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Thomas Liberti, chief of the Florida health department's Bureau of HIV/AIDS in Tallahassee, says MOVERS is undergoing a "review," not strictly an audit, an evaluation that is necessary and not unusual for an agency that receives millions of dollars in public funds.
The AIDS Biz
"HIV-AIDS is a multimillion-dollar business, so it's competitive just like any other business or conglomerate," says long-time activist John Muhammad, currently chairman of the Miami-Dade HIV/AIDS Partnership, an appointed body established by the county commission to make funding distribution recommendations. The partnership has limited control over a large portion, but not all, of the approximately $127 million in federal funds going to service providers throughout the county. "It's survival of the fittest, and people in the African-American community have to come together. If people don't fight for their life they're going to lose it. Our [infection] numbers are going up and that's a clear indication there's something wrong. At the same time, because of the politics involved, a lot of [black organizations] would like to scream about the inequalities, but there's the fear if they start complaining too much there'll be a backlash. Maybe we'll lose even the little we do have.""Competition for the pie is part of the problem," says David Harvey, executive director of the AIDS Alliance for Children, Youth and Families in Washington, D.C. "The rest of the problem is longstanding systemic issues in our health-care system. Minority AIDS organizations have a lot of infrastructure and capacity-building needs. We have health facilities for the poorest of the poor, who are the ones now getting HIV, that are under-resourced. So you put HIV on top of institutions that are already being stressed, and you've got a real problem."
Adds Hilton of the National Black Leadership Commission on AIDS, "Look at all the other things that simultaneously affect our community. Problems with housing, education, violence, with just being poor, what poverty does to a community. If your life is already in chaos, you got four or five kids, you don't know where your car note is coming from, you don't have the wherewithal to jump up and scream for equity in AIDS funding. Let's talk about higher rates of infant mortality, women dying of childbirth, we can go on and on. If you look at the numbers, the people getting sicker and dying quicker, they're going to be of African descent. One of the reasons AIDS has established such deep roots in our community is because you're talking about people who are already weakened."
In 1998 President Bill Clinton and the Congressional Black Caucus established the Minority AIDS Initiative as an emergency response to the incommensurate rise in HIV infection among blacks nationwide. Beginning in 1999 the MAI began funding programs targeting African Americans, Native Americans, and other minorities, including Hispanics.
Though the MAI accounts for only a fraction (almost two million dollars) of the public money going to AIDS programs in Miami-Dade, it has meant crucial support for several African-American organizations and the Center for Haitian Studies. Most of Empower U's budget comes from two MAI grants totaling $105,140; it's the nonprofit's first government funding. Other organizations with a white Hispanic client base received more than $500,000 in MAI funds.