Forbes Magazine reports that Hillary Clinton has signed the 08 Stop AIDS platform, committing to support $50 billion dollars by 2013 to fight the global HIV/AIDS epidemic.

Clinton joins John Edwards & Bill Richardson in supporting $50 billion over five years to fight HIV/AIDS globally. Edwards released his plan to fight HIV/AIDS in September which included the $50 billion goal and other 08 Stop AIDS goals, though he has not formally endorsed the platform. Bill Richardson endorsed the platform earlier this year.

While Obama released his plan to fight HIV/AIDS in October, it did not include the $50 billion commitment. AIDS activists who have talked to him on the campaign trail report he has been unwilling to commit to a specific amount.

Unlike Obama & Edwards, the Clinton campaign has not yet released their own HIV/AIDS agenda. Activists had planned to target Clinton at a protest at the October 30th Democratic Presidential Debate. With news of the Clinton endorsement of 08 Stop AIDS, the demonstration will focus more broadly on raising awareness of HIV/AIDS in the 2008 campaign.

The following is a reprint of the Barack Obama Plant to Fight HIV/AIDS, released in October, 2007

Barack Obama, Fighthing HIV/AIDS Worldwide

“We are all sick because of AIDS - and we are all tested by this crisis. It is a test not only of our willingness to respond, but of our ability to look past the artificial divisions and debates that have often shaped that response. When you go to places like Africa and you see this problem up close, you realize that it's not a question of either treatment or prevention – or even what kind of prevention – it is all of the above. It is not an issue of either science or values – it is both. Yes, there must be more money spent on this disease. But there must also be a change in hearts and minds, in cultures and attitudes. Neither philanthropist nor scientist, neither government nor church, can solve this problem on their own - AIDS must be an all-hands-on-deck
effort.” -Barack Obama, World AIDS Day Speech, Lake Forest, CA, 12/1/06

BARACK OBAMA’S PLAN TO COMBAT GLOBAL HIV/AIDS

There are 40 million people across the planet infected with HIV/AIDS, including more than 1 million people in the U.S., with nearly 8,000 people dying every day of AIDS. Barack Obama believes that we must do more to fight the global HIV/AIDS pandemic, as well as malaria and tuberculosis. In 2006, Obama traveled to Kenya and, along with his wife Michelle, took an HIV/AIDS test to encourage African men and women to be tested for the disease. Obama believes in working across party lines to combat this epidemic and joined Senator Sam Brownback (R-KS) at a large California evangelical church to promote greater investment in the global AIDS battle. As president, Obama will continue to be a global leader in the fight against AIDS.

HIV/AIDS IN AMERICA

Develop a National HIV/AIDS Strategy: Obama has pledged that, in the first year of his presidency, he will develop and begin to implement a comprehensive national HIV/AIDS strategy that includes all federal agencies. The strategy will be designed to reduce HIV infections, increase access to care, and reduce HIV-related health disparities. His strategy will include measurable goals, timelines, and accountability mechanisms.

Fix the Nation’s Health Care System: 47 million Americans are uninsured in this country. Barack Obama is committed to signing universal health care legislation by the end of his first term in office that ensures all Americans have high-quality, affordable health care coverage. Obama’s plan will save a typical American family up to $2,500 every year on medical expenditures by providing affordable, comprehensive and portable health coverage for every American; modernizing the U.S. health care system to contain spiraling health care costs and improve the quality of patient care; and promoting prevention and strengthening public health to prevent disease and protect against natural and man-made disasters. His health plan will ensure that people living with HIV have access to lifesaving treatment and care.

Fight Disparities: HIV has hit some communities harder than others. For example, while African-Americans make up 13 percent of the U.S. population, they make up 49 percent of new HIV/AIDS cases. AIDS is the leading cause of death in African-American women aged 25-34, and the third leading cause of death in African-American men in the same age group. In 2005, 64 percent of women living with HIV/AIDS were black. Obama will tackle the root causes of health disparities by addressing differences in access to health coverage and promoting prevention and public health, both of which play a major role in addressing disparities. He will also challenge the medical system to eliminate inequities in health care through quality measurement and reporting, implementation of effective interventions such as patient navigation programs and diversification of the health workforce.

Improve Quality of Life for Those Living with HIV/AIDS: Obama is a strong supporter of the Ryan White Care Act (RWCA), which provides critical access to life-saving treatment and care for over half a million lowincome Americans with HIV/AIDS. The RWCA is one of the largest sources of federal funds for primary health care and support services for patients with HIV/AIDS. The bill was named after Ryan White, an Indiana teenager whose courageous struggle with HIV/AIDS helped educate the nation. Throughout the reauthorization process of the RWCA, Obama worked closely with RWCA service providers, the Chicago Department ofPublic Health, and the Illinois Department of Public Health to analyze and find ways to improve the program for Illinois and for the nation. Obama will continue to protect the multifaceted care upon which RWCA beneficiaries depend.

Assure Adequate and Safe Housing for Those Living With HIV: Obama supports increased funding for Housing Opportunities for People with AIDS (HOPWA) and other pertinent housing programs. These programs aim to assure that adequate and safe housing is available for all disabled and low-income people with HIV/AIDS in the U.S.

Expand Funding for Research: Barack Obama will expand funding for research, especially for prevention options including a vaccine and microbicides. Microbicides are a class of products currently under development that women apply topically to prevent transmission of HIV and other infections. Obama led an effort with Senator Olympia Snowe (R-ME) and others to introduce the Microbicide Development Act, which will accelerate the development of products that empower women in the battle against AIDS. In the United States, the percentage of women diagnosed with AIDS has quadrupled over the last 20 years. Today, women account for more than one quarter of all new HIV/AIDS diagnoses.

Promote AIDS Prevention: In addition to assuring access to treatment, Obama believes we need to increase the focus on preventing new infections. We cannot keep pace with treatment needs if we don’t also focus on prevention. This means pursuing a strategy that relies on sound science and builds on what works. Obama supports comprehensive sex education that is age-appropriate. He supports increasing federal appropriations for science-based HIV prevention programs. Obama supports the JUSTICE Act, which would prevent transmission of HIV within the incarcerated population. He also supports legislation that would lift the ban on federal funding for needle exchange as a strategy to reduce HIV transmission among injection drug users and their partners and children.

