Nothing I like to read better than a fact-based analysis of AIDS written over a decade ago by an author who seems to have some "ethical questions" about his honesty and balance. Oops, it seems he also has a problem reading half the stuff he comments on.
But of course those critiques of his shoddy journalism and highly selective reporting of facts were about his misrepresenting himself while reporting on the pharmaceutical industry and his alleged uncovering of the fallacy of Gulf War Syndrome. Alas, he really doesn't do any better when it comes to pontificating on AIDS. We should trust what your source has to say why?
By the way, are those homosexualists really lurking up every dark alley or what?
Illegitimi non carborundum.
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Re: I tip my hat to the (pending) revolution
Thu Jul 20, 2006 at 02:51:25 PM EST
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Nothing I like to read better than a fact-based analysis of AIDS written over a decade ago by an author who seems to have some "ethical questions" about his honesty and balance
For all Urkel's trolling, MayorBob, he's not wrong about the core of his comment. In fact, the
article you cited supports the idea that female-to-male transmission of HIV is
extremely uncommon in the US. CDC data and
other studies support that hypothesis.
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Re: I tip my hat to the (pending) revolution
Thu Jul 20, 2006 at 05:22:44 PM EST
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And Steve's trolling goes a bit beyond just alleging that HIV transmission among heterosexuals is unusual; unless I'm missing a huge point, he's saying that that method of transmission is near impossible or so unlikely we should really have no concern about it. Yeah, I'm aware that, as a straight male who is faithful to the woman I've been married to for close to 35 years, I'm extremely unlikely to pick up HIV, much less die of AIDS. But, even the link I offered that you said proves Steve's point doesn't say that heterosexual spread of AIDS is almost an impossibility. Don't tell me you read all nine pages to that review.
Illegitimi non carborundum.
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Re: I tip my hat to the (pending) revolution
Thu Jul 20, 2006 at 07:09:13 PM EST
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...even the link I offered that you said proves Steve's point doesn't say that heterosexual spread of AIDS is almost an impossibility
No, it says the same thing I wrote above: transmission of HIV from a woman to a man, in the United States, is extremely rare. That is true for biological as well as cultural reasons. Heterosexual spread of HIV, in the US, is almost entirely confined to 1) hard core users of illicit drugs and 2) women who have sex with bisexual men. That is supported by the text of the article you linked to (its nine pages are not really that long - have a look at the
printer-friendly page, which is much easier to read) and the summary of the JAMA article I linked to.
Those conclusions are not medically controversial. But they are socially controversial for a number of reasons, including one that is mentioned in the Washington Monthly article:
Homosexuals and researchers saw how AIDS went ignored when it was perceived as a "gay disease." Only once the fear-mongering that Fumento documents convinced mainstream America that it was at risk, did the federal funds begin to flow. Persuading the public that the virus trains its deadly fury on drug users (a despised group) and minorities (a neglected and often powerless one), may now shut off the spigot
I am not in complete agreement with the idea posed in that paragraph, because it is far too simplistic. (There was also, for instance, the expectation that behavioral changes could halt the spread of HIV. That, obviously, proved to be overly optimistic.) But the thought that, in a democracy, the nation is better off if the voters are ignorant about the nuances of a public health problem doesn't sit well with me.
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Maybe it's more what he says than how he says it
Fri Jul 21, 2006 at 07:02:48 AM EST
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zyx,
QUOTE FROM CLUELESS: "That's only because of homo-sexualist propaganda claiming everyone is at equal risk for AIDS."
Isn't risk of AIDS based entirely upon safe-sex-having and non-needle-sharing... it's about FLUID TRANSMISSION, right? That's what you're basically saying, right? And, once again, if it's possible that AIDS is transmitted hetero-to-hetero somehow, why wouldn't we at least be a little precautious about it? Why would you ever argue against educating people about potential harms?
AFAIK, the only thing sexuality has to do with the spread of any disease are the initial vectors of where the disease entered into the populace, and, as you said zyx, what the social customs of those sub-populations.
