Trump Administration Is Now Providing PrEP Abroad, But Not for LGBTQ+ People

The goal is to erase gay people because super Christian Rubio agrees with the hateful that LGBTQ+ need to die or go away. They are not human people like good straight cis people are. So lets protect the straight people and hope the icky gays get the aids virus. That is their view, not mine, yours, or real Christians who follow Jesus’s command to love and care for people. Hugs

But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

===========================================================================

Sign up for The Agenda — Them’s news and politics newsletter, delivered to your inbox every Thursday.

The President’s Emergency Plan for AIDS Relief (PEPFAR) is still barred from providing PrEP to LGBTQ+ people around the world, according to recent State Department documents, placing millions of people at elevated risk of HIV exposure.

Shortly after President Donald Trump and Secretary of State Marco Rubio ordered a 90-day freeze on foreign aid in January, Rubio issued an additional “emergency humanitarian waiver” on February 6 which appeared to allow HIV medications to be distributed abroad during that time. That waiver ostensibly meant that pre-exposure prophylaxis, or PrEP — the antiretroviral drug that prevents the transmission of HIV — would be distributed through PEPFAR. But Rubio’s waiver itself stated that “gender or DEI ideology programs” and “transgender surgeries” — e.g., any overseas programs or organizations that support trans people — should not receive aid during the “pause,” and that any programs not specifically named in the waiver “may not be resumed without express approval.”

Now, a new State Department document, dated February 6 and published online by the Joint United Nations Programme on HIV/AIDS (UNAIDS) confirms that PrEP “should be offered only to pregnant and breastfeeding women,” whereas anyone else “who may be at high risk of HIV infection or were previously initiated on a PrEP option can not be offered PEPFAR-funded PrEP” (emphases in original) during the aid freeze.

Among the “high risk” populations currently blocked from receiving PrEP through PEPFAR is LGBTQ+ people — particularly men who have sex with men (MSM) and trans people, two demographics with an increased risk of exposure to HIV. UNAIDS estimated this week that more than 3,000 new HIV infections have occurred worldwide as a result of the Trump administration’s aid freeze.

Founded in 2003 to combat the international spread of HIV, PEPFAR reported distributing antiretroviral treatments to over 20 million people worldwide in 2024, including 2.5 million new PrEP users. In 2022, PEPFAR spent 8.9% of its budget, or approximately $20.1 million, on services for MSM and trans people, according to an analysis by the health policy research organization KFF. A further $28 million went to provide HIV prevention and treatment services for sex workers.

Trump and Rubio’s aid freeze has also already resulted in PEPFAR-assisted programs shutting their doors. The Kenyan “Fahari ya Jamii” initiative, a five-year HIV prevention project founded in 2022, shut down more than 150 clinics and placed more than 700 workers on unpaid leave following the freeze last month, as the Washington Blade reported February 5.

The freeze is part of Trump’s larger war against the United States Agency for International Development, or USAID, the federal agency which distributes civilian foreign aid and partially funds PEPFAR. Amid the administration’s purge of “woke” terminology — including the terms “gender” and “LGBTQ” — from government websites, the USAID site was still entirely offline at time of writing. The agency was also the subject of a House committee hearing on February 5, during which Rep. Nancy Mace repeatedly used a transphobic slur to denigrate U.S. support for LGBTQ+ programs abroad.

Global health organizations have condemned the Trump aid freeze particularly as it relates to HIV prevention, warning of dire consequences already taking place. The international watchdog group Human Rights Watch wrote this week that even a temporary pause on PEPFAR programs “could be devastating” for countless people around the world. The AIDS Vaccine Advocacy Coalition (AVAC) and Journalism Development Network, Inc. filed a joint lawsuit against Trump, Rubio, and Office of Management and Budget director Russell Vought on February 10, alleging the administration’s aid freeze is illegal and unconstitutional. On February 11, a group of USAID contractors and non-governmental organizations filed another such lawsuit, alleging that the freeze had already caused “irreparable damage.” The administration is already fighting a third lawsuit brought by a group of USAID employees last week, which led a federal judge to issue an injunction against the furloughing of USAID workers on February 7.

