She was eating properly and taking care of herself, to include working out. She was still going to church and engaging with everyone.And yet ... while I didn’t have a before-and-after comparison for certain things, overall it was clear to me that she was just putting on a good face for the world. Increasingly, she asked me not to work out or to run with her, so she could be alone. She skipped several Saturday mornings at the mall. We stopped eating dinner together unless I cooked, and even then, she would make her excuses and leave my apartment shortly after she was done eating. And she mostly went through the motions at church. The joy and enthusiasm she once exuded were gone. Even Michael often only got to exchange basic pleasantries with her after the service.I was at a loss for how to respond. All I really knew to do was to be there for her, but wasn’t sure what she needed from me or even what she wanted from me, if anything. I didn’t want to come off sounding as if I was. To address concerns such as lack of access to treatment and over policing, PAC developed the “third U”: “Unequal.”“Our collective celebration of U=U is undermined if our access to HIV diagnostics, treatment and care is unequal,” states the page on PAC’s website devoted to the third U. Richman sees the third U not only as a reminder to be conscious in communications and not shame detectability but also as a tool to advocate for treatment access for all.The caucus, according to Cardell and Spieldenner, continues to wrestle with questions of how the campaign can satisfy its own best intentions.“How do we make our public health partners accountable to that message?” asks Spieldenner. “How many organizations [that have signed on to U=U] have done in-service trainings with their staff to change the way they talk about HIV?”***With or without the #UequalsU hashtag, the facts behind U=U are reaching an ever-wider audience. Hill-Jones expressed excitement at the potential for the U=U message.
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