The failure of efforts to control and treat acquired immunodefficiency syndrome –AIDS –in the United States, center of the most affluent and powerful empire in history, presents something of an enigma. We are, at this writing, some three decades into the pandemic, and stand at the edge of a Brave New World of widespread and spreading multiple drug resistant human immunodeficiency virus – HIV, the etiological agent of the disorder. Decisions to abandon population level strategies of control and containment in favor of ’finding the cure’, i.e. focusing on drug treatments for infected individuals, were made in the face of widespread knowledge that HIV has the most relentless evolutionary capacity of any known living thing. The rapid development of evolutionarily transformed HIV's was clearly inevitable, yet that fact had little if any impact on public policy.
Even within the drug treatment paradigm, large segments of the US population have been excluded from reliable access to antiretrovirals and other treatment services. These are the same groups which fill the jails and prisons, and are subjected to policies of serial forced migration, the kind of ’development displacement’ which the United Nations Commission on Human Rights sees as equivalent to ethnic cleansing in its aftereffects. Prevention efforts have been compromised by relentless Apartheid policies which threaten to create vast centers of multiple-drug resistant HIV having very great force of infection, enmeshing the entire US system in the disease ecology of marginalization.
KeywordsUrban Renewal Housing Project Collective Consciousness American Revolution Hill District
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