All language subtitles for How to Survive a Plague-ENG

Welcome to ACT UP!

We are the AIDS coalition
to unleash power.

A diverse non-partisan group
of individuals united in anger

and committed to direct action to...
...end the AIDS crisis!

Less than 12 hours from now,

we are going to be taking over
city hall!

ACT UP, fight back, fight AIDS!

Yes?

Mr. mayor, in campaigning for
the lesbian and gay vote in an

election year, a bit of
historical context is necessary

in dealing with the AIDS
crisis in New York City.

It wasn't until 1983 that you met with
people to deal with the AIDS crisis.

- How do you respond to these criticisms?
- That is a falsehood.

Please, anybody who's thinking
about being arrested,

fill out a support sheet, make
sure your support person knows

who you are and what
group you're in... yeah?

If we end up in the tombs,
is there like, a queer tank

there and would you recommend
that we ask to be there?

There is a homo-tank and
I've been there and it's

better than the straight
tank, let me tell you.

Who else? Yes?

In the past, you've described act
up as fascist, yet in the press

release, you called them
"concerned citizens" and I was

wondering what
changed your mind?

Well, I don't think
you can't use both.

Fascists can be concerned
citizens and I don't believe

they are fascists, I think they
have used a fascist tactic.

Let us celebrate together
tonight, the end of the last day

on which Ed Koch can tell
himself that the communities

which are being decimated by
this epidemic are so weak and

so divided among themselves, that he can
keep serving us this kind of bullshit.

Tomorrow morning he will
begin to learn the truth!

ACT UP, stand tall, tomorrow
morning at city hall!

ACT UP, stand tall,

tomorrow morning at city hall!

ACT UP, stand tall,

tomorrow morning at city hall!

ACT UP, stand tall...

We're talking to Jim Eigo from the
treatment issues committee of ACT UP.

Jim, what specific
treatment issues are being

brought into this
demonstration this week?

The municipal hospitals are
totally falling apart.

More than half of the people
that get diagnosed with AIDS

today get diagnosed in the
emergency rooms of our city.

You're going to find yourself
waiting four days in an

emergency room before
you get a bed.

Pretty scared, but being

HIV-positive, I don't have
much choice in the matter.

I just love all these people,
and I think what we're doing is

really right and I mean, listen to
this and look at all the people.

It's just really wonderful and it's
worth putting yourself on the line for.

...there is no
accurate diagnosis.

There are incentives in the city
hospitals not to diagnose people

with AIDS and therefore,
people don't get treated.

We are angry at the way this
city has handled this crisis

and we demand that ed Koch exert leadership
and declare a state of emergency.

Go in the street now or wait,
those are the options.

- One, he says go.
- Go now.

Says now, three.

Tom?

Go now, Tom says.

We're standing here
with Larry Kramer.

What is ACT UP trying to
say today to Ed Koch?

We're sending a message to
public officials, to closeted

public officials, that we won't
be shat on anymore and obviously

all the AIDS issues.

I would love to see
like, more cameras or

something, you know, for
our own protection.

Did everyone hear his concern?

People die every day,
friends get sick every day.

It's like being in the trenches.

There's such anger in the
community and it is coalescing

in a way that has never
been done before.

Okay, which way do we face
girlfriends, this way or that way?

Healthcare is a right,
healthcare is a right!

Healthcare is a right,
healthcare is a right!

Healthcare is a right,
healthcare is a right!

Pump up the budget!

Healthcare is a right,
healthcare is a right!

You are currently in violation
of law by obstructing

vehicular pedestrian traffic.

You have the option of leaving
at this time, otherwise...

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

Fight back, fight AIDS!

I guess I'm feeling pretty
helpless at the moment.

I think like, the biggest
question that I'm facing

now is how to remain hopeful in

the face of increasing loss.

I don't know, maybe it
sounds really corny but I...

As difficult as the time is for

us... I like being alive.

And I love my friends and I love
my family.

I love the people around me.

I'm going to die from this.

This isn't going to be cured
for years and years and years.

Doctor's office.

Hi, it's Peter Staley.

...it's like living in a war,

all around me, friends are
dropping dead and you're scared

for your own life, all
at the same time.

I was diagnosed with
AIDS-related complex while I was

working as a bond
trader on wall street.

I had night sweats.

I began to get dry, patchy,
scaly, itchy skin on my face.

And I would get sick constantly.

Colds would lay me up for weeks.

I started to look around in
desperation for ways that I

could find treatments to help

save my life... um... And
there was nothing coming out

of our government's efforts,
I quickly realized.

Everything I read said I had about
two years to live, at most.

- What do we want?
- A cure!

- When do we want it?
- Now!

- What do we want?
- A cure!

- When do we want it?
- Now!

- What do we want?
- A cure!

- When do we want it?
- Now!

I was on my way to work and I got
handed a flyer about act up and AIDS.

My mentor says, "if you ask me,

I think they all deserve to die
because they took it up the butt."

I was deeply closeted and I had to just
stew about it for the rest of the day.

I got myself to the very
next ACT UP meeting.

They could just tap into that
immediate anger and get stuff done.

...we will not leave until an
administrator meets with us

and tells us that St. Vincent's
is willing to make a public

statement condemning gay
and lesbian violence.

All those in favor?

All those opposed?

They're coming!

You see them right there.

You've heard about ACT UP.

You've seen our flyers.

The kiss-in happens tonight.

ACT UP!

Fight back!

Make love!

ACT UP!

Whoo, whoo!

I'll deal with the cameras.

Are you the security guard
that was beating people up?

Members of the mainstream
media were thrown out, as we

were earlier on, but Steve Zabel

and I came back in and we're
bringing you this exclusive footage.

Don't destroy property!

You're destroying property.

Well, actually you damaged
some human property last week.

You damaged people.

You will not beat up on faggots
and you will not beat up

on lesbians in hospitals
in our own community.

Two gay women were beaten up
and when her lover came to

respond... you know the story.

And another story was when two
gay guys came in, one was sick

with AIDS, the security guard
told him to get the fuck out of

here and called him "faggot."

I think if you're gonna work,
especially in Greenwich village,

you should have some sensitivity training,
'cause we're not gonna have it.