“[W]ith this new guidance, the Trump Administration is choosing politics over science, discrimination over compassion, and ultimately, death over life,” AVAC representatives wrote in a statement last week. “The February 6th guidance […] is not only a dangerous deviation from sound public health policy — it is a death sentence for thousands of people at risk of HIV globally,” the organization wrote, adding, “This decision appears to be less about public health and more about an ideological agenda that seeks to police morality rather than protect lives.”

Get the best of what’s queer. Sign up for Them’s weekly newsletter here.

Samantha Riedel is a writer and editor whose work on transgender culture and politics has previously appeared in VICE, Bitch Magazine, and The Establishment. She lives in Massachusetts, where she is presently at work on her first manuscript. … Read more

————————————————————————————————————————–

HIV/AIDS Activists Halt Traffic Outside State Department Protesting Trump’s PEPFAR Freeze

The civil disobedience draws attention to a federal program credited with saving 25 million lives in over 50 countries.

Donkey and Minions and Flowers, Oh, My!

And now that the rage of thy rapture is satiate with revel and ravin and spoil of the snow, And the branches it brightened are broken, and shattered the tree-tops that only thy wrath could lay low, Algernon Charles Swinburne – “March: An Ode”

by Worriedman Read on Substack

I’ll be honest, I’m not really sure yet what that poem is trying to say – I just know that ”-satiate with revel and ravin and spoil of the snow,” is just a badass phrase. The kind of phrase I hope I’m smart enough to understand someday!

Today is going to be really good pictures of flowers and really good pictures of a mule and some donkeys. What can I say? It’s what I’m good at and I’m lucky to have found my calling.

It was cold when I took these pictures yesterday. 14° with a dozen mile an hour wind. The wind chill was somewhere around “cold as hell” verging on “What the F*#k?!” I couldn’t wear gloves and still work the camera so I took pictures until my fingers hurt.

I’m going to have to work until I die so I have an inexhaustible source of amaryllis.

That’s all I got room for – Thanks for dropping by! (snip)

There Are Good Things Happening-

I love reading The Bee’s blog. It’s so refreshing! These posts are especially comforting.

Good News For 2025

Another Resource-

Not the usual, true, but still a resource! I’m not trying to “recruit”; I’m not vegan myself, and only part-time am I vegetarian. Still, the email header was “44 Recipes That Don’t Use A Single Egg!” We can all use such knowledge, IMO. 😉

44 Vegan Recipes You’ll Want to Make All the Time

Load up on fruits, veggies and plant-based protein with these crave-worthy picks.

Scroll For More Photos (on the page)

Vegan Mac ‘n’ Cheese

This low-fat, dairy-free version of an American classic certainly has the right look, with its creamy orange sauce, thanks to pureed cauliflower, vegan Cheddar and turmeric. Use umami-packed miso paste and nutritional yeast to evoke the savory, nutty quality of cheese.

==========

Photo: Teri Lyn Fisher

2 / 44

Vegan Caesar Salad with Crispy Capers

Our plant-based Caesar salad covers all the flavor bases of the original, and then some. A classic Caesar gets savory umami from anchovies, Parmesan and Worcestershire and richness from egg yolks. We created an easy protein-packed dressing in the food processor of silken tofu, nutritional yeast and vegan Worcestershire sauce along with the traditional lemon and garlic. This velvety, super-flavorful dressing joins sourdough croutons and a unique garnish of crunchy fried capers for a satisfying salad that’s deliciously vegan.

==========

Description: Food Network Kitchen's Vegan Shepherd’s Pie. Keywords: Creamer Potatoes, Garlic, Chives, Cremini Mushrooms, Tomato Paste, Rosemary, Peas, Carrots

Photo: Matt

5 / 44

Vegan Shepherd’s Pie

Whether you are sticking to meatless Mondays or eat plant-based every day, this vegan version of shepherd’s pie will satisfy any cravings for that warming winter classic. It looks just like the meat version and tastes just as good. We streamlined the process (including using frozen peas and carrots and baking the pie in the same skillet used to cook the vegetables) to make the dish as accessible and weeknight-friendly as possible. Note that although a food processor chops the mushrooms really fast, you can use a knife, if you prefer.

So click through on the title, at top, or here to see it all. There is truly something for everyone.

