ryan white hiv

As Trump pulls funding for HIV care, Latino and queer communities are hit the hardest

In Lincoln Park, past Plaza de la Raza cultural center and under swaying pine trees, stands a row of 10-foot wooden panels etched with names. Robert Zaldivar stood quietly in front of the names, surrounded by community members holding lit candles as memories of old friends resurfaced.

The panels bear nearly 2,000 names, and more are added every year. Each one represents an Angeleno, mostly Latinos, who died of AIDS. Zaldivar led the movement to erect this monument, named the Wall Las Memorias, which was finalized in 2004.

Inspired by his late best friend, who was HIV-positive, the Wall represents to Zaldivar the power of remembering those in his community affected by HIV and AIDS. It was designed in the shape of Quetzalcoatl, or the “Feathered Serpent,” an Aztec deity and symbol of rebirth.

Robert Zaldivar leads a sunset vigil at The Wall Las Memorias AIDS Monument in Lincoln Park.

Robert Zaldivar leads a sunset vigil at the Wall Las Memorias AIDS Monument in Lincoln Park on the anniversary of the first HIV diagnosis in L.A. on June 4, 2026.

(The Wall Las Memorias)

That day in early June, he hosted a sunset vigil, joined by AIDS Memorial Quilt founder and Harvey Milk mentee Cleve Jones, to recognize the lives lost since AIDS was first diagnosed 45 years prior, when the Centers for Disease Control and Prevention published a report detailing immunodeficiency in five young gay men in Los Angeles.

At Zaldivar’s feet was a poem, one he wrote in 1995 with his friend Anna Contreras.

It reads:

It is here, we free ourselves from the teaching of guilt.
We unite as one people in our vision, our teaching, and our truth.
Through truth we live, through knowledge we survive.

Contending with stigma and misinformation has been a constant struggle for people who are HIV-positive, he said, a struggle that Zaldivar hopes to make more visible now than it has been in previous decades.

“Sometimes it feels like there’s no other way to draw attention to this problem than to have a physical reminder,” Zaldivar said of the monument. “This reminds us of real people, as more than statistics.”

The statistics Zaldivar refers to include the continuing rise in HIV diagnoses in Latinos across the United States. The most recent CDC data show 39,000 people across the U.S. received an HIV diagnosis. And a Kaiser Family Foundation analysis revealed that between 2010 and 2022, there was a 24% increase in new cases among Latinos. In 2022 alone, Latinos made up 31% of new diagnoses, despite only representing 19% of the American population, the KFF study found.

“Just last week, we had two new diagnoses of HIV in our clinic,” said Bernardo Gomez, assistant manager of HIV resources at the Wall Las Memorias Project. “For context, we had 15 in the past six months, including straight women … I think what we’re seeing is a dangerous loss of support for outreach and education.”

Last year, President Trump released his presidential fiscal year budget for 2026, much of which went into effect last October. In it, he revealed significant cuts to HIV health programs — amounting to $1.5 billion.

The budget recommendation signaled the administration’s yearly priorities, and Trump’s fiscal plan and staffing cuts to HIV teams under the so-called Department of Government Efficiency (DOGE) showed a shift away from HIV prevention and healthcare, which advocates say has led to providers losing jobs and places for testing and resources to shrink. In L.A., the Latino community is feeling the brunt of the loss, Zaldivar said.

The biggest cut to HIV care in the 2026 budget affected the CDC, which lost around $3.6 million. Another devastating loss was $1.7 million cut from the Ryan White HIV/AIDS Program, which many L.A. resource centers report relying on to fund part of their programming and staffing.

Robert Gamboa, associate director of public policy at the L.A. LGBT Center, said that in Trump’s first term, his “Ending the Epidemic” program created hope for soon seeing the end of HIV in the U.S. — a hopefulness that he said was quickly dashed in his second term.

