When Trump announced in his nomination acceptance speech in 2016 that he would protect the GLBT Community from the harm wrought by foreign ideologies, it may have sounded good, but the problems that GLBT citizens have in this country are not because of foreign ideologies, but domestic ones.

They may throw GLBT people of buildings in Muslim countries, but we GLBT U.S. citizens are not in those countries. GLBT citizens in this country are beaten in the name of religion and denied our inalienable rights in the name of the very creator who endowed all people with them.

References to GLBT people were immediately removed from government web sites when Trump took office, and his other first actions in office were to undo the Fair Pay And Safe Workplace Order so that companies applying for government contracts could resume discrimination based on sexual orientation and gender identity; appointing an anti-GLBT activist as head of the Health and Human Services’ Office on Civil Rights;  and proposing cutting at least $34 million from AIDS prevention and research, $50 million from the domestic HIB/AIDS budget, and $50 million from the global HIV/AIDS CDC program, within 2 months of his inauguration.

He has since gone along with the Evangelicals’ desires to limit GLBT equal rights by pushing their Special Right to be allowed to ignore laws against discrimination by basing discrimination on religious beliefs.

No one else gets to pick and choose which laws they will follow and which ones they will ignore while getting the blessing of legislation to allow that.

He hasn’t done anything to end the harm done by foreign ideologies, but on the contrary has removed the diplomatic protections of the same sex life partners of diplomats whose countries don’t recognize same sex marriage and are the ones who throw Gay men off of buildings, meaning they will have to return to them as Gay-identified. And, when it comes to countries most known for this, Trump solidified the friendship with Saudi Arabia by making an arms deal, oddly touching a glowing globe, and defending them against charges in the killing of a journalist.

Trump has redefined sex and gender to eliminate the equality of Transgender people, and came out of nowhere with a prohibition of Transgender people serving in the military.

None of the above are actions of a “foreign ideology”.

So when Trump announced in his State of the Union Speech he would support eliminating HIV transmissions in the United States by 2030,

“In recent years we have made remarkable progress in the fight against HIV and AIDS. Scientific breakthroughs have brought a once-distant dream within reach. My budget will ask Democrats and Republicans to make the needed commitment to eliminate the HIV epidemic in the United States within 10 years. Together, we will defeat AIDS in America,”

pardon me if I became immediately skeptical in light of his claim to be the friend of the GLBT Community, only to do the above upon taking office.

In June 2017, six members of the Presidential Advisory Council on HIV/AIDS resigned in frustration over President Trump’s policies in health care. The president-appointed group’s purpose was to advise the secretary of Health and Human Services on how to promote the best HIV treatment and prevention strategies.

Scott Schoettes, counsel and HIV Project director at Lambda Legal and one of those who resigned, explained,

“The Trump Administration has no strategy to address the on-going HIV/AIDS epidemic, seeks zero input from experts to formulate HIV policy, and—most concerning—pushes legislation that will harm people living with HIV and halt or reverse important gains made in the fight against this disease.”

The resignations happened in part because the American Health Care Act would make health care access for people with pre-existing conditions more difficult and prevent many people living with HIV from receiving proper treatment.

The other members chose to remain because as Dr. Ada Adimora, professor of medicine at University of North Carolina at Chapel Hill, for one explained,

“I choose to believe that through our various networks, and whatever means we have, the council will somehow help reason and science to prevail.”
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In spite of their wanting to continue working on the commission hoping to impact some of the policies being pursued by the administration, and push for the goals set forth in the National HIV/AIDS Strategy, the remaining members received impersonal letters by way of FedEx  that December informing them that they were no longer on the commission.

It took a year to appoint new members to the commission with Carl Schmid, the deputy executive director of The AIDS Institute, and John Wiesman, the secretary of health for Washington state serving as co-chairs. But, even as the commission is scheduled to meet for a public/private meeting on March 14 and 15, 2019 to discuss recommendations regarding programs, policies, and research to promote effective prevention, treatment and cure of HIV disease and AIDS, there doesn’t seem to be any other commission members yet.

The goal to reduce new HIV infections by 75% in the next five years and by 90% in the next 10 years would seem to be more doable had Trump not attempted to cut funding to research and prevention as recently as 2018.

In his proposed 2019 budget, Trump sought to sharply reduce global and domestic spending for HIV care and prevention, reduce access to Medicaid, and move categories of healthcare spending, such as federal investment in community healthcare centers, from mandatory to discretionary spending.

His budget would have eliminated AIDS Education and Training Centers and Special Projects of National Significance run under the auspices of the Ryan White HIV/AIDS Program. The education centers and special projects programs pioneer and evaluate innovative HIV care models that improve access to care for vulnerable populations disproportionately burdened by HIV, such as gay men and transgender women, especially gay men and transgender women of color.

So his proposed budget was another example of his turning his back on the GLBT Community.

His cuts would have undermined the progress seen since the implementation of the National HIV/AIDS Strategy.

His proposed 2019 budget included the previous cuts to domestic HIV/AIDS research and prevention efforts run by the U.S. Centers for Disease Control and Prevention, and a reduction in funding by $26 million for the Housing Opportunities for Persons with AIDS program run through the Department of Housing and Urban Development which helps low-income people living with HIV find and maintain affordable housing. Housing is vital to adhering to HIV treatment regimens.

His proposed budget would have eliminated the expansion of state Medicaid programs that occurred under the Affordable Care Act which contributed to dramatically reducing those Gay, Lesbian, Bisexual, and Transgender people who were uninsured.

As Sean Cahill, Director of Health Policy Research explained at the time,

“This budget proposes a radical rejection of the social compact that has sustained our country for half a century. It would also undermine important progress we have made in preventing and treating HIV here and in Africa. It casts our most vulnerable people aside and leaves them to fend for themselves without the resources they need to succeed.”

Fortunately, Congress rejected those proposed cuts, passing, instead, a budget that kept funding for most programs consistent, although ending AIDS will require more than just maintaining things as they are.

Although the proposed cuts failed, they still had a negative effect as the uncertainty they caused led to funding uncertainty, making grant planning difficult and slowing potential innovations.

On another front, with Trump’s tough talk on immigration, the treatment of AIDS and the slowing of its spread may be hampered as the fear of deportation may keep people from seeking care, and by the millions of dollars being shifted from HIV/AIDS programs at the Department of Health and Human Services in order to pay for seizing and housing the children separatd from their parents at the Southern border.

People living with HIV may discover that their plans don’t provide the coverage they expected because it is no longer legally required as the GOP plans to have insurance companies offer short-term plans with lower premiums and less coverage that fail to cover crucial treatments and people with pre-existing conditions like HIV/AIDS.

The president’s words do not often match his actions, and just as his pledge that Mexico will pay for the wall, it remains to be seen of his consistent past behavior will give way to making is new pledge viable.

And what will happen when his Evangelical base reminds him that as AIDS is God’s punishment of them, Gay people should not be part of his grand plan because it goes against their beliefs? A person cannot avail themselves of a cure if medical people use God in order to deny treatment.