featured at Victory Fund’s national event in May and thousands of dollars were bundled on her behalf.
Lisa Middleton, Palm Springs City Council (CA): Lisa is the first openly trans person to win a legislative seat in the state of California, and Victory Fund held a fundraiser on her behalf. Lisa is a former Victory Institute Empowerment Fellow and a graduate of Victory Institute’s Candidate & Campaign Training – a four-day intensive training simulation aimed at building the skills necessary to run for office.
Tyler Titus, Erie School Board (PA): Tyler is the first openly trans person ever elected in Pennsylvania. Victory Fund provided national exposure to Tyler’s race, securing articles in the Daily Beast and other publications.
Additionally, results are still coming in for Phillipe Cunningham, who ran for Minneapolis City Council’s ward 4 seat. If he wins, Phillipe will join Andrea Jenkins as the only out trans people to be elected to the city council of a major U.S. city.
Currently just six openly trans people are elected officials nationwide.