Category: culture

Q-word

I ditched one of my regular news reads today.

Based on what appears to be a completely internal narrative, the Gay Voices section of the HuffPo [1]Huffington Post decided to change their name to Queer Voices. The explanation is that gay is too limiting and Queer is somehow more inclusive. Really? Are you effin’ kidding me? One of the most vile hateful words out there and it’s more inclusive? Hell naw! Even the normal definition is divisive.

I just can’t bring myself to support a news org that willingly uses a derogatory slur to describe us. Actually, I can but I won’t. I am the last person to be the word police but this isn’t about being politically correct at all. The rambling article they put out to announce the decision was full of self-serving justifications. If anything the tone was we refuse to every be considered normal or part of the whole so we are changing our name to prove it. The entire piece felt insulting and condescending wrapped in a smile of ‘we’re just trying to stay current.‘ Well, they can stay current w/o me and go straight to hell. Do not pass go, do not collect $200, go directly to hell.

I normally don’t put much stock in hearing people talking about how ‘offended’ they are at [action of choice]. Being offended usually just means you don’t like something. As with a lot of things these days, people conflate ideas/actions/behaviors that are considered offensive to society at large with general every day actions they don’t like. Regardless, I was offended and deeply. I grew up listening to that awful word being hurled around as an insult and slur. While I was fortunate enough to escape childhood with only a little physical gay-bashing, I did not escape the jeers, taunts, and never-ending cruel names. ‘Queer’ was front and center and I will never willingly refer to someone that way. It has not lost its bite or derogatory meaning.

The argument that we are somehow reclaiming the word is absolute bullshit. It is not slang, it is a slur! [2]I’m struck here by the irony we can’t say tranny anymore which is just simple slang but we can use a slur to refer to ourselves. SMDH Even here in SF said term is not accepted. Oh there is a contingent that feels the need to refer to themselves that way for sure. And that is their right. You can call yourself whatever you wish but don’t presume to speak for the whole. It’s flat out disgusts me we could consider naming a section of an online publication with global recognition with such a shameful slur. And I’m not alone. The reaction was swift and almost unanimous. The decision is not being met well at all. At last count the article was up to 200 comments and almost all were against it. At one point comments appeared to disappear; however, the site is notorious for outages and glitches with the FB commenting tool.

I am not queer, I am a man who happens to be gay. My orientation adds to my uniqueness but it does not define me. The idea that being queer somehow exclusively makes me special or different is foolish. Call it the LGBTI voices, rainbow voices, etc but don’t call it queer and pretend it’s OK now.

So far there have been no updates, no apologies, no "we had the best intentions" acknowledgments, nothing. I’ve taken them out of my news reader and told FB to not ‘show me stories from HuffPo’ at all. There are plenty of welcoming places online that don’t decide, based on the ideas of a few, renaming themselves an offensive slur is "looking to the future." I won’t be going back to that site as long as they demean us.

end of line

References

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↑1 Huffington Post
↑2 I’m struck here by the irony we can’t say tranny anymore which is just simple slang but we can use a slur to refer to ourselves. SMDH

Top

This is a bit of gay adult themed rant today. You’ve been warned.

I’ve noticed a particularly annoying trend lately in various social media outlets. Basically, someone will show a compliment to a hot or attractive picture by commenting "top" as a one word comment. I must admit, I’m SMDH [1]Shaking my damn head over this one. When I see this I’m immediately hit with a sense of sadness at the failed progression of our community. It is a self-reinforcing stereotype. And lest you think I’m overreacting to a simple comment, I’m not. I’m pointing out one part of a large pattern of self-destructive behaviors. Pick any medium for gay men to connect and you will find 1) people pretending to be something they aren’t or used to be, and 2) people afraid to admit their true desires out of fear of being marginalized as inferior or effeminate.

