Slavery becomes conflated in evangelical rhetoric with more divisive matters of sexual morality, from pornography and prostitution to abortion. […] In nearly every conversation I have with Christians about sexual slavery, the issue of pornography comes up. They assume that bondage and consenting self-exposure are similarly an affront to what God has in mind for us.
Laws that criminalize HIV exposure are supposed to benefit public health, but in practice are extremely harmful to public health and to the targeted HIV-positive individuals. Sex workers are highly vulnerable to these laws, which sometimes target HIV-positive prostitution specifically. Many require forcible HIV testing, and sometimes they simply criminalize HIV but in reality are applied to sex workers more frequently than to other populations.
The criminalization of HIV-positive sex workers and mandatory post-arrest HIV testing arguably violates international human rights treaties signed by the United States. Treaties with applicable provisions include the International Covenant on Civil and Political Rights (ICCPR) and the International Convention on the Elimination of All Forms of Racial Discrimination (ICERD), specifically their provisions on privacy, rights to equality before the law, and sanctions against inciting hatred and racial bias. Recent forced HIV testing in Greece provoked outrage among international human rights organizations such as Amnesty International and Human Rights Watch. WHO/UNAIDS (World Health Organization/the Joint United Nations Programme on HIV/AIDS) made a statement opposing forced testing. It is widely accepted that best practices for HIV testing, with the best public health outcomes, involve three key principles—consent to testing, the provision of counseling before and after testing, and confidentiality of results. The imposition of felony offenses on individuals who are said to be engaging in sex work while living with HIV punishes members of already vulnerable communities. They are prosecuted even when they use condoms and engage in less risky forms of sex with their partners, sometimes even if they have disclosed their status to their partner. Information about their HIV status, sometimes accompanied by photographs, is often distributed widely by the media in their communities, placing arrestees at risk of retaliation and other abuse. This incentivizes avoiding testing and does nothing to encourage treatment or safer sex practices.
“Don’t hit women or whores” reads an oh-so-helpful comment under one of the many reports of the brutal assault and attempted rape of porn actress and dancer Christy Mack by her ex partner, War Machine (formerly known as John Koppenhaver), this past week. And that’s one of the nice ones. Most of the not-nice ones start with “what did you expect?” and get worse from there. Koppenhaver himself seems to see his role in the attack as a tragic victim of fate, a “cursed” man who had hoped to be engaged to the woman he broke up with in May, whose house he broke into in August.
While, in the face of the graphic and horrific story that Mack released, Koppenhaver’s view seems woefully out of touch with reality, the truth is, he’s right to predict sympathy for himself. Assaulting a sex worker, especially one that you once deigned to be in a relationship with, is viewed as pretty understandable. Just by watching TV or using the internet (ever), how many hundreds of jokes and not-jokes did Koppenhaver encounter excusing and encouraging him to do just that? It might be tempting, for the sake of our views on the state of humanity, to label his on-the-run tweets as a disingenuous ploy for public understanding, but I believe it is the less likely explanation of the two. What reason have we to believe that Koppenhaver was special, that he was somehow immune to the prevailing cultural narrative about the worth of those who do sex work? Why wouldn’t he think of himself as a lamentable casualty of an unfair system?
Are California Republicans around just to make us appreciate how classy Philadelphia Republican strip club-themed ads are? Maybe! This little piece of work must be a parody, because there’s no way something like this gets taken seriously for a second. They’ve edited the face of LA city council member/congressional candidate Janice Hahn onto the body of a stripper surrounded by Black men who are holding guns and singing “Give me your cash, bitch/So we can shoot up the street/Give me your cash, bitch/So we can buy some more heat.” This is apparently based on her support for a Scared Straight-style program that worked with former gang members.