I'm willing to meet with three
people if the rest of you leave.

Okay, one at a time,
one at a time.

It's unclear how to play it.

My own instinct would be to say,
"we'll be glad to meet with you,

and when the meeting's
over, we'll leave."

Not to leave before the
meeting takes place.

Gregg.

We've shown the kind of power we
can have by immediate action,

by sticking together, by
reaching a consensus together.

We should take this in steps
and we should be cool-headed.

I'm going to take
a straw poll, Okay?

...and we agreed to leave the
waiting room while he met with

three of our representatives:

Gregg, Jerry and Neil, in that
public space right there.

And then we would stick around out here
and wait to see what the outcome was.

So I said, "enough of this,
this job is gonna kill me."

So, I went on disability and

decided to become a
full-time AIDS activist.

In the beginning, what
drugs did we have?

We had nothing.

And the pneumonia could come

on like that, and be gone
and that person is dead.

The skin lesions, the Kaposi's sarcoma was...
people would be

coming in with a purple spot.

Everybody was coming in
with, "what is this spot?

What is that spot?"

You'd have some guys come in with k.S.
On their face and

they'd be putting makeup on
their face and they'd be...

It was... and they were lucky if

it just stayed in the skin.

If it didn't go into their
lungs, and then if it went into

their lungs, chemo didn't
work and then they were gone.

You were grasping at straws for
everything because these are

young, vibrant people.

And all of a sudden
they're being snatched.

I think everything has to
be put in perspective.

Larry?

Iris long is lifesaving.

If you can't hear in the back and you
want to, just shout it out, please.

This is a report from the
American society of microbiology,

a conference I went
to at the end of may.

Quiet!

There were many infections
talked about, including AIDS

at this conference, and it was

overwhelming to know how many
pathogens, bacteria, fungus,

protozoas and viruses there are

out there that can really make

you very sick...

One day this woman just showed up, this
housewife who had been a scientist and

still was, and said, "you guys don't
know diddly about what this is.

And anybody who wants to learn
about the system, how it works,

how grants are made, how the
science works, how everything

works, how the N.I.H. Works, how the F.D.A.
Works, how you

can deal with all this enormous
amount of material, I'll teach you."

There should be much more funding than
there is for infectious diseases.

Iris was not gay, but

she could not see, with what was
going on around her and what

she knew, not reaching out to the
affected communities of AIDS.

I waited and went up to
iris afterwards and said,

"I'm interested in what you were
saying, I'd like to know more,

I'd like to help."

And a few people joined her,

and that became a bigger and
bigger group and that became the

treatment and data committee:

T & D.

They're still getting a hell
of a lot more money than

actually getting those treatments in...
...it was kind of a dorky

activity for a bunch of east village
hipsters and artists to sit around reading

medical journal articles.

We called it science club, like
it was chess club or something.

There aren't drugs.

Individual after individual
had to come to grips

with the fact that "I will
survive the longest, the most I

know about what I'm
putting into my body."

So they all had to be become
scientists, to some degree.

And what I'd like everyone to
do is to keep on thinking of

ways to refine these things to
make them more clear to people

that don't necessarily
know the issues.

Like, 'o. I.', no one knows what 'o.
I.' Is... Okay, so I wrote it

here, just 'cause
it's shorthand.

Only 17% of people in their
trials have been taking drugs

for opportunistic
infections or cancers...

Mark wasn't like the
big, beefcakey guy.

He was super smart,
smoked nonstop.

Right away, Mark
digested, as by osmosis,

everything.

And within a few weeks, he had
come up with a glossary of AIDS

treatment terms and we started
giving it out in our meetings.

Next we have an announcement by
Tom Dwayne regarding housing.

This is Bernard Braverman, who's
in danger of being evicted

from his apartment that he shared with
his life partner for many, many years.

His life partner died and the
landlord wants Bernard out of

his home, because his name
was not on the lease.

What's his landlord's address?

There are cards here to fill
out to write to the governor.

Let's make sure our voices
are heard in New York City

to save the homes of p.W.A.S and
other non-traditional families.

Thank you.

I just want to say something
about what's just happened.

I've realized we haven't done
anything yet for him and we

haven't been effective and
we haven't been powerful.

But we will be.

It's very inspiring to know
that the power in this room is

potentially available to
each and every one of us.

One, two, three.

Good?

How's it?

Is that as good as
daddy's or better?

You're better.

Yay!

Would you like daddy to try it?

Are you ready?

That's not very good.

One, two, three.

I know this sounds ironic, considering
that it ended in divorce, but I think it

is fair to say it is the only really
successful love affair of my life.

I came out at age 40.

It was very bad timing to come out
in the middle of an epidemic.

The question is what does a
decent society do with people

who hurt themselves because
they're human, who smoke too

much, who eat too much, who drive
carelessly, who don't have safe sex?

I think the answer is that a
decent society does not put

people out to pasture and let them die
because they've done a human thing.

For the first time today,
the government approved

prescription sales of
a drug to treat AIDS.

The drug, A.Z.T., is not a cure
for the disease, but it has

prolonged the lives
of some AIDS victims.

It's the only government-approved
AIDS drug in America.

But even this most promising of drugs
is a source of frustration and anger.

At $10,000 a year cost per

patient, it's prohibitively expensive
for most and not widely available.

Out of the bars and
into the streets!

Out of the bars and
into the streets!

A.Z.T. Was the most
expensive drug in history;

They charge $10,000 a year.

We need to get a substantial price
reduction out of this company.

The incident began at 10
this morning when four AIDS

activists took over an office at
Burroughs Wellcome, saying they

had enough food and water to
stay holed up for a long time.

The activists are demanding that Burroughs
Wellcome lower its price of A.Z.T.

Burroughs Wellcome is
profiting off of our lives,

that's why we did
today what we did.

And, if they don't see to, start

listening to my community,
to our community, the AIDS

community, then we're
gonna be back.

One of the worst, worst
things was when people

died in the hospital, they used
to put them in black trash bags.

It was...

It was really awful.

And not every funeral parlor
would take patients who had died

of AIDS.

But so the least we could

offer is sympathy and moral

support, you know, and kindness,

and so forth.

