McCain Clueless on AIDS prevention – WTF??

March 17, 2007

Yes, I know, I have not posted in a while. I was attending the spectacular annual convention of the American Medical Student Association… more on that in a future posting.

For now let me direct you to a nice little conservative idiot, a U.S. senator who once was formerly known as a “straight shooter”, John McCain. Now he is more or less, how should I put this, full of shit.

McCain Clueless on AIDS prevention - WTF?

Notice I’m not saying, “I don’t like McCain because he is a Republican”, I’m saying I don’t like the guy because he has become what he (once) loathed – a liar. Take his reversal on Jerry Falwell, a demagogue who is getting filthy rich telling people such filth as:

“I really believe that the pagans, and the abortionists, and the feminists, and the gays and the lesbians who are actively trying to make that an alternative lifestyle, the ACLU, People For The American Way, all of them who have tried to secularize America. I point the finger in their face and say ‘you helped [9/11] happen.”

“If you’re not a born-again Christian, you’re a failure as a human being.”

“Global warming is Satan’s attempt to redirect the Church’s primary focus.”

But I digress. The man who could one day become president of the most powerful nation ever on Earth is clueless about the deadliest disease to ever affect mankind. The ignorance needs to be read to be believed.

From “The Caucus” Blog of the New York Times:

SOMEWHERE in NORTHERN IOWA — The unthinkable has happened. Senator John McCain met a question, while sitting with reporters on his bus as it rumbled through Iowa today, that he couldn’t – or perhaps wouldn’t – answer.

Did he support the distribution of taxpayer-subsidized condoms in Africa to fight the transmission of H.I.V.?

What followed was a long series of awkward pauses, glances up to the ceiling and the image of one of Mr. McCain’s aides, standing off to the back, urgently motioning his press secretary to come to Mr. McCain’s side.

Feeling awkward answering difficult and important questions is not unusual, even for a speaker at McCain’s high level. Giving a bullshit answer, though, is apparently within the reach of McCain’s level. All emphasis is mine:

A transcript of the encounter follows. (Weaver is John Weaver, his senior adviser, and Brian is Mr. Jones, his press secretary):

Reporter: “Should U.S. taxpayer money go to places like Africa to fund contraception to prevent AIDS?

Mr. McCain: “Well I think it’s a combination. The guy I really respect on this is Dr. Coburn. He believes – and I was just reading the thing he wrote– that you should do what you can to encourage abstinence where there is going to be sexual activity. Where that doesn’t succeed, than he thinks that we should employ contraceptives as well. But I agree with him that the first priority is on abstinence. I look to people like Dr. Coburn. I’m not very wise on it.”

(Mr. McCain turns to take a question on Iraq, but a moment later looks back to the reporter who asked him about AIDS.)

Mr. McCain: “I haven’t thought about it. Before I give you an answer, let me think about. Let me think about it a little bit because I never got a question about it before. I don’t know if I would use taxpayers’ money for it.”

Q: “What about grants for sex education in the United States? Should they include instructions about using contraceptives? Or should it be Bush’s policy, which is just abstinence?”

Mr. McCain: (Long pause) “Ahhh. I think I support the president’s policy.”

Q: “So no contraception, no counseling on contraception. Just abstinence. Do you think contraceptives help stop the spread of HIV?”

Mr. McCain: (Long pause) “You’ve stumped me.”

Q: “I mean, I think you’d probably agree it probably does help stop it?”

Mr. McCain: (Laughs) “Are we on the Straight Talk express? I’m not informed enough on it. Let me find out. You know, I’m sure I’ve taken a position on it on the past. I have to find out what my position was. Brian, would you find out what my position is on contraception – I’m sure I’m opposed to government spending on it, I’m sure I support the president’s policies on it.”

Q: “But you would agree that condoms do stop the spread of sexually transmitted diseases. Would you say: ‘No, we’re not going to distribute them,’ knowing that?”

Mr. McCain: (Twelve-second pause) “Get me Coburn’s thing, ask Weaver to get me Coburn’s paper that he just gave me in the last couple of days. I’ve never gotten into these issues before.”

This went on for a few more moments until a reporter from the Chicago Tribune broke in and asked Mr. McCain about the weight of a pig that he saw at the Iowa State Fair last year.

So folks, there you have it. I was going to sneak in some figures of HIV/AIDS, like 40 million worldwide living with HIV/AIDS, with 25 million of these living in sub-Saharan Africa, 48 million orphans in Africa, a quarter because of HIV/AIDS, but my guess is facts are worthless with these bunch of conservative idiots.