Bring Medicaid Coverage to Low-Income, HIV-Positive Americans: Obama is a co-sponsor of the Early Treatment of HIV Act, which would provide Medicaid coverage to more low-income, HIV-positive Americans.

GLOBAL HIV/AIDS

Reauthorize and Revise PEPFAR: The U.S. has dramatically increased funding for global HIV and AIDS programs through the President’s Emergency Program for AIDS Relief (PEPFAR), but the program has faced controversy. Obama believes that our first priority should be to reauthorize PEPFAR when it expires in 2008 and rewrite much of the bill to allow best practices – not ideology – to drive funding for HIV/AIDS programs.

In addition, Obama supports adding an additional $1 billion a year in new money over the next five years to strengthen and expand the program to Southeast Asia, India, and Eastern Europe, where the pandemic is expanding.

Increase Investments for HIV Treatment: Barack Obama is committed to increasing U.S. investments in the capacity building needed to ensure that poor countries are able to develop the health care infrastructure necessary to prevent and treat HIV/AIDS, promote basic health care, reduce the spread of malaria and TB, and prevent and, if necessary, contain the spread of avian flu and other pandemics.

Increase Contribution to the Global Fund: Obama supports increasing U.S. contributions to the Global Fund for AIDS, malaria, and TB so that our assistance is coordinated with aid provided by other governments and private donors and so that the burden on poor countries is reduced.

Provide Access Through Trade: Barack Obama believes that people in developing countries living with HIV/AIDS should have access to safe, affordable generic drugs to treat HIV/AIDS. He will break the stranglehold that a few big drug and insurance companies have on these life-saving drugs. Obama supports the rights of sovereign nations to access quality-assured, low-cost generic medication to meet their pressing public health needs under the WTO’s Declaration on Trade Related Aspects of Intellectual Property Rights (TRIPS). He also supports the adoption of humanitarian licensing policies that ensure medications developed with U.S. taxpayer dollars are available off-patent in developing countries.

Achieve the Millennium Development Goals: As president, Barack Obama will double U.S. foreign assistance from $25 billion per year to $50 billion per year to ensure the U.S. does its share to meet the Millennium Development Goals, including halving the number of people who die of tuberculosis and/or are affected by malaria. In 2005, Obama cosponsored the International Cooperation to Meet the Millennium Development Goals Act. Barack Obama will target this new spending toward strategic goals, including helping the world’s weakest states to build healthy and educated communities, reduce poverty, develop markets, and generate wealth. He will also help weak states to fight terrorism, halt the spread of deadly weapons, and build the health care infrastructure needed to prevent and treat HIV/AIDS as well as detect and contain outbreaks of avian influenza. Obama will dedicate as much funding to HIV/AIDS as possible – without cutting into other critical foreign assistance programs – to ensure a comprehensive fight against this global pandemic.

Reduce Debt of Developing Nations: Developing nations are amassing tremendous amounts of foreign debt that limit their economic development and make investments in public health, education, and infrastructure extremely difficult. Debt in Sub-Saharan Africa stands at $235 billion, 44 percent of the region’s gross domestic product and an increase of 33 percent since 1990. Obama would work with other developed nations and multilateral institutions to cancel remaining onerous debt while pushing reforms to keep developing nations from slipping into fiscal ruin. Obama also would better coordinate trade and development policies to use the full range of America’s economic power to help developing nations reap the benefits of the global trading system. Obama cosponsored the Multilateral Debt Relief Act of 2005 to provide multilateral debt relief to Heavily Indebted Poor Countries.

October 15th is National Latino AIDS Awareness Day, a day to talk about HIV/AIDS in the Latino Community.

Latinos in the United States continue to be affected by the HIV/AIDS epidemic, accounting for a greater proportion of AIDS cases than their representation in the U.S. population overall, and the second highest AIDS case rate in the nation by race/ethnicity. Studies have shown that Latinos with HIV/AIDS may face additional barriers to accessing care than their white counterparts (read the fact sheet here).

To learn more, visit the National Latino AIDS Awareness Day website at www.nlaad.org.

Here in Washington DC, folks are gathering this morning at All Souls Church for a forum on HIV/AIDS in the Latino Community. This afternoon I hope you'll join us for a spanish language presentation on HIV vaccine research.

The statistics on HIV and black gay men are sobering. A 2005 CDC study, conducted in 5 large US cities, found that HIV prevalence among black MSM (46%) was more than twice that among white MSM (21%). (citation). It's hard to imagine that in these cities almost half of all black gay men are living with HIV.

When it comes to HIV prevention, what works for white gay men does not necessarily work for black gay men. There's still a lot we need to understand about what is fueling these high HIV rates and what we should be doing about it.

Fortunately, the National Black Gay Men's Advocacy Coalition (NBGMAC), which formed shortly after this data was released, has been working hard to improve the health and well-being of black gay men through advocacy that is focused on research, policy, education and training. NBGMAC is housed in Washington, DC at the offices of Us Helping Us.

NBGMAC will continue to their work at the October 24th meeting of the NIH Office of AIDS Research Advisory Council (OAR). The OAR meeting will focus on challenges of HIV infection in racial and ethnic communities in the United States.

Dr. Leo Wilton will present a summary of the Black Gay Research Agenda for the NBGMAC and the Black Gay Research Group. The meeting will be held at 5635 Fishers Lane, Rockville, MD 20852 in the Terrace Level Conference Center.

It's an important step forward in advocating for the HIV research needs of black gay men, and you can be there. The meeting is open to the public. Time will be allowed for public comment at the end of the meeting. If you can attend and would like to attend, please contact Christina Brackna at (301) 402-8655 for additional information .

On Thursday, October 18, 2007 at 2:00 p.m. ET, a discussion with Senator Hillary Rodham Clinton (D-N.Y.) will be webcast live during the next “Health Care 2008: Presidential Candidate Forum.”

John Edwards was among the first candidates to be part of these web forums. He used his appearance as an opportunity to launch a detailed and comprehensive plan to fight HIV/AIDS at home and abroad.