Peace & Justice History for 2/16

https://www.peacebuttons.info/E-News/peacehistoryfebruary.htm#february16

More About Erasing People, + Action for Fighting

‘We Will Not Surrender’: How to Stand Up to Trump Administration Attacks on LGBTQ+ Health Research

PUBLISHED 2/14/2025 by Wendy Bostwick

The Trump’s administration’s unprecedented war on LGBTQ+ health research—erasing data, censoring science and threatening lives—demands urgent resistance from the medical and research communities.

For the first time in a long time, I was scared. Two weeks after the election, I gave a lecture I’ve delivered countless times, on the critical need to measure sexual orientation and gender identity in health research. Such measures are necessary to identify the unique health needs of lesbian, gay, bisexual and transgender (LGBT) people. In my 25 years of doing research in and with LGBT communities, this is a topic that has shaped my career.

Yet this time, I began my lecture with a caveat: I was uncertain—and afraid—of what the new administration might mean for the hard-won progress we’ve made in LGBT health research, to say nothing of the civil rights gained for my community in the past 30 years.

Not only was my fear justified. It was understated.

Within the first three weeks of Donald Trump’s presidency, an avalanche of executive orders and questionably legal actions have validated my fears, leaving me unsteady and reeling. The Trump administration has aimed to disrupt—if not destroy—research and the scientific process … most especially research focused on LGBT populations, with transgender and non-binary people expressly targeted.

The administration’s actions have been swift and ruthless. (snip)

The American Public Health Association filed a lawsuit to challenge federal funding freezes. The American College of Obstetricians and Gynecologists has publicly condemned censorship and used their website to post some of the purged data. Organizations that rely on federal data should publicly take a stand, much like the American Association for Public Opinion Research just did. These aren’t just commendable actions; they’re blueprints for what every medical and scientific organization should do immediately.

Academic publishers and journal editors can no longer remain neutral. They have an ethical imperative to actively resist censorship and protect academic freedom. Their platforms, influence and resources need to be deployed in this fight—now, not after more damage is done.

A commentary by editors of the British Medical Journal is an excellent example. In it, they forcefully decry the Trump administration’s ludicrous order for CDC scientists to withdraw or retract scientific articles containing the aforementioned forbidden words, plainly explaining, “This is not how it works.” Article retractions, they note, do not happen on demand. They happen when there is evidence of data fabrication or manipulation, not because of political pressure.

Some may imagine that silence in the face of injustice will shield them from harm, particularly if their work is seemingly unrelated to issues of sexual orientation, gender or gender identity. But when healthcare data and related research about LGBT groups are suppressed, it is not just scientific integrity that is undermined. We’re actively worsening health outcomes and costing lives. And this is a cost we all will bear.

Strengthening our cross-issue collaborations and advocacy efforts is imperative. This crisis demands unprecedented coalition-building across scientific disciplines, civil rights organizations and public health institutions. The administration’s assault on LGBT people and health research, as well as science writ large, may seem overwhelming. They are counting on our paralysis and division. We should not—must not—fall prey to this tactic.

It the midst of this deliberately wrought chaos, we must also take care of each other and ourselves. We cannot let these actions crush our spirit and obliterate our hope. I have found comfort in the work of Rebecca Solnit, author of Hope in the Dark, who reminds us that hope is itself an act of resistance. “They want you to feel powerless and surrender and let them trample everything, and you are not going to let them,” she posted on her site, “Meditations in an Emergency,” recently. “The fact that we cannot save everything does not mean we cannot save anything, and everything we can save is worth saving.”

Science is worth saving. Speak up. Push back. Build coalitions. File lawsuits. Protect data. Continue research. The future of science and countless lives hang in the balance. We cannot wait another day. We will not surrender.

Some Fun, Some Info To Keep On Hand For Daily Civics

Chop Wood, Carry Water 2/14 by Jessica Craven

Read on Substack

Hi, all, and happy Friday!

I don’t know about you, but I’m ready for the weekend. Living through an attempted coup is exhausting. And yet here so many of you are—more every day! Our movement, or whatever we’re calling it now, is growing by leaps and bounds. This newsletter has gained well over 50,000 new subscribers in the last thirty days. That’s NUTS, and also shows that Americans continue to be fired up and determined to fight back. I am so glad.