And by the way, asking your assistant about “your” position on a subject is preposterous when it comes to AIDS. If it were something like the microeconomics of Indonesian farmers I would cut you some slack, but AIDS? Give me a break.


When cutting part of your wiener counts as vaccination…

January 15, 2007

Wiener

I have commented about this issue previously. By now you may have heard that researchers have found that circumcised men end up getting the HIV virus half as often as uncircumcised men.

Now comes this article in the New York Times:

Last month, scientists invented the AIDS vaccine. Missed it? Perhaps that’s because you were still seeking the vaccine fantasy: the magic bullet, the impenetrable shield that finally pitches this disease into the trash bin, the shot that will end not only the AIDS epidemic but our anxiety about the AIDS epidemic as well.

[…]The vaccine that arrived last month was not actually a vaccine. It was, instead, a confirmation of what scientists had long suspected: circumcision helps protect men from AIDS infection. For years, AIDS researchers have observed that many African tribes that circumcise boys or young men had lower AIDS rates than those that don’t, and that Africa’s Muslim nations, where circumcision is near universal, had far fewer AIDS cases than predominantly Christian ones. The first research proof came in 2005, when a study in South Africa was stopped early in the face of evidence that the men who had been randomly assigned to be circumcised were getting 60 percent fewer H.I.V. infections than the men assigned to the control group. Last month, ethics boards halted two similar studies, in Uganda and Kenya, when they found similar results. In both, the circumcised men caught the AIDS virus half as often as the uncircumcised control group.

I don’t have a problem with the results of the research itself, besides the obvious ethical questions, such as letting men have unprotected sex with HIV-positive women: if it is no biggie, then why didn’t the researchers try this little experiment somewhere in the U.S.? Ethics rule #1: if an Institutional Review Board (IRB, the one that regulates all research in every institution) would object to a certain experiment in your country, it is probably unethical to do so in another country as well. In layman’s terms, such research would never be allowed in the U.S.

But I digress. I don’t have a problem with the results of the studies. My problem is that because of these results, some people think that cutting part of their wiener is all it takes to fight AIDS. Thankfully, the New York Times article does tackle those issues, such as:

1) Will knowledge of circumcision’s protective status increase dangerous and ill-informed sexual behavior in men?
2) Does this protective status extend to the women circumcised men have sex with?
3) Will it increase or decrease research efforts for an AIDS vaccine?
4) How on Earth are we going to mass circumcise men in Africa? (really, what the hell do people think circumcision is?)
5) Who will train the medical personal?

You have to keep in mind that Africa’s health systems are very delicate – sometimes there is no sterilized equipment, or no autoclave machine, or surgical kits, or for that matter, very few medical personnel – and just cutting wieners left and right is not going to help in fighting AIDS.

Circumcision is a surgical procedure, however, and in the hands of traditional ritual circumcisers, it has a high rate of infection and mishap. The solution is to train these circumcisers and give them decent tools, and at the same time encourage men to come to clinics. Since men in studies say that cost is the biggest reason they are not circumcised, the operation must be free. Countries will also have to equip these clinics and train counselors and medical circumcisers, who don’t have to be doctors.

As you can gather, I oppose circumcision. It is a barbaric practice of ancient times, and you won’t see many docs offering circumcisions (unless you are Jewish). Here is another question for you: are we going to mass circumcise African children now? I really, really don’t want a religious crackpot to dictate that all those poor African children must be circumcised to prevent HIV.

You can read the rest of the article here. The article compares circumcision to a vaccine, and even though it is clear to make the distinctions, I don’t like it one bit. The best way to prevent HIV/AIDS is through education. Education, education, education! Not prayer, certainly not wishful thinking – education.

Either you don’t have sex (you’re not going to last long in this group), you use condoms and protect yourself and your partner, or are faithful to your partner (once you have an honest dialogue, both are faithful to each other, and of course none of them have HIV). That’s the foolproof method. You need to be educated about your own body, and respectful of your partner(s).

Of course, the biggest question to me is that while circumcision is protective only 50%, perhaps 60%, of HIV in each sexual encounter the individual has, you are out of luck the other half of the time. You really are going to take your chances? Who is going to protect you the other 50% of the time? It’s basic statistics – in this case, almost like a coin toss. And it’s also common sense – a condom, or a circumcision? Thanks but no thanks Mohel, you can keep your Metzitzah b’peh to yourself. You can cut part of your wiener, but if you have unprotected sex with someone who has HIV/AIDS, trust me, you will eventually get HIV.