“Now there’s this 180-degree shift in policy, we see these enormous proposals pulling away from funding, and his lack of acknowledgment of World AIDS Day, and Pride in general,” Gamboa said. “The message of that is loud and clear: [The Trump administration] is telling our LGBT community, ‘We don’t care about you.’”

Since Trump’s inaugural address last year, Gamboa said executive orders have only solidified Trump’s shift away from LGBT organizations, “challenging the structural integrity of almost everything we’ve done.”

Gamboa said that last spring, the Department of Public Health, Division of HIV and STD Programs), which supplemented L.A. organizations with substantial HIV funding, sent out a notice that all of their contracts were terminated.

“Well, this caused a massive alarm all across L.A. County. Everyone started freaking out. We had to say, ‘We need an emergency allocation [from state funds] so that we can continue providing HIV services across California,’” Gamboa said. “We’re used to getting upwards of around $20 million in funding at the county level, and it wasn’t happening.”

Robert Zaldivar leads a sunset vigil at The Wall Las Memorias AIDS Monument in Lincoln Park.

Robert Zaldivar leads a sunset vigil at the Wall Las Memorias AIDS Monument in Lincoln Park on the anniversary of the first HIV diagnosis in L.A on June 4, 2026.

(The Wall Las Memorias)

Since then, nonprofit representatives have confirmed that the contracts were restored at reduced rates. However, the impact of the uncertainty shook the health services community and only caused further distrust among Latino patients.

“We’re already seeing [the impact in L.A.]. In the Latino community, there’s so much fear from the ICE raids. People are afraid to even leave their homes,” Gamboa said. “We’ve worked so hard in building trust and relationships with our communities of color. Now, they’re afraid to even come in. Many of the places they’ve gone to in L.A. County have already closed their doors and ceased services.”

Most recently, the Trump administration announced plans to cut millions in public health funding. This includes $1.1 million that would be slashed from the National HIV Behavioral Surveillance Project, an early-warning system for HIV outbreaks, established by the L.A. County Department of Public Health.

On the White House website, a page called “Cuts to Woke Programs” reads: “President Trump is committed to eliminating radical gender and racial ideologies that poison the minds of Americans.”

Gamboa said that organizations have been discouraged of using “LGBT” in their programming to avoid being defunded as part of the targeted “woke” programs.

“It really affects me,” said Gomez, who has been living with HIV since 1996. “How long will I have medicine?”

Gomez, who is the breadwinner of his family, says his monthly supply of medication costs $1,500 a bottle. “It’s so expensive, and I have insurance. For people without insurance, [the Ryan White program] is the only way they can afford treatment,” Gomez said. “I’m afraid of what will happen to them.”

Gomez takes antiretroviral therapy, a lifesaving medication that reduces the number of infected cells, making the disease less transmissible and prevents HIV from developing into AIDS. According to 2024 HRSA data, the Ryan White program provided antiretroviral therapy to 602,000 people, preventing the spread of HIV.

As the program loses funding, jobs providing HIV care have become more sparse — and programs like the Wall and the L.A. LGBT Center have become more essential to support the thousands left without life-saving care.

HIV program funds are trickling back into L.A. County for nonprofits this year; although some, like the Wall, maintain that it’s “not enough to address the need.” Up until last May, the organization shared that the county funded $1 million of its annual HIV reduction efforts. This year, that number was drastically reduced to $100,000 per six-month contract.

“Many of my social worker friends are off the streets [where they helped at-risk communities] due to just not having enough funding to do their jobs,” said Miguel Rodriguez, program coordinator of HIV testing and prevention at the Wall. “People think only gay men are affected, but basic sexual health for everyone is at risk here. Less [testing] means more infections and transmissions across the board.”

As Robert Zaldivar stresses, the only way to protect L.A.’s Latino HIV-positive community is to support remaining HIV services to get tested or donate to local service organizations.

“What we saw in the ’90s, I’m scared that it will repeat. I want people to remember how serious [HIV] is, and to educate,” Zaldivar said. “Keep getting tested. We don’t report your immigration status or sexuality. Just come in.”

Source link