And that they deserved,
in any case.

And when even that became
denied, you know, by the

totalitarian rules of
organizations, of institutions,

it was really horrifying.

It is the most frightening
medical mystery of our times.

AIDS victims must deal with the trauma
of being both a patient and a pariah.

I hate to use the word "gay"

in connection with sodomy.

There's nothing gay about these
people, engaging in incredibly

offensive and revolting conduct that
has led to the proliferation of AIDS.

There is a feeling among

members of any of a number of

professions or just the general
population, that patients with

AIDS, many of whom are homosexual,
are a little bit different.

I think that that has led to a
little bit of a complacency

about the approach
towards this disease.

In the absence of adequate
health care, we have learned to

become our own clinicians, researchers,
lobbyists, drug smugglers, pharmacists.

We have our own libraries, newspapers,
drug stores, and laboratories.

Some of the medications that were
made available were not effective.

They were in this category that
we called "what the hell" drugs,

which is there's some
evidence it could be useful,

it's unlikely to be harmful...
what the hell.

Should I type?

Yes, type.

Take your time.

Where are we?

We're at the people with AIDS health
group, the largest underground buyers'

club in the United States.

And what do you do here?

We help people import drugs
from other countries, um,

that are unapproved here.

Peptide T, albendazole, oral
amphotericin b, um, we have a

whole variety of things for
your treatment pleasure.

None of which work, by the way.

Put that in.

People with AIDS, what they
were mostly thinking about was

"oh, drugs, how do I
get it off-market?

How do I... will we ever get a
black market for this drug?

I hear this is good and..."

It was iris who helped us see:

We don't want a... black market,

we want to make the
real market work.

Try it.

Hi, I'm Mark Harrington
from ACT UP New York.

Recently, a lot of activists have
been asking why ACT UP is going...

Uh, you've got to start over, I've gotta do that...
I've gotta do that over.

You can just start
yourself over.

But I did - but I won't get that
wonderful cigarette-lighting thing.

I think the cigarette maybe
is not going to work.

I shouldn't use the
cigarette at all?

Really?

I don't think so, it's too, um...
too much.

Too much?

Hi, I'm Mark Harrington
from ACT UP New York.

A lot of people have been asking why are
AIDS activists going to the F.D.A.?

First of all, you have to
understand that the F.D.A. Is

one of the many federal AIDS
bureaucracies which we're angry

with for not doing enough
in the fight against AIDS.

Half the people who take A.Z.T.

Can't take it 'cause of side
effects, and therefore,

the F.D.A. Has to take a more activist
stance in the experimental process.

And only the F.D.A. Has the
power under existing laws and

regulations to release the drugs
that we want released now.

How's that?

Chanting group approaches:

A.Z.T. Is not enough!

Give us all the other stuff!

A.Z.T. Is not enough!

Give us all the other stuff!

A.Z.T. Is not enough!

Give us all the other stuff!

It takes nine months to

test a drug in Europe... in Belgium,
in France, in Germany, in england.

We are not asking the F.D.A. To
release dangerous drugs without

safety or efficacy.

We are simply asking the F.D.A.

To do it quicker.

Drugs for sale!

Drugs for sale!

Dextran sulfate for sale.

Get your dextran here.

You can't get it inside.

...f. D.A., but we're
selling it anyway.

$30 for dextran sulfate!

Release the drugs now!

Release the drugs now!

Release the drugs now!

...get to work, get to work!

Get to work, get to work!

...guilty, guilty, guilty!

Guilty, guilty, guilty!

Guilty, guilty, guilty!

...seize control, seize control!

Seize control, seize control!

Keep it moving!

Keep it moving!

Seize control!

Seize control, seize control...

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

Seize control!

Seize control, seize control!

Seize control,

seize control, seize control!

Seize control!

Tell us why you got arrested, where are
they taking you, what's going on today?

We don't know what's...
where they're taking us.

We're here because this
government has the resources

to deal with the AIDS epidemic, and
they won't do it unless we force them.

I.J. Hutchins reports
live from Rockville,

where the massive protest
is wrapping up... I.J.?

Well, Jim, it's being billed as one
of Montgomery county's biggest

demonstrations in recent history
and it went off smoothly.

185 arrests, as a coalition of

gay groups came to Rockville
to shut down the F.D.A.

Tonight, from Washington,
crossfire, against all odds.

On the left, Tom Braden.

On the right, pat Buchanan.

In the crossfire, Peter Staley of the New
York AIDS coalition to unleash power.

Peter Staley, you have the
AIDS virus, and I am sorry.

But don't you think that the

federal drug administration has
a responsibility not to let

people, such as you, have quacks

that could cause even more
harm than you already have?

The problem is, is that the F.D.A.
Is using the same

process to test a nasal spray

as it is to test AIDS drugs,
and it's a 7-10 year process.

You have the F.D.A.

Giving you a drug.

So far, you've got A.Z.T.

Why... - which I can't take
because it's too... far too toxic

and over half the people
that have HIV can't take.

Okay, but the F.D.A. Says

there is nothing else
that is worth anything.

Mr. Staley, this is gonna astonish you,
but I agree with you a hundred percent.

I think if someone's got AIDS
and someone wants to take a

drug, it's their life and if it gives them
hope, you ought to be able to take it.

What I want to ask you is
whether you know of anything

that you think might be some
kind of miraculous cure that

you think they're
sitting on at F.D.A.

There are over 140 drugs out
there that the F.D.A. Has

identified as possibilities,

and are in some stage of
being looked at right now.

Why are they holding back?

Among that 140, there's gotta
be one or a combination thereof

that can, that can slow down this
virus or halt it in its tracks.

You're just simply carrying
the virus, is that correct?

I have a few very minor symptoms and
my immune system is virtually shot.

What would you like to take?

I would like to be able to take
dextran sulfate... legally.

How would that hurt you?

...on the underground
right now.

Well, why not, Mr. Braden?

Because... well, I don't know
anything about dextran sulfate.

Well, I'll tell you this:

It's an over-the-counter drug in
Japan and has been for 20 years.

But - over-the-counter.

But if the F.D.A. Says...
I'm only asking that they

be released after there's a minimal
amount of efficacy, not a 100% test.

