On Day One

Is Adrienne Germain's plan really a bold one? Only in the sense that the US is so far behind the curve on modern thought about gender, sexuality and reproduction that getting there with our current mindset is unthinkable. In this sense, it is a good plan for the 20th century, but I say let's be really bold and move to the 21st.

We need to ensure that within our initiatives to assist various nations, we're working with and funding local women's organizations, talking to women and girls on the ground, and allowing them to maintain agency so that they're not just being helped, but being heard.

In order to make real progress, there has to be a paradigm shift in our perception of sex and sexuality in the context of HIV. Money tied with restrictions that exclude many groups and limit access to services will only save to extend the lifeline of the epidemic.