While the fight for equality is moving right along, we are moving backwards in our attempts to destroy old stereotypes. We seem intent on creating new even more restrictive ones instead I find it incredibly sad and pathetic we are still doing this to each other. The idea that to be considered attractive, muscular, successful, etc one must be a top reeks of insecurity and low self-esteem. How you look, dress, act, or behave has zero determination on your sexual role in bed. The fake bravado and never-ending attempts to appear masculine are just tired. For myself, I’ve just started assuming most of the loudest blowhards online are bottoms afraid to admit it. And I say that as a declarative statement, not a slight. The beard craze has sadly started taking on this role now as well.

We will never overcome the idea that being a bottom or the receptive partner during sex is somehow inferior unless we stop marginalizing each other. My first thought is to block the person because, as the saying goes, "I just can’t…" but that seems counter productive. Of course trying to mention it online just leads to flame wars and who has the time or energy for that? I’m definitely tarting to see why many older gay men withdraw from the community over time. They finally reach a point where they overcome the trauma and fallout from a lifetime of discrimination and they are left with a community at war with itself. I refuse to be like that but I admit I’m at a loss for solutions.

It is no easy task facing our own insecurities, but I’m living proof it can happen. Oh, I still have them but they do not drive my behavior anymore. I got where I am now because I spent over a decade of my life focused on healing myself and growing past my fears. I consider myself very lucky to have accomplished it with so little outside help. I now find myself struggling to find a way to help others and those around me. Don’t fall for the idea that being [insert stereotype of choice here] somehow makes you better or worse. It doesn’t. And you only end up hurting or alienating yourself in the long run. Be true to yourself. Be authentic in all that you do.

For many years, I listed axioms on my About page I try to live by. I took them down as they are such a part of me now I no longer need reminders. I think I will bring them back. One of them, and the most difficult for me to learn, I kept posted on my mirror ever day for over a year. It reads, "no one can make you feel inferior without your permission." I’m not sure who originally made the quote but it’s been used and reused quite often. As I struggled to identify and overcome individual insecurities, this axiom became more and more clear and a part of my daily thinking. It is the foundation for overcoming a need to meet or be a stereotype or unrealistic expectations.

I hope that if you are reading this and struggle with how you feel perceived by the "community", you can benefit from it. And if you’ve been fortunate to overcome it, please share your struggles and success with others when given the chance.

Hope springs eternal…

References

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↑1 Shaking my damn head

45

Guess who’s year older today? Me!  lol  Forty five years old and still going strong.

Funny, in a lot of ways I don’t feel 45. I’ve always felt young for my age so that really isn’t a surprise. I thought I would have grown into it by now though. haha  In other ways, I definitely feel 45. After my last rant about my back, I’m clearly not as spry as a I used to be. My body, against my best wishes, is starting to show its age. The grey that used to be just in my hair has taken over my beard and is encroaching on my chest. Is it normal for grey hairs to travel down the torso as one ages? I always thought it started at the bottom and worked its way up? My wrinkles are a little deeper and a little larger in number. Anyway, I don’t mind my age. I certainly don’t resent it. I know a lot of gay men start missing their youth to the point of distraction around this time. Not me. Sure, I wish my body was still younger but aging is part of the human condition. I like my wrinkles and grey hair. And unlike some, I don’t feel inferior or less relevant as an aging gay man.

But let’s face it, much of our original culture revolved around being young and attractive. [1]I say original culture because it is definitely changing now  Actually, it’s even simpler than that. It revolves around sexual attraction. In that regard, when you delve past the differences, straight men really aren’t that far removed. I realize I’m generalizing here. I’m not attempting to marginalize all of us into one category. Anyway, where was I? Oh yeah, a lot of guys around my age and older grew up fighting for an identity as well as being accepted. Of course, also being men into other men, sex and sexuality was a big part of our emerging culture. Sadly, many of us developed coping-mechanisms to compensate for our struggles. Many of those coping-mechanisms became wide spread and part of our culture over time. But being part of our culture doesn’t necessarily mean it’s healthy for us. On a tangent, it isn’t surprising really. We had to overcome stereotypes that portrayed us as weak and inferior on top of fighting to find acceptance in society. Our ‘culture’ grew out of abandonment, rejection, and an underlying need to belong. And mixed in with all of that was fear, anger, loneliness, and desire. The sexual freedom became a trap many of us couldn’t escape.

