QUEER QUOTE: Openly LGBT Los Angeles Supervisor Proposes PrEP Program

Sheila Kuehl is  widely known as one of the smartest politicians in California so it was great news when she was elected to be one of the five most powerful people in Los Angeles County last November. She is using her position to enact public policy that will positively impact her constiuents. Karen Ocamb of Frontiers Magazine reports that Supervisor Kuehl is going to propose that Los Angeles County find a way to implement Pre-Exposure Prophylaxis (commonly known as PrEP) to low-income and at-risk individuals.

At next Tuesday's Board of Supervisors' meeting Kuehl is going to introduce this motion which is today's Queer Quote:

Recommendation as submitted by Supervisor Kuehl: Authorize the Interim Director of Public Health, in partnership with the Director of Health Services, to develop and implement a plan for a robust, comprehensive program to deliver Pre‑Exposure Prophylaxis (PrEP) throughout the County, considering a broad range of medical providers, including the Departments of Public Health and Health Services’ operated clinics as well as community‑based organizations and clinics, that can effectively provide PrEP to those at high risk for contracting HIV; instruct the Interim Director of Public Health to report back to the Board in writing within 30 days on the PrEP program implementation plan, including details on program target population, program elements such as robust public education and awareness campaign, the provision of technical assistance to local providers and service delivery elements, specific timeline and milestones for program implementation, program monitoring and evaluation of the plan, and the Departments of Public Health and Health Services’ financed investment strategy; and instruct the Interim Director of Public Health to develop and release a solicitation within 45 days to fully support private‑sector delivery of PrEP services to benefit uninsured and underinsured residents of the County at high risk for HIV infection.  (15‑2677)

The motion itself goes into far more detail about the necessity of the move and discusses the potential positive impacts it could have on the transmission of HIV in Los Angeles County. For example:

Since the FDA approved PrEP in 2012, Los Angeles County has become home to more PrEP demonstration projects than any other area of the U.S. These projects, including projects at multiple DHS sites, are designed to assess the feasibility, acceptability, and cost-effectiveness of PrEP as an HIV prevention intervention. These demonstration projects show that the delivery of this intervention is, in fact, feasible and that demand is high and growing, particularly among those groups of Los Angeles County residents most at risk for HIV. Outside of these demonstration projects, numerous Los Angeles County residents have been able to access PrEP through their private health insurance plans and Medi-Cal. Despite increasing local access to this intervention, however, many Los Angeles County residents at high risk for contracting HIV, who could benefit from PrEP, are still unable to access this service.  

Among the factors contributing to limiting access to PrEP are a lack of knowledge and awareness by consumers and providers, cost, and limited PrEP service delivery sites. The delivery of PrEP as part of a comprehensive public health HIV prevention strategy must include access for high risk uninsured and underinsured individuals in Los Angeles County, especially young African-American and Latino gay men, transgender persons and African-American and Latina women. For these reasons, the Los Angeles County Commission on HIV recommended, in an October 2014 resolution, that this Board authorize and expedite expanded access and comprehensive implementation of PrEP. 

I'm happy to see this moving forward. I wonder how this will spur other large urban jurisdictions with large HIV-impacted populations like New York City, Atlanta and Chicago to act similarly sooner rather than later?

SATURDAY POLITICS: 10 Weeks Until Los Angeles City Elections

Council President Herb Wesson has a plan to control
Los Angeles city politics until 2020

in just ten weeks, on March 3, 2015 Los Angeles voters will go to the polls and decide who will represent them in seven even-numbered city council districts. In two of those districts (#8 and #4) there is no incumbent. However, even more important than City Council, School Board and Community College Board of Trustees races that will be decided is the two Charter Amendments which could change Los Angeles City politics forever.

Voters will be asked whether they want to change the dates of municipal elections to align them with county, state and federal elections, moving them from the current odd years to even years, and moving the primary from March to June and the general election from May to November.