I know it feels like Trump and Musk are “getting away with everything” right now, but I want to remind you that, as they say in twelve step programs, sometimes we have to just “let time take time.” We’re not even a month into this thing yet. Already the country has seen large demonstrations, swamped Congressional phone lines, mass Senate office visits, the first Stop-Shopping day scheduled (for February 28), and the rise of the 50501 movement. Indivisible groups are exploding, new coalitions are being built, and new connections being formed.

This is a moment when old heroes to many—Adam Schiff, the New York Times, Snoop Dogg?—are proving disappointments, but also when new ones—Chris Murphy, the AP, Kendrick Lamar— are rising with brilliant fierceness. Entire media empires are crumbling, yes, but out of those ashes are emerging a whole new crop of great publications and tough, fearless journalists. Political content creators are taking their rising visibility seriously and forming new groups to coordinate their messaging. State Attorneys General and Governors are stepping up in a big way. Career Prosecutors at the DOJ are, as we speak, exhibiting stunning courage in standing up to Trump.

Progress, in short, is being made, and the work being done. Not always by whom we want, and not always as fast as we want. But that stands to reason: There is a massive and necessary reorganization taking place in response to Trump’s attacks. It can’t be instant—that simply defies the laws of physics. We’ve never been here before, so it stands to reason that none of the old rules apply.

So we’re all going to have to keep building the plane while flying it, remembering that new mechanics and pilots are joining us all the time.

Now a word about the many protests and strikes being planned. I have received a LOT of emails asking me for more information on the ones I’ve mentioned here. I have very little. These events are happening organically in a decentralized way. They are being organized on discords and in signal messages. I am not organizing them. What I put in the newsletter is the extent of what I know.

I did glean some helpful resources from a fellow activist today, though: This site is encouraging groups (not just of these events, but all groups doing on the ground actions) to list their events to create a centralized hub for movement work. You can search by state and see if there’s an action listed. You may also find some events on this website (although it is not organized in a way that is as user friendly). The 50501 Bluesky account is also sharing flyers for events as they learn about them. 50501 also has a Reddit page and a website. They seem to be emerging as a major force in this effort; I intend to follow them. And before you ask—no, I don’t know who “they” are. But last week’s 50501 protests went off without a hitch. I’m not going to keep avoiding them just because they have diffuse leadership. This just may be how resistance to an autocracy has to look. I’m grateful for the work they’re doing.

OK, all. I’m running way behind today, so I’m going to leave you with my favorite Vaclav Havel quote; I resort to it often in moments of duress:

Either we have hope within us or we do not.

It is a dimension of the soul and is not essentially dependent on some particular observation of the world.

HOPE is an orientation of the spirit, an orientation of the heart. It transcends the world that is immediately experienced and is anchored somewhere beyond its horizons.

HOPE in this deep and powerful sense is not the same as joy that things are going well or willingness to invest in enterprises that are obviously headed for early success, but rather an ability to work for something because it is good, not because it stands a chance to succeed.

HOPE is definitely not the same thing as optimism. It is not the conviction that something will turn out well, but certainty that something makes sense regardless of how it turns out.

It is HOPE, above all which gives the strength to live and continually try new things.

—Vaclav Havel

Perfect for this moment, right?

Now let’s get to work.

Call Your Senators (find yours here) 📲

Hi, I’m a constituent calling from [zip]. My name is ______.

(snip)

I know Congress is going on recess soon and I’d like to know when the Senator is holding his/her Town Hall. We constituents have a lot to say about the coup attempt that’s happening and we expect an opportunity to have our voices heard. Thanks.

Call Your House Rep (find yours here) 📲

Hi, I’m a constituent calling from [zip]. My name is _______.

I am upset about House Republicans’ proposed cuts to SNAP and Medicaid. Grocery prices and hunger are increasing in the country. Cutting the program that helps over 42 million people put food on the table is unacceptable. Same with Medicaid. 72 million Americans rely on it for healthcare—mostly children, seniors, and veterans. Republicans’ desire to cut these programs in order to pay for tax cuts for rich people is disgusting. What is the Congressmember doing to protect SNAP and Medicaid? Thanks.