For myself, I was very insecure as a young man. I found my validation thru sex. And without realizing it, it became a very compulsive habit. It was a fix for a need I could never satisfy. It became a viscious circle and I consider myself very fortunate to not only have discovered this in myself but also be able to overcome it. A success due in no small part to my blogging. And most surprisingly of all, I found strength in myself. [2]To this day, I still get a little surprised to have found it in myself  That strength allowed me to let go of detrimental coping-mechanisms and move on. I can tick off a list of areas in my life where I found the most growth. Realizing my self-worth should come from within instead of how I was perceived by others was one of them. Frankly, I see gay men all the time who have yet to realize this. You can’t overcome what you don’t see as a problem. They often just grow bitter with age over what they perceive to have lost and resent it. Or more astutely, they resent those who still have it.

So here I sit a 45 years old. My life isn’t perfect and neither am I. But I like my life and who I am. I have regrets but they are overshadowed by my accomplishments. I still look forward to my future. In the best of ironies, when I was younger I never thought I’d live to be very old. Now I find myself looking forward to old age.

References

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↑1 I say original culture because it is definitely changing now
↑2 To this day, I still get a little surprised to have found it in myself

Follow

I got into a rather odd conversation with a casual friend on social media the other day. Apparently, he was ‘disappointed’, as he put it, that I had yet to accept his friend request on ‘site C’. He follows me already on Site A, B & D, but somehow my not accepting him on site C was somehow an imaginary slight. In the end, he seems to have “unfollowed” me on said sites. I’m devastated. /sarcasm

I’ll be honest here, I don’t get this sort of behavior. Even if you are a good friend I know in person, I may not follow you on every site that we might mutually be on. I use different social outlets in different ways. Sometimes our interests may overlap enough that I follow someone on multiple sites. Sometimes they don’t and I won’t. That is pretty much the end of my reasoning. The implication I got was that he felt since we were ‘friends’ I had an obligation to follow him? It seems a bit odd to me to base a ‘friendship’ on whether we follow each other online everywhere.

Now this particular person and I have never met in person. Granted, that wouldn’t be an immediate reason either way. I stalk follow several people I’ve never met daily. Heehee But, I also don’t feel any obligation to follow people I know on every site I’m on. Actually, if I know you in real life, I feel like I’m obligated even less.

Is this a thing? Is there something that has developed as some bizarre unwritten rule? I’ll be breaking it if it is but I’m just checking.

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And on a related tangent but not the same person, if you block me [1]and we know each other in the biblical sense because we have differences in political views, be sure to block me again when you get kicked off of Facebook and create a new profile whining about getting kicked off for posting nudie pics. It saves us both the awkwardness of being recommended in the “People who may now” section…

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↑1 and we know each other in the biblical sense

Brand

Unless you’re a stranger to the internet, you’re probably aware of the ongoing drama with a certain brand name getting raked over the coals for bashing their own.You’d think that seeing the outcry they would apologize and shut up for awhile. As of today, they continue to dig-in in an every expanding failure to defend comments that should have been kept private. [1]Do these people not have publicists?  And frankly, no matter how you slice it, the comments were demeaning. 

You can think whatever you like and are even free to say it, but you are not free from the consequences. And acting like spoiled little brats doesn’t after the fact doesn’t improve your standing. If you own a brand name directly associated with your name is it really a good idea to insult many of the people who help make you wealthy? It is a hard lesson in the changing world though. No one is immune from the viral effects of the internet. 

