Thursday, December 9, 2021

Our Commitment to Transparency, 2021

By: Brandon M. Macsata, CEO, ADAP Advocacy Association

In April 2018, we highlighted our commitment to transparency in response to a report released by Kaiser Health News about the linkage between advocacy groups and the pharmaceutical industry, as if building broad-based coalitions was a bad thing?!?! It was true in 2018, and it remains true today that the ADAP Advocacy Association places a high value on transparency, as well as its solid working relationship with industry. In light of yet another "guilt-by-association" report, featured this time in Axios Vitals, we once again are called to our commitment to transparency.

Transparency
Photo Source: smallbusiness.co.uk

At the time some years ago, we said:

"Several weeks ago, an important question was posed in a report released by Kaiser Health News. The report — Patient Advocacy Groups Take In Millions From Drugmakers. Is There A Payback?  aimed to "expose Big Pharma’s ties to patient groups." It boasted about a national database of 1,215 patient advocacy organizations that received money from the drug companies who KHN tracked in 2015. The ADAP Advocacy Association was not among the organizations in the database, however. Our annual budget is probably so small that it didn't warrant the effort to include us.

So...let me save everyone the suspense. We proudly list our supporters on our website, and also make available information about our corporate partnership levels on our website. This information is exactly what we share with any potential funder of our organization, so there is no smoke and mirrors. We also proudly list all of our financial supporters in our Annual Report, which is also available on our website."

For us, not much as changed. The ADAP Advocacy Association still receives no taxpayer funding. We received no funding from the Ryan White HIV/AIDS Program, Medicaid, Medicare, or HOPWA. Additionally, we receive no revenue from the lucrative 340B Drug Pricing Program. All of our revenue is generated from individuals, corporations, foundations, and nonprofit organizations. 

In 2021, our revenue, as it will be reported to the Internal Revenue Service, was $239,932.22, was derived from numerous sources  including corporate partnerships, event sponsorships, program sponsorships, scholarship fund donations (ranging from $5.00 to $1,541.22), third-party donors (i.e., PayPal Giving Fund), and miscellaneous donations. Approximately 67.00% (in 2018, it was 68.61%) were charitable donations received from pharmaceutical manufacturers. That means nearly one-third of our funding (33.00%) came from non-industry partners. Our organization strives every single year to achieve greater funding diversification because it is consistent with a sound business model.

That said, our top five pharmaceutical funders this year were Gilead Sciences (14.59%), Merck (14.59%), Janssen Pharmaceuticals (12.50%), ViiV Healthcare (10.42%), and AbbVie (10.42%). Our top five non-industry funders were Magellan Rx Management (6.25%), Ramsell Corporation (4.17%), Walgreens (4.17%), Community Access National Network (2.29%), and Avita Pharmacy (2.08%). In total, we generated financial support from twenty-one (21) corporate entities (which is lower than usual because all in-person advocacy events were suspended due to the Covid-19 pandemic).

Our corporate donors included AbbVie, AIDS Alabama, Avita Pharmacy, Bender Consulting Services, Community Access National Network, Gilead Sciences, Janssen Pharmaceutical Companies of Johnson & Johnson, Magellan Rx Management, Maxor National Pharmacy Services Company, MedData Services, Merck, Napo Pharmaceuticals, North Carolina AIDS Action Network, Partnership for Safe Medicines, Patient Access Network Foundation, Patient Advocate Foundation, Pharmaceutical Research and Manufacturers of America, Ramsell Corporation, ScriptGuideRx, Theratechnologies, ViiV Healthcare, and Walgreens.

Our top individual donor was yours truly. This year, I personally donated $9,241.22 to the organization. All donations made to our scholarship fund are restricted in nature, and as such can only be used toward funding scholarships for people living with HIV/AIDS and/or their advocates.

Partnerships
Photo Source: Innovation Compounding

According to a survey Network for Good conducted among 3,000 donors, there are 7 reasons why donors give (and 1 reason they don’t). While the aforementioned survey solicited feedback from individuals, there are consistent ‘ideological sorting' motivations for giving among corporate donors and political donors. Donors give money to align themselves with causes they already support, and not the dogmatic 'vote-buying' hypotheses. There is plenty of research in this area, too.

It is important to remember that there is an inherent value in advocacy partnerships. We remain unapologetically pleased with the relationships we've built over the last 14 years since the organization's founding in 2007. We're thankful for the support from industry, and equally thankful for the support from our non-industry partners...which includes some individuals who give as little as five bucks!

Disclaimer: Guest blogs do not necessarily reflect the views of the ADAP Advocacy Association, but rather they provide a neutral platform whereby the author serves to promote open, honest discussion about public health-related issues and updates.

Thursday, December 2, 2021

UPDATED: National HIV/AIDS Strategy

By: Brandon M. Macsata, CEO, ADAP Advocacy Association

One of the signature domestic policy accomplishments under the Presidency of Barack Obama was the first-ever unveiling of a National HIV/AIDS Strategy in the United States. It might have been decades overdue, but it represented a significant paradigm shift in how public health addressed HIV in this country. On World AIDS Day 2021, President Joseph R. Biden, Jr. renewed the commitment made by his former boss with the release of the updated National HIV/AIDS Strategy for the United States 2022-2025. The news was received by the HIV community with applause.

