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February 26, 2005

Dan Savage Getting Radical About Curbing Unsafe Sex

Dan Savage is a gay, maverick liberal, nationally syndicated opinion columist, editor-in-chief of a weekly Seattle publication called The Stranger, and author of his latest hit: Skipping Towards Gomorrah. Savage, known for being unapologetically liberal on just about everything, has recently turned some heads by supporting the Bush war on terrorism, including the invasion of Iraq, arguing that the only way to prevent September 11th-like attacks on American soil is to ensure emphatically that all terrorists are dead.

Savage in his latest column tackles another important issue by first responding to a writer who asks what he should do about a friend who is infected with HIV, knows it, and continues to have unprotected sex with numerous partners while not disclosing his current medical state. Savage, after telling the writer to dump his friend, tell him why, and tell everyone else why, goes on to propose an interesting policy idea that I think might help curb irresponsible activity by not only gay men, but all men who would do something so violent as to knowingly pass on HIV or any other STD.

Savage writes:

"If people are looking for a truly radical step--something that might actually curb unsafe sex--I've got a suggestion. But first some context: When extremely promiscuous gay men assess the risks and benefits of unprotected sex, most assume that if they get infected, or if they infect someone, that an AIDS organization or state health agency will pay for the AIDS meds they or their sex partners are going to need to keep themselves alive. It seems to me that one sure-fire way to curb unsafe sex would be to put the cost of AIDS meds into the equation. I'm not suggesting that people who can't afford AIDS meds be denied them--God forbid. No, my radical plan to curb unsafe sex among gay men is modeled on a successful program that encourages sexual responsibility among straight men: child-support payments. A straight man knows that if he knocks a woman up, he's on the hook for child-support payments for 18 years. He's free to have as much sex as he likes and as many children as he cares to, but he knows in the back of his mind that his quality of life will suffer if he's irresponsible.

So why not drug-support payments? If the state can go after deadbeat dads and make them pay child support why can't it go after deadbeat infectors and make them pay drug support? Now that would be radical. Infect someone with HIV out of malice or negligence and the state will come after you for half the cost of the meds the person you infected is going to need. (The man you infected is 50 percent responsible for his own infection.) Once a few dozen men in New York City, San Francisco, Toronto, Los Angeles, Chicago, Miami, and Vancouver are having their wages docked for drug-support payments, other gay men will be a lot more careful about not spreading HIV. Trojan won't be able to make condoms fast enough."

Posted by Mathew at February 26, 2005 11:58 AM
Comments

Unfortunately, in both cases, the invasion of Iraq, and preventing the spread of HIV, Mr. Savage has simply lost his mental balance and sent his brains out to lunch.

No one with their head screwed on straight would contend that what we are doing in Iraq will "ensure emphaticly that all terrorists are dead", however much it may do or have done other good things.

Committed, monogamous relationships don't spread HIV, multiple sexual partners are what spread it. Marriage and paternity can both be proved definitively in court, the one by official records, the other by DNA test. STD infection cannot be so definitively proved if the infected party has had multiple partners, as he or she are likely to have had. Moreover, the knowledge and intention of the infecter would have to be addressed.

One of the pestilences of our time are "liberals" who have conservative conversion experiences on one selected issue or another. The blogosphere is full of them. The cognitive dissonance of operating from two different and incompatible sets of ideological principles is almost always fatal to their common sense,as in the above cases.

And it is common sense that ultimately is the basis of the political compromises most "centrists" wish we could achieve.

Posted by: Joseph Marshall at February 26, 2005 01:19 PM
arguing that the only way to prevent September 11th-like attacks on American soil is to ensure emphatically that all terrorists are dead.

To describe that line of "logic" as intellectually vapid would an act of extreme generosity.

His treatment of child support is equally vapid, IMHO. And I say that as a single father who hasn't received a thin dime in child support, although I paid out many thousands of dimes in child support before I gained custody.

