GlaxoSmithKline said an injection every other month of its cabotegravir drug was shown to avert an HIV infection more effectively than Gilead’s daily Truvada pill, potentially giving its ViiV unit a foothold in HIV prevention.
The drug trial involving men who have sex with men was stopped early by an independent monitoring board after cabotegravir was found to be 69 percent more effective than the current standard of care, Truvada, the British drugmaker said on Monday.
But the market segment GSK is eyeing is about to become more competitive as cheaper generic versions of Truvada are expected to be launched in the United States in September, as the patent expires.
Gilead, for its part, hopes that Truvada users will opt against the cheaper copies and switch to its new daily pill Descovy, approved in October 2019 after it was shown to be less toxic to the kidneys and bones.
Truvada generated $2.8 billion in sales last year, both from treatment and preventing an HIV infection.
Kimberly Smith, ViiV’s head of research, said a long-acting injection was a better route of administer because users have shown to struggle with a strict routine of daily pills, heightening the infection risk.
“Individuals have to show up every eight weeks in the clinic for the injection but in-between there is not a need to take a pill daily, so you really change the equation for adherence with a long acting (drug),” Smith said.
GSK, which is trailing Gilead in the HIV treatment market, will speak to drug regulators about a possible approval of cabotegravir based on the prevention trial, a spokesman said.
Prevention “has turned into a multi-billion opportunity for Gilead but we think consensus estimates include little or nothing for GSK in this market,” UBS analysts said in a research note.
GSK has won approval in Canada for cabotegravir as one of two key ingredients in long-acting HIV treatment combination Cabenuva, whereas in the United States, the company has run into delays seeking the go-ahead for Cabenuva.
An initial readout from the trial, which started in late 2016, was previously not expected before next year.
A similar trial to test the cabotegravir injection to prevent HIV in women, is still ongoing.
Pfizer and Shionogi & Co Ltd hold small stakes in GSK’s HIV-focused ViiV Healthcare division.
Trans students in Philadelphia have been assured that their correct name and pronouns will always be used, as the city’s school board moves to address issues thrown up by coronavirus.
In Philadelphia, trans students already have the right to be addressed according to their wishes.
After a landmark policy was passed in 2016, trans students in the state are also backed in using the bathroom and playing on the sports team that corresponds to their gender identity — whether or not they have their parents approval or have taken steps to medically transition.
But when coronavirus hit and schools closed, there was a hitch: Google Classroom, the preferred virtual classroom used by Philadelphia schools, was outing students as transgender and publishing their deadnames on virtual registers without their permission.
School officials had said technology wasn’t fixable.
Initially school officials blamed technology and said they were unable to fix the problem.
But deadnaming and misgendering are serious issues for trans youth, as non-binary teacher Maddie Luebbert explained at a school board meeting last month.
“This public display can become a serious threat to a student’s physical, emotional, or mental well-being,” said Luebbert.
“I hope I do not need to explain how vulnerable queer youth are — more likely to be homeless, more likely to face abuse, more likely to be dealing with mental illness, more likely to attempt suicide.”
Trans students speak out against deadnaming.
Elias Musselman, a trans student, also spoke out about the pain of being misgendered by Google Classroom.
“My whole class, who knew me as Eli, suddenly heard my birth name, and I would start having an anxiety attack and crying,” Musselman said.
“Some students don’t get support from their families, and to have support from school is such a big thing,” Musselman added.
To be called a name you don’t want to be called really affects you.
After an outcry from students and teachers, the Philadelphia School District has moved to assure transgender students that their correct name and pronouns will be used consistently going forward.
The move was announced via email to school principals this week and is expected to be presented at a virtual meeting of the school board today.
“We’re at a time where so much is out of our control, but this is something that is in our control,” Fix Lopez said.
“To me, it’s not so much about a name, but an identity.”
Canada has just approved a site for a C$8 million (£4.7 million) memorial to thousands of LGBT+ people who were forced out of government and military jobs by a five-decade institutional “purge”.
The memorial will be built in Ottawa, overlooking Canada’s Supreme Court and Parliament Hill, according to LGBTQ Nation.
Over five decades, from the 1940s until the mid-’90s, LGBT+ Canadians were discharged from the military or fired from the civil service.