Anyway, you're standing up for a dude how un-ironically uses "homosexualist". He also seems to think there's a huge "homosexualist conspiracy", with propaganda and everything (too bad he wasn't invited, huh?) He also seems to think that no man ever got AIDS from a woman. Apparently, he also seems to think AIDS can recognize national borders.
{ k }
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Re: Maybe it's more what he says than how he says
Fri Jul 21, 2006 at 08:14:44 AM EST
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Why would you ever argue against educating people about potential harms?
I am arguing for the exact opposite. If someone says that the general population is at risk for contracting HIV because it's "no longer a gay disease" then they are spreading disinformation. From an epidemiological standpoint, AIDS, in the United States, was always a disease of small sub-populations, and that remains true today. If you want to promote education - actual knowledge of the truth - then you should want people to understand the vectors that truly contribute to HIV spread: IV drug use and sex with men who participate in gay sex.
That is not to say (as the troll suggested) that female-to-male HIV transmission of HIV is impossible. It certainly is possible, and is, in some small sub-populations, a significant risk. But it was alarmist to have said, as some people were back in the 1980s and 1990s, that there was a significant risk of HIV breaking out into the general population in the US.
Anyway, you're standing up for a dude how un-ironically uses "homosexualist". He also seems to think there's a huge "homosexualist conspiracy", with propaganda and everything...
I'm not standing up for anyone. I was merely pointing out that when he wrote,
"If you are a man and do not have sex with other men or use IV drugs, your chances of getting AIDS are practically non-existent," he was telling the truth.
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Fair enough
Fri Jul 21, 2006 at 09:41:19 AM EST
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Maybe I'm too paternalistic, or too into prevention instead of cure. I was raised to understand that it's "better to be safe than sorry". That's why I'd rather we overstate the risk of infection of a deadly disease than understate it. The worse thing I see happening my way is that people use condoms more (or, if I thought abstinence education worked, perhaps people might have less sex...). You're way seems to indicate that people might have more sex without protection, which, I fear will lead to at least a small percentage of people being dead. Since no one dies my way, and the costs are reasonable to me, I think it trumps yours.
To each their own, I guess,
{ k }
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Re: Fair enough
Fri Jul 21, 2006 at 10:34:25 AM EST
3.50 (interesting)
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...I'd rather we overstate the risk...Since no one dies my way, and the costs are reasonable to me, I think it trumps yours
Your way is similar to the strategy used by the government in the war on drugs and, by some, in attacking violent video games. Few people are anywhere near stupid enough to believe that smoking a joint is an easy gateway to hard-core drug use or that too many hours playing Doom will turn an otherwise well-adjusted teen into a murderous psychopath. Common sense tells them otherwise, just as common sense tells most people that they have little reason to fear HIV.
Your way stretches the truth, almost to its breaking point. It leads, inevitably, to cynicism about the government, and distrust in its motives.
I think it is better to tell people the full truth: that unless you have promiscuous gay sex, or have unprotected sex with extremely promiscuous people, or (for a woman) have sex with a bisexual man, or use illicit IV drugs, you are almost certainly not going to get HIV. The full truth allows people to make reasoned and informed decisions about how to conduct their lives. Your way, if successful, leads them to believe that, for instance, having unprotected sex with a random person is just as risky as the behaviors I listed above. That is simply not true and leads to people making misinformed decisions.
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Re: Fair enough
Fri Jul 21, 2006 at 10:51:43 AM EST
5.00 (astute)
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I think it is better to tell people the full truth: that unless you have promiscuous gay sex, or have unprotected sex with extremely promiscuous people, or (for a woman) have sex with a bisexual man, or use illicit IV drugs, you are almost certainly not going to get HIV. The full truth allows people to make reasoned and informed decisions about how to conduct their lives. Your way, if successful, leads them to believe that, for instance, having unprotected sex with a random person is just as risky as the behaviors I listed above. That is simply not true and leads to people making misinformed decisions. (emphasis mine)
That random person may be "extremely promiscuous." So why not allow for koos's suggestion regarding sensible prevention?