You've got the pink triangle on
your shirt, silence equals death.

I gather that means
you're a homosexual.

- Yes.
- Looking in the camera, what would you tell some

kid, say you had a younger
brother, 21 years old, who also

might have homosexual
tendencies, what would you tell

him if you wanted him
to live a long life?

Use a condom, and also to use a lubricant,
by the way, that has the medicine...

this is Russian roulette.

It is not Russian roulette.

It is Russian roulette to not
give people this information

when human nature dictates
that they're gonna

go out there, and
they're gonna have sex.

- You mean celibacy is impossible?
- It's just not gonna work.

People aren't gonna do it, and lots,
lots of people are gonna die.

Now would you rather have a lot

of people cheating on their
celibacy with thousands of

people dying, or would you rather save
those lives and let them have sex?

I think that, uh... Well,
thank you very much,

Peter Staley, thanks for
being in our studio.

Mr. Braden and I will
be back in in a minute.

One of the things we wanted
was a drug that you gave

to people who had
cytomegalovirus and advanced

AIDS, because people who had
both tended to go blind.

It was called d.H.P.G.

In a way similar to A.Z.T., it
was highly toxic, but it was

known to be effective because
6,000 people had already used

the drug, but never
in a clinical trial.

Hey, hey, F.D.A.!

How many people did
you kill today?

We are with Jim Eigo from
ACT UP, and there's a major

protest going on here in
Bethesda over the drug d.H.P.G.

Tell us what's happening.

Well, this is the second
meeting of the bush commission

for reviewing procedures for
approving AIDS and cancer drugs.

And we thought, since the

non-approval of d.H.P.G. Is
such a perfect example of how

regulation has gone wrong,
we'd bring it home to the

commission itself by showing up here
in force, and that's what we've done.

Okay, also inside at the hearing
itself, and I understand

there's gonna be an action in just a
little while when Ellen Cooper speaks.

I guess so.

What about d.H.P.G.?

What about d.H.P.G.?

Without the objective data, we
feel that we would indeed be

on, on treacherous grounds in

defending that decision, and in
fact would be wide open to the

charge of arbitrary
decision-making.

Although, uh, we certainly

wouldn't be be accused
of being inflexible.

You did it with A.Z.T., I don't
see why you can't do it with...

I mean, I have to say that
the difference in the data

between A.Z.T. And d.H.P.G. Is

the difference between night and day, as far as...
Sight and blindness.

You're just as blind...

...since this meeting's started, and four
more are gonna die before it's over.

Who represents the
patient on this panel?

Where is the person of
color on this panel?

F.D.A. Relooks at the

d.H.P.G. Data and suddenly, oh!

Agrees with ACT UP.

Ready for a vote?

All in favor, raise your hand.

One, two...

Well, that's everyone.

It was really an amazing
encounter, but it sort

of felt like reaching, uh,
the wizard of oz, like,

you've got to the center of the
whole, of the whole system,

and there's just this
schmuck behind a curtain.

There was no guiding agenda,
there was no leadership,

there was no global strategy for
how to deal with AIDS in the U.S.

And so, on the bus back from
Bethesda, we decided to write a

treatment agenda, because nobody
was dealing with the entire map

of AIDS, the entire
constellation of opportunistic

infections, the gaps in
research, the underrepresented

populations, the fact that the
diseases and the drugs might

be different in
those populations.

- How would we ever find out?
- They weren't even being studied.

♪ In the dark of night

I laid myself to rest ♪

♪ step out of the strange... ♪

- Bye, Ron!
- Bye, Bobby!

Come on Catherine, let's go.
It's time to go.

Yeah.

♪ Again ♪

♪ come to life... ♪

...knows no borders!

The AIDS crisis!

Knows no borders!

The AIDS crisis!

Knows no borders!

The AIDS crisis!

Knows no borders!

The AIDS crisis!

Knows no borders!

The AIDS crisis!

Knows no borders!

I'd just like to say that
the reasons I can't get any

of these drugs is 'cause for
nine years now, the leadership

in this country has failed to
come up with a plan of action.

They've failed to come up with
a plan of research, a national

research agenda.

People with AIDS and their advocates
have finally done this for them.

This is it.

This is the plan
we're presenting.

We need our government to read
this plan, we need them to work

with us, if they want to change
it a little, we'll talk to them.

But I want them to adopt it,
I want them to get started

on it, I want them to save our lives.
Thank you.

I snuck around and grabbed, uh,
grabbed one of those copies,

and it was very interesting.

We believe that the united
states has a global

responsibility to quickly
develop effective treatments,

not only for HIV infection
itself, but for all of the

opportunistic infections, which
actually cause suffering and

death in people
living with AIDS.

This is not a new agenda, and it
is not an agenda of only ACT UP.

Scientists agree with this.

Why can't we have it?

The researchers and regulators
are going to have to

come up with a parallel release
program that will get drugs to

the people who need it before
the five years down the pipe

where they may be
approved by the F.D.A.

I was scribbling madly
in this copy of their,

their AIDS treatment research agenda...
I would go back and

forth between saying, "no, no!

They, they don't understand!"

To saying, "whoa, you mean this
isn't the way we're doing trials?

You mean people aren't
allowed to do this or that?"

But I have to tell you that I
was still not ready to sort of

go up to them and
try, try and engage.

I brought this copy back and I
distributed it to a small group

of statisticians that was meeting regularly
to talk about trial design issues.

The people sitting around that
table got as excited as I did.

This had clearly been written
by people who were very

knowledgeable, very, very
intelligent, and really wanted

to do the trials the
best possible way.

They were not against trials.

They wanted to get the right
answers, but they wanted what

they called humane trials.

It all came together in
Montreal, but what was new for

ACT UP... we went
to a drug company.

There is renewed hope for
people infected with AIDS.

A new experimental drug, D.D.I.,
will be distributed on a limited

basis for free this fall by its developer,
the giant Bristol-Myers company.

This marks the first time an
anti-AIDS drug will be available

even before safety
testing is finished.

Full A.Z.T. Treatment is too
much for patient Peter Staley.

