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PaperclipPerfector  9mo ago (text post)   31903 thread views

Culture War Roundup for the week of July 17, 2023

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They could just wear condoms and survive. In fact I've wondered if PrEP is going to usher in a wave of STDs as it makes not wearing condoms seems like a valid choice for some.

Also lesbians have especially low STD rates. Shall I accept that as a reason to advocate lesbianism since we are apparently concerned with STD rates? Or is this concern selectively targeted?

Condoms are cheap and plentiful already, often even free. Even so, 1 in 6 homosexual men will be diagnosed with HIV in their lifetime, with the number rising to 50% of gay black men. I'm unaware of any other demographic whose existence is only made possible by pharmaceutical companies stepping in to stop 16-50% of the population and its subgroups from dying in the streets due to self-inflicted pathogens.

Also lesbians have especially low STD rates. Shall I accept that as a reason to advocate lesbianism since we are apparently concerned with STD rates? Or is this concern selectively targeted?

Sure, go ahead. Lesbians mostly slap each other around AFAIK, but that happens behind closed doors and doesn't require billions in health spending to prevent national contagions, so I'll freely admit I don't care about it as much.

I'm unaware of any other demographic whose existence is only made possible by pharmaceutical companies stepping in to stop 16-50% of the population and its subgroups from dying in the streets due to self-inflicted pathogens.

The infant mortality rate was 46% a scant 200 years ago. Presumably it would reach that again in the absence of modern medicine and sanitation. Literally every demographic is heavily dependent on government and corporate spending.

You're ignoring the self-inflicted part. There's no inherent reason why gay men should be more exposed to STDs than any other population.

Fair enough. Although to a large extent, it's just bad luck that HIV is so difficult to vaccinate against/treat paired with much easier anal/i.v. transmission versus vaginal. In a world where HIV was cured with a round of antibiotics similarly to syphilis or gonorrhea I suspect CD would nevertheless hate the gays.

Speaking of self-inflicted diseases necessitating medical intervention, I hope he isn't obese. You could level his argument at more or less the entite developed world and diseases of affluence.

In a world where HIV was cured with a round of antibiotics similarly to syphilis or gonorrhea I suspect CD would nevertheless hate the gays.

Didn't he point out that the issue of AIDS and other STDs is already preventable? If he hates them, it seems to stem from the lack of precautions they are taking, rather than them being gay.

Speaking of self-inflicted diseases necessitating medical intervention, I hope he isn't obese. You could level his argument at more or less the entite developed world and diseases of affluence.

Yup!

Didn't he point out that the issue of AIDS and other STDs is already preventable? If he hates them, it seems to stem from the lack of precautions they are taking, rather than them being gay.

There's a lot of bad information on the effectiveness of condoms for preventing HIV transmission. They're useful, but it's probably closer to an order of magnitude difference for perfect-use, rather than a complete barrier.

((And any look back that includes pre-1986 also has the problem the other direction: a lot of the explosive transmission of HIV and YOLO-esque behavior came about during the Ryan White-era, where people believed that standing too close to or using the same bathroom as a gay man could transmit HIV. Despite the wikipedia summary, they believed that because a lot of mainstream experts were cautioning about it! The devil-may-care behavior regarding condoms during a lot of that time period makes more sense when people reasonably believed that would have little impact.))

((And any look back that includes pre-1986 also has the problem the other direction: a lot of the explosive transmission of HIV and YOLO-esque behavior came about during the Ryan White-era, where people believed that standing too close to or using the same bathroom as a gay man could transmit HIV. Despite the wikipedia summary, they believed that because a lot of mainstream experts were cautioning about it! The devil-may-care behavior regarding condoms during a lot of that time period makes more sense when people reasonably believed that would have little impact.))