A state-sponsored programme to root out gay and lesbian people was carried out until the late 60s, because it was a thought they posed a threat to national security.
Authorities in Canada used a creation called the Fruit Machine to supposedly identify homosexual people.
Queer Canadians underwent horrific tests and ‘cure’ treatment.
The discredited device, developed by a university in Ottawa, showed public servants and military personnel sexually explicit pictures and while measuring their perspiration, pupil dilation, and heart rate to look for signs of arousal.
Those who were thought to be gay, or admitted to being gay, were fired or forced to undergo psychiatric treatment to “cure” them.
LGBT+ people who were outed were subjected to discrimination by their families and friends, with many considering suicide.
Victims of the purge filed a class-action lawsuit against the government, and in 2018 a $145 million national compensation fund was created.
The Ottawa memorial was partly paid for by the fund. Although a national competition was set to decide the design of the memorial, it has been delayed by the coronavirus pandemic.
However, it is hoped that it will be completed on time in 2024.
Justin Trudeau apologised to victims of state-sponsored homophobia.
In an address live streamed on the internet, Trudeau teared up as he described the “devastating story” of the victims of state-sponsored discrimination and those convicted for being gay.
“This is the devastating story of people who were branded criminals by the government — people who lost their livelihoods, and in some cases, their lives,” he said.
“These aren’t distant practices of governments long forgotten. This happened systematically, in Canada, with a timeline more recent than any of us would like to admit.”
Presumptive Democratic presidential candidate Joe Biden has accused Donald Trump of giving “safe harbour” to anti-LGBT+ hate.
In a message marking the International Day Against Homophobia, Transphobia and Biphobia, Biden called out the Trump administration’s “odious” agenda on LGBT+ issues.
He wrote: “The Trump-Pence administration has done everything it can to undermine LGBT+ rights: giving safe harbour to hate and rolling back protections for LGBT+ persons, blocking the ability of transgender individuals to openly serve their country, denying LGBT+ people access to critical health care, and failing to address the epidemic of violence against transgender people, among other odious policies.
“Today, many LGBT+ people in the United States live in fear, and LGBT+ activists in other countries, who are often fighting desperately for their rights and personal safety, are no longer sure that the United States is their friend and ally.”
Democrat vows to ‘reinvigorate’ efforts to support LGBT+ rights internationally.
Biden stressed that if-elected, he would work across international boundaries to “eliminate discrimination and violence based on sexual orientation and gender identity”.
Former Vice President Joe Biden (Michael Brochstein / Echoes Wire/Barcroft Media via Getty Images)
He wrote: “As president, I will reinvigorate and expand US efforts to advance the human rights of LGBT+ people at home and around the world.
“The United States will again be a beacon of hope for people anywhere in the world who suffer violence and discrimination for the simple fact of who they are or who they love.
“We will strengthen the coalition of countries determined to eliminate discrimination and violence based on sexual orientation and gender identity. Anything less would be un-American.”
LGBT+ rights group are falling in behind Joe Biden.
Human Rights Campaign endorsed the former vice president earlier this month.
HRC president Alphonso David said: “This November, the stakes could not be higher. Far too many LGBT+ people, and particularly those who are most vulnerable, face discrimination, intimidation, and violence simply because of who they are and who they love.
“But rather than have our backs, Donald Trump and Mike Pence have spent the last three and a half years rolling back and rescinding protections for LGBT+ people.
“Joe Biden will be a president who stands up for all of us. HRC and our more than three million members and supporters will work day and night to ensure he is the next president of the United States.”
HRC says that ahead of the 2020 election, it has identified seven key target states – Arizona, Michigan, Nevada, Ohio, Pennsylvania Texas and Wisconsin – where there are 3.4 million voters who support equality “at risk of not turning out” on election day.
Attacks and insults against the LGBT+ community in France surged by more than 36 per cent in 2019, according to figures released Saturday by the interior ministry.
The figures released on the eve of International Day Against Homophobia, Biphobia, Intersexism and Transphobia (IDAHOBIT) showed a steady drumbeat of rising hate crimes against queer folk in the European country, Agence France-Presse reported.
GBT+ men were more likely to be victims, the data showed, with the majority of crimes stemming from larger cities (36 per cent).
In 2019, Twitter timelines were seized by startling video footage of a trans woman brutally assaulted during a demonstration in central Paris.