For nine months, he's been limited to a
quarter-dose of the drug, and wants D.D.I.

As soon as possible.

Do you need D.D.I.
To live, do you think?

Yes, I need, I need D.D.I.

I probably need some other
anti-virals beyond that.

It is historic, it is because
the AIDS activist community

has obtained this drug.

It is not the government, no one
has given it to us, we have

fought for it, and for the
first time, we have won.

So, by '89, less than a year after our F.D.A.
Demo, they had

approved a drug to prevent
blindness in people with AIDS.

And we had gotten expanded
access to D.D.I., and that was

a very powerful feeling.

We felt like we were taking direct
action and we were helping make

people's lives better.

I wasn't sure that A.Z.T. Or D.D.I.
Were all that great,

but we were beginning to get
letters from people that said,

"thank you for saving my
eyesight, " " thank you, ACT UP,

for getting me access to D.D.I.

And helping to save my life."

At Merck, HIV was an
important scientific target.

HIV, of course, is a virus.

In order for the virus to infect
an uninfected cell, it needs to

construct itself in
a particular way.

First, the viral RNA needs to
transform itself into a DNA copy

in order to knit itself into the nuclear
DNA of the newly infected cell.

This occurs by a process
called reverse transcription.

- A.Z.T. And D.D.I. Were both
- Originally developed to try to

inhibit that process of
establishing infection.

A number of other researchers
began to focus on another

portion of the viral life cycle,
after the cell is already infected.

One of the steps that it takes is that is...
it makes a viral

protein, it has to snip that viral
protein in very specific places.

The resulting pieces self-assemble
to make the viral particle.

And what does the snipping,
and what in fact controls

the snipping is a viral
protein called the protease.

If you genetically modify the
viral protease so that it can no

longer snip, the virus no longer
has the ability to make those

component pieces that it
needs to make in order to

self-assemble, and make an
infectious viral particle.

We solved the structure
of HIV protease in 1989,

and published it pretty quickly.

I think, I think we saw the
structure and within a few weeks

it was in the literature.

And then the question became
"all right, can we prove it?"

Can we prove it that that is
in fact the case, and most

importantly, can we prove that
if you inhibit that protease,

if you knock out its activity,
that the virus can no longer

replicate, and therefore make new
progeny viral particles that

would then go on and establish
a new cycle of infection.

AIDS is now the leading
cause of death for men

under 44 in New York and a
half-dozen other cities,

surpassing homicide and
all other diseases.

Yet Roman catholic bishops are
meeting this week to publicly

oppose the use of condoms
as morally unacceptable.

This puts them in direct opposition to U.S.
public health policy.

The new church position
condemns not only the

immorality of condoms, but
their effectiveness, as well.

The draft under consideration in
Baltimore this week says it is

quote, "a virtual certainty that
reliance on condoms will result

in transmission of AIDS."

Of the bishop's proposed new
policy, New York City health

commissioner Stephen
Joseph says...

This would be a
public health disaster.

It would undoubtedly lead to
more transmission, particularly

in high-risk areas of the city,
more disease and more death.

Catholic conservatives say not
just physical death but spiritual

death is at issue here.

As New York City's archbishop,
John cardinal O'Connor put it...

The use of prophylactics is
immoral in a pluralistic society

or any other society.

I think that's it except, of
course, we have Ann Northrop

giving her sound bite technique.

Uh, we want everybody to join

us, to support us, to destroy

the power of the catholic
church, to make our side the

strong one, and to do that,

we must put out the message
that we are the ones who are

fighting for people's lives,
and they are the murderers.

Don't be afraid of the media.

You're talking through
them to the public.

We are trying to arouse,
to anger an action.

And hone it down to, yes, a
three-second bite, a five-second bite,

just a phrase that will have an
impact, that will say something

specific and that will
be understandable.

So...

I don't have a, uh, phrase

worked out, and, uh, so you're
all gonna have to create your

own, so this is empowerment.

ACT UP!

ACT UP!

♪ Answer me,

sweet Jesus ♪

♪ won't you help me? ♪

Please, you're interfering
with us, step back.

This is Jesus Christ.

I'm in front of St. Patrick's
cathedral on Sunday.

We're here reporting on a major AIDS
activist and abortion-rights activist

demonstration, which will be
taking place here all morning.

Inside, cardinal O'Connor is

busy spreading his lies and rumors about
the position of lesbians and gays.

We're here to say we want
to go to heaven, too.

J.C. Here with the fire and
brimstone network, and we'd like

to ask you a little bit about this large
vision that you've visited upon us.

Well, we've decided to
rename the cardinal.

He's now cardinal O'Condom.

This is our message to him that
condoms are safe, it's no sin.

Stop killing us!

Stop killing us!

Stop killing us!

We're not gonna take it anymore!

You're killing us!

Stop it!

Stop it!

Stop it!

Stop it!

Stop it, stop it!

Stop it!

How many more have to die?

How many more have to die?

Saving lives is morally right!

Those protesting

believe that the protests
will result in some change of

environment, some change
of attitudes, perhaps.

The church will be teaching that
homosexual activity is sinful,

until the end of time.

That won't change.

This is July 22nd, 1989.

Now Sara, what do you think
about your dad being 44?

Good.

Thank you, thank you
for your support.

One, two, three.

Yay... We did it.

A lot of smoke.

Oh, boy.

I wish those candles
would stop smoking.

It's bad for their health.

That's right.

Okay, Robert Rafsky, do you have
any remarks before you jump off

the edge of the porch?

I have no interest in jumping
off the edge of the porch.

I will jump up and down.

I think 44 is a very fine age.

It has a nice symmetry to it,
it has a nice feeling to it.

It's, uh, better than 22 and
possibly better than 88.

We'll see.

Here's how we planned this.

What we want to do is run this
like a treatment and data meeting.

A number of times we've had
people come to a treatment and

data meeting and speak on

certain issues.

We try to get in depth, we
try to nail issues down.

This isn't a free-for-all.

Let's call it a working
confrontation.

So, why don't we start?

This is Dr. Anthony Fauci.

Bob Rafsky.

I may be wrong, Dr. Fauci, but
it's my understanding that

thousands of people died from
pneumonia because there was no

priority within the government,
or within the medical system

as a whole, to push the known

preventative treatments
for a long time.