A few years back, I woke up, looked at my arm, and thought I was in a nightmare. My arms were covered in rashes of tattoo-dark blood blisters so thick my skin looked burgundy-purple from a distance, and bruises, the flesh so swollen it looked like I had been in a car wreck. I had not done anything out of the ordinary, not been beaten up, not survived a new trauma.
It was the most obvious symptom of what would later be diagnosed as an immune disorder. The other symptoms were invisible but devastating—among them, noncancerous growths in both lungs large enough to require a surgical biopsy, and having to relearn how to breathe. My platelets dropped to levels that saw me restricted to cancer treatment wards, experimental medications and bed rest, and a never-ending hell of side effects. The only potential explanation was that this immune disorder could be causing my body to kill my platelets, removing my blood’s ability to clot.
Without platelets, you struggle to get enough oxygen. For a while, I even spent time on oxygen tanks. Without platelets, you’re a “bleeding risk.” You bruise. Sometimes you bleed spontaneously—internal bleeding, swollen limbs, bloody noses that soak towels and can’t be stopped outside a hospital. You can die from a bloody nose if it can’t be cauterized in time. The underlying immune disorder also removes my ability to respond to vaccines, rendering me vulnerable to preventable illnesses.
The good news is, with ongoing access to a medication derived from healthy people’s immunoglobulin, I can see the same long life as others. That’s a whole other discussion about ethics under capitalism in and of itself, because that immunoglobulin sure ain’t coming from rich people, is it?
The bad news is that without insurance this medication costs as much as some types of cancer treatment, and I’ll require it for the rest of my life. In the time between medication doses, my body chews through the donor immunoglobulin, as well as my own blood’s existing components.
In the scope of weeks, months at best, I go from healthy to on the verge of death, platelets dropping, sometimes by 2/3 in the scope of a day. In the course of diagnosis, I spent periods checking into the hospital every two weeks as my blood nosedived to a platelet level so dire that, at times, my doctors thought their machines had malfunctioned and were simply failing to count my blood’s components properly, because how the hell could I be alive otherwise? I was the youngest adult in the cancer wards, the mystery patient doctors came from other floors to see because my case was just THAT strange.
I was uninsurable prior to the Affordable Care Act, even without this diagnosis. My docs claimed I’d grow out of my irregular, heavy, unnervingly painful menstrual cycles, that they were nothing to be concerned about, yet the insurance companies claimed I had “an undiagnosed uterine disorder” and refused to cover me entirely. It turned out they were right about that disorder, ironically enough. After the endometriosis got bad enough to become disabling due to medical neglect, I finally got a diagnosis. I was disabled before my immune disorder ever happened.
Being able to get covered through the ACA was a turning point.
And if I had still been limping along without coverage when my immune system went into free fall, point-blank, I would be dead. Lack of coverage led to my deterioration and my medical inability to work to this day. But it would have led to my death if it had gone on just three years longer. Without full coverage that handled almost everything—blood tests sometimes daily, expensive medications, hospital stays, a dozen specialists, outside consults, extensive imaging, multiple surgeries, an ungodly amount of medications—I would have died during one of those blood drops, when I had 1/150th the minimum platelets of a healthy person.
I tell you this so you can understand how it’s all connected. How one denial, one interruption of coverage, one financial bad break, can cause a failure cascade that results in an individual’s life becoming a mire of sickness, struggle, medical neglect, and decay. For countless Americans, it leads to financial ruin.
For chronically ill and disabled people who do sex work in order to work around their conditions, doing criminalized, grey market, or informal labor without benefits means we often have no access to insurance without the ACA. Employer-based health insurance is now and has always been a leash on workers to keep us beholden to more powerful employers. The ACA was a first step away from that and empowered all workers, regardless of employment status. This is crucial in a “gig economy” of Uber drivers and independent contractors, people with standing not so different than my standing was as a stripper. A nation without the ACA is one in which many of us will die of illness and poverty.
This is the country that we are in danger of returning to if Brett Kavanaugh becomes the newest associate justice on our Supreme Court.