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Upon issuing the Proclamation on World AIDS Day, 2021, President Biden referenced the updated Strategy by saying: 

"My Administration remains steadfast in our efforts to end the HIV epidemic, confront systems and policies that perpetuate entrenched health inequities, and build a healthier world for all people.  Earlier this year, I reinstated the White House Office of National AIDS Policy to coordinate our efforts to reduce the number of HIV infections across our Nation.  This week, my Administration is releasing an updated National HIV/AIDS Strategy to decrease health inequities in new diagnoses and improve access to comprehensive, evidence-based HIV-prevention tools. This updated strategy will make equity a cornerstone of our response and bring a whole-of-government approach to fighting HIV.

My budget request includes $670 million to support the Department of Health and Human Services’ Ending the HIV Epidemic in the U.S. Initiative — to reduce HIV diagnoses and AIDS-related deaths.  My Administration has also strengthened the Presidential Advisory Council on HIV/AIDS by adding members from diverse backgrounds who bring the knowledge and expertise needed to further our Nation’s HIV response."[1]

According to the updated Strategy, it sets forth bold targets for ending the HIV epidemic in the United States by 2030, including a 75% reduction in new HIV infections by 2025 and a 90% reduction by 2030.[2] It also aligns with the ongoing Ending the HIV Epidemic (EHE) in the United States.

The updated Strategy includes four pillars. They include preventing new HIV infections, improving HIV-related health outcomes of people living with HIV, reducing HIV-related disparities and health inequities, and achieving integrated, coordinated efforts that address the HIV epidemic among all partners and interested parties.[3]

Of particular interest to the ADAP Advocacy Association is addressing health disparities, namely because Black and Hispanic men are being left behind on the declining HIV rates in the United States.[4] The racial and ethnic health disparities are even more evident among men who have sex with men (MSM), according to the Centers for Disease Control & Prevention (CDC).[5]

The CDC's Vital Signs demonstrates the challenges with ongoing racial/ethnic differences in knowledge of status and HIV prevention and treatment outcomes among gay and bisexual men. Approximately one in five (1:5) Hispanic/Latinos and Black/African Americans are unaware of their status. Among gay and bisexual men who could benefit from PrEP, communities of color lag behind their white peers, and they also have lower rates of viral suppression. Additionally, HIV-related stigma disproportionate impacts Black/African American and Hispanic/Latino gay and bisexual men.[6]

Equally important is the updated Strategy emphasizing the importance of the ‘Undetectable equals Untransmissible’ message around HIV treatment as prevention. It reads: "Evidence has definitively shown that people with HIV who achieve and maintain an undetectable viral load by taking HIV medication as directed will not sexually transmit the virus to an HIV-negative partner." 

The ADAP Advocacy Association is among the 1,053 organizations from 105 countries have signed on to share the U=U message. Doing so has complemented our organization's efforts around promoting HIV medication adherence. Much work remains ahead of us, but it just got a bit easier with the updated Strategy.

The updated National HIV/AIDS Strategy is available online here.

[1] White House, The (2021, November 30). A Proclamation on World AIDS Day, 2021. Retrieved online at https://www.whitehouse.gov/briefing-room/presidential-actions/2021/11/30/a-proclamation-on-world-aids-day-2021/
[2] White House, The (2021, December 1). National HIV/AIDS Strategy 2022–2025. Retrieved online at https://www.whitehouse.gov/wp-content/uploads/2021/11/National-HIV-AIDS-Strategy.pdf?utm_campaign=wp_the_health_202&utm_medium=email&utm_source=newsletter&wpisrc=nl_health202
[3] White House, The (2021, December 1). National HIV/AIDS Strategy 2022–2025. Retrieved online at https://www.whitehouse.gov/wp-content/uploads/2021/11/National-HIV-AIDS-Strategy.pdf?utm_campaign=wp_the_health_202&utm_medium=email&utm_source=newsletter&wpisrc=nl_health202
[4] Firth, Shannon (2021, November 30). Black, Hispanic Men Left Behind on Declining HIV Rates in the U.S.. MedPage Today. Retrieved online at https://www.medpagetoday.com/hivaids/hivaids/95943?xid=nl_mpt_DHE_2021-12-01&eun=g1964022d0r&utm_source=Sailthru&utm_medium=email&utm_campaign=Daily%20Headlines%20Top%20Cat%20HeC%20%202021-12-01&utm_term=NL_Daily_DHE_dual-gmail-definition
[5] Centers for Disease Control & Prevention (November 2021). Vital Signs - HIV and Gay and Bisexual Men. U.S. Department of Health & Human Services. Retrieved online at https://www.cdc.gov/vitalsigns/hivgaybimen/index.html
[6] Centers for Disease Control & Prevention (November 2021). Vital Signs - HIV and Gay and Bisexual Men. U.S. Department of Health & Human Services. Retrieved online at https://www.cdc.gov/vitalsigns/hivgaybimen/index.html

Disclaimer: Guest blogs do not necessarily reflect the views of the ADAP Advocacy Association, but rather they provide a neutral platform whereby the author serves to promote open, honest discussion about public health-related issues and updates.