El-Sadr WM, Mayer KH, Rabkin M, Hodder SL
NEJM. 2019 May 1. DOI: 10.1056/NEJMp1904113
President Donald Trump’s call to end the domestic HIV epidemic in his 2019 State of the Union address may have taken some listeners by surprise. Many Americans consider HIV to be a plague of the past — a problem now resolved. For others, the initiative seems at odds with the Trump administration’s other health policy priorities, which include efforts to repeal the Affordable Care Act, restrictions on access to reproductive health services, and opposition to harm reduction for people who inject drugs — approaches that have undermined both access to health care and the civil rights of people in many of the communities hit hardest by HIV. Yet the effort is welcome and the goal is achievable, assuming it is informed by the latest advances in science and public health, as well as by earlier bipartisan initiatives to tackle HIV on the global stage.