Let's make sure Hillary Clinton answers our questions about her plans to fight HIV/AIDS. Viewers are welcome to submit questions for the presidential candidates. Questions will be presented to the panel of journalists for consideration. Click here to submit a question about HIV/AIDS to Hillary Clinton for the live forum.

The “Health Care 2008: Presidential Candidate Forums” will allow each Presidential candidate to discuss in detail his or her vision about health reform and the uninsured with a panel of leading health journalists from “The NewsHour With Jim Lehrer,” ABC News, National Public Radio, and The Wall Street Journal. The Forums are being organized by Families USA and the Federation of American Hospitals, produced by MacNeil-Lehrer Productions and hosted by the Kaiser Family Foundation in its Barbara Jordan Conference Center. The Foundation’s health news and information site, kaisernetwork.org, will provide a live webcast of each forum. Shortly after the live webcast, an archived webcast, transcript and podcast will be available.

For a list of upcoming forums and to watch archived webcasts of previous forums, visit presidentialforums.health08.org.

The same week that Presidential Candidate John Edwards released a widely praised HIV/AIDS Policy Agenda, Hillary Clinton announced that she will be holding a briefing on HIV and Women on the Hill. The briefing will take place Monday, October 22 from 8:00 AM to 10:00 AM in the Russell Senate Office Building, room 385.

Over the last 25 years of the AIDS epidemic in the United States, women have come to represent a growing proportion of new HIV/AIDS cases, more than tripling from 8% of new cases in 1985 to 27% of new cases in 2005. Women of color have been especially hard hit and represent the majority of new HIV and AIDS cases among women, and the majority of women living with HIV/AIDS.

Clinton has been criticized by AIDS advocates because her recently released health care plan offers no specific recommendations around HIV/AIDS. Clinton supports the Early Treatment for HIV ACT (ETHA), but has frustrated advocates by remaining undecided on federal funding for science-based HIV prevention through needle exchange. Clinton also has yet to respond to the 08 Stop AIDS call for $50 million over five years to fight the global AIDS epidemic, or to the call for a National AIDS Strategy.

Reprinted below is the John Edwards plan to fight HIV/AIDS here in the United States as well as around the world. It's a bold plan that I believe really sets him apart from the other candidates. Once again, I'm very proud to be supporting John Edwards for President. To download this document, click here

ENDING THE HIV/AIDS EPIDEMIC

“The loss from HIV/AIDS is almost beyond understanding. This is a fight for people’s lives. Wehave a moral imperative to do much more, and do it much better.”– John Edwards

HIV is a preventable disease. But an estimated 40,000 new HIV cases were reported in the U.S. lastyear, and 4.3 million were reported around the world. HIV/AIDS is a treatable disease. Yet 17,000Americans and 3 million people globally died from it in 2005. [CDC, 2007; WHO, 2006]

John Edwards was the first presidential candidate – Democratic or Republican – to take on the biginsurance and drug companies and propose a plan for quality, affordable health care for every man,woman and child in America that offers everyone the option of a public plan. Today, John Edwardsbuilds on his plan for true universal health care with specific proposals to lead the fight againstHIV/AIDS at home and around the world. He will include a comprehensive new national strategy tofight HIV/AIDS, including:

• Guaranteeing health insurance to every American – including HIV/AIDS patients -- the care theyneed when they need it and expanding Medicaid to cover HIV-positive individuals before theyreach later stages of disabilities and AIDS.
• Fighting the disease in the African American and Latino communities, where the harm is nowgreatest.
• Calling for universal access to HIV/AIDS medicine across the world, investing $50 billion overfive years to meet that goal.

FIGHTING HIV/AIDS ATHOME

HIV/AIDS is still a crisis in America, particularly in African-American and Latino communities.The number of new HIV infections in the U.S. has not fallen in 15 years. As president, Edwards willhelp end the HIV/AIDS epidemic in America. [CDC, 2005]

Guaranteeing Treatment for Everyone with True Universal Health Care by 2012: People withHIV/AIDS who don’t have health insurance or who have inadequate insurance are significantly morelikely to die from the disease. That’s the tragedy of the two health care systems in this country today– one for people who can afford the very best care and one for everyone else. True universal healthcare must be the foundation for a national HIV/AIDS strategy.

Edwards’ plan will ensure everyperson in America living with HIV/AIDS gets the care they need, when they need it. His plan willalso transform chronic care with a new patient-centered “medical home” approach where a primarycare physician will make sure patients are getting effective treatment from a coordinated team,including palliative care. [Bhattacharya, 2003]

Edwards supports the Early Treatment for HIV Act which will expand Medicaid to cover HIV-positive individuals in every state before they reach later stages of disability and AIDS. Currently, inmost states, individuals must receive an AIDS diagnosis to receive services under Medicaid even though research shows that the sooner individuals living with HIV receive treatment the better the outcomes. [Porco et al., 2004]

Creating a National HIV/AIDS Strategy: In 2001, the CDC set a national goal of reducing the annual number of new infections in half by 2005, but the actual number of infections has barelybudged. A 1998 presidential initiative set a goal of eliminating racial disparities in HIV/AIDS by2010, but disparities are as bad today as they were then. Our disappointments can be explained inpart by the failure to create a national strategy, backed by necessary funding and with clear and bold goals, specific action steps, real accountability and broad participation and buy-in from stakeholders both inside and outside of government. As president, Edwards will develop a National HIV/AIDS Strategy through an honest, comprehensive and fast-tracked process that involves stakeholders fromthe public and nonprofit sectors. The National Strategy will coordinate the various agencies withinand outside of the Department of Health and Human Services (HHS) that affect HIV/AIDS policy.He will hold his HHS Secretary accountable for issuing an annual report on HIV/AIDS that charts progress towards our national goals, and he will appoint a strong director of the White House officeof AIDS Policy to keep these issues visible at the highest levels of government. [CDC, 1999, 2001, 2007;HHS, 1998]

Focusing on Disparities: About two-thirds of all new HIV/AIDS cases are diagnosed in African Americans and Latinos. African Americans are infected at nearly 10 times the rate, and Latinos atmore than three times the rate, of white Americans. A 2005 study of African-American men whohave sex with men in selected cities found that almost half are infected with HIV, and 67 percent donot know they have the disease. Latina women are six times more likely than white women to have HIV/AIDS. Any serious effort to end the HIV/AIDS epidemic must begin in the African-American and Latino communities, including among the incarcerated population, and address their prevention and treatment needs. We must also continue to work intensively with important overlapping groups like gay men. [CDC, 2007; KFF, 2007]