Now those thousands
of people are dead.

It would seem to me that someone
who was within the government

while that took place, as you
were, must have on their

conscience these deaths.

That is a tough one, um...

No, it really is.

It's inexcusable that an
academic priority should ever,

ever come before the health of
the people that you're working

with, there's no
question about that.

But the reality of the situation
is there was a great reluctance

among the community of

everything from the scientists
to the congress saying that what

we should be doing is not

telling investigators what to
do, but we should allow them to

do what they feel is
the most important.

Now that sounds awful when
you're putting it in the context

of what we're talking about here, but
the whole world isn't in this room.

Every 12 minutes someone dies!

Protests won me a Nobel prize!

Every 12 minutes,
someone dies...

AIDS activists stormed the government's
premiere disease research center.

The national institutes of health is
where an AIDS cure might be found.

It is where therapies are being
tested in clinical trials.

No more secret meetings!

No more secret... Demonstrators
blocked access to buildings.

Scientists and administrators reporting
to work stood around looking confused.

Activists charged the bush administration
with foot-dragging on AIDS research.

It's not the amount of federal
money allocated to it so much as

how research priorities
are defined.

We need new drugs to keep
people alive, but the NIH is

only testing old drugs,
drugs that we already have.

Can you tell us
what you're doing?

Hi, I'm Jim Jenson and I'm
in a clinical trial here.

And right now, I'm observing and
participating in the ACT UP demonstration.

Why? Why do you
support this action?

Because we need far
more AIDS research.

And we're just beginning.

What trial are you in?

I'm in interleukin-2 A.Z.T.
Combination study.

Are there any women
in your trial?

No, there aren't
any women at all.

People of color?

Uh, no, there are not.

Why do you think that is?

Just the beginning
of the problem.

Murder, murder!

There are three major things
that control stupidity,

incompetence and greed.

Those are the three major
driving forces behind what's

going on here and why there are
no treatments out there for

people living with this disease.

In that building down that way,
Dr. Anthony Fauci is deciding

the research priorities
for the national

institutes of allergy and
infectious diseases.

We're down here 'cause we think
we should be deciding the

research priorities, because
these are the people who know

what's going on 'cause they're
dealing with it every day.

The whole world is watching!

The whole world is watching!

The whole world is watching!

The whole world is watching...
The whole world is watching!

The whole world is watching!

The whole world is watching!

The whole world is watching...

If anything, the mood after

the n.I.H. Was even bleaker than
the mood before, because we had

no indication that they were
gonna change or respond to our

demands, and we had in fact had
a meeting with them in Bethesda

after the n.I.H. Action that
indicated that there was total

resistance to putting people
from the community on the

research committees, to letting
the ACT UP observers attend

the meetings, and to open up the meetings
so that they weren't secret anymore.

Why should science be
shrouded in secrecy?

It's supposed to be based on
a free exchange of ideas.

And, so, it was very important

to stage in San Francisco
before, again, the global

community of scientists and
people working on AIDS, why we

had been at the n.I.H., why the U.S.
system wasn't working out,

and to reach the people directly
that we had reached symbolically

through the n.I.H. Action.

About a hundred protesters
have already been arrested at

the international AIDS conference
that began today in San Francisco.

Hundreds more are angrily
protesting a government policy

they say neglects research
and ostracizes victims.

Why don't you do an
informational slide first?

"United States has the most discriminatory
immigration policies regarding HIV."

I could say, you know, as a way
to bridge the, uh, the rift

between the scientific community...
all of you...

and the activists, we'd like
you to join in some activism.

...and I've always been
painfully aware that in order

for me to beat this virus and
live, I will need a great

deal of help from all of you.

Can we all, before it's too late,
begin to understand each other?

Will we realize that we
share similar motivations?

During the upcoming days, act
up New York will be handing

out our AIDS treatment agenda,
which includes a list of

99 drugs that we believe could
be ready for small phase-one

studies this year or next.

However, from your side, we're
being constantly told to butt out.

On my side, the level of anger

and frustration is reaching such
a point that attitudes claiming

that all of you are uncaring and in
it for greed are now widespread.

While at times we may offend
you, remember as well that

like you, ACT UP has succeeded

in prolonging the lives of thousands
of people living with HIV disease.

I would like to be joined in front of
the stage by my fellow AIDS activists.

Would you all come up?

At this moment, there are others

just like us who are trying to
get into this conference but are

being barred by the Billy clubs
of San Francisco police.

And there are still others like
us who are trying to get through

customs at the San Francisco
airport, but are being detained

instead because they are gay.

There's a man that could have
prevented these absurdities.

This man has said that he would like
to see a kinder, gentler nation.

If you believe that the
immigration policy barring

people living with HIV disease
from entering this country is

useless as a health policy and
discriminatory as well, please

stand now and remain standing.

Join us in vocalizing
our collective anger.

Join us in a chant against the man who
could bring down the I.N.S. Barriers.

Join us in a chant against the
man who has decided to show his

commitment to fighting AIDS
by refusing to be here today.

Instead, he is at this very
moment in north Carolina,

attending a fundraiser for the
homophobic author of the I.N.S.

Barriers, that pig in the
senate known as Jesse helms...

Join us in this chant:

300,000 dead from AIDS,
where is George?

300,000 dead from AIDS,
where is George?

300,000 dead from AIDS,
where is George?

300,000 dead from AIDS,
where is George?

You can all now consider
yourselves members of ACT UP.

One of the things that
happened in San Francisco was

that we found out we had won
some of our n.I.H. Demands.

Fauci came up to me and said,
"we had a meeting, we decided

that we're gonna put you guys on
all the committees, and we're

gonna let your observers go to
the meetings, and the meetings

won't be secret anymore."

Never again... could any of
this be done without taking

people with AIDS and their
advocates into consideration.

This would be public
business from now on.

You know, we should all be
going through the bushes

like this, like sticking
our heads up...

...it was beginning to feel a
little different because we'd

spent all the time up until then
being on the outside, sort of

beating on the doors and trying
to get in, and now they actually

wanted to hear what
we had to say.

