AIDS in Black and White
A black comedian once half jokingly quipped that America’s drug
"problem" only became an "epidemic" when suburban
white kids started getting high. Sadly, the same shortsighted principle
can be applied to AIDS. The African-American community is in the throes of
a devastating epidemic, while the white majority has dangerously
compartmentalized it as a minority "problem".
This alarming racial disconnect was no more apparent than during the
vice presidential debate. Moderator Gwen Ifill asked Dick Cheney about
AIDS and minorities in America:
"I want to talk to you about AIDS, and not about AIDS in China or
Africa, but AIDS right here in this country, where black women between the
ages of 25 and 44 are 13 times more likely to die of the disease than
their counterparts," said Ifill.
Perhaps Cheney thought he was running for VP in Botswana, because he
blatantly ignored Ifill’s clear instructions and immediately invoked
Africa. When it was clear he couldn’t run out the clock, Cheney finally
dealt with the mushrooming crisis at home.
"Here in the United States, we’ve made significant progress. I
have not heard those numbers with respect to African-American women. I was
not aware that it was—that they’re in epidemic there."
Hasn’t heard the numbers? Not aware that "they’re in epidemic
there"?
Dick, "there" happens to be right outside your window in
Washington, DC, if you’d care to open the rose-colored shades and take a
gander at reality. Where has this man been hiding out, a bunker? Oh yeah,
it’s Dick Cheney.
The truth is that Cheney is not aware because he does not care. His
ignorance is born out of studied indifference. Was he so off base, because
African-Ameri-cans aren’t part of the Republican base? There is really
no other logical way to explain an intellectual emptiness from Cheney that
is usually reserved for his boss.
Cheney has never been a luminary on African-American issues. As a
Congressman, he voted against a holiday for Martin Luther King Jr. He
voted against a resolution calling for the release of Nelson Mandela in
South Africa.
Nonetheless, one assumed Cheney had a rudimentary knowledge of the
impact of AIDS in minority communities. The only thing more shocking than
Cheney’s cluelessness is the shocking statistics themselves.
• African-Americans make up only 12 percent of the U.S. population.
But according to the Centers of Disease Control and Prevention, they
account for 54-percent of the 40,000 new diagnoses of HIV/AIDS in 2002,
the most recent year for which statistics are available.
• Of the estimated 385,000 people living with AIDS, 42 percent were
African-American.
Cheney should also know that when it comes to AIDS, America’s health
system is mirroring our judicial system: Blacks get the death penalty at a
much greater rate than whites.
• Among black men ages 25 to 44, the HIV/AIDS mortality rate was more
than six times greater than for whites. And, as Ifill pointed out, the
death rate is even more staggering for black women.
"The area my clinic’s in is essentially a suburb of the third
world," Dr. Joseph C. Gathe, Jr., an infectious disease physician in
Houston and director of a nonprofit AIDS clinic told The New York Times.
"It’s a shame no one seems to know that the problem in Africa looks
like the problem in inner-city Houston, Chicago and New York."
There are myriad causes for this appalling discrepancy in life
expectancy. Many African-Americans don’t get diagnosed until they have
full-blown AIDS. Often this is because they lack health insurance or the
financial means to obtain medication.
The Bush administration has exacerbated the problem by woefully
underfunding the AIDS Drug Assistance Program, which helps provide
life-saving drugs to low income Americans. In fairness, the Democrats have
not resolutely addressed the AIDS epidemic with immediacy either.
The depressing truth is that if heterosexual white Americans were dying
from AIDS at the same alarming rate as African Americans, the vice
president would be fully engaged. Bush would launch a "war on
AIDS" that rivaled his professed "war on terror."
Unfortunately, we have an administration so determined to divide the world
into black and white, they can no longer see wrong from right.
America first ignored AIDS because it primarily affected homosexuals.
Some religious fanatics used Biblical injunctions to say gays "earned
their AIDS." Now America is in denial about how the plague is
ravaging African-Americans.
In the end, conservatives may find a biblical message, but not the one
expected. The Bible commands believers to love thy neighbor. But the
antithesis of loving thy neighbor is burying your head in the sands of
indifference, as thousands of Americans bury loved ones.
The great moral lesson of AIDS may be that treating others as doormats
is the quickest way to bring the disease to your doorstep. History may
record today’s solipsistic, pious narcissism as the great sin that
fueled America’s AIDS epidemic.
Wayne Besen, author of Anything But Straight: Unmasking the Scandals
and Lies Behind the Ex-Gay Myth, may be reached at