Supporting Ryan White CARE Act Programs and HOPWA: Enacting true universal health carewill ensure patients have access to care, but fully funding the Ryan White CARE Act will remainessential to ensure that culturally-competent care is available for the special needs of people livingwith HIV/AIDS. These programs include outpatient HIV early intervention services, support serviceslike transportation, case management, substance abuse and mental health treatment, nutrition, family-centered care for children, access to clinical trials and delivery to hard-to-reach populations. Maintaining delivery of outreach and treatment services to the LGBT community, for example, isdependent on these programs. Edwards will also put an end to waiting lines for HIV drugs -- forexample, more than 300 people with HIV/AIDS are on a waiting list for medication in South Carolina– and increase funds for the Housing for People with AIDS (HOPWA) programs, only federal program that provides comprehensive, community-based housing for people with HIV/AIDS.[NASTAD, 2007]

Preventing HIV/AIDS with Scientifically-Proven Strategies, Not Political Ideology: The CDChas identified the three most reliable ways to prevent HIV/AIDS infections. Yet the Bush administration focuses on only one of them – abstinence. As president, Edwards will promotes all reliable prevention strategies, including comprehensive, age-appropriate sex education to ensure young people learn all the facts about preventing HIV/AIDS and harm-reduction programs thatprovide high-risk individuals with access to clean syringes. He will lift the ban on federal funding for needle exchange initiatives. In addition, Edwards will support community and public education that encourages testing.[CDC, Undated; Bush, 2005]

Strengthening America’s Research Agenda: It used to be that more than four out of 10 requestsfor National Institutes of Health grants were approved. Now less than two out of 10 are approved,and existing grants are being cut back. One of those rejected requests might have led to abreakthrough on HIV/AIDS treatments. Edwards supports substantial increases in funding for the National Science Foundation and the National Institutes of Health, as well as measures to ensuretransparency in funding decisions, accountability for results and aligning research with outcomes.[NIH, 2007]

FIGHTING HIV/AIDS AROUND THEWORLD

While the Bush administration initially increased funding for the global fight against HIV/AIDS,funding has now flat-lined. We must do more, and do it better. The fight against HIV/AIDS is afight for people’s lives, but President Bush’s way has us fighting with one hand tied behind our back.One-third of prevention funding goes to abstinence-only education that has been shown not to work.The U.S. has also refused to fund medicine approved by the World Health Organization, even thoughrequiring FDA approval means the U.S. sometimes pays up to three times more for drugs. Thismeans fewer people receive treatment, as the profits of drug companies are protected.[Goldberg, 2007;Carpenter, 2007; Love, 2007]

To restore our moral standing in the world, Edwards believes that America must be a global leader inthe fight against poverty and disease. Fighting global poverty and addressing global health crises is amoral imperative, but it is also a security issue. As president, John Edwards will fundamentally transform America’s approach to the world and bring high-level attention to the fight against global HIV/AIDS by:

Providing Universal Access to Treatment Globally: A $4 dose of medicine can help prevent amother from transmitting HIV to her newborn at childbirth. In developing countries, HIV/AIDS medications cost as little as $140 per patient a year – but, by mid-2006, fewer than one in four people who needed it had access to treatment. As part of a comprehensive plan to also fight TB and malaria around the world, Edwards has set an ambitious goal of providing universal access to preventive and treatment drugs for the three “killer diseases” by 2010, investing $50 billion over five years to meet that goal. This includes fulfilling our moral responsibility to help strengthen public health systems and health care workforces in developing nations. While we can make current spending go further bybeing more aggressive with the pharmaceutical industry, Edwards will ensure the U.S. contributes its traditional fair share toward the Global Fund to Fight AIDS, Tuberculosis and Malaria, which hasproven itself as an innovative, effective model to fight disease.[UNICEF, 2005; U.N. Millennium Project,2005; WHO, 2007]

Using Trade Policy to Save Lives: Edwards will enact trade policies that save lives, rather than protect the profits of big drug companies. He will ensure that U.S. bilateral trade agreements respect the rights of countries to access and use generic medicines consistent with the Doha Declaration onthe TRIPS Agreement and Public Health. We must expand poor countries’ right to safe, affordable generic drugs to treat HIV/AIDS. The increased distribution of generic drugs has been a step in theright direction. However, as millions of people develop resistance to these drugs, we must beprepared to facilitate access to more effective medications. As president, Edwards will supportefforts to increase the importation and production in developing countries of second-line and pediatric drugs. He will also re-assess the Bush policy that forces us to pay higher prices for drugsthat have been approved by the FDA, when less expensive drugs have already been approved by theWHO and their safety is reliable. WHO safety standards are relied upon by leading international organizations, including the Global Fund.

Expanding the Role of Multilateral Organizations: America’s reluctance to engage the world through multilateral organizations under President Bush has hurt our ability to combat poverty and fight HIV/AIDS. Edwards believes multilateral institutions like the Global Fund can be far moreefficient at using taxpayer dollars than bilateral agencies like the President’s Emergency Plan forAIDS Relief, with far lower overheads. As president, Edwards will support efforts to increase the role of multilateral institutions like the Global Fund in distributing funds to fight HIV/AIDS, ratherthan just bilateral aid agencies and their contractors.

Rescinding the Global Gag Rule: In 2001, President Bush signed an executive order barring U.S. family planning aid to foreign non-profits that offer abortions, except in the case of a threat to awoman’s life or incest, that provide abortion counseling or that lobby to make abortion legal. This“gag rule” stifles free speech and forces non-profits to choose between vital U.S. funds and providingessential health services. The “gag rule” has hurt efforts to ensure access to contraception methods that can prevent the spread of HIV. Edwards will overturn this order and restore support for effectivefamily planning.

Creating a Cabinet-Level Post on Global Poverty: Despite its importance to our national security and international standing, America still lacks a comprehensive strategy to fight global poverty. Ourforeign aid programs are fractured and uncoordinated, delivered by over 50 separate government offices. As a result, bureaucrats fight over overlapping jurisdictions and resources are not tied to anygovernment-wide priorities. As president, Edwards will create a new cabinet-level position that will coordinate global development policies across the federal government and be a voice for the fightagainst global HIV/AIDS.

