It is hard to find good reporting on the domestic AIDS epidemic in the US that isn’t sensational, or focuses nearly entirely on individuals who contract HIV-as if it’s only their fault and that there are no policy decisions that are also complicit in driving the US epidemic. When was the last time you read a feature story that focused on the Centers for Disease Control & Prevention (CDC), National Institutes of Health (NIH), Congress, Health & Human Services or any of the other federal agencies responsible for AIDS treatment, care, prevention, and research?

Well, The American Prospect, the liberal monthly policy magazine published not one, but TWO stories on domestic HIV policy, and both do a really great job of reporting what’s going on in terms of national HIV policy.

Kai Wright, the best AIDS reporter in the biz, has a story on AIDS in the South that shows his strength as a writer, and his enormous ease with a very complex subject as he deals with virtually every angle of the issue from history to prisons, to homophobia to government funding. He writes:

What was once considered an urban, coastal epidemic — centered in gay havens like New York City, San Francisco, and Los Angeles — is now a surprisingly rural, Southern one. More than half of all new infections logged between 2001 and 2004 were found in the South. Those infections are far more likely to be found among Southerners who are black, low-income, and diagnosed with advanced conditions they do not have the resources to control.

What’s being done? Adam Green’s story focuses on the work by AIDS activists in the US to push the government to have for a coordinated National AIDS Strategy. In case you didn’t know, part of Bush’s much celebrated (and highly problematic) PEPFAR prorgam is that any country applying for PEPFAR dollars must have a national strategy for AIDS prevention, treatment & care. THE UNITED STATES HAS NO SUCH PLAN. In addition, the nation’s capital has an HIV prevalence rate worse than many countries in sub-Saharan Africa. Green writes:

Instead, the domestic response is built on a loosely connected network of local, state, and federal programs. Authors and activists often describe this existing HIV/AIDS programming as a safety net. But the metaphor is not quite apt. There’s only a tenuous connection between the organizations. There’s little strategic coordination and no clear goals. The result is that people who are at risk or infected don’t know where or how to access care. In 2002, an estimated half of people with HIV/AIDS were not receiving care.

For more information on the National AIDS Strategy visit their website. Also, in early August I will be in Mexico City with CHAMP at the International AIDS Conference blogging on issues pertinent to the domestic AIDS epidemic at the conference, so be sure to check us out at www.AIDS2008.com