We brought them in at Merck.

We made... we made a very, uh,
specific effort to bring those

individuals in so that they
would see what it is that we

were doing... or trying to
do from the very beginning.

This was really fantastic
stuff because we were sitting

down with them, and... sometimes

from the very earliest stages
of development of a drug...

and helping them plot out their strategy
toward, uh, designing clinical trials.

The chemists who had worked
on the project, a bunch...

uh, couple chemists said,
"let's look at all the aspartic

protease inhibitors that
we have on the shelf."

And they tested 'em and they found a
few molecules that actually worked.

The challenge was is now you had
these molecules that were really

good inhibitors in your assay,
which is just in a test tube.

When you put it into animals
they just would never work

or they would never get
absorbed by your system.

And I remember being very
disappointed 'cause I had to

share this information with
sort of my own personal view,

this is gonna be a lot
more difficult than,

you know, we thought
it was gonna be

originally, and in fact
may not be possible.

And Bill Bahlman said, "take a break,
pick yourself up and go back at it."

If he and his colleagues and his
friends around the table can

take that attitude and do that,
I remember saying to myself,

"Emilio, you've got no right to
say to yourself, 'I don't know

if I can do this, ' all right?"

And... so, off we went.

And we kept going at it.

We're spending $4 billion
a year on AIDS research.

When you consider that on a
per-capita basis for... compared

to heart disease or cancer,
it's an awful lot.

Almost nothing stops George
Bush from a round of golf.

He's played nearly every day...
and sometimes twice a day...

during his August vacation.

♪ I'll be glad when you're
dead, you rascal, you ♪

♪ rascal, you ♪

♪ I'll be laughin'

when you're in your
grave, you dog ♪

♪ dirty dog ♪

♪ when you're dead
and in your grave ♪

♪ no more ravioli
will you crave... ♪

If the message is research,
I would say please

talk to Dr. Fauci and others at
the national institute of health

who would tell you that, uh, we're doing
pretty well in funding of research.

♪...dirty dog ♪

♪ I invite you to my
house for a meal ♪

♪ all my meatballs
you tried to steal ♪

♪ mm... you're a devil, yeah ♪

We've got to factor in the
sensitivity of those of us

who feel that there's a
spiritual and moral aspect to

this playing to the
homosexual, lesbian crowd.

It makes it different
from anything else.

Oh, shh-.

I wish they'd shut their
mouths and go to work

and keep their private matters
to themselves and get their

mentality out of their crotches.

I'm here today because
Jesse helms is the devil.

Jesse helms has worked for years
to do as much as he possibly can

to ensure the continuance
of the AIDS epidemic.

The disease is spreading because of him,
and people are dying because of him.

This is an educational effort, it's not a
violation of people's property rights.

We've been very careful that
absolutely no damage is done,

and if any damage is done, whatever
it is, we'll be happy to pay for it.

We have the money with
us to pay for it.

You guys don't want to tangle
with these people 'cause

you don't want to get AIDS,
I know, but what's next?

Come on, get out.

If they would keep their
mouths shut and go about

their business with whatever
their sexual orientation is,

nobody would ever say a word and we
wouldn't know anything about it.

But, no, they march in the
streets, and they defy you to

say anything about it.

Well, they don't like me
and I don't like them.

Back off the property.

Bunch of 'em climbed up
on my house in Arlington

and hoisted about a 35-foot

canvas, uh, condom one
day in protest of me.

Fight AIDS! Fight AIDS,
fight AIDS, fight!

♪ I'll be glad when you're
dead, you rascal, you. ♪

Sir, when we started this
colloquy, I thought I was

on your side, particularly
on the first amendment.

And under the first amendment,
people don't have to shut their

mouths, they have
a right to speak.

Well, uh... they can speak,

uh, just so long as, uh,

they don't offend anybody
else, uh, I suppose.

Make sure your second
coming is a safe one.

Use condoms.

- ...are you shooting?
- Yeah.

I just turned it on.

Okay, rolling.

Tell him we're rolling.

The machine is rolling.

You can start
talking now, honey.

Oh, I didn't know
she meant now.

What I was gonna say was I just
love, I love so much to go up to

the 10th floor because no one
ever had explained to me that

there was going to be light
again in the world and that the

whole world wasn't
going to be dark.

Some great challenges
face us as young people.

We're in our 20s, and, and

this is the challenge that's
been placed in front of me.

And, who knows, little camera.

Lots of other blind, deaf
men have lived happy lives.

There are, there are many
years to come, let's hope.

So...

What the hell?

Life is worth living...
Isn't it?

The death rate just
kept on climbing.

We realized that science really
was up against a brick wall.

We kept getting new drugs
approved to prevent

opportunistic infections, and then
somebody would just get another infection.

So, Peter, where are we going?

We're gonna be going to the headquarters of
daiichi pharmaceutical companies of Japan.

This is their U.S. headquarters,
and, uh, we're blockading their

offices because they have a drug

that's important both to AIDS
activists and cancer activists,

specifically, uh, breast cancer,
um, that they've been dragging

their feet on for over two
years now, and, uh, we don't

understand why, but we certainly

are gonna try to let them
understand why we're concerned.

...and, everybody...wait for
you at the end of the hall.

Just wait outside
the elevators.

Shh...

Hey.

Hi, we're with ACT UP.

We're doing an act of civil
disobedience, please remain calm.

Jim, it's Peter, we're in.

Send all the press.

Hello, we're from
ACT UP New York.

You already have the blood of
several thousand people on your

hands, and those of us like me
who have Kaposi's sarcoma are

gonna die, and we are here
until we get arrested.

You seem to know nothing about
the actual details of the

development of this drug.

Maybe you're just
not telling us.

Mr. Borsic, have you scheduled
a meeting with the F.D.A.?

Yeah, as soon as we can.

We have helped many companies
through this process.

We can take a drug from your
test tube to the market

in under two years if you work
with us, and we will pave the

way for you with the food
and drug administration.

But, but this total reluctance on
your part is gonna get you nowhere.

...have been used in
people for 30 years.

It'll end up killing
us, all right?

See this dark mark
on my forehead?

That's Kaposi's sarcoma.

It's gonna spread!