Extra Credit ✅

VERY IMPORTANT! A group of 17 states (all Republican) have sued the United States government in a case called Texas v Becerra. These states are asking the court to get rid of Section 504—a critically important law that says you can’t discriminate against disabled people if you get money from the US government. Section 504 does everything from requiring schools to include students with disabilities and help them learn to requiring doctors and schools to have sign language interpreters for people who are deaf and hard of hearing. There’s so much more. The fact that they’re suing to kill this rule is really shocking. I guess Texas started the lawsuit when they found out that gender dysphoria can get you 504 protections. But they’re not trying to get rid of just that provision. They’re trying to kill the whole thing.

One of my subscribers sent me a document that explains the situation in super clear language. It also gives us ways to reach out to the Attorneys General involved and ask them to drop the lawsuit. I’m asking all of us who live in one of the 17 states involved to take the time to do this, please.

The document is here. Please read it, share it, and, if you live in one of the 17 red states that are part of the lawsuit, use the sample letter as a template and write to (or call) your Attorney General. This MUST be stopped!

Extra Extra Credit for NY State Residents

You can do this if you’re not a NY resident but obviously it will pack more punch if you live there. There’s also an email form here.

Call Governor Kathy Hochul at 1-518-474-8390 and say:

My name is ____ and I live in [NY zip]. The Trump administration and NYC Mayor Eric Adams seem to have engaged in an overt quid pro quo – dropping the criminal case against Adams in exchange for the Mayor facilitating the Trump administration’s indiscriminate immigration crackdown. The Governor has the power to remove Mayor Adams. She needs to do so. He’s a criminal and a disgrace. Thanks.

Get Smart! 📚

As many of us engage on urgent threats to democracy, it is also vital to prepare and plan for the 2025 elections that will need a robust voter protection effort. Early planning and coordination will be key to protecting voters.

To help kick start that work, I’m pleased to announce a short Zoom presentation on February 25, convened by Voter Protection Corps and featuring voter protection experts analyzing the 2024 elections and providing insight into what to expect in 2025.

Please join them for this interactive virtual event.

Speakers: Caroline Hutton (Voter Protection Director, WisDems), Cecelia Ugarte Baldwin (Voter Protection Director, Democratic Party of Georgia), Jenny Guzman (Common Cause Arizona), Jesse Littlewood (Voter Protection Corps), moderated by Quentin Palfrey (Voter Protection Corps)

Date: Tuesday, February 25, 2025
Time: 5:30 PM – 6:30 PM ET

RSVP here.

Messaging! Messaging! Messaging! 📣

With RFK Jr. now the HHS Secretary access to abortions is more threatened than ever. I truly believe we’re going to see the FDA ban (or severely restrict) abortion pills soon. Fortunately the amazing org Plan C is not backing down.

From them:

At this time of uncertainty we know several things: evidence-based information is critical in healthcare and beyond. People will continue to have abortions. And the evidence shows that abortion pills are safe, effective, life-saving medications, whether obtained through a clinic visit, via telehealth, or as a self-managed option. Abortion pills are accessible in all states and territories, including states with heavy restrictions, and can be kept on hand for two years.

Here are a few specific actions people can take to protect this access. PLEASE share this information:

Learn about pills in advance. People can access highly affordable (as low as $70) abortion pills now before they need them, so they have access to this vital form of health care. Visit plancpills.org/pills-in-advance to learn more and find pill options.
Order Plan C stickers. To date, we’ve distributed more than 4M stickers that direct people to our website with accurate, up-to-date information about how people are accessing abortion pills. We plan to continue to share this information under a Trump administration. plancpills.org/stickers
Spread the word about resources. We encourage people to know about and bookmark the following resources which will have information on how to access abortion:
- For pills by mail sources and info on using them, visit plancpills.org
- For clinics, travel and pills by mail visit ineedana.com
- For medical support, mahotline.org
- For legal support, reprolegalhelpline.org
- And for a one-stop URL for reproductive access information, youhaveoptions.com.

Give 💰!

Movement Voter Project has just launched The Comeback Campaign: a plan for the first 100 days which is an all-hands-on-deck push to fund the most effective frontline groups around the country working to protect communities, block MAGA, and plant the seeds to win back power in 2026 and beyond.

Read the details here then consider making a donation here. MVP is my #1 pick for political donations. SUCH an effective use of your money.