Promoting Women’s Rights and Universal Education: Strengthening the rights of women and increasing education will help change social roles that underlie the spread of HIV in many countries. Reducing violence against women and expanding education are both proven means of preventing HIV. Edwards will aggressively support political and economic rights for women where they do notexist and support efforts to reduce violence against women and children. He will also lead the world toward a primary education for every child, endorsing the goal of achieving universal basic educationby 2015. As part of a significant increase in overall funding for poverty-focused development assistance, Edwards will lead a worldwide effort to raise $10 billion to fund this cause.[UNAIDS,2005; World Bank, 2002]

Supporting Debt Cancellation: Debt owed to Western lenders prevents many poor countries frommaking the kinds of investments in health and education that can help prevent the spread of HIV andother diseases. Edwards will take the next step on debt relief by eliminating bilateral debt owed tothe United States by the world’s poorest countries, freeing up resources for these countries to investin health and education. He will also call on other lender nations to follow our lead.

WASHINGTON, Sep. 17, 2007 -- More than 100 organizations from across the country are calling for the next President to commit to ending the AIDS epidemic in America. They have requested that every Presidential candidate commit to developing a results-oriented national AIDS strategy designed to significantly reduce HIV infection rates, ensure access to care and treatment for those who are infected and eliminate racial disparities. The groups issued a “Call to Action” that has been presented to all Presidential candidates. The Call to Action and a list of supporters is available at www.nationalaidsstrategy.org.

“More than 1.7 million HIV infections and over half a million deaths into the domestic AIDS epidemic, our government still does not have a comprehensive plan to respond effectively,” said Rebecca Haag, Executive Director of AIDS Action. “The wealthiest nation in the world is failing its own people in responding to the AIDS epidemic at home. Our country must develop what it asks of other nations it supports in combating AIDS: a comprehensive national strategy to achieve improved and more equitable results.”

The Call to Action asserts that the lack of an outcome-based response to HIV domestically has lead to unacceptable results: half of people with HIV are not in care, there is a new infection every 13 minutes, infection rates have not fallen in more than 15 years, and dramatic racial disparities are becoming even more pronounced.

“America’s response to AIDS is not serving those most in need,” said Phill Wilson, Executive Director of the Black AIDS Institute. “We cannot make significant progress on national AIDS statistics unless government and community efforts better respond to the needs of Black America, and we need a comprehensive national strategy to get there.”

“We need a plan, not a patchwork,” said Julie Davids, Executive Director of Community HIV/AIDS Mobilization Project (CHAMP). “We need to move from a response to AIDS that is often bureaucratic to one that is evidence-based and outcomes-oriented; a response that reaches everyone at risk of infection or needing care.”

The Call to Action statement states that to be successful a national AIDS strategy should:

• Improve prevention and treatment outcomes through reliance on evidence-based programming
• Set ambitious and credible prevention and treatment targets and require annual reporting on progress towards goals
• Identify clear priorities for action across federal agencies and assign responsibilities and timelines for follow-through
• Include, as a primary focus, the prevention and treatment needs of African Americans, other communities of color, gay men of all races, and other groups at elevated risk
• Address social factors that increase vulnerability to infection
• Promote a strengthened HIV prevention and treatment research effort
• 
  Involve many sectors in developing the national strategy: government, business, community, civil rights organizations, faith based groups, researchers, and people living with HIV/AIDS

Mark Cloutier, the Executive Director of the San Francisco AIDS Foundation notes the “enormous human and economic costs resulting from the lack of a focused response to HIV/AIDS domestically. Without action there will be more unnecessary deaths, billions of dollars in increased health care expenses and a significant loss of productivity in our economy. A more effective national response to HIV/AIDS is a critical part of building a stronger and more responsive health care system for all Americans.”

Pernessa Seele, founder and CEO of The Balm In Gilead, said, "The legacy of the next Executive Office resident will be determined by what she or he says and does to move communities and this country from where we are - in crisis because of HIV/AIDS - to where we want and need to be - a world leader in the advancement of research, testing, treatment and eradication of HIV/AIDS at home and abroad."

"It is unconscionable that the United States, which has all the necessary resources to end the AIDS epidemic, does not have a comprehensive plan to stop AIDS deaths, reduce infections, and get people the medical care that they need," said Robert Bank, Chief Operating Officer of Gay Men's Health Crisis, (GMHC) in New York.

“We want the American public to know that the knowledge and strategies needed to end the nation’s HIV/AIDS crisis already exist,” said David Ernesto Munar, vice president at the AIDS Foundation of Chicago. “Strong national leadership can change the course of the epidemic.”

AIDS advocates and leaders all over the country are currently contacting their colleagues in civil rights, social justice, and health care organizations urging their endorsement and support.

When the Democrats gathered on June 28 for the first of Tavis Smiley's All-American Presidential Forums, the conversation about AIDS was a far cry from the sorry spectacle of the 2004 vice presidential debate.

In that 2004 debate, moderator Gwen Ifill asked both Vice President Dick Cheney and then-Democratic nominee John Edwards about confronting HIV among Black women. A befuddled Cheney replied that he was "not aware" of the problem; Edwards ignored the actual question and talked instead about AIDS in Russia and Africa.

But what a difference three years, lots of activism and intrepid Black journalism makes. When NPR's Michele Martin asked about AIDS among Black teens in the June 28 debate at Howard University, the leading Democratic contenders took turns offering meaningful responses.

"If HIV/AIDS were the leading cause of death of white women between the ages of 25 and 34, there would be an outraged outcry in this country," declared Sen. Hillary Clinton, drawing rousing applause. "This is a multiple dimension problem," Clinton concluded. "But if we don't begin to take it seriously and address it the way we did back in the 90s, when it was primarily a gay man's disease, we will never get the services and the public education that we need."

Sen. Barack Obama urged African Americans to challenge stigma surrounding the virus, and notably cited homophobia as a roadblock. "We don't talk about it in the schools," Obama said. "Sometimes we don't talk about it in the churches. It has been an aspect of sometimes a homophobia, that we don't address this issue as clearly as it needs to be."