The incident sparked fury from LGBT+ activists as well as amplifying the increasing visibility of the violence facing one of the most marginalised and vulnerable groups in French society.
Moreover, the data marked 30 years since the withdrawal of homosexuality from the list of mental illnesses by the World Health Organization.
Homophobia is ‘anchored’ in France, ministry says.
French law enforcement identified 1,870 victims of homophobic or transphobic offences, compared to 1,380 in 2018, the ministry said in a statement.
The data hints towards a two-fold change. A potential rise in the number of hate crimes carried out against the LGBT+ community, and/or an increase in the number of victims filing complaints.
This 36 per cent upswing in physical and verbal violence eclipsed what activists described in 2018 as a “black” year. The year was pockmarked by a severe surge in anti-LGBT+ violence.
“These figures testify to the deep anchoring of homophobia and transphobia in society,” the ministry said.
Department officials said that they form part of a broader increase in “hate acts and identity extremism” in France.
Verbal attacks account for 33 per cent of offences, the data showed. Around 28 per cent of complaints concerned physical and sexual violence.
Victims were predominantly men – 75 per cent –with around six in 10 offences perpetrated against those under 35 years of age.
But the number might be higher, activists and police warn, as many hate crimes still go unreported as victims never file a complaint to authorities.
The governing body for psychologists in Albania banned Saturday the long denounced, discredited and debased practise of conversion therapy to both the surprise and delight of countless LGBT+ activists across the European country.
Albania now joins Malta and Germany in stonewalling the harmful practice, while lawmakers in Spain and the UK are all considering nationwide bans, and Switzerland has a de facto ban.
A statement from the LGBT+ organisation Pink Embassy, seen by AP News, said the decision: “Places the Order of Psychologists in Albania in the forefront of the institutions respecting LGBTI rights.”
Psychologists in Albania now prohibited from conversion therapy, LGBT+ rights group say.
All registered psychologists in Albania must be members of the Order of Psychologists. As a result, the body’s decisions are “legally valid”, Pink Embassy stressed, and no hurdles loom ahead.
“This is the final decision which does not need to go through either the legislative or executive to enter into force,” said Pink Embassy head Altin Hazizaj.
“Although reports of the use of such therapies in Albania have been small, allowing them has been a serious concern.”
The measure could, activists hope, be one that reinvigorates Albania’s stalled LGBT+ rights movements. Negative attitudes against the community continue to lurk in the conservative country, at times colliding with lawmaker’s urgency in pressing ahead with equality laws.
Marriage, adoption and the right to change legal gender have long been kicked into the long grass by government. The annual Rainbow Map – which ranks European country’s commitment to LGBT+ rights – gave Albania a 31 per cent rating.
Rainbow Map emphasised that gender recognition measures had vastly stagnated in Albania.
What is conversion therapy?
Also called reparative therapy, medical organisations across the world have widely debunked and rejected the treatment as traumatising and psychologically scarring, especially to minors.
The practice, which has been around more than a century, has many techniques. Most commonly, talking therapy.
However, some physicians who practise the therapy are known to use shock treatments and induce associative nausea in patients, according to a 2018 study by the Williams Institute of the School of Law at the University of California, Los Angeles.
The family of a transgender woman with HIV who died in U.S. Immigration and Customs Enforcement custody in 2018 has filed a federal lawsuit against five private companies that were responsible for her care.
The Transgender Law Center and two immigration lawyers — Daniel Yohalem in Santa Fe., N.M., and R. Andrew Free in Nashville — filed the lawsuit on Wednesday in U.S. District Court for the District of New Mexico. Management and Training Corporation, LaSalle Corrections, Global Precision Systems, TransCor America and CoreCivic are named as defendants.
Hernández, who was from Honduras, entered U.S. Customs and Border Protection custody on May 9, 2018, when she asked for asylum at the San Ysidro Port of Entry in San Diego. She was later sent to the Cibola County Correctional Center, a facility in Milan N.M., that CoreCivic, which was previously known as the Corrections Corporation of America, operates.
Hernández was admitted to Cibola General Hospital in Grants, N.M., shortly after she arrived at the detention center. Hernández died at Lovelace Medical Center in Albuquerque, N.M., on May 25, 2018.