As for the calls for boycott, I’m not really for it. Not every disagreement needs to result in a boycott. If I purchased their products, I’d probably stop as a personal decision. I would not however try to ruin them for simply disagreeing with me. Being free means people are allowed to disagree, even our own. Boycotts should be for those who actively work against us, not just anyone with an unfavorable opinion. Calling for a boycott marginalizes the big issues and minimize their effectiveness as well. 

Hopefully, they’ll just shut up and let things die down again. People will forget and move on to the next big scandal. However, the more they run their mouth the more inflamed it will become. 

References

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↑1 Do these people not have publicists?

Civic

Everyone is jockeying for the moral high ground after the Ferguson verdict. Social media is a shit-show of everyone pointing fingers at each other. I won’t even go into all the judge/juries that have appointed them selves verdict makers on Brown/Wilson’s implied guilt.

I feel like I have a unique perspective on the subject. [1] No surprise there right? lol   There is my work side that deals with law-enforcement issues every day of my career. I can see valid points from the officer’s story. There were several things Brown could have done to avoid the confrontation. Then there is my gay side that grew up at the hands of very rough and not so friendly police on more than one occasion. I can see valid points from Brown’s family. The police could have handled the situation better and not necessarily let it escalate out of control. 

The reality is neither side is blameless. No one has the moral high ground here. And no one should walk away feeling like they lost/won. We all lost. People often can’t resolve the cognitive dissonance created by the ambiguity of fault or blame. And because of this, we can’t admit that neither side is blameless. Brown refused to comply, Wilson overreacted. [2]Please spare me unnecessary rants on the variances of this over simplification

No matter who’s side you are on it still means nothing unless we act. If we truly want to fix these problems, we must move beyond the never-ending and condescending tantrums via social media. And while petitions and marches in the streets are excellent displays of solidarity, they are not enough. These things depend on someone else to fix our problems.

We as a citizenry must be involved. We cannot abandon, thru indifference, our oversight of those we place in power and be surprised when it suddenly becomes corrupt. Civic duty is not just serving jury duty or voting, begrudgingly. It is our guaranteed right thru the freedoms granted us. But we must exercise those rights. It should not be something we only do when it is convenient. It should be a part of our daily lives. [3]Do me a favor and read this paragraph again  If more of us get involved, we won’t need to constantly focus on blame. We’ll be in forums to constantly give oversight, feedback, and accountability to both sides.

Basically, I’m saying be involved or shut up and accept your servitude. It is that simple. Like any living thing, democracy must be fed or it dies from neglect. Go to your local police community meetings. If they aren’t offered,  rally your neighbors and friends and demand they have them. Go to your governing body’s public meetings. Call, write, and/or email your local and state leaders. And don’t do it once and call it good. Involvement is ongoing. Embrace your civic duties. Then and only then can we see real change.

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↑1 No surprise there right? lol
↑2 Please spare me unnecessary rants on the variances of this over simplification
↑3 Do me a favor and read this paragraph again

GHHD #3 2014

Well, it is that time again. Gay High Holy Day #3 of 2014 aka Folsom St Fair.

For most of you, time to dust off your leather and don your favorite pair of come-f**k me pumps. The weekend promises to be muggy and warm so be prepared for stickiness. [1]Both kinds If you’re visiting, be safe and don’t trash our lovely city. If you’re local, traffic is going to be a mess. 🙂 Either way, be smart and don’t drink and drive. PD will be on the look out. MUNI, BART, Uber, Lyft, etc to wherever you need to be.

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I’m having trouble getting into the spirit this year. I’m just not overly motivated. Nothing is wrong, I just can’t seem to find any excitement. Actually, besides my slightly wonky eye, things are awesome. You’d think being The Pup and I’s first year together with him living here, I’d be super excited. I feel a tad guilty as I’m probably dragging a little of his excitement down. I’m sure once we get out into the festivities I’ll perk up.

We got tickets to Real Bad this year. I haven’t been in a couple years so I’m sure it will be fun. The guys always do such a bang up job putting it together. The fact it is a charity certianly helps soften the blow that the tickets are $100 (after tax) a piece now. ​

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Feel free to ingore my "meh"-ness and enjoy the weekend! Be safe, have fun!

