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Safety First
theStranger.com ^ | February 24, 2005 | Dan Savage

Posted on 03/01/2005 9:14:50 AM PST by PreviouslyA-Lurker

One of my best friends was recently diagnosed with HIV. Since college, he's been on an unending sex conquest, hooking up with countless guys he meets online to engage in risky activities. My concern is that he doesn't seem fazed by his HIV diagnosis and he says he has no intention of giving up his online sex crusades. I worry about his mental and physical health, but also about his seeming willingness to infect others just to satisfy his sexual appetite. I'm pretty sure he doesn't disclose his HIV status to potential partners, and barebacking is what got him into this mess in the first place.

I don't know what to do. He's a pretty clean cut, attractive, A&F wearing, young guy, which doesn't match the stereotype that many in the homosexual community have about HIV-positive guys. So what am I obligated as a friend to do? Should I tell the group of friends we share, even though they are straight and are not connected to the pool of people he is sleeping with? Should we arrange a time to get together for some sort of intervention? I want to be a good friend, but I don't want to just stand by and watch him continue to hurt himself and possibly others. Any advice is appreciated.

Help Me Do the Right Thing

Would you be friends with a guy who went out at night and mugged little old ladies? Or a guy who beat his girlfriend? Or a guy who ran around raping people? Of course not, HMDTRT, because you're an ethical guy and ethical guys don't hang out with violent, abusive assholes. So why on earth are you wasting your time with this guy? Knowingly exposing other people to a potentially fatal disease is an act of violence, HMDTRT, and there's just no excuse for it. Your college buddy obviously doesn't care about his own health any more than he cares about the health of his sex partners. And you know what? If you were an attractive, naive stranger he met on a website, he'd be more than willing to imperil your health to satisfy his own selfish sexual appetite.

So here's what to do, HMDTRT: You're going to drop this guy. You're going to refuse to have anything to do with him anymore and you're going to tell him why. And if anyone in your circle of friends asks why you aren't friends with this asshole anymore, you're going to tell him or her the truth. Will you be violating your college buddy's privacy? I suppose so, kiddo, but someone who violates other people so casually isn't in a good position to complain about having his precious privacy violated.

Speaking of new HIV infections, an apparently deadly strain of the virus that causes AIDS surfaced in New York City last week just in time for Valentine's Day. This new strain doesn't respond to the anti-retroviral meds that hold most infected people's HIV infections in check and, even more worrisome, it appears to induce a rapid progression to full-blown AIDS. The new HIV strain was discovered in a New York City man who told health officials he has had sex with hundreds of men in recent weeks while using crystal methamphetamine. Nice. The news about what could be a deadly new stage in the AIDS epidemic broke less than a week after public health officials began warning gay men about a rare from of chlamydia known as lymphogranuloma venereum, or LGV, that's spreading among gay men. Symptoms of LGV include a painful, bloody rectal infection, genital ulcers, and exploding lymph nodes in the groin. Six cases of LGV have been confirmed in the United States, all among gay men, and most of the men infected with LGV reported having multiple sex partners and engaging in unprotected anal sex.

For some, the HIV/LGV one-two punch was the last straw: "Gays Debate Radical Steps to Curb Unsafe Sex" read the headline on the front page of the New York Times on February 15. And the radical step that's being contemplated? Partner notification, or tracking down, testing, and treating the sexual partners of people who have been newly diagnosed with HIV. As radical notions go, partner notification is about as radical as suggesting that surgeons wash their hands before they operate. Public health officials have used partner notification to combat other sexually transmitted infections for decades and it's past time that they started using it to combat HIV too.

If people are looking for a truly radical step--something that might actually curb unsafe sex--I've got a suggestion. But first some context: When extremely promiscuous gay men assess the risks and benefits of unprotected sex, most assume that if they get infected, or if they infect someone, that an AIDS organization or state health agency will pay for the AIDS meds they or their sex partners are going to need to keep themselves alive. It seems to me that one sure-fire way to curb unsafe sex would be to put the cost of AIDS meds into the equation. I'm not suggesting that people who can't afford AIDS meds be denied them--God forbid. No, my radical plan to curb unsafe sex among gay men is modeled on a successful program that encourages sexual responsibility among straight men: child-support payments. A straight man knows that if he knocks a woman up, he's on the hook for child-support payments for 18 years. He's free to have as much sex as he likes and as many children as he cares to, but he knows in the back of his mind that his quality of life will suffer if he's irresponsible.

So why not drug-support payments? If the state can go after deadbeat dads and make them pay child support why can't it go after deadbeat infectors and make them pay drug support? Now that would be radical. Infect someone with HIV out of malice or negligence and the state will come after you for half the cost of the meds the person you infected is going to need. (The man you infected is 50 percent responsible for his own infection.) Once a few dozen men in New York City, San Francisco, Toronto, Los Angeles, Chicago, Miami, and Vancouver are having their wages docked for drug-support payments, other gay men will be a lot more careful about not spreading HIV. Trojan won't be able to make condoms fast enough.

"I don't think there's anything inherently illegal about it," said Jon Givner, director of the HIV Project at Lambda Legal Defense and Education Fund when I called to bounce the idea off of him. "It's just a matter of whether you think it's good public health policy." Jon doesn't. "I don't want to play the role of the apologist for irresponsible behavior [but] whatever public health policies we develop should not be based on blaming the person with HIV first."

