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michael johnson grew up with parents and a church who urged him, if not to be straight, at least to stay in the closet. like most young gay men in the united states, he never received sexuality education that was relevant to his life. in his home state of indiana, sex education must stress abstinence until marriage<\/a>; it\u2019s worth noting that same-sex marriage was illegal in the state during the entirety of johnson\u2019s time in school. johnson has said he not only never received practical, skills building information designed for young men who have sex with men in any health education class; he never even heard homosexuality mentioned<\/a>. he is unlikely even to have seen a condom demonstration, much less to have learned how to assess the risk of different sexual activities two men might engage in and made a plan to reduce his potential risk (two strategies taught in programs for young men who have sex with men that have been proven to work). <\/p>\n once he was diagnosed with hiv in missouri, a state that has rejected the affordable care act medicaid expansion, he may have faced high treatment costs. he definitely faced the stigma surrounding hiv disclosure \u2013 a stigma so pervasive that his accusers repeatedly used the word \u201cclean\u201d to describe those who were hiv negative<\/a> (and believed they could tell if someone was \u201cclean\u201d by looking at them. <\/p>\n and, throughout his life and during his trial, he faced the many centuries of white america\u2019s fear of and fascination with black men\u2019s sexuality. the majority-white jury was invited to gawk at private, graphic pictures as the prosecutor provided commentary intended to evoke shock and disgust; and his white ex-partner made racially charged remarks about johnson. add to that the fact hiv criminalization laws are more likely to be used against black people than whites<\/a> and it becomes clear that it\u2019s black sexuality that is being punished. <\/p>\n in this atmosphere of limited education and hugely damaging prejudice, michael johnson made the decisions that led to his trial. his community failed him, and his schools failed him by not affirming who he is as a young black gay man. he had unsafe sex that led to acquiring the virus; then he had unsafe sex that led or could have led to its being transmitted to others. for one of these decisions, he will have to take medication for the rest of his life; for the other, he will go to prison. but will the trial and publicity surrounding it lead to more education, more acceptance, or improved health for young men who have sex with men? it won\u2019t. it will just lead to another young black man behind bars. <\/p>\n what it comes down to is: we can\u2019t have it both ways with how we treat young men who have sex with men. we can\u2019t deny young people the supports and education they need to make healthy decisions, and then literally put them on trial when they have sex. so, if we want our young men to take personal responsibility for their health and well-being, we have to give them the tools they need to do that. if we want them to ask their partners\u2019 status and disclose their own, we have to create an environment where hiv is not stigmatized. if we want them to create relationships where people feel comfortable discussing hiv and taking steps to protect from it, then we have to create an environment that fosters that discussion. <\/p>\n instead, in 24 states or more, we\u2019re doing the opposite \u2013 piling on to an environment of shame and emotional trauma, spreading the silence, and further impeding people\u2019s ability to access treatment and care.<\/p>\n <\/p>\n