References

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↑1 Both kinds

Observed

In the vein of my last post I thought I share some follow up observations. Pride as a celebration/protest/march/event has changed. It continues to change every year. This should not be a surprise as our community has seen the fastest change in acceptance of any civil rights struggle in the last century. What Pride means to me is different from someone experiencing Pride for the first time. And of course, Pride as an event as always been a bit subjective. For some it is a celebration, for others it is a protest, and for some still it is an act of defiance.

The Pup and I did our first Pride together this year and I still found myself getting a little choked up. To my surprise, he mentioned to me later that he had as well. I often spend as much time looking out across the see of attendees as I do the parade participants. Looking out across the sea of people still gets to me every time. It reminds me of where I came from and where we are headed. It doesn’t matter if they represent me or look/act like me. No matter our differences in life, I always feel connected to them in a common thread that is humanity. We are all but mainstream now. For some that is a blessing and others see it as a curse. Either way, our often treasured events are no longer just ours. They are shared by others, some who just come to party. I don’t begrudge them. [1] Even if I begrudge some of their drunken antics  For me, Pride will always be a celebration of that dawning realization I was not alone.

That being said, the Pride of the 70’s/80’s/90’s is gone. As with life, all things change and as fast as we change, so does our celebrations. I do lament that many of the younger generation will never take the time to know the struggle of those before. They won’t know the pain, the heartache, and even death of the many souls who fought for us to be seen as humans; deserving of the same respect and treatment as our straight brethren. But having freedom doesn’t mean others should comply with my way of thinking or acting. The alphabet of letters we’ve assigned ourselves and others are all welcome at the table. Just as freedom should not be contingent on compliance or conformance, neither should equality.

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Many of my frustrations with Pride (and other gay events) has little to do with us as a community and more with society as a whole. We devolving in many ways. If we don’t pull away from the indifference, selfishness, and anti-intellectualism that is plaguing our society, we are in big trouble. I fear for ‘our’ celebrations because of this. But I digress. Our own alphabet community, while tied together in common struggle, is beginning to unravel and fight against itself. Having tasted the sweet fruit of equality, we are abandoning our tolerance and acceptance of our differences. We see the world thru the lens of black and white and anyone who would disagree, even in the slightest, is often labeled the enemy.

There is an emergent polarization erupting in our rainbow colored spectrum. We have those who embrace our newfound equality and those who rail against it. The former are labeled sellouts and conformists and the latter are labeled freaks and anarchists. While both labels may be true in some instances, such overly broad generalizations are not helpful. Some of the antics from both sides in the last year have made me ashamed to be called gay.

Each of us is responsible for our actions. We can choose to mire ourselves in the obscurity of the masses because it is easy and comfortable. Or we can choose to lead a path of truth, even when it isn’t always convenient. You have to ask yourself, which path are you on?

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↑1 Even if I begrudge some of their drunken antics

GHHD 2014

So the GHHDs [1] Gay High Holy Day are fast approaching. Pride is just around the corner. It was around this time a year ago that it dawned my dumb as that I was in love with a man, aka The Pup. He was in NY and I was in SF. So Pride has a sort of an additional meaning for me now. hehehe 

It was also the time when the shameful Prop 8 was thrown out in California. Pride in California took on an additional meaning as a result. I think this year’s Pride will be equally significant as every single state in the Union has either had rulings that same-sex marriage bans are unconstitutional or currently have lawsuits working thru the courts to that end. I think it is safe to say that the tide has turned in the fight. It isn’t over but it is no longer an uphill battle IMO. We still have a hill to climb in the fight for equality for our transgendered brethren. [2]I have a few more thoughts on the increasing internal squabble about certain phrases later 