Obama added that AIDS is but one more symptom of the larger, "interconnected" problems we face. "The African American community is weakened," he declared. "It has a disease to its immune system."

Sen. Joe Biden urged African Americans to get tested and to discard unhealthy notions of Black masculinity that discourage both condom use and sexual communication.

John Edwards outlined three clear policy priorities for stopping AIDS, which included boosting spending to find a cure, guaranteeing universal treatment for people living with AIDS, and expanding Medicaid to cover HIV—a crucial initiative that advocates have tried and failed to get on Washington's agenda for a decade, and which Clinton highlights on her campaign Web site.

Black America has finally convinced presidential candidates that if they want to get our support, they have to meaningfully discuss AIDS—at least when they are talking to us. Now we've got to make them put their platforms where their mouths are. Show us the plan, Mr. and Mrs. Candidate. Show us the plan.

The AIDS story is primarily one of failed leadership, and it's time for our leaders—and our wannabe leaders—to actually lead. No candidate in either party has put forward a plan for dealing with AIDS in the United States, let alone a plan to end the epidemic in Black America. And no candidate should receive a dime from us, let alone our votes, without one.

This demand is a crucial one. An Open Society Institute report highlighted in May that America today has no overarching plan guiding our national response to an epidemic that has killed more than half a million people and left as many as 1.3 million infected today.

There are no listed goals. No benchmarks for success. No delineation of the resources needed. As my grandmother used to say, "If you fail to plan, you plan to fail."

Black America suffers most from this lack of focus. We account for half of all people living with HIV/AIDS and half of all new infections each year. As Martin noted in her question to the candidates, our children make up 69 percent of new cases among teens. Black women represent two-thirds of female cases. Forty-six percent of Black gay men may already be positive.

So any candidate credibly asking for African American votes must show how he or she plans to end the epidemic in Black America. We must not accept vague promises alone, but must insist that candidates lay out detailed proposals.

The candidates don't have to start from scratch in this process. Last summer, Black community leaders stepped into the void and began plotting a national mobilization to end AIDS in Black America. Twenty-five national Black institutions have since signed on to the effort, which boasts signatories that range from the NAACP to Snoop Dog, Ludacris, Don Cheadle and Beyonce.
Every presidential candidate should sign on to this historic mobilization as well.

The time for haphazard, reactionary policymaking in confronting AIDS is gone. The emergency of the epidemic's early years has long since morphed into a lasting, increasingly complex problem that demands a solution born from proactive planning. Black Americans cannot afford to accept anything less.

So here is what we need to do. Anytime we communicate with a presidential candidate-by mail, email, telephone or in person-ask this question: What is your plan to end AIDS in the Black community?

Three Washington DC Community Advisory Boards for HIV/AIDS Research have written a joint letter addressing sex and gender data collection in HIV/AIDS research. The letter is being posted online for one month so that interested CABS and community members can sign-on. All sign-ons must be received by May 11th. The letter will then be submitted to the Cross-CAB Working Group for NIH NIAID Division of AIDS (DAIDS) funded HIV/AIDS Research.

The three CABs are: The Capital Area Vaccine Effort which serves as the community CAB for the NIH Vaccine Research Center, The Georgetown University Medical Center CAB which is part of the AIDS Clinical Trials Group, and the Washington VA Medical Center CAB, which is part of the International Network for Strategic Initiatives in Global HIV Trials.

Most researchers have come to realize that the term 'sex' refers to birth sex or biological sex; and that the term 'gender' refers to someone's gender identity. This was discussed in detail at the Forum for Collaborative HIV/AIDS Research meeting on Sex and Gender, which I attended back in 2003. I guess I thought that since the meeting was co-sponsored by the CDC and the NIH that we would all be on the same page going forward. Sadly, their continues to be significant discrepancies across networks in how data on sex and gender is collected.

All we are really asking is for DAIDS to get their act together and collect data on sex and gender in a consistent and appropriate manner. This is the right thing to do for everyone, but it is particularly important for the transgender community.

You can find out more by clicking here. I hope that you will join us by signing on to the letter either as an individual or as an organization.

The following speech by Barack Obama is from the 2006 Global Summit on AIDS and the Church, World AIDS Day 2006.

I want to start by saying how blessed I feel to be a part of today and how grateful I am for your church and your pastor, my friend Rick Warren.

Ever since Rick and Kay visited Africa to see the pain and suffering wrought by AIDS, the Warrens and this church have proved each day that faith is not just something you have, it's something you do. Their decision to devote their time, their money, and their purpose-driven lives to the greatest health crisis in human history is not one that's always reported on the news or splashed across the front pages, but it is quietly becoming one of the most influential forces in the struggle against HIV and AIDS. The resources of governments may be vast, and the good works of philanthropists may be abundant, but we should never underestimate how powerful the passion of people of faith can be in eradicating this disease.

One of those passionate individuals is the man we just heard from - my friend and colleague, Sam Brownback. Now, Sam and I may not agree on every issue, but I could not be more impressed with his efforts on issues like AIDS, the crisis in the Congo, the genocide in Darfur and sexual trafficking - issues that touch some of the world's most vulnerable people. I am proud to work with him on many of these issues, and I'm proud to be by his side today.

I took my own trip to Africa a few months ago. As I'm sure Rick and Kay would agree, it's an experience that stays with you for quite some time. I visited an HIV/AIDS hospital in South Africa that was filled to capacity with people who walked hours - even days - just for the chance to seek help. I met courageous patients who refused to give up for themselves or their families. And I came across AIDS activists who meet resistance from their own government but keep on fighting anyway.

But of all that I heard, I encountered few stories as heartbreaking as the one recently told by Laurie Goering, a Chicago Tribune reporter based in Johannesburg who had covered our trip for her newspaper.

Three years ago, Laurie hired a woman named Hlengiwe Leocardia Mchunu as her nanny. Leo, as she is known, grew up as one of nine children in a small South African village. All through her life, she worked hard to raise her two kids and save every last penny she earned, and by the time Leo was hired as Laurie's nanny, she had almost finished paying off the mortgage on her home. She had even hoped to use the extra money from her new job to open a refuge for local children who had been orphaned by AIDS.

