CROI 2026: The Tools Are Here. The Infrastructure Is Not.

CROI 2026 delivered a wave of advances in HIV prevention, treatment, and cure science. Whether any of it reaches the people who need it depends on what…

Mar 9 • Travis Joseph Roppolo

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ADAPs Work. Federal Policy Is Defunding Them on Accident.

NASTAD released its 2026 National Ryan White HIV/AIDS Program (RWHAP) Part B AIDS Drug Assistance Program (ADAP) Monitoring Project Annual Report this…

Mar 2 • Travis Joseph Roppolo

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Warren and Hawley Want to Break Up Big Medicine. Here's What the Bill Actually Does.

On February 10, 2026, Sen.

Mar 2 • Travis Joseph Roppolo

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February 2026

The Great American Recovery Needs More Than a Slogan

GLP-1 medications show promise for treating substance use disorder. But breakthrough drugs can't help people the system is designed to exclude.

Feb 9 • Travis Joseph Roppolo

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Congress Rejects HIV Cuts, But Flat Funding Won't End the Epidemic

Congress rejects proposed cuts but flat funding won't scale long-acting innovations or meet growing needs, but at least we get some PBM reform.

Feb 2 • Travis Joseph Roppolo

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January 2026

The Body That Moved the Needle

Minneapolis, the budget for brutality, and the body that finally mattered

Jan 27 • Travis Joseph Roppolo

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Dear America, Own Your Shit

I wrote this in 2017 after Charlottesville. I'm republishing it now because we haven't learned a goddamn thing.

Jan 27 • Travis Joseph Roppolo

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Florida's ADAP Cuts Put 16,000 People Living with HIV at Risk

Sweeping eligibility changes and formulary restrictions threaten treatment continuity as advocates demand transparency and a halt to March 1…

Jan 26 • Travis Joseph Roppolo

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ACA Subsidies in Limbo: What the Senate Framework Means for Patients

Congress races to salvage affordable coverage as millions face premium spikes and negotiators clash over cost-sharing provisions

Jan 12 • Travis Joseph Roppolo

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December 2025

Policy Failures, Not Fate: Inside 2025’s Health-Care Unraveling

ACA subsidies, HIV funding, and drug pricing reforms collide as Congress faces a January deadline with no clear path forward

Dec 8, 2025 • Travis Joseph Roppolo

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November 2025

I Didn’t Plan for Advocacy or Gratitude, Yet Here They Are

On identity, collapse, and the quiet work of learning to show up again.

Nov 30, 2025 • Travis Joseph Roppolo

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The HIV Care System Is Breaking Before Congress Even Cuts It

Administrative sabotage has already destabilized HIV services nationwide. Actual funding cuts would finish the job.

Nov 17, 2025 • Travis Joseph Roppolo

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