The Pup and I are headed down to Phoenix the week prior. I get to meet his parents for the  first time. I’m not at all nervous as I have him so I’m cool. He is looking forward to the trip. It will be his first time back since the move to SF. We’ll be back in time for Pride here. Phoenix celebrates their Pride much later. I’m sure due to the extreme heat in the summer months. Anyway, we don’t have anything major planned. I’m sure we’ll go to the parade and the fair for a bit.
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And right on cue, the whole Pride-bashing brigade is in full swing. It happens every year now and frankly I’m sick of it. I’ve tried to gently educate folks over the years but I’m over the entitled self-serving attitudes. If you don’t like it, don’t go. But, shut your pie hole about trying to say no one else deserves or benefits from it. If you don’t think we need pride anymore than I encourage you to hop over and read this. When these attitudes and problems are no longer prevalent across America then I might agree with you. The article is a few months old but still happened recently. And just because YOU don’t need or appreciate Pride anymore doesn’t make it any less relevant or needed.

Why do we need to celebrate Pride, the straights don’t have a Pride day?  Well, let me tell you why. We don’t have Pride to show we are proud of being gay. We celebrate to show we can walk down the street w/o persecution or attack. We celebrate the hard-earned freedoms we’ve fought for in the last 3 decades. We celebrate our ability to be treated as an equal. There may come a day when we don’t need Pride but we are most definitely not there yet. Until we secure freedoms in every state for us as well as our Trans brethren the fight is not over.

Pride has become a corporate sell-out. And how exactly are they expected to put on such events when the community no longer gives money? Those corporate donors you whine about are floating (pun intended) the costs so we can have an event. If you don’t like that then I strongly encourage you to start donating monies to help offset the costs. Providing even the basics is not cheap.

“Those” people don’t represent me. That may be true but many of those people are the reason you have the rights you have today. They may not represent you personally but they are part of our community whether you deem them worthy or not. And frankly, if you would like to see more diversity in our represented numbers then you should step up and help. Have a float, go with a group, or walk with banners. Don’t not participate in any way and then sit back and whine about being under represented. Even better, next time look out across the crowd and see all the less colorful people enjoying the show. They do represent us because they are us. The people in the parade are not the only representation of us.

Too many straights are coming and ruining it for us. Yeah you are right. Shame on all those straight people for showing up in solidarity and supporting us. How dare they invade OUR event. I meant they could go just back to hating us, bashing us, or tying us to a fence in the cold to die. I mean it just boggles the mind that as we move into being mainstream that the straight community might want to partake in our events. I find this excuse the most insulting and arrogant of all of them. We’ve fought inequality for how many decades and now that we are finally on the road to achieving it you are mad that the straight community is embracing our events? How very selfish and hypocritical.

There are too much drinking and drugs. And this one is true but it is also not new. This has always been an issue. If you think the fair sells too much booze then you should volunteer or go to the community meetings about Pride. Reach out to your community members that run the event and give feedback. As for the drugs, it is a much larger systemic problem and has never been just during Pride. See a pattern forming here? Get involved. Don’t complain and do nothing, otherwise you are part of the problem, not the solution.

We have come a long way, not doubt, but we are far from equal. The story I linked to above is one example of thousands. Having been in a similar situation in my youth I still remember my first Pride. It was so affirming and empowering. It made me realize I was not alone. I would never deny that to a single person. And until we secure the same equality for our Trans brethren, the fight is not over.

Indifference is not a reason to stop having Pride. And because you may no longer need or want it does not mean it has no more value. You do not get the right to whine and complain and then do nothing. Or I should say you have the right to complain but your words are hollow and meaningless. If Pride is just not for you, that is perfectly fine, but don’t bash it simply because of that.

“Those” people are the ones who are still fighting to put on these events. They are the ones working their asses off so it will happen. They are the ones bouncing on floats to put on a show and help draw crowds. When you begin to step up and make a difference, then your opinion will matter. Many of us have fought so hard for so long to just be accepted, we are comfortable fitting in and not drawing attention. I get it and support it. But that does not equate to doing away with any and everything that might draw attention to us. Nor does it mean that everyone wants to confirm and ‘fit in’.