For one thing his proposed 50/50 split isn't at all analogous to the child support system. It simply doesn't work that way. Nor has it ever worked that way. Secondly, the existing system already taxes the resources of District Attorneys. Adding another layer would represent another burden. This in a climite of fiscal belt-tightening. It simply isn't tenable.

Posted by: Kevin at February 26, 2005 01:34 PM

Kevin,

I don't think he actually means that we can kill them all, but nevermind, that is not what the post was about.

I also don't think he was comparing the 50/50 split to child support either, but rather stating that if you get an STD it is just as much your fault for having unprotected sex as it is of the person who gave it to you. I don't condone ignoring any proposal based on the taxing of local District Attorney resources, especially since if we legalized Marijuana we would decrease their workload by half.

Joseph,

By your logic we should ignore women when they have been raped if it cannot be definetively proved, which is the case a large portion of the time.

Posted by: Mathew at February 26, 2005 04:15 PM
I don't condone ignoring any proposal based on the taxing of local District Attorney resources, especially since if we legalized Marijuana we would decrease their workload by half.

Ah... some good ol' fashioned horsetrading? I'll admit you've got me interested now. Although I still see some fundamental flaws with Savage's suggestion. Joseph addressed them above.

Frankly I don't see how your trite response to Joseph addresses his points. To really address them you would have to focus on the rapist, not the raped.

Or are you suggesting mob justice where the possibility of an innocent person being unjustly convicted of a crime he didn't commit is an acceptable collateral damage so long as someone is forced to take financial responsibility?

Posted by: Kevin at February 26, 2005 06:51 PM

I am not considering any of the above. First of all, we prosecute criminals based on he said/ she said all of the time, their is often not empirical evidence. My question to Joseph is simply should we stop doing that? If a women was raped fifteen years ago as a child, and chooses to bring it forward later in life should that crime be prosecuted? What about all of those Catholic Priests? I don't think that is trite at all, I do think you over thinking it just a bit.

Second of all, we already track down sexual partners who are possibly at risk of STD's. If the doctor where to tell me tomorrow that I was HIV positive, the second thing he would do is ask who I have had sex with. If I name seven people and only one of them had HIV, than it is pretty clear where it came from. Is there a gray area... in most cases "yes," but I don't see it as an impossibility that guilt can be proven beyond a reasonable doubt. Besides, I don't think what Savage was saying is that we should make it a goal to prosecute eveyone who has unprotected sex, we certainly do not collect payments from all deadbeat dads... I think what he was saying was that we need to create incentives for those who would do such a thing to think twice about it? It's not a cure, but I don't think it was intended to be.

My only point about the burden of local DA's was that you where in the right church, but the wrong pew. There is a burden on local government law enforcement, but that doesn't mean we should stop looking into meaningful laws that will curb irresponsible activity. I think we need to be looking at some of the laws we have on the books now that really do nothing but protect people from themselves, for instance, seatbelt laws.

The "three strikes your out" punishment paradigm has created a problem with prisons being overcrowded in large part by inmates who don't belong. IMO, chief among that group of inmates are those who where arrested as non-violent drug offenders. When I worked in King County we concluded this made up over half of or prison population with the majority of those cases involving the use of Marijuana, which has led to political reforms such as the Drug Court system. The focus of our justice system should be crime towards other people, not crime toward ourselves.

Posted by: Mathew at February 27, 2005 11:52 AM

I can agree that something needs to be done to provide deterrence. Not sure support payment would work, but could definately go for making knowingly passing on an STD a punishable crime. And if that overburdens the system, I'm all about reprioritizing so that acts that only harm oneself are not a crime.

Posted by: stephanie at March 1, 2005 10:26 AM

A couple of points:

I'm not sure what the difference actually is between knowingly spreading a fatal disease and knowingly using a knife except that, in the former, the other person involved is tricked into participating in the crime. Logically there should be no difference in assault with a weapon laws and assault with a disease, right?

To not criminalize something that should be based on the ability to prosecute is distasteful in the least.

Posted by: chris at March 1, 2005 04:37 PM
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