Lovelace Medical Center in Albuquerque, N.M. (Washington Blade photo by Michael K. Lavers)
The lawsuit alleges Hernández on May 14, 2018, “exhibited visible signs of deterioration requiring immediate medical intervention” when Management and Training Corporation transported her and 12 other trans detainees from San Ysidro to the San Luis Regional Detention Center, a facility in San Luis, Ariz., that LaSalle Corrections operates.
“MTC denied Roxsana and her fellow detainees food, water, and restroom access throughout their transfer,” reads the lawsuit.
The lawsuit notes one detainee said Hernández appeared “very weak and pale, almost yellow in pallor, with dark circles under her eyes” when she was at the San Luis Regional Detention Center.
Hernández was at the facility for only a “few hours,” but she “used the bathroom several times to vomit or spit up phlegm.” The lawsuit claims Hernández “was so weak from fever that she spent most of her time at SLRDC (San Luis Regional Detention Center) laying on the floor, coughing.”
“Officers of Defendant LaSalle Corrections witnessed Roxsana’s obvious state of medical need and failed to offer her emergency medical assistance,” reads the lawsuit. “Eventually during her time at SLRDC Roxsana was so ill she could not eat and had to use the restroom approximately every 15 minutes because she had such bad diarrhea.”
The lawsuit states Hernández and more than two dozen other trans detainees at around midnight on May 15 boarded a bus that took them to the Phoenix-Mesa Gateway Airport in the Phoenix suburb of Mesa.
“Roxsana was very ill during the four-hour bus ride and pleaded for help to a person who sat with her, saying words to the effect of, ‘Help me! I don’t know if I’m going to survive,’” reads the lawsuit.
The lawsuit alleges a LaSalle Corrections officer “threatened” Hernández and the other detainees with whom she was traveling. The lawsuit says one detainee asked officers in both English and Spanish to provide medical care to Hernández, but they “ignored her.”
“When they arrived at the airport, one of the people being transported by LaSalle alongside Roxsana told an officer with beige pants and long red hair that Roxsana was very sick and needed immediate medical attention,” reads the lawsuit. “The officer refused to respond to her. During her five hour stay in the Mesa airport Roxsana remained in LaSalle’s custody and was provided no medical care or assistance for her sickness.”
The lawsuit states Hernández and the other detainees flew to El Paso, Texas, and arrived at the El Paso Processing Center at around 3:15 p.m. The lawsuit notes Hernández remained at the facility until the morning of May 16, 2018.
“She and her fellow asylum seekers woke up to ICE officers presenting them food that they were instructed to eat for breakfast at around 5:00 a.m.,” reads the lawsuit. “Roxsana attempted to eat the meal provided, but ended up vomiting and then going back to sleep.”
“By this time, Roxsana appeared to all around her to be gravely ill,” reads the lawsuit. “Despite LaSalle’s knowledge of Roxsana’s urgent need for medical care, during the entire time Roxsana was in LaSalle’s custody LaSalle did not provide her with medical care or assistance to alleviate her suffering.”
The lawsuit says Hernández and 29 other detainees who were going to the Cibola County Correctional Center boarded a bus at around 9 a.m.
“Each person was provided an 8-ounce bottle of water and sandwich to last the entire five and-half hour journey to the Cibola detention center in New Mexico,” says the lawsuit, which notes the temperature in El Paso that day reached 97 degrees before noon.
The lawsuit notes Hernández asked an officer for water during the trip, but he told her that he did not speak Spanish.
Hernández reportedly “had a fever and produced a significant amount of phlegm during the trip” and had bloody sputum when she blew her nose. The lawsuit also notes Hernández “felt dizzy and extremely exhausted, and her stomach hurt badly.”
The lawsuit says the bus arrived at the ICE Criminal Alien Program facility in Albuquerque at around 2:30 p.m.
“Despite GPS’s knowledge of Roxsana’s urgent need for medical care, during the entire time Roxsana was in GPS’s custody GPS did not provide her with medical care or assistance to alleviate her suffering,” it reads.
The lawsuit says officers from TransCor drove Hernández and 28 other trans detainees to the Cibola County Correctional Center, which is roughly 80 miles west of Albuquerque. The detainees arrived at the facility shortly after 8 p.m.
“Throughout this trip, Roxsana continued to appear gravely ill,” reads the lawsuit, noting she was unable to eat. 94. “Roxsana required immediate medical assistance that TransCor employees neglected to provide.”
