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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


Building Stronger Communities, Together: Reflections from Our Patient Affordability Roundtable
Editor's Note: This article was originally published on April 10, 2026, by Lupus Colorado and is republished here with permission. The Patient Affordability Roundtable discussed in this piece was...

Kristy Kibler
Apr 203 min read


A New Single-Tablet Option for HIV's "Forgotten Population" Could Change Lives. Will Policy Let It?
New Phase 3 data show a single-tablet regimen of bictegravir/lenacapavir could finally bring one-pill simplicity to long-term HIV survivors locked into complex regimens by decades of drug resistance. The science is closing the treatment gap. Will our policy systems do the same?

Travis Roppolo
Mar 309 min read


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.

Travis Roppolo
Mar 235 min read


Warren and Hawley Want to Break Up Big Medicine
Break Up Big Medicine Act would force structural separation of insurers, PBMs, and pharmacies.

Travis Roppolo
Feb 228 min read


HIV/HCV Co-Infection Watch Q1: January 2026
Q1 2026 Watch: HCV/HIV co-infection treatment access under evolving federal and state policies.

Ranier Simons
Jan 2830 min read


Equipping Patients with Tools to Reclaim the Promise of 340B
340B program drifted from patient benefit; federal reform needed for transparency and accountability.

Kalvin Pugh
Jan 184 min read


ACA Subsidies in Limbo: What the Senate Framework Means for Patients
Enhanced ACA subsidies expired Jan 1; Senate framework proposes two-year extension with restrictions.

Travis Roppolo
Jan 116 min read


World AIDS Day - The Resistance of Resilience
World AIDS Day honors resilience of HIV advocates and communities resisting policy failures and system barriers to care.

Kalvin Pugh
Nov 30, 20254 min read


I Didn't Plan for Advocacy or Gratitude, Yet Here They Are
Personal narrative on becoming an HIV advocate and the gratitude found in fighting for healthcare access from lived experience.

Travis Roppolo
Nov 23, 20255 min read


340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Kalvin Pugh
Nov 2, 20254 min read


HIV/HCV Co-Infection Watch Q4: October 2025
Q4 2025 Watch monitoring HCV treatment access and federal initiatives including Cure Hepatitis C Act.

Ranier Simons
Oct 29, 202530 min read


Collateral Damage - How Shutdown Politics Abandons Survivors at the Margins
Government shutdown disrupts grant payments to community health centers and crisis service providers, threatening vulnerable population access.

Travis Roppolo
Oct 12, 20256 min read


Federal Antitrust Retreat Threatens Patient Access
Trump administration's revocation of competition executive order accelerates healthcare consolidation and threatens patient access.

Travis Roppolo
Aug 31, 20255 min read


Most Favored Nation, Least Favored Patients
Most Favored Nation pricing threatens to import restrictive QALY-based frameworks that discriminate against expensive treatments.

Travis Roppolo
Aug 24, 20257 min read


HIV/HCV Co-Infection Watch Q3: July 2025
Q3 2025 Watch: critical analysis including Cure Hepatitis C Act proposing subscription treatment models.

Travis Roppolo
Jul 29, 202532 min read


The Coming HIV Care Crisis
Impending HIV care crisis results from Medicaid work requirements, federal funding cuts, and healthcare system fragmentation.

Travis Roppolo
Jul 13, 20256 min read


Equal Health Policy is Queer Liberation
Healthcare policy equality forms the foundation for LGBTQ+ liberation and health equity in prevention and treatment access.

Kalvin Pugh
Jun 15, 20254 min read


HIV/HCV Co-Infection Watch Q2: April 2025
Q2 2025 Watch monitoring HCV and HIV treatment access through ADAPs, Medicaid, and federal assistance.

Travis Roppolo
Apr 23, 202528 min read


Are Federal Spending Cuts Endangering America's Most Vulnerable?
Federal spending cuts disproportionately impact vulnerable populations relying on safety-net programs and community health services.

Travis Roppolo
Apr 6, 20258 min read
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