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A Referral Is Not a Strategy for Aging With HIV
More than half of people living with HIV in the U.S. are now 50 or older—a public health success that demands more than good referral networks. Building HIV-inclusive aging organizations means developing real capacity before someone ever needs to be sent somewhere else.

David “Jax” Kelly, JD, MPH, MBA
Jul 64 min read
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A Functional Cure for Hepatitis B Is Within Reach. Whether It Reaches Patients Is Not Yet Decided.
For the first time, a finite course of therapy has produced a functional cure for chronic hepatitis B in large-scale phase 3 trials, but the communities carrying the heaviest burden of this disease are also the least likely to be screened, diagnosed, or insured. Whether this milestone translates into population-level progress is a policy question, not a scientific one.
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Jun 225 min read
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Political Veto: How OMB's Grant Rule Puts EHE at Risk
A proposed OMB rule would let political appointees veto or cancel federal research grants, dismantling the peer-review system and targeting the disparate-impact analysis that maps where HIV concentrates and why. For people living with HIV, that research is the foundation of Ending the HIV Epidemic. The comment period closes July 13.
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Jun 85 min read
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Ebola, TB, and the Cost of Walking Away from Global Health
On April 24, 2026, a nurse in Ituri Province in the Democratic Republic of the Congo (DRC) developed a fever. She died three days later. Her samples were tested locally and returned negative, because...
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Jun 17 min read
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The Last Clean Snapshot: What the CDC's 2024 HIV Data Tells Us About What Comes Next
The Centers for Disease Control and Prevention (CDC) released its National HIV Prevention and Care Objectives: 2026 Update on May 18, 2026, presenting the most recent national picture of the U.S. HIV...
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May 255 min read
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The Recipe for Change: From Surviving Appointments to Changing Policy
For a long time, I thought advocacy meant surviving the next appointment. I thought it meant learning how to explain my pain better, how to prepare for another referral visit, how to justify why I...

Chelsea BreeAnn Hardesty
Apr 275 min read
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The False Economy of Rationing Life
States are rationing HIV medications through prior auth and formulary cuts to solve ADAP budget crises — a strategy that costs more, drives resistance, and concentrates harm on the most vulnerable.
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Mar 235 min read
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The Quiet Pay Cut: Rising Health Insurance Costs Are Eroding Worker Compensation
Rising employer premiums averaging 9.5% erode wages, forcing workers to delay care.
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Mar 157 min read
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Mapping Injustice - Redlining's Legacy in HIV Treatment Delays
Historical redlining policies correlate with current geographic disparities in HIV treatment access and care quality.
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May 4, 20256 min read
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Dismantling of Health Equity Research
Elimination of health equity research funding undermines evidence base for addressing healthcare disparities and structural inequalities.
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Feb 16, 20257 min read
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Data Gaps Exist for Transgender Patients Living with HIV, Despite Need
Data gaps in HIV surveillance for transgender people and policy implications.

Jonathan Sosa
Sep 1, 20243 min read
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HCV Prevalence Burden Higher Among HIV-Positive MSM
Elevated HCV prevalence among HIV-positive MSM and co-infection management implications.

Jonathan Sosa
Aug 25, 20243 min read
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COST CONTAINMENT vs. CARE EQUALITY
How payor cost-containment strategies drive health disparities and limit care access.
Community Access National Network
Mar 31, 20243 min read
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Recognizing the Intersection of Transgender Identity and HIV
Transgender communities face elevated HIV risk; stigma and discrimination undermine prevention.
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Nov 26, 20237 min read
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The Congenital Syphilis Crisis
Congenital syphilis cases tripled since 2017; integrated response including testing and education needed.
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Nov 12, 20235 min read
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Payer-Denied PrEP Fails Black Women and Marginalized Communities
Payer denial of PrEP disproportionately fails Black women and marginalized communities.
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Oct 29, 20237 min read
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HIV/HCV Co-Infection Watch Q4: October 2023
Q4 2023 Watch: Bipartisan PEPFAR reauthorization push; ADAP coverage and Medicaid updates tracked.

Jen Laws
Oct 29, 202327 min read
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Unveiling Disparities: OIG Report on HIV Care in Medicaid
OIG report: 27% of Medicaid HIV enrollees lack evidence of critical services; state disparities exposed.
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Oct 1, 20234 min read
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Underprepared: Opioid Settlement Dollars are Coming
Opioid settlement funds risk misallocation; MAT gaps for minors and drug court issues identified.
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Sep 10, 20236 min read
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HIV/HCV Co-Infection Watch Q3: July 2023
Q3 2023 Watch: HIV disparities coverage; debt ceiling crisis impacts; Medicaid disenrollment trends tracked.

Jen Laws
Jul 25, 202327 min read
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