No, this is the product of historical revisionism aimed at making homosexuals seem more sympathetic than they actually were and are. The scientists and experts who were at Ground Zero of the AIDS epidemic noted several times that many of their HIV-positive patients were intelligent, savvy men who understood the risks and transmissibility of HIV/AIDS as it was explained to them. They chose to continue spreading HIV anyway, because they simply did not care. See Marcus Conant:

I can recall about that same time seeing a patient who was a young Ph.D. scientist from the Peninsula [south of San Francisco], a very good-looking man with Kaposi's sarcoma who I was caring for. He had AIDS. He was sitting in my clinic on Parnassus. He was kind of impatient. I said, "I'm sorry I'm running late; I can tell you're impatient. What's wrong?" He said, "I wish you'd hurry up; I'm going to the bathhouses." My reaction was, "Wait a minute."

See, I was being a typical physician. We all in this society forget--and I think physicians are the worst--that when people are diagnosed with a fatal disease, all of the desires and longings and drives that they had the day before they were diagnosed are still there. Everybody believes that patients who are dying of AIDS are no longer sexual. I have patients that have sex the day before they die. I encourage them to do that. And people believe that women who have had breast cancer are no longer intimate or have longings to be intimate. We need to begin to relate to people and realize that those human, very human, desires don't go away because you have now had a label of "AIDS victim" stuck on you.

But being the typical doctor, it just never occurred to me that he was still out there having sex. He had Kaposi's sarcoma--AIDS, this horrible new, fatal disease. My line to him was, "Somebody must think you're smart, because they gave you a Ph.D. How come you're still going to the bathhouses?"

He said, "There's nothing wrong with that. I probably caught it there, and so my view is, it's there and I'm going to have sex." I said, "Are you telling the people that you're having sex with that you're HIV-positive"--it wasn't even called HIV then--"that you have AIDS?" He said, "No. I figure that they ought to be smart enough to understand that there's AIDS out here, and that they can catch it. It's their responsibility as much as mine." I think that that, more than any other single event, called into focus for me the notion that someone needs to speak out.

Your cite is from this discussion, discussing philosophy during 1983 by doctors, written in 1996 from interviews in 1992-1995. The same piece also describes out, from the exact same time period (though a different doctor):

Moss: I drew that line with a thick felt tip, and I thought: My house is inside the line. So what's going to happen? Are they going to put barbed wire around this line? Are they going to have a cordon sanitaire? See, at this point, we didn't know how infectious the disease was. And one thing that starts happening in 1983 is major infectious disease paranoia: Are we all going to get it? Is everybody going to get it?

Now, if it was as infectious as hepatitis B, then 5 to 10 percent of the medical staff would have died of AIDS, because that's the infection rate of hepatitis B. We didn't know it was only transmitted sexually and by blood. It could have been multiply transmitted. Everybody could have gotten it. For all we knew, the entire population of San Francisco could have been infected, or could have been threatened.

Now, if that had been true, then they would have put that fence around the Castro. They would have razed a six-block area around it, and left the gays inside it.

Hughes: In the late twentieth century, they would have done that?

Do you know about Ebola virus and Marburg virus? There are viruses that kill everybody. Now, suppose it [the infectious agent] is airborne, and you can get it by walking through the Castro. Now, how do you think people would have taken that?

Hughes: Well, there was a paper in the Journal of the American Medical Association by Oleske on the casual household transmission of AIDS, which apparently caused a real ruckus.

Moss: Well, there were many ruckuses. There's a two-year period in 1983 and '84 when nobody knows what's happening, and the concern level has risen very high. And that's when this fear of stigmatization is going on. It makes everybody very paranoid indeed, because who knows who's getting it, and who knows what the political consequence will be? What if it really is like pneumatic plague, where you breathe on people and they get it? Or TB [tuberculosis]? We didn't know whether that was the case. Nobody knew that. And it was a reasonable speculation that it could be at least as infectious as hepatitis B, and that would have been really bad.

So paranoia was very high, and I'm drawing this line [around the Castro], and I'm having paranoid fantasies about what might happen as a result of this line. Pat Norman had the same reaction. She gets scapegoated for this, but lots of people were having the same reaction: Wait a minute. I don't want to hear this. I'm just going to quietly leave town now, before you publish it.

The interview references Oleske, but another certain famous asshole had outsized influence.

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