Then one day, Leo received a phone call that her eldest brother had fallen ill. At first he told everyone it was diabetes, but later, in the hospital, admitted to the family it was AIDS. He died a few days later. His wife succumbed to the disease as well. And Leo took in their three children.

Six months later, Leo got another phone call. Her younger brother had also become sick with AIDS. She cared for him and nursed him as she did her first brother, but he soon died as well.

Leo's pregnant sister was next. And then another brother. And then another brother.

She paid for their caskets and their funerals. She took in their children and paid for their schooling. She ran out of money, and she borrowed what she could. She ran out again, and she borrowed even more.

And still, the phone calls continued. All across her tiny village, Leo watched more siblings and cousins and nieces and nephews test positive for HIV. She saw neighbors lose their families. She saw a grandmother house sixteen orphaned grandchildren under her roof. And she saw some children go hungry because there was no one to care for them at all.

You know, AIDS is a story often told by numbers. 40 million infected with HIV. Nearly 4.5 million this year alone. 12 million orphans in Africa. 8,000 deaths and 6,000 new infections every single day. In some places, 90% of those with HIV do not know they have it. And we just learned that AIDS is set to become the 3rd leading cause of death worldwide in the coming years.

They are staggering, these numbers, and they help us understand the magnitude of this pandemic. But when repeated by themselves, statistics can also numb - they can hide the individual stories and tragedies and hopes of the Leos who live the daily drama of this disease.

On this World AIDS day, these are the stories that the world needs to hear. They are the stories that touch our souls - and that call us to action.

I cannot begin to imagine what it would be like if Leo's family was my own. If I had to answer those phone calls - if I had to attend those funerals. All I know is that no matter how or why my family became sick, I would be called to care for them and comfort them and do what I could to help find a cure. I know every one of you would do the same if it were your family.

Here's the thing - my faith tells me that Leo's family is my family.

We are all sick because of AIDS - and we are all tested by this crisis. It is a test not only of our willingness to respond, but of our ability to look past the artificial divisions and debates that have often shaped that response. When you go to places like Africa and you see this problem up close, you realize that it's not a question of either treatment or prevention - or even what kind of prevention - it is all of the above. It is not an issue of either science or values - it is both. Yes, there must be more money spent on this disease. But there must also be a change in hearts and minds; in cultures and attitudes. Neither philanthropist nor scientist; neither government nor church, can solve this problem on their own - AIDS must be an all-hands-on-deck effort.

Let's talk about what these efforts involve. First, if we hope to win this fight, we must stop new infections - we must do what we can to prevent people from contracting HIV in the first place.

Now, too often, the issue of prevention has been framed in either/or terms. For some, the only way to prevent the disease is for men and women to change their sexual behavior - in particular, to abstain from sexual activity outside of marriage. For others, such a prescription is unrealistic; they argue that we need to provide people with the tools they need to protect themselves from the virus, regardless of their sexual practices - in particular, by increasing the use of condoms, as well as by developing new methods, like microbicides, that women can initiate themselves to prevent transmission during sex. And in the debate surrounding how we should tackle the scourge of AIDS, we often see each side questioning the other's motives, and thereby impeding progress.

For me, this is a false argument. Let me say this - I don't think we can deny that there is a moral and spiritual component to prevention - that in too many places all over the world where AIDS is prevalent - including our own country, by the way - the relationship between men and women, between sexuality and spirituality, has broken down, and needs to be repaired.

It was striking to see this as I traveled through South Africa and Kenya. Again and again, I heard stories of men and women contracting HIV because sex was no longer part of a sacred covenant, but a mechanical physical act; because men had visited prostitutes and brought the disease home to their wives, or young girls had been subjected to rape and abuse.

These are issues of prevention we cannot walk away from. When a husband thinks it's acceptable to hide his infidelity from his wife, it's not only a sin, it's a potential death sentence. And when rape is still seen as a woman's fault and a woman's shame, but promiscuity is a man's prerogative, it is a problem of the heart that no government can solve. It is, however, a place where local ministries and churches like Saddleback can, and have, made a real difference - by providing people with a moral framework to make better choices.

Having said that, I also believe that we cannot ignore that abstinence and fidelity may too often be the ideal and not the reality - that we are dealing with flesh and blood men and women and not abstractions - and that if condoms and potentially microbicides can prevent millions of deaths, they should be made more widely available. I know that there are those who, out of sincere religious conviction, oppose such measures. And with these folks, I must respectfully but unequivocally disagree. I do not accept the notion that those who make mistakes in their lives should be given an effective death sentence. Nor am I willing to stand by and allow those who are entirely innocent - wives who, because of the culture they live in, often have no power to refuse sex with their husbands, or children who are born with the infection as a consequence of their parent's behavior -suffer when condoms or other measures would have kept them from harm.

Another area where we can make significant progress in prevention is by removing the stigma that goes along with getting tested for HIV-AIDS. The idea that in some places, nine in ten people with HIV have no idea they're infected is more than frightening - it's a ticking time bomb waiting to go off.

So we need to show people that just as there is no shame in going to the doctor for a blood test or a CAT scan or a mammogram, there is no shame in going for an HIV test. Because while there was once a time when a positive result gave little hope, today the earlier you know, the faster you can get help. My wife Michelle and I were able to take the test on our trip to Africa, after the Center for Disease Control informed us that by getting a simple 15 minute test, we may have encouraged as many as half-a-million Kenyans to get tested as well. Rick Warren has also taken the test. Sam Brownback and I took it today. And I encourage others in public life to do the same. We've got to spread the word to as many people as possible. It's time for us to set an example for others to follow.

Of course, even as we work diligently to slow the rate of new infection, we also have a responsibility to treat the 40 million people who are already living with HIV.

In some ways, this should be the easy part. Because we know what works. We know how to save people's lives. We know the medicine is out there and we know that wealthy countries can afford to do more.

That's why it was so frustrating for me to go to South Africa, and see the pain, and see the suffering, and then hear that the country's Minister of Health had promoted the use of beet root, sweet potato, and lemon juice as the best way to cure HIV. Thankfully, the South African government eventually repudiated this, but it's impossible to overestimate how important it is for political leaders like this to set a good example for their people.