The Cibola County Correctional Center in Milan, N.M. (Photo courtesy of U.S. Immigration and Customs Enforcement)
The Cibola County Correctional Center at the time had a unit specifically for trans women who were in ICE custody.
The lawsuit states Hernández was booked into the facility at around 1:15 a.m. on May 17. It notes she spent the night in the facility’s “medical waiting room.”
“Roxsana lay on the floor, only getting up to use the restroom or drink a beverage officers brought around 4 a.m.,” reads the lawsuit. “Roxsana was so weak and ill that she became delirious.”
The lawsuit states Hernández was brought to an “onsite medical provider who conducted an intake screening.” Hernández received “electrolytes and Ensure” before she returned to a holding cell.
The lawsuit says “an onsite medical provider” examined Hernández at around 10 a.m. She reportedly weighted 89 lbs., and was diagnosed with “dehydration, starvation, extreme weight loss, muscle wasting, untreated HIV, fever and cough.” The lawsuit also notes Hernández’s blood pressure was 81/61 and she had “rough breathing sounds and increased amount of white phlegm mucus excreted in abnormally large quantities.”
The lawsuit states officers at the detention center called an ambulance that brought Hernández to Cibola General Hospital at 11:44 a.m. Hernández later that day was airlifted to Lovelace Medical Center where she died.
“Throughout her hospitalization, CoreCivic officers shackled Roxsana at her wrists and both ankles to her hospital bed except when medical personnel needed to remove them for certain medical procedures,” reads the lawsuit. “At least one armed CoreCivic officer guarded Roxsana at all times and checked that her restraints were secured at least every 20 minutes.”
“Each time medical staff needed CoreCivic officers to remove her restraints, the officer on duty made a call to ‘central’ to receive approval to remove them, delaying Roxsana’s receipt of medical care,” notes the lawsuit. “CoreCivic officers kept Roxsana shackled even after her treating medical providers medically paralyzed her and when she first went into cardiac arrest.”
‘Every private entity tasked with Roxsana’s care failed her’
An autopsy the New Mexico Office of the Medical Investigator performed concluded Hernández died from Castleman disease associated with AIDS.
A second autopsy` that former Georgia Chief Medical Examiner Kris Sperry performed at the Transgender Law Center’s request concluded the cause of death was “most probably severe complications of dehydration superimposed upon HIV infection, with the probable presence of one or more opportunistic infections.” The second autopsy also found “evidence of physical abuse” that included bruising on Hernández’s rib cage and contusions on her body.
“Every private entity tasked with Roxsana’s care failed her,” said Dale Melchert, a Transgender Law Center staff attorney, in a press release that announced the lawsuit. “What we know about the short time that Roxsana was in immigration custody is that the officers tasked with transporting her saw her health deteriorate, heard her cries for help, and did nothing. She needlessly suffered as a result of their inaction.”
ICE has denied allegations that Hernández was abused while in its custody.
Amanda Gilchrist, a spokesperson for CoreCivic, on Thursday told the Washington Blade in a statement the company offers “our deepest condolences to the family and friends of Roxsana Hernández.” Gilchrist also noted Hernández was “gravely ill” when she arrived at the Cibola County Correctional Center.
“When she arrived, she went through the intake process, which includes a medical evaluation,” said Gilchrist. “The medical team made the determination that she needed to be immediately transported to an outside hospital.”
“Ms. Hernandez was only at Cibola for 12 hours, where she stayed in the intake area before being transported to the hospital where she passed away nine days later,” she added.
Issa Arnita, a spokesperson for the Management and Training Corporation, on Thursday told the Blade in an email the company “disputes the allegations in the lawsuit, but is unable to comment any further because of the litigation.” Arnita in a second email noted Hernández was in Management and Training Corporation’s custody for “less than four hours, more than a week before her death.”
A transgender service member in the US Navy has been granted a waiver to present as the correct gender for the first time since Trump’s trans military ban became law.
Trump’s infamous ban came into force in April 2019, almost two full years after the president first announced his intention to exclude all trans people from the military.
The Navy confirmed that a trans service member has been granted a waiver in a statement provided to CNN on Friday (May 15).
