Knowledge (XXG)

President's Commission on the HIV Epidemic

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207:, in which Mayberry yielded to the demands of some members of the commission for better staff support than they felt they were receiving. Lee said: "For whatever reason, lack of staff or whatever, things just weren't happening. With Gene Mayberry out in Rochester, Minnesota, most of the time, the commission felt we had to get a really good, high-powered, full-time person" to manage the commission staff. On October 7, Mayberry and Myers quit, as did the commission's senior staff adviser for medical and research affairs, Dr. Franklin Cockerill 3d, a Mayo Clinic physician specializing in AIDS. Lilly said he was considering resigning but would wait to see who replaced the chairman and vice-chairman. The administration immediately announced the appointment of James D. Watkins, a retired admiral who had been Chief of Naval Operations. The 327:
in his discussions with reporters: "My conscience has been advising me on AIDS.... I'd hate it if a kid of mine got a blood transfusion and my grandson had AIDS and the community discriminated against that child, that innocent child". Reagan said his drug policy advisor would review the report and make recommendations to him in 30 days. President Reagan later said he opposed such discrimination in principle but took no action before his term as president ended in January 1989. The administration took small steps. It acted to inform recipients of blood transfusions that they were at risk, made plans to speed FDA drug approvals, and developed proposals to add facilities for the
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personalities are intense" and that "I don't feel the commission as currently constituted would be effective." Comments from those familiar with the commission and its responsibilities expressed dismay at the resignations. Richard Dunne, executive secretary of GMHC, said: "The AIDS epidemic is out of control, and it seems, so is the Presidential Commission on AIDS." On October 9, DeVos said that the president needed to avoid naming commissioners who were "emotionally" involved in the commission's work and that, in one newspaper's account of his statement, "some homosexuals want to 'capture the agenda'".
220:, he said, "We have in Washington today one of the largest gay rights activist demonstrations that we have had—we are sensitive to them as human beings and to their issues". He continued: "We haven't done the job to date, I am sorry to say, but I feel comfortable and the other members of the commission feel comfortable that I can take it and mold them together and bring all of our prima donnas, including me, into a nice, neat, unified package." He named a new executive director on October 13. 241:
not be successful without such protections against discrimination: "So, once those with HIV are treated like anyone else with a disability, then we will find that what is best for the individual is also best for the public health." He said "Semen, blood, and ignorance surround this epidemic, and we were in that last category" when starting work.
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Primm, director of a New York City treatment program for addicts. Primm was the only African American on the commission and the only one with expertise on the intravenous drug use. Of the challenge of heading the commission, Watkins later said: "I really wasn't sure I could pull it out of the swamp."
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Without Bauer's approval, Watkins later added two commission members who had track records as critics of the Reagan administration: Kristine Gebbie, Oregon public health commissioner and president of the AIDS Task Force of the American Society of State and Territorial Health Officers and Dr. Benny J.
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objected to the appointment of someone with no experience with the disease, but others praised Mayberry's experience in both medical research and clinical services. Administration officials said it would resist pressure from gay rights activists to include a representative of the gay community on the
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Vice President George Bush, who was running for president at the time, immediately endorsed both an executive order and legislation to meet the commission's call for the extension of Federal anti-discrimination protection to those with AIDS and those who test positive for HIV. He emphasized children
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Years later, Watkins' wife reported that Watkins told Reagan "I'm a sailor and a submariner, and I know nothing about medicine", and that Reagan replied: "You're exactly who we're looking for." On October 11, Watkins announced plans to move quickly with reorganizing the commission staff. Noting that
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On June 2, 1988, Watkins described the commission's draft report and called for state and federal laws to provide anti-discrimination protection for AIDS patients. He called that discrimination "the rule, not the exception." He explained that testing and the identification of sexual partners could
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thought the commission's work both more expert than she expected and free of ideology. Tim Sweeney, executive director of GMHC call the draft report "courageous, aggressive and compassionate" and added: "We challenge the President, Congress and presidential candidates to respond to this report by
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The commission produced its final report on June 24, 1988. The commissioners approved it by a vote of 7 to 6. Its recommendations surprised observers by arguing against every measure advocated by conservative observers, such as mandatory testing, and characterizing partner notification as an
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said Mayberry had been "viewed as a moderating influence on the views of other members who are considered more ideological in their approach" and that "y virtually all accounts, the commission has got off to a slow start in recruiting staff and organizing for its task." Myers said that "The
72:, said: "I would be very surprised if an administration opposed to making appointments on the basis of race or sex would agree to make an appointment based on bedroom habits". The commission was charged with producing a preliminary report in 3 months and a final report within a year. 199:
The commission planned visits to review activities in several localities, beginning with a two-day visit to New York City by 5 commissioners in August/September. They visited hospitals and met with volunteers, health-care providers, and representatives of gay organizations.
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later described the significance of Watkins' military background to the debate over the nation's response to AIDS: "To have a presidential commission chairman with his background to come out so strongly against stigma and discrimination was a very, very important step".
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In February 1988, the commission released an interim report focused on IV drugs that called for a $ 20-billion, 10-year effort to fight AIDS. Watkins described it as "only seven-tenths of a percent of the defense budget." William B. Rubenstein, an attorney with the