We should never forget that God granted us the power to reason so that we would do His work here on Earth - so that we would use science to cure disease, and heal the sick, and save lives. And one of the miracles to come out of the AIDS pandemic is that scientists have discovered medicine that can give people with HIV a new chance at life.

We are called to give them that chance. We have made progress - in South Africa, treatment provided to pregnant women has drastically reduced the incidents of infants born with the infection. But despite such progress, only one in every five people with HIV around the world is receiving antiretroviral drug treatment. One in every five. We must do better. We should work with drug companies to reduce the costs of generic anti-retroviral drugs, and work with developing nations to help them build the health infrastructure that's necessary to get sick people treated - this means more money for hospitals and medical equipment, and more training for nurses and doctors.

We need a renewed emphasis on nutrition. Right now we're finding out that there are people who are on the drugs, who are getting treatment, who are still dying because they don't have any food to eat. This is inexcusable - especially in countries that have sufficient food supplies. So we must help get them that nutrition, and this is another place where religious organizations that have always provided food to the hungry can help a great deal.

And even as we focus on the enormous crisis in Africa, we need to remember that the problem is not in Africa alone. In the last few years, we have seen an alarming rise in infection rates in the Middle East, Southeast Asia, the former Soviet Union, Eastern Europe, and the Caribbean. And on this World AIDS day, we cannot forget the crisis occurring in our own backyard. Right here in the United States, AIDS is now the leading cause of death for African American women aged 25-34, and we are also seeing many poorer and rural communities fail to get the resources they need to deal with their vulnerable populations - a problem that unfortunately some in Congress are trying to address by taking money away from larger cities that are still facing enormous problems of their own.

Now let me say this - I think that President Bush and this past Congress should be applauded for the resources they have contributed to the fight against HIV and AIDS. Through our country's emergency plan for AIDS relief, the United States will have contributed more than $15 billion over five years to combat HIV-AIDS overseas. And the Global Fund, with money from the United States and other countries, has done some heroic work to fight this disease. As I traveled throughout Africa this summer, I was proud of the tangible impact that all this money was having, often through coordinated efforts with the Centers for Disease Control, the State Department, foreign governments, and non-governmental organizations.

So our first priority in Congress should be to reauthorize this program when it expires in 2008. Our second priority should be to reassess what's worked and what hasn't so that we're not wasting one dollar that could be saving someone's life.

But our third priority should be to actually boost our contribution to this effort. With all that is left to be done in this struggle - with all the other areas of the world that need our help - it's time for us to add at least an additional $1 billion a year in new money over the next five years to strengthen and expand the program to places like Southeast Asia, India, and Eastern Europe, where the pandemic will soon reach crisis proportions.

Of course, given all the strains that have been placed on the U.S. budget, and given the extraordinary needs that we face here at home, it may be hard to find the money. But I believe we must try. I believe it will prove to be a wise investment. The list of reasons for us to care about AIDS is long. In an interconnected, globalized world, the ability of pandemics to spread to other countries and continents has never been easier or faster than it is today. There are also security implications, as countries whose populations and economies have been ravaged by AIDS become fertile breeding grounds for civil strife and even terror.

But the reason for us to step up our efforts can't simply be instrumental. There are more fundamental reasons to care. Reasons related to our own humanity. Reasons of the soul.

Like no other illness, AIDS tests our ability to put ourselves in someone else's shoes - to empathize with the plight of our fellow man. While most would agree that the AIDS orphan or the transfusion victim or the wronged wife contracted the disease through no fault of their own, it has too often been easy for some to point to the unfaithful husband or the promiscuous youth or the gay man and say "This is your fault. You have sinned."

I don't think that's a satisfactory response. My faith reminds me that we all are sinners.

My faith also tells me that - as Pastor Rick has said - it is not a sin to be sick. My Bible tells me that when God sent his only Son to Earth, it was to heal the sick and comfort the weary; to feed the hungry and clothe the naked; to befriend the outcast and redeem those who strayed from righteousness.

Living His example is the hardest kind of faith - but it is surely the most rewarding. It is a way of life that can not only light our way as people of faith, but guide us to a new and better politics as Americans.

For in the end, we must realize that the AIDS orphan in Africa presents us with the same challenge as the gang member in South Central, or the Katrina victim in New Orleans, or the uninsured mother in North Dakota.

We can turn away from these Americans, and blame their problems on themselves, and embrace a politics that's punitive and petty, divisive and small.

Or we can embrace another tradition of politics - a tradition that has stretched from the days of our founding to the glory of the civil rights movement, a tradition based on the simple idea that we have a stake in one another - and that what binds us together is greater than what drives us apart, and that if enough people believe in the truth of that proposition and act on it, then we might not solve every problem, but we can get something meaningful done for the people with whom we share this Earth.

Let me close by returning to the story of Leo, that South African woman burdened by so much death and despair. Sometime after the death of her fifth sibling, she decided that she wasn't just going to stand idly by. She decided to call the town's first public meeting about the AIDS crisis - something that no one had even talked about, let alone met about. 200 people showed up. Some had walked for miles to get there, a few with their grandchildren on their back.

One by one, they stood up and broke their silence, and they told their stories. Stories of tragedy, and stories of hope. And when they were done, Leo rose and said, "I don't know whether we will win this war, but I'm looking for people who will stand up and face the reality. The time for sitting silently has come to an end."

Everything did not suddenly get better after that meeting, but some things did. Despite all the children she had to raise and all the sick relatives she still had to care for, Leo still decided to open the AIDS orphanage she had dreamed about so long ago. She began building a daycare center that would house one hundred orphans. And she started plans on a youth center and a soup kitchen.

I hear that part of the story and I think, if this woman who has so little, and has lost so much, can do so much good - if she can still make a way out of no way - then what are we waiting for?

Corinthians says that we are all of one spirit, and that "if one part suffers, every part suffers with it." But it also says, "if one part is honored, every part rejoices with it."

On this World AIDS day, it is the stories of overcoming, and not just illness, that the world needs to hear. Yes, the stories of sadness call us to suffer with the sick. But stories like Leo's also call us to honor her example, rejoice in the hope that it brings, and work to help her find that brighter future. Thank you, and God Bless you.