“The acting secretary of the Navy has approved a specific request for exemption related to military service by transgender persons and persons with gender dysphoria,” said spokesperson Brittany Stephens.
Stephens said the transgender service member “requested a waiver to serve in their preferred gender”, including “obtaining a gender marker change… and being allowed to adhere to standards associated with their preferred gender, such as uniforms and grooming”.
Transgender people have had a chequered history in the US armed forces. They were prevented from serving until 2016, when the Barack Obama administration put an end to the ban.
In July 2017, Trump announced on Twitter that he intended to ban all trans people from serving in the military.
“After consultation with my generals and military experts, please be advised that the United States government will not accept or allow transgender individuals to serve in any capacity in the US military,” he wrote.
“Our military must be focused on decisive and overwhelming victory and cannot be burdened with the tremendous medical costs and disruption that transgender in the military would entail.”
Trump’s ban means trans people who come out will be discharged.
The legislation was eventually enacted in April of last year – following four failed injunctions — and plunged an estimated 13,700 transgender service members into uncertainty.
Under the law, a trans person who comes out or is outed while serving in the military will be discharged, unless they agree to suppress their identity.
The Navy subsequently announced that service members would be allowed to live in their correct gender while off duty, but the US Naval Academy later said that it would bar trans students from enrolling for 2020.
The U.S. Supreme Court seems poised to grant religious schools an expanded ministerial exemption in employment decisions based on oral arguments Monday in litigation that could have significant bearing on LGBTQ teachers at these institutions.
The cases, Our Lady of Guadalupe School v. Morrissey-Berru, Agnes and St. James School v. Darryl Biel, were brought by Catholic schools seeking immunity under the law to conduct employment practices for non-ministerial jobs — such as the hiring and firing of teachers — consistent with their religious beliefs under the exemption granted by the First Amendment.
The schools raised the claims in response to a lawsuit from teachers alleging wrongful termination. One alleges she was terminated based on age discrimination, the other based on disability after having to request time off to treat cancer. The schools have maintained the termination was the result the teachers not fulfilling their ministerial roles at the schools.
Predictably, the five conservative justices on the bench seemed amenable to the idea of an expanded ministerial exemption, while the four liberal justices were against it.
U.S. Associate Justice Ruth Bader Ginsburg was blunt in her questioning about the possible implications of a ruling in favor of Catholic schools, calling it “staggering.”
“Suppose a teacher who does everything the two teachers in these cases do as a faith leader also reports a student’s complaint of sexual harassment by a priest and is terminated,” Ginsburg said. “She has no remedy?”
U.S. Associate Justice Clarence Thomas, on the other hand, appeared to justify a decision for the Catholic schools by indicating the work of teachers there would be considered a violation of the Establishment Clause at a public schools.
“It’s my understanding they actually let them from time to time in prayer or took them to service, things like that,” Thomas said.
The cases have broad implications for workers at religious schools, including LGBTQ teachers. The ruling could impact whether gay teachers have a legal right to sue a Catholic school if they’re terminated for entering into a same-sex marriage, or transgender teachers if they’re fired for undergoing a gender transition.
Shannon Minter, legal director for the National Center for Lesbian Rights, said based on the arguments the court seems ready to grant Catholic schools the considerable leeway they’re requesting.
“It seems likely there are enough votes to broaden the scope of the so-called ‘ministerial exception’ for religious employers, which would give religious schools and other religious employers more leeway to fire workers without regard for anti-discrimination laws, including those that protect LGBTQ people,” Minter said.
Jeffrey Fisher, an attorney with the Menlo Park, Calif.-based law firm O’Melveny & Myers LLP, represented the teachers who were terminated and estimated hundreds of thousands of lay teachers across the country may be affected.
“The schools’ argument would strip more than 300,000 lay teachers in religious schools across the country of basic employment law protections — and necessarily included in this number are teachers who teach so-called secular classes,” Fisher said.
The Trump administration backed the arguments from the religious schools during oral arguments by sending — completely on a voluntary basis because the U.S. government isn’t a party in the litigation — a high-level attorney to argue in favor of an expansive ministerial exemption.
Assistant to the U.S. Solicitor General Morgan Ratner maintained a ruling in favor of an expanded ministerial exemption would be consistent with Supreme Court precedent.