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inappropriate activity for medical professionals. Its principal findings and recommendations were designed to provide a national strategy for managing the epidemic. It made more than 500 recommendations, which it summarized under these headings:
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The president named the other commission members on July 23. Saying AIDS needed to go "the way of smallpox and polio", President Reagan announced the appointments at the commission's first meeting. They included:
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reported. When the meeting ended, reporters and television cameras surrounded Lilly leaving him, he said, "shell-shocked" and "scared to death". Senator
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The commission's executive director was forced to resign in September "after a power struggle and allegations of inadequate performance," wrote the
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establishment of federal and state scholarship and loan programs to encourage nurses to serve in areas of high HIV impact;
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called it "an aggressive first step towards developing an integrated national strategy to deal with the AIDS epidemic."
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replacement of the obsolete term "AIDS" (Acquired Immunodeficiency Syndrome) with the term "HIV infection";
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creating the President's Commission on the HIV Epidemic on June 24, 1987. On June 26, he appointed Dr.
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At the commission's first meeting, Lilly and O'Connor, seated side by side, "chatted cordially", the
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increased testing to facilitate understanding of the incidence and prevalence of HIV infection;
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called the report "a sweeping battle plan.... AIDS was war, Watkins reasoned, and in a war
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immediate implementation of preventive measures such as confidential partner notification;
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support and encouragement of international efforts to combat the spread of HIV infection.
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undertaking all reasonable efforts to avoid transfusion of another person's blood;
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The Presidential Commission on the Human Immunodeficiency Virus Epidemic Report
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The Presidential Commission on the Human Immunodeficiency Virus Epidemic Report
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more equitable and cost-effective financing of care for HIV-infected persons;
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treatment of HIV infection as a disability under federal and state law;
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stronger legal protection of the privacy of HIV-infected persons;
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extension and expansion of the National Health Service Corps;
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implementation of drug and alcohol abuse education programs;
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addressing ethical issues raised by the HIV epidemic; and
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Congress passed legislation sponsored by Representative
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addressing the problem of HIV-infected "border babies";
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development and implementation of education programs;
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federal assurance of the safety of the blood supply;
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Association of State and Territorial Health Officers
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prevention and treatment of intravenous drug abuse;
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Lilly had served on the board of the 1040:United States Presidential Commissions 806: 804: 802: 800: 745:Boffey, Philip M. (October 14, 1987). 162:Corinna "Cory" SerVaas, editor of the 121:Memorial Sloan-Kettering Cancer Center 778:Boodman, Sandra G. (April 17, 1988). 630:Boffey, Philip M. (October 8, 1987). 595:Dunlap, David W. (October 16, 1995). 250:American Foundation for AIDS Research 125:Dr. Frank Lilly, a geneticist at the 20:was a commission formed by President 7: 658:"Members of Federal AIDS Commission" 656:Morgan, Thomas (September 2, 1987). 421:. National Archives. 15 August 2016. 902:Johnson, Julie (December 2, 1988). 569:Boffey, Philip M. (July 24, 1987). 482:Reagan, Ronald W. (June 25, 1987). 456:Boffey, Philip M. (June 26, 1987). 432:Reagan, Ronald W. (June 24, 1987). 419:Executive Orders Disposition Tables 127:Albert Einstein College of Medicine 95:Metropolitan Life Insurance Company 61:National Gay and Lesbian Task Force 1030:Health policy in the United States 714:Shapiro, T. Rees (July 27, 2012). 571:"Reagan Names 12 to Panel on AIDS" 255:American Public Health Association 144:; named vice-chairman by Mayberry. 14: 876:Boyd, Gerald M. (June 29, 1988). 268:early diagnosis of HIV infection; 813:"Aids Panel Urges Antibias Laws" 1003:(Temple University Press, 1993) 931:The Epidemic: A History of Aids 840:The Epidemic: A History of Aids 295:aggressive biomedical research; 178:, a medical relief organization 381:Office of National AIDS Policy 235:American Civil Liberties Union 1: 333:National Institutes of Health 970:Harden, Victoria A. (2012). 1045:Presidency of Ronald Reagan 386:National Commission on AIDS 364:National Commission on AIDS 329:Centers for Disease Control 24:in 1987 to investigate the 1061: 811:Van, John (June 3, 1988). 349:somebody must be in charge 244:In an initial review, Dr. 28:. It is also known as the 158:Illinois Family Institute 44:President Reagan issued 928:Engel, Jonahan (2009). 837:Engel, Jonahan (2009). 131:Gay Men's Health Crisis 70:Family Research Council 957:And the Band Played On 955:Shilts, Randy (1987). 415:"Ronald Reagan - 1987" 376:Ronald Reagan and AIDS 973:AIDS at 30: A History 165:Saturday Evening Post 119:, a physician at the 86:Vanderbilt University 84:, dean of nursing at 138:Woodrow A. Myers Jr. 82:Colleen Conway-Welch 184:, a retired admiral 101:Theresa L. Crenshaw 908:The New York Times 882:The New York Times 751:The New York Times 692:. 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Index

Ronald Reagan
AIDS pandemic
James D. Watkins
Executive Order
12601
W. Eugene Mayberry
Mayo Clinic
National Gay and Lesbian Task Force
Gary Bauer
Family Research Council
Colleen Conway-Welch
Vanderbilt University
John J. Creedon
Metropolitan Life Insurance Company
Theresa L. Crenshaw
Richard M. DeVos
Amway
Burton J. Lee III
Memorial Sloan-Kettering Cancer Center
Albert Einstein College of Medicine
Gay Men's Health Crisis
Woodrow A. Myers Jr.
Association of State and Territorial Health Officers
John O'Connor
Penny Pullen
Illinois Family Institute
Saturday Evening Post
William B. Walsh
Project HOPE
James D. Watkins

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