Win Races! 🗳

Y’all, I’m doing a bit of work with Gay Valimont’s team to help publicize her upcoming special Congressional election in Florida. This race is a super long shot but in this climate I actually think a victory is possible. Watch the video for more info, then sign up to volunteer here or make a donation here.

Hey Missouri!

I’ve launched yet another state newsletter! This time it’s Missouri (here’s the link). My co-author is Anna Eggemeyer, a St. Louis-based activist, and we’ll be sending out legislative updates, actions, events etc. once every two weeks or so starting today. If you’re from MO, go check it out! Or if you know someone who is, send them the link. Thanks!

No Resistbot letter today, sorry!

OK, you did it again! You’re helping to save democracy! You’re amazing.

Talk soon.

Jess

Sad, angering news:

Say Her Name – Elisa Rae Shupe

“Truly A Tanager”

Red-crested Cardinal

Two Bits of Good News

In Major Win For Trans Students, New Jersey Court Rules Against Forced Outing Policies by Erin Reed

The pair of rulings came in an environment where Trump and red states are pushing anti-trans policy across the United States. Read on Substack

Yesterday, the New Jersey Superior Court’s Appellate Division issued two unanimous rulings blocking forced outing policies in school districts across Morris and Monmouth counties. In mid-2023, Hanover Township Public Schools in Morris County, Marlboro Township Public Schools in Monmouth County, Middletown Public Schools in Monmouth County, and Manalapan-Englishtown Regional School District in Monmouth County implemented policies mandating the disclosure of a student’s transgender status to their parents. The policies varied in scope—some required notification only if a student formally changed their gender identity at school, while others mandated disclosure if a student merely mentioned being transgender in counseling sessions. Shortly after the policies were enacted, they were challenged in court and met with preliminary injunctions, preventing their enforcement. The appellate court upheld these injunctions yesterday.

The plaintiffs in both cases are New Jersey Attorney General Matthew Platkin and Sundeep Iyer, Director of the New Jersey Division on Civil Rights. The Attorney General’s office represented them in both cases. However, in Platkin et al. v. Middletown Township Board of Education et al., the American Civil Liberties Union and LGBTQ+ rights organization Garden State Equality filed amicus briefs in support of the plaintiffs. In Platkin et al. v. Hanover Township Board of Education et al., no amicus briefs were submitted. The cases were overseen by Judges Robert J. Gilson, Avis Bishop-Thompson, and Lorraine M. Augostini. Gilson was appointed by Democratic Governor Jon Corzine, while Bishop-Thompson and Augostini were appointed by Republican Governor Chris Christie. (snip-MORE)

Corewell, Largest Michigan Provider, Resumes Trans Youth Care Despite Illegal Trump EO by Erin Reed

On Wednesday, the hospital system announced that it was resuming gender affirming care after a brief pause due to Trump’s executive order attempting to ban it for those under 19. Read on Substack

In an announcement on Wednesday, Corewell Health, the largest healthcare provider in Michigan, stated that it would resume gender-affirming care for transgender youth under the age of 19. The decision follows a temporary halt in services to new patients after President Trump issued an executive order unlawfully claiming the authority to withhold federal funding from hospitals providing such care. Corewell Health is the first—and the largest—hospital system to reverse course after initially pausing treatment, a move that sparked nationwide protests against other healthcare providers that have yet to reinstate care.

The hospital, in a statement released Wednesday, said that its decision was always meant to be temporary, and that decisions around transgender healthcare best belong to patients and their doctors.

See the statement here:

“We are lifting our pause on new hormone therapies for pediatric patients seeking gender affirming care. Care decisions are best made between physicians and their patients and families.

We briefly paused beginning these therapies to allow us time to assess the potential impact that recent policy changes might have on our patients and their health. Contrary to some inaccurate reports, we never suspended any gender affirming care for any of our patients.”

The decision to reinstate care is huge for Michigan transgender patients. The hospital system is the largest in the state, employing over 60,000 people. The LGBTQIA+ adolescent page for one of the member hospitals states, and stated through the closure, “The adolescent and young adult medicine team at Helen DeVos Children’s Hospital takes a holistic, individualized approach to patient care. We guide Michigan patients and their families through comprehensive education and an evidence-based approach. We know this is a challenging time for many of our patients and their families. No matter what is happening around us, we will always remain committed to providing high-quality care for all of our patients.” (snip-MORE)