“Under Hosanna Tabor, those teachers are ministering to their students by teaching them how and why to be Catholic, so this should fall within the ministerial exemption regardless of what the school calls them,” Ratner said.
Much of the argument in favor of the expanded ministerial exemption rested on the Supreme Court’s 2012 decision in Hosanna Tabor v. EEOC, the 2012 ruling that determined federal discrimination laws don’t apply to religious organizations’ selection of ministerial leaders. However, that decision didn’t specify which employees are considered ministers and which aren’t.
Eric Rassbach, an attorney with the Becket Fund for Religious Liberty who represented the Catholic schools before the court, said the court’s decision in Hosanna Tabor compels to rule in favor of an expanded ministerial exemption.
“Eight years ago in Hosanna Tabor — the pretext inquiry, the notice requirements, the idea that freedom of association makes freedom of religion entirely unnecessary — all were raised in Hosanna Tabor and rejected unanimously,” Rassbach said. “Eight years later, respond to arguments are not any more convincing. In short, there’s no reason for government to get into business of teaching religion.”
U.S. Associate Justice Elena Kagan sought to clarify the implication of what Rassbach was seeking by peppering with questions on hypothetical jobs for which he thinks the ministerial exemption should apply.
A math teacher who is told to teach something about Judaism for 10 minutes a week? “Probably not.” A press or communications staffer who prepares press release for a religious institution? “That should fall within it.” An employee at a soup kitchen who distributes religious literature and leads grace before meals? “My guess is that that would be de minimius.” A church organist who provides musical accompaniment and selects hymns for religious services? “I think that would fall within it because that’s an important religious function.”
A nurse at a Catholic hospitals who prays with sick patients and is told otherwise to tend to their religious needs? “I think a nurse doing that kind of counseling and care may well fall within the exception.”
Fisher seized on Rassbach’s admission nurses at Catholic hospitals would have no recourse under non-discrimination law with an expanded ministerial exemption as evidence of the breadth of such a decision.
“If you write an opinion that says all important religious functions trigger the ministerial exception, I don’t think there’s any way to escape — you’re going to have the cases with the nurses, you’re going to have the cases with the football coaches, you’re going to have the cases with the summer counselors,” Fisher said. “The only thing the other side says to that in our brief is, ‘Well, those cases haven’t been brought so much,’ but my answer to that is that just shows how revolutionary their case would be, because there’s no good answer to those cases and Mr. Rassbach himself said nurses would be covered.”
U.S. Associate Justice Sonia Sotomayor also expressed fear about the potential ruling for an expansive ministerial exemption because the two teachers in the cases “are not claiming that they were fired because the school thought they were teaching religion wrong.”
“You’re asking for an exception to the Family & Medical Leave Act, to wage and hourly laws to all sorts of laws, including breach of contract, because at least one of the schools here, contract with the teacher says they won’t discriminate because of the teachers age or disability,” Sotomayor said.
The conservative justices, nonetheless, devised scenarios in their questioning that appeared to justify having an expanded ministerial exemption for employment at religious schools.
U.S. Associate Justice Neil Gorsuch raised the possibility of a religious school with limited funds that hires a full-time teacher, but asks the teacher to act as a religious leader part-time, or a religion that believes all its members are leaders of the faith.
“You said we shouldn’t focus on their sincerely held religious beliefs, but that is what we do elsewhere in First Amendment jurisprudence,” Gorsuch said. “We don’t second guess those sincerely held religious beliefs. Why would we do it here?”
Although the issue of titles was brought up as a way to distinguish between ministerial and non-ministerial positions, U.S. Associate Justice Samuel Alito said that would be insufficient because titles don’t always give a clear indication of role.
“How does it even help to understand the person’s role?” Alito said. “Suppose you have two people who do exactly the same thing in two different religiously affiliated schools but one has a title and the other one doesn’t have a title, other than the title of the teacher. Why should the presence or absence of this title make any difference?”
It’s true LGBTQ people, as of now, have extremely limited explicit non-discrimination protections under federal law, but the Supreme Court will soon issue a ruling on the Title VII of the Civil Rights Act of 1964 that will determine whether the law covers LGBTQ people. A ruling for Catholic schools in these cases would undercut an LGBTQ-inclusive in the Title VII litigation.
