In late 2014, health officials belatedly became aware of an HIV outbreak in Scott County, Indiana. With fewer than 24,000 people, this rural county rarely saw a single new case in a year, according to The New York Times. But by the time government agencies tried to stop the transmission of the virus a few months later, some 215 people had tested positive.
One man seemed responsible for needlessly letting the situation get out of control: Indiana’s then-Governor Mike Pence. In 2015, when the virus was seeming to rapidly move through networks of people who use intravenous drugs, even the reluctant local sheriff encouraged the governor to authorize a clean-needle exchange, a proven tool to reduce such an outbreak.
But, as the Times reported when he became Donald Trump’s running mate, “Mr. Pence, a steadfast conservative, was morally opposed to needle exchanges on the grounds that they supported drug abuse.” His opposition was based on an incorrect belief; while research has long shown that needle exchanges do reduce HIV and hepatitis, it has also shown that they do not encourage drug use.
Pence went home to
“pray on it” before he decided to approve a limited needle exchange. Many observers believed that the program acted as a kind of public-health Hail Mary pass, staunching a catastrophic wound that would have gotten much worse.
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