Ana Oliveira, the executive director of Gay Men's Health Crisis, was more receptive to the idea. "We find ourselves at a time where the idea of holding people accountable, of building consequences into behavior choices, may be needed to help change the paradigm," Oliveira said. "We certainly appreciate the element of justice in your idea. It could act as a deterrent, and that would be helpful. The difficulty is that it would be impractical to implement. It would require some kind of a determination process and the pitfall would be a lot of he said/he said situations."

Still, Oliveira thinks everything should be on the table right now, as do many other frustrated public health officials and HIV-prevention educators. So I'm tossing my idea out there.

Anyone else care to comment?


TOPICS: Culture/Society; Editorial; Government; Miscellaneous; News/Current Events; Your Opinion/Questions
KEYWORDS: aids; aidsprevention; grid; health; healthcare; hiv; homosexual; homosexualagenda; homosexuals; nannystate
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To: PreviouslyA-Lurker

The prayer of a righteous man availeth much.
Pray for him unceasingly and then buy flowers, he's dead.


21 posted on 03/01/2005 9:51:58 AM PST by rant57
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To: rant57

7.62x39....right in the head.


22 posted on 03/01/2005 10:08:44 AM PST by bicyclerepair (Help I'm surrounded by RATS (South. Florida))
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To: sportutegrl

You need to tatoo front and back.


23 posted on 03/01/2005 1:13:14 PM PST by TASMANIANRED (Certified cause of Post Traumatic Redhead Syndrome)
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To: TASMANIANRED; sportutegrl
I don't think the tattoo idea would work in the bathhouses in some instances as it's been described to me. But neither would the idea of "medicine support" along the lines of child support. There are too many anonymous encounters.
24 posted on 03/01/2005 1:38:08 PM PST by PreviouslyA-Lurker (Some Americans don't understand that being an American is more than living in America.)
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To: bicyclerepair

Works for me!


25 posted on 03/02/2005 9:37:07 AM PST by rant57
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To: scripter; little jeremiah

Ping


26 posted on 03/14/2005 5:03:44 PM PST by EdReform (Free Republic - helping to keep our country a free republic. Thank you for your financial support!)
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To: EdReform; backhoe; Yehuda; Clint N. Suhks; saradippity; stage left; Yakboy; I_Love_My_Husband; ...

Homosexual Agenda Ping. Tells it like it is. And a good suggestion about paying for the AIDS drugs, except it'll never work. With homosexual promiscuity at the rates it is at, how will people be able to prove who they got AIDS from?

Better make the people who have it pay for their medicine, and let the insurance companies figure out if they want to cover people who are at risk for AIDS due to their own behavior, and/or if they want to have higher premiums for them. After all, people who smoke have higher premiums. Why not homosexuals?

Let me and DirtyHarryY2K know if you want on/off this pinglist.

It's sheer insanity and the height of injustice for taxpayers to pay for the AIDS drugs of homosexuals who contracted the disease by their own irresponsible behavior. If this sounds harsh, too (bleeping) bad. Let wealthy homosexuals donate money and start charities for their poor brethren who they gave AIDS to.


27 posted on 03/14/2005 6:05:10 PM PST by little jeremiah (Resisting evil is our duty or we are as responsible as those promoting it)
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To: All
Anyone else care to comment?

How about a government mandated tattoo warning in the genital area for all that are HIV positive?

28 posted on 03/14/2005 6:13:42 PM PST by DBeers
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To: PreviouslyA-Lurker
This man, and any other, who is willfully spreading this deadly disease, is on a murderous rampage. Period!

They don't care if they get AIDS, so why should we? Well we should, and should be very concerned about the fact that AIDS is constantly mutating. How long before it is passed in other ways, besides blood transfusions, sharing needles or homosexual sex. This whole homosexual culture needs to be stopped, before we turn into a country dying of AIDS.
29 posted on 03/14/2005 6:42:27 PM PST by gidget7
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To: PreviouslyA-Lurker
"So why on earth are you wasting your time with this guy?

Being a friend to someone can involve not "hanging around with them". I think part of that advice is good, but to just turn your back on him, I believe would be the wrong thing to do. If you read the Bible, you will see that Jesus Christ was accused of keeping company with some pretty shady characters. It is because those people were precisely the ones that needed a real friend the most that He kept company with them. I think the idea of an intervention is loving and in the Spirit of Christ. Godly advice is NEVER the wrong thing to do my friend.

Don't judge the person, only the sin itself. Inside your friend is a soul that is crying for help. Love him, do what you can to help him. Don't give him false friendship. That is, don't go along pretending that everything is just OK and that you can continue to relate with him if he is determined to continue in this lifestyle. He needs help, and even if he doesn't consciously know it yet, he wants help. He is crying inwardly for it. Your friend needs Jesus Christ, period, end of discussion. Here is a website for him: www.settingcaptivesfree.com

God Bless, I will pray for you and your friend.
30 posted on 03/15/2005 4:41:15 AM PST by joedownthestreet
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To: joedownthestreet

That is a very kind response. I did not write the post, it was published on the website listed. I first saw it in a local liberal free paper called "The Pitch". I wanted to post it because of the idea of "disease support" that the writer presented.

Thank you for your response.


31 posted on 03/15/2005 7:32:45 AM PST by PreviouslyA-Lurker (...where the spirit of the Lord is, there is liberty. 2 Corinthians 3:16-18)
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