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PaperclipPerfector  11mo ago (text post)   4823 thread views

Small-Scale Question Sunday for December 10, 2023

Do you have a dumb question that you're kind of embarrassed to ask in the main thread? Is there something you're just not sure about?

This is your opportunity to ask questions. No question too simple or too silly.

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Dugas (aka "Patient Zero", though this is a bit of a myth) plays a more plainly villainous role in the telling, and while some of that is Shilts exaggerating matters at his editor's prodding -- there's a rather infamous bedroom conversation that portrayed Dugas as intentionally spreading the disease, "I've got gay cancer. I'm gonna die, and so are you", that doesn't really make sense given Dugas' public positions at the time and may never have happened -- but him going to bars for casual sex while AIDS Vancouver was telling him to knock it off was pretty well-supported.

Shilts actually doesn't spend that much time in the book on the specific "Patient Zero" claim, which seems like a bit of a red herring by Dugas supporters to concentrate on anyway, but there's multiple scenes of people reporting that Dugas (or someone matching Dugas's description) knowingly bragged of spreading gay cancer or the disease, not just the most infamous line.

On the other side, Shilts' narrative is far more aggressive about the failures of virology and medical research as a class. There's some Goldilocking here: the NCI (and the original sarcomas fell under cancer) research too slow-paced, NIID research underfunded, the NIH uninterested except in the broadest health impacts, the FDA (which controls blood products) unwilling to piece together disparate symptoms to the specific disease, NIH funding too broad, statutory funding too over-specified.

Yes, where I felt Shilts was being the most unfair was the parts where he accused the authorities of just doing something wrong but then had multiple conflicting views of what they were doing wrong. I also noted that Shilts blames the media for not reporting on HIV earlier and more aggressively, but many of the cases where media reported on it they seem to just have spread wrong views or caused panic; wouldn't earlier and heavier reporting just have led to more of that?

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