I have been upbraided for not mentioning Ronald Reagan’s AIDS legacy in describing him as my hero. The basic argument from the gay left is that Reagan was single-handedly responsible for killing hundreds of thousands of people by negligence. This, however, borders on loopy. Reagan should indeed be faulted for not doing more to warn people of the dangers of infection early enough (Thatcher was far better). But the truth is that it was pretty obvious very early on that something dangerous was afoot as AIDS first surfaced. Just read Larry Kramer at the time. Many people most at risk were aware – mostly too late, alas – that unprotected sex had become fatal in the late 1970s and still was. You can read Randy Shilts’ bracing “And The Band Played On,” to see how some of the resistance to those warnings came from within the gay movement itself. In the polarized atmosphere of the beleaguered gay ghettoes of the 1980s, one also wonders what an instruction from Ronald Reagan to wear condoms would have accomplished. As for research, we didn’t even know what HIV was until 1983. Nevertheless, the Reagan presidency spent some $5.7 billion on HIV in its two terms – not peanuts. The resources increased by 450 percent in 1983, 134 percent in 1984, 99 percent the next year and 148 percent the year after. Yes, the Congress was critical in this. But by 1986, Reagan had endorsed a large prevention and research effort and declared in his budget message that AIDS “remains the highest public health priority of the Department of Health and Human Services.” In September 1985, Reagan said:
“[I]ncluding what we have in the budget for ’86, it will amount to over a half a billion dollars that we have provided for research on AIDS in addition to what I’m sure other medical groups are doing. And we have $100 million in the budget this year; it’ll be 126 million next year. So, this is a top priority with us. Yes, there’s no question about the seriousness of this and the need to find an answer.”
But the sad truth is also that there was never going to be an easy answer to HIV in the Reagan years. Throwing even more money at research in those days would not have helped much. Anthony Fauci’s NIH, goaded by heroes like Larry Kramer, was already pushing for focus and resources; FDA red tape was loosened considerably; and the painfully slow scientific process continued. The fact that we got revolutionary drugs in trials by the early 1990s was itself an heroic scientific achievement – arguably the most miraculous progress in a medical emergency since the polio vaccine. Should Reagan have done more? Yes. Were people like Bill Bennett and Gary Bauer responsible for delaying a real prevention response because only gays were dying? You bet. But was Reagan ultimately responsible for so many tragic, early deaths? No. HIV was. Viruses happen. It’s a blemish on his record, but not as profound as some, with understandable grief, want to make it out to be.
AT LONG LAST: Three vital new websites: “Queers against Terror”, “Conservative Punks,” and a whole blog devoted to debunking Noam Chomsky. Yay!
The Dish 