Further, a ruling in favor of an expanded ministerial exemption would undermine the laws in 21 states and D.C. that bar anti-LGBTQ discrimination in the workforce. Not just LGBTQ people would be affected. A ruling for Catholic schools would also allow them to discriminate based on race, national origin, disability or any other category in non-ministerial jobs.
U.S. Associate Justice Stephen Breyer noted various categories of people with histories of discrimination against which a religious institution could lawfully terminate if the ruling came out in favor of the Catholic schools.
“This case has to do with a religious organization might dismiss someone on the basis of race or religion or national origin…where that isn’t related to the carrying on of the religious activity, for example, a person who’s handicapped,” Breyer said.
Minter echoed that concern in his assessment of the oral arguments based on the way judges appeared to lean in favor of an expanded ministerial exemption.
“If the schools win today’s cases, religious schools would be able to fire many more LGBTQ teachers based purely on anti-LGBTQ animus or for any other reason, regardless of whether they have a religious reason for doing so,” Minter said.
A decision in the case is expected before next month at the end of the term for the Supreme Court.
My phone buzzed the other day with a long missive from a friend to a group Facebook chat we share with my husband and his fiancé. Earlier in the day, he had invited me and my husband over for dinner at their apartment. In the spirit of social distancing, I responded by suggesting maybe we do something outdoors—perhaps a picnic or a walk in the park?
He was furious. He felt like we were avoiding their “COVID germs.” After a series of angry messages, he left the group chat—the digital equivalent of a gauntlet-drop.
I looked at my husband, speechless. Had COVID-19 just caused a different kind of loss, our friendship?
We all manage and respond to risk differently—and with varied emotions. Most of us are becoming well acquainted with the small daily frustrations of encountering people engaging in behaviors once considered perfectly normal but now labeled as risky: shopping for groceries without a mask, walking too closely to others, or coughing without covering your face. But as my friend made clear, we can also find frustration in others we believe are being overprotective or too risk-averse.
As a sociologist who has studied how gay men practice and manage HIV risk, I think a lot about the way diseases shape our behaviors, emotions, and, ultimately, our social worlds. HIV is fundamentally different from COVID-19 in that it cannot be transmitted through casual contact like handshakes or shared Uber rides. Nonetheless, in order to navigate HIV risk, we engage in a similar kind of mental calculus.
Some gay men think the risk of contracting the disease is well worth the potential pleasures of eschewing condoms with a one-night stand. Other gay men recoil at the thought, so wary of HIV that they meticulously practice condom use or even avoid casual sex altogether (indeed, that recoil can at times translate into shame projected onto anyone who doesn’t take the same precautions). As anyone who has spent time cruising for sex online knows well, clashing views on risk and pleasure can lead to plenty of hurt feelings and libidinous disappointment.
HIV and COVID-19 risk can both put distance between us, but the pleasures interrupted are of a different stripe. For HIV, we take risk in search of human connection and sexual pleasure. For COVID-19, even the most ordinary of behaviors have become suddenly risky: sharing a meal, taking a walk, going to a movie. Avoiding COVID-19 is forcing us to deprive ourselves of all the many pleasures of life, both sexual and platonic.
Our new marching orders for our now-COVID-ridden lives seems straightforward enough: avoid gatherings, wear masks in public, wash your hands vigorously. But for most of us, the truth is more complicated. We are faced with a social isolation that hurts. And the promise of connection is not trivial or superfluous: we crave it. We need it.
Whether we are aware of it or not, we’ve all been doing a sort of risk-calculus in our heads these last few weeks. Is it OK to take a walk with my friend? Do we need to wear masks? Should I say yes to the invitation from my parents to come stay with them for a long weekend? For those of us that are single, is dating even possible anymore?
A tipping point in those risk-equations we all have been making these last few weeks is coming. As the loss of human connection and intimacy takes an ever-greater emotional and psychological toll, the potential risk of contracting COVID-19 won’t be enough to keep us away from those we love. For some, especially those suffering from depression, isolation will become unbearable to the point of even becoming deadly.
As restrictions lift and we come out of our isolation, many of our phones will buzz with eager invitations from friends asking to get together and connect—for dinner, a walk, or to get coffee. But we won’t all be ready to take those risks at the same time.
Try not to take it personally. The truth is we are all aching from the pain of isolation. We miss you. And in the words of Queen Elizabeth, I long for the day that “we will meet again.”