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Re: Fair enough
Fri Jul 21, 2006 at 11:06:54 AM EST
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...why not allow for koos's suggestion regarding sensible prevention?
I already explained why: honesty is the best policy. Encouraging government officials to lie in an attempt to further a social cause is especially bad. (There is, by the way, another discussion running on this site about government-funded clinic employees providing bad public health information in an effort to discourage abortion. Do you approve of their tactics?)
Let me give an example to counter your hypothetical: Driving 100mph is quite a lot more dangerous than driving 55mph. Yet it is possible to lose control of your car and be killed when driving 55. Should we teach students learning how to drive that driving 55 is just as dangerous as driving 100, or should we tell them the truth and let them evaluate the relative risk themselves? I say we should tell them to always wear their seat belt, but maintain a safe speed nonetheless.
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Re: Fair enough
Fri Jul 21, 2006 at 12:19:28 PM EST
5.00 (astute)
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Advising sensible prevention does not equal prevarication. You yourself said that having sex with extremely promiscuous people is risky. When one has sex with "random" people, that risk factor comes into play. So it makes sense to suggest to people that when having sex with someone they do not know well or at all that they should take precautions.
I don't understand any objection to such counsel.
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Re: Fair enough
Fri Jul 21, 2006 at 12:38:19 PM EST
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So it makes sense to suggest...they should take precautions.
I don't understand any objection to such counsel
I never said I objected to that. I objected to the idea that we should "overstate the risk of infection" in order to get more people to take precautions.
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A reply to the entire argument
Fri Jul 21, 2006 at 05:06:28 PM EST
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zyx::
My understanding of your argument is as follows (and please let me know if I am wrong): (i) the government has overestimated the risk of harm certain populations have when it comes to HIV/AIDS infection, (ii) in order to prevent the citizenry from becoming cynical about the government*, it should instead only tell people the exact data regarding these risks.
First, I agree with you that honesty is the best policy when it comes to stating facts. When it comes to stating risk of harm (which, as you yourself state, is highly dependent on a number of factors)? Not so much. I see your point about marijuana and video game usage, but I also see at least one major distinction - in your instances the cost the government is asking people to pay is complete forebearance (stop making violent video games! stop smoking pot!), whereas in the instance of AIDS education all that is being asked of the citizenry is to wear a condom, or at least be aware of the danger and discuss things with your potential sexual partner (do you do intravenous drugs? are you "promiscuous"? are you a man who sleeps with other men?). Abstinence is not the only solution to this dilemma (and proll'y doesn't work, natch), very few people are headed to jail over this policy, and very little govenrment money is being spent in the process (one might even argue that differentiating between populations would cost the government more in educational initiatives).
Second, I don't mean to prevaricate, but I never said we "should" overstate risk in order to influence political policy. If I implied such a thing, I am sorry. I certainly didn't mean to do so. What I intended to convey was this: if we have to choose (as we often do when trying to boil a complex subject down for, say, a highschool population) between over- or understating risk, I'd rather we choose the former, unless the cost of education and preventing that risk (here use of condoms or abstinence) outweighs the likelihood of harm times the cost of that harm if it occurs (here, death of at least some part of the population). See Hand, Billings Learned.
Third, I take umbrage at the idea that "common sense" indicates that people won't get AIDS from heterosexual sex. I just don't see how "common" the knowledge is about other people's sexually transmitted diseases (as opposed to, say, the common knowledge that second hand smoke smells bad and makes people cough). Additionally, I would like to state for the record that humans are amazingly bad when it comes to their own risk assesment.
{ k }
* Seriously, did you read any posts on Plastic or on TnT? Cynicism of the government certainly isn't new, and it maybe isn't the worst thing in the world for a representative government. After all, it allows us to have this sort of discussion. I simply can't reconcile the potential costs you appear willing to bear against the costs of the current regime.