The AHCA was passed by the House earlier this month. The bill is already giving many people living with HIV nightmares: it could leave many of them uninsured or underinsured and unable to access the care they rely on. Some are fighting back.
With HIV activists in the mix, D.C., L.A. and NYC are leading the way. Will other cities follow?
Rachel Maddow, host of The Rachel Maddow Show on MSNBC and one of more effective television journalists investigating and commenting on the trials and tribulations of this era, also has strong roots in the HIV community.
Trump Sends Chilling Proposal to Congress With Deadly Proposition: Cap HIV Treatment Expansion Immediately
Trump wants to slash funding for the wildly successful and bipartisan-backed President's Emergency Plan for AIDS Relief (PEPFAR) by $300 million and "begin slowing the rate of new patients on treatment in FY 17."
Maintaining and expanding the accomplishments of the past depend on a fight for their survival and growth -- now more than ever.
Trump's early tough talk on drug pricing is now a pro-industry, anti-regulation GOP dreamscape.
Recent moves by the Trump administration mean that health questions about LGBT seniors will be more difficult to discern.
The Affordable Care Act might be safe for now, but Planned Parenthood isn't -- nor are the extensive HIV prevention and testing services it provides in areas that sorely need them.
"If one good thing has come from the Trump Administration's proposed policies, then it is an increasingly united front by the HIV community," Brandon M. Macsata writes.
"When the federal government erases LGBT older people from publicly funded elder services, it's effectively erasing most older Americans living with HIV at the same time," says Michael Adams of SAGE.