We need to practice what we preach and be tolerant of others. We need to step out of our indifference and be accounted for if we want to affect change within our community. Most of all, we need to stop with the idea that if it doesn’t benefit me directly then it isn’t worthwhile and should be done away with.

I hope that you have a safe and happy Pride.

References

References
↑1 Gay High Holy Day
↑2 I have a few more thoughts on the increasing internal squabble about certain phrases later

PrEP

So I’m diving head first into a topic of news lately regarding PrEP. *This is a bit of a long post today so grab some caffeine*

If you aren’t familiar with the term PrEP, it stands for Pre-Exposure Prophylactic. [1]Not to be confused with PEP, Post Exposure Prophylactic. The same drug is used for both The drug Truvada has been on the market to treat HIV since the late 90’s. It was recently approved to help with the the prevention of HIV transmission for individuals that are HIV negative. This news has been received with some very mixed reviews from within the community and the fight over it rages on.

The disturbing part is not that the decision is contentious but that there have been attempts to silence or shame anyone who has embraced the option. I must say I don’t really understand the latter. Even worse, much of the criticisms are based on ignorance and baseless (so far) assumptions. I get the advice for caution and concern but the level of vitriol and condescending attacks is unnecessary and counter-productive. If you don’t understand something don’t ramble on about how awful it is because ‘you know someone will abuse it.’ As often turns out, you don’t know and that ignorance can cause real harm in this instance. You have zero right to demean anyone who would choose a path that may help prevent them from getting HIV, even if that path doesn’t line up with your personal preferences.

I blame some of it on our conditioning in Western culture to hate our bodies and/or any idea of sex outside of coupling. We are institutionalized from birth on 1man+1women=babies. Well, that social construct doesn’t apply so well for us same-sex lovin’ folks. And having moral apprehension to a method to prevent the transmission of HIV is perfectly fine for yourself. Sex is not dirty, wrong, or shameful. And this continual shame based approach to sexuality is reprehensible. Frankly, it should dispel any remaining allusions that we are in any way unique or more evolved than our straight brethren.

This particular argument isn’t about personal standards. It is about the prevention of HIV transmission. Infections are once again on the rise at an alarming rate. [2]Ironically, many don’t stigmatize the treatment of other STDs, like Gonorrhea or Syphilis, that used to be considered terminal. And while HIV may not be the death sentence it once was, it is still incurable. It is time to branch out and embrace more ways to combat the spread. The ‘you should use a condom’ argument has soundly failed, as evidenced by the continual rise in infections from a generation that missed the mass die-off in the beginning. And why we of all people continue to fall prey to this failed ideology escapes me. The ‘you should’ method has never worked. If it did, we wouldn’t have teen pregnancies, drunk drivers, continued HIV transmission, or even wars for that matter. You are right, people should use a condom. Many do but many more don’t. It is time to fight the transmission from a different angle and from as many angles as we possibly can.

There are some pros and cons to going on PrEP. It isn’t for everyone based on your risk-factors, health, eating/drinking habits, relationship status, etc. If you have questions or concerns, ignore all the hype and drama. Talk to your health care professional about it. At the end of the day, what I or anyone else thinks you should do is irrelevant. You should act to protect yourself and if this would help you, then you should consider it.

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For my own view, I support the approach to limit the spread based on sound statistical evidence. So far, the studies are showing that PrEP is truly effective in preventing the exposure and spread of infection.

One big argument I hear has been people will use condoms less. Statistically, so far that proves to be inaccurate. Two of the studies (which use blind testing – meaning you never know if you are getting the real drug or a placebo) showed that overall condom use did not decrease. But let us assume for a moment that people did. How many times have you trusted a complete stranger to be honest about their status? And how many times have you engaged in riskier sex based on that belief? The way I see it, we have several scenarios [3]excluding needle sharing where HIV transmission can occur:

Both partner’s know they are neg.
This is a fallacy. You should never assume someone who has sex with others besides you is neg. But let us assume for the moment, both partners think they are neg. You aren’t in a monogamous LTR and you engage in unprotected sex. Not being on PrEP means you are at the highest exposure rate for transmission. Being on PrEP would mean the ratio of transmission is reduced significantly (As much as 95% without a condom according to the efficacy rates of the studies so far).

