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Notes -
Finished reading And The Band Played On. It didn't really change my views about anything, but it revealed a few aspects that I find interesting.
When I got to the last quarter or so of the book, it started to feel to me like it was an excessively negative or doomer take on the situation. Like, okay, things were pretty bad early on, but we're finally making some real progress, can't we acknowledge that? But nope, it's just negative takes, so we'll just blow by the actual progress and find some new negative aspect to focus on.
Were they correct to slow-walk the response at first? If you look at the actual death toll over the first few years after it was recognized that AIDS exists and is a communicable disease caused by a pathogen, it's pretty low. Only 618 deaths in 1982. 5596 in 1984. It wasn't until 1983 that somebody first calculated that the mean incubation period was likely to be in the neighborhood of 5.5 years, which would infact imply a tremendously increasing death toll over the next decade, which did in fact come to pass. And that of course is just one statician's opinion. How long for that to be accepted to be true by the whole scientific community? How many times has a single or small handful of scientists claimed that something they were working on would be super terrible in the future, so we should invest a ton in it now, which would incidentally be very good for them personally, but turned out to be overblown? I bet it's more than a few. Note that Covid-19, which we responded to far more vigorously, blew right by those early-1980s AIDS death counts in a matter of weeks. The fact that homosexuality was so broadly disliked didn't exactly help, but it doesn't seem super unreasonable that society as a whole didn't jump instantly to fight a disease that doesn't seem to hit all that many people.
It seems likely that a lot of the spreading took place long before there was any recognition that AIDS existed at all. This makes it pretty tough to construct an even vaguely plausibe counter-factual where AIDS is stopped from spreading.
The book seems to poo-poo the idea that it isn't necessary for the Federal Government to allocate extra money to AIDS research, these Federal medical institutes already have plenty of money and are already free to allocate as much of it as they want to anything their scientists find interesting. I think this idea seems pretty reasonable. If AIDS is so important and so dangerous, why can't they infact reallocate money away from other things and into AIDS research? Why does everything need even more of our tax dollars thrown at it? Yeah some scientists will bitch and moan that their pet projects are no longer high enough priority to get funded, but so what. As far as I know, the corporate world cuts off lines of research that aren't sufficiently promising all the time and tells the affected scientists to suck it up. I don't think it's all that terrible for the Government to do the same.
Another aspect that seemed interesting was just how wildly promiscuous at least some members of the gay community are and how opposed many of them are to any suggestion or attempt to cut down on that lifestyle. There was tremendous pushback against things like closing down bathhouses and discouraging gay orgies. It's interesting how all of the poor arguments we complain about today about how doing anything at all mildly negative for any "oppressed group" for any reason, including to try to prevent those people from spreading and dying of an actually lethal disease, is obviously a step on the road to genocide against them. I guess the internet isn't actually that special and there's nothing new under the sun.
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