On the face of it, this sounds like a good idea because turnout in municipal elections, which are often at seemingly bizarre times of the year, has been declining precipitously and has recently reached embarrassingly low levels. However, in order to effect the change, the result will be that Councilmembers elected in 2015 and 2017 will get 5½ year terms instead of the typical four year terms. Thus, if voters approve Charter Amendment One and Two current City Council President (if he gets re-elected in March) would be able to serve as City Council president until atleast June 2020!
I'm sure it's a complete coincidence that it is precisely that date when the primary election for the next Board of Supervisors seat currently occupied by Mark Ridley-Thomas (and which is considered the "Black" seat on the 5-member board) would be scheduled. Wesson is currently 63 years old and would be a formidable candidate to join the powerful body. Interestingly, the only member of the 15 Los Angeles City Council to vote against putting the Charter Amendments before voters was Bernard Parks (who unsuccessfully ran against Ridley-Thomas for that Supervisorial seat 2008 and was formerly the Chief of the Los Angeles Police Department).

One bonus of the Charter Member change would be that whoever is elected in 2017 as Mayor would also get to serve a 5½ year term, which would be a great boon for incumbent Mayor Eric Garcetti. Another troubling problem with the proposed charter change to even-year elections is that adding our local elections to the end of a very long federal, state and county ballot may actually reduce the number of people who vote on these races due to "ballot drop-off"

Factoring in the potential drop-off in votes on city races stuck at the end of a long even-year ballot, city races might have attracted just 23 percent of eligible voters last month. That’s because in that election in Los Angeles County, nearly 3 in 10 people who voted for a candidate for governor did not vote for the last judicial race on the same ballot. Calculating that drop-off from 31 percent turnout yields about 23 percent turnout, the same as voted in the 2013 general election for city offices. Even the numerical case for the scheme to change elections for our city and school board officials breaks down under scrutiny based on recent evidence. 

The charter amendments to change election dates are phony “reform.” Real improvements to city voting would consider moving the city election to match the months of even-year elections, to expand early voting and mail balloting, and to hold elections on a Saturday and Sunday, when people are more easily able to vote.

There are less than ten weeks to go  before Los Angeles voters will decide the very nature of municipal democracy but there is very little discussion going on about this critical public policy change. I hope that changes soon!

QUEER QUOTE: Sheila Kuehl Sworn In As LA County's 1st Openly Lesbian Supervisor!

Sheila Kuehl was sworn in as one of the newest "five little kings" of Los Angeles County on Monday December 1. Kuehl won a hard-fought election over Bobby Shriver on November 4th and becomes the first openly LGBT member of the powerful body, which is the head of the executive and legislative branch for Los Angeles County, a municipality with nearly 10 million residents (more than several states).

Kuehl, 73, was sworn in by her sister, Sacramento Superior Court judge Jerilyn Borack. Here's a  short excerpt of her remarks which will serve as today's Queer Quote:

And that brings me to this moment. After a two-year job interview, overseen by very talented people, and with all of your help, it brought together this amazing coalition on which we build. And this unique, this sprawling county speaks hundreds of languages and dialects that encompasses the richest and the poorest in America. To have the chance to assemble an outstanding team, to work as change-agents, through connection, through collaboration.
People say to me, what’s your agenda? OK, here’s my agenda: I want children, every child in the county—actually more, but we’ll just start with the county—I want them to be safe. I want them to be healthy. I want them to be educated. I want them to be able—without barrier—to fulfill their potential. That is a big job for the county. 

I want us to be connected from one end of the county to the other. I want you to be able to live wherever you want to live, that you can afford. I want you to work wherever you want to work. I want you to come down here and see a play. Or whoever, wherever you want to enjoy art, culture, food. I want you to be able to hop on a train, hop on a bus, hop on your bike—I don’t care what it is. It’s not a war between bikes and trains and cars and buses. It’s a system. And that’s what we’re going to make. 

And I don’t want there to be any more homeless people.

Go read the whole speech for yourself. It's really very, very good.

Hat/tip to Karen Ocamb for the picture and story.