One partner doesn’t know his status.
I would argue most of new transmissions via sex happen when one partner doesn’t know his status or assumes his status hasn’t changed. Again, if one of you are on PrEP, the exposure rate is reduced significantly.

Only one partner is neg.
Usually this means the poz partner is already on a drug regimen and undetectable. (You should still ask)  Plenty of sero-discordant couples already weren’t using condoms prior to PrEP. In an LTR or not, now the neg partner has an extra layer of protection and assurance he is not at risk. Not only does this reduce the transmission, it also de-stigmatizes the fear that comes from being with a poz person. Knowing you can be with a poz person and not put yourself at risk helps many who want to get past the mental mind-block, overcome their fear, and move forward.

Both partner’s know they are poz.
These are the least of your worries. These guys know their status and sero-sort on purpose. Primarily, to avoid the afore mentioned stigma that comes with being poz. I’d argue the only time this becomes an issue is when you get into assuming again. “We’re barebacking so he must be neg”, meanwhile, the other guy is thinking “We’re barebacking so he must be poz.” Never assume anyone is neg.

So which category do you fit in?

There are some cons and real concerns to consider. The biggest concern so far is the idea that guys will go on it inconsistently and cause resistance. Keep in mind resistance is only relevant if you sero-convert to being positive. Adherence to the daily regimen is key to the drugs efficacy. But think on this for a moment. The drug is already used for post exposure. Say you aren’t being very consistent with taking it daily. Then you have an exposure. How many of you reading this wouldn’t, out of that same fear, start taking it every day after an a possible exposure?

So far, the medical community is much more worried about resistance from folks that are using it as treatment, not preventative care. And let’s be real, people who spend the time, energy, and money to get on it as PrEP aren’t being cavalier. I’d argue they are doing just the opposite. It isn’t just a simple prescription. You have to visit your doc every 3 months, at least for the first year, for regular checkups and blood work. That decreases over time but you see my point. And when has a doc ever given you a prescription with an unlimited refill amount? See, when you think it thru you start unraveling some of the preconceived notions.

Another issue is cost. Fortunately, most large insurers already cover it so if you have insurance, chances are higher they do cover it vs not. I won’t even entertain the conspiracy theories I’m heard on this one.

And then we get to side-effects. The are some rare but sometimes very serious side-effects that can come from long term use of the drug. That again, is why you discuss it with your doctor and get regular blood work. Almost two decades of use show overall it is well tolerated by most. Even still, you are not given a prescription and never return. The hype over some of the more serious side-effects has been quite dazzling. I encourage you to go to WebMD.com and do a search for both Truvada and the little blue pill. [4]I don’t want to attract the bots so I’m not spelling it out. lolol No one is up in arms over the side-effects of the latter, which by definition aren’t much better. You can choose pretty much any drug site of choice to do a comparison.

In the end, you have to decide for yourself if this is right for you. If you are someone who uses a condom without fail (pun intended) then it may not be the choice for you. However, if you find that you aren’t 100% consistent and/or just want an extra layer of protection, then it might be for you. Talk to your doctor. Talk to others who are on it, regardless of their status. Decide for yourself if PrEP would be an additional way to combat the spread of HIV for YOU.

/rant

References

References
↑1 Not to be confused with PEP, Post Exposure Prophylactic. The same drug is used for both
↑2 Ironically, many don’t stigmatize the treatment of other STDs, like Gonorrhea or Syphilis, that used to be considered terminal.
↑3 excluding needle sharing
↑4 I don’t want to attract the bots so I’m not spelling it out. lolol