It's gonna kill me.

You coming to my funeral?

Because you're the man
fucking responsible.

You are my murderer in
your shirt and tie.

Do you think that you'll
live to see a cure?

No.

I don't.

Do you think that you'll live?

No.

No.

You expect to die from this?

The anger just mounted and mounted and
mounted the more people who were dying.

Once a week we met...

And at that meeting a lot of
people came who were just

terrified they weren't gonna
be alive even the next week.

What can we do, how
can we get there?

I think ACT UP's anger turned in after
having been directed out so long.

In its first few years,

treatment and data pretty much
got everything it wanted from

the floor of ACT UP, but as

treatment and data was becoming
more and more technical,

there were a lot of people in the
general membership of ACT UP

that saw that as an elite, and
that maybe it would be better if

that elite was pulled in a bit.

There was a fear, I think,
that we were getting too close

to the people in power, that we would
compromise our own principles.

And the people who were more
interested in the social issues

became uncomfortable with that.

I remember this very divisive
moment where, um, you know,

there was a proposal for
moratorium on meeting with

drug companies, and someone...

for six months... and there was
a huge and impassioned debate

over it, and someone said... a
woman who was not HIV-positive

said, "well, it's not like it's
for the rest of your life."

And for a lot of people in the

room, it was the
rest of their life.

ACT UP!

Fight back!

Fight AIDS!

There were inevitable
splits in priorities.

And you know quite well...
I know.

And it was completely
left out of the n.I.H.

Research agenda.

I agree.

I, I...

I remember a lot of dirty tricks that
happened, and a lot of fear within the

organization that the various
factions had done this to each other.

Mark Harrington, Mark Harrington,
there's a video camera here now.

Would you like to take an oath
that you will not write nasty

anonymous letters to people?

I've been getting some hate
letters too, but those are

unsigned. I don't ever, I don't ever...
so you'll keep on

writing nasty letters to people?

There were a lot of charges in the midst
of that, of sabotage and threats.

Our last speaker is,
is Larry Kramer.

Why didn't you
answer the charges?

Bill, you're gonna
have a chance to talk,

all right, everybody's...
don't lecture me,

you stupid, lazy,
incompetent shithead!

Bill, everybody got the flyer...

...you can't just lick
his ass before he talks!

Shut the fuck up and
let him answer!

Look, there are a lot of people
in the audience who want

to ask and talk about treatment,
and I think it's important that

we allow that to happen.

Oh, we're gonna dictate
free speech now?

You're the one who's interfering
with speech right now.

Go back to G.M.H.C.

Or whatever AIDS pimp
operation is paying you.

You're making the same point
George Bush made... - plague!

We are in the middle
of a fucking plague!

And you behave like this!

Plague!

40 million infected people is a

fucking plague!

We are in the worst shape we
have ever, ever, ever been in!

All those pills we're shoveling
down our throats, forget it!

ACT UP has been taken over by a
lunatic fringe, they can't get

together, nobody agrees with
anything, all we can do is field

a couple hundred people
in a demonstration!

That's not gonna make
anybody pay attention!

Not until we get
millions out there!

And we can't do that!

All we do is pick at each
other and yell at each other!

And I say to you in year 10

the same thing I said to you in
1981 when there were 41 cases.

Until we get our acts together,
all of us, we are as good as

dead.

In the end, the treatment and data guys...
Peter, Garance, Mark, and some

others... split off and formed
their own separate organization.

Tag was one of the little Mercury balls
that flew off the main body of ACT UP.

A more sort of "think tank"
type project came about.

Mr. Harrington, a tag
member, educated at Harvard

college, and he has worked for
a long time on experimental

treatments for the disease, and
and also the basic science.

And Mr. Gonsalves was born in

long island and attended tufts
university, also a tag member.

Um, I guess I can do nothing
better than to turn this

conference over to my speakers.

I noticed that you're both
sitting up there in suits

and ties. Do you feel that your
approach is better than circling

n.I.H. Buildings and so forth?

I think that we like to keep our
options open, but it's silly

to risk arrest and the hassles

that are intendant upon it if
you can get serious attention

and negotiations going
with other measures.

We just released a report, a critique
of all the n.I.H.'S AIDS programs.

The research is spread out
over 12 agencies, there's no

coordination, there's
a lot of duplication.

There's no leadership.

The budget is shrinking and
shrinking as cases mount,

and the president needs to be
blamed, as well as the congress

who cut the entire n.I.H. Budget
by $150 million two weeks ago.

Our recommendations, I think,
are gonna require some

legislation, um, so we have to

go to our friends on the hill and see
what wonders they can work for us.

We had this one particular
compound that looked like it may

have had the potency and the

physical properties that we wanted,
and it could be a possible drug.

We said, you know, let's put
in HIV-infected individuals

and let's see what happens.

So, we went into HIV-infected
individuals with this drug

called crixivan, and you could
see a very substantial drop just

with the one protease inhibitor, you could
see a very substantial drop in virus load.

So that was the first week.

The second week was very
disappointing, because what we

saw in the second week was in fact, the
virus load coming right back up again.

One exception.

There was one patient that,
um, patient 143, I believe,

was his name... his number...

that the virus went
down and stayed down.

That told us that
it was possible.

If it can happen in one, then
by definition it can happen

in everyone, you just need
to figure out how to do it.

That puts you in a completely
different place and in a

completely different
state of mind.

So then the question became,
Okay, now what do we need to do

in order to make it possible?

This is the beginning of the primary
season to elect the next president.

We want to send a message to all
of the candidates... we have not

seen them actively address the
AIDS plague, and we thought

it would be best to send a message by
voting with our feet in the streets.

I want to call for a massive
march on Washington.

The weekend the AIDS
quilt is gonna be there.

We have got to surround the
white house with people

concerned about AIDS to push

bush out of the white house!

Last night a man with
AIDS heckled Clinton,

charging that he had a bad record
on fighting AIDS in Arkansas.

When voter Bob Rafsky met Bill
Clinton, it was anything but pleasant.

We're dying in this state, what
are you going to do about AIDS?

First of all, it will become a
part of my obsession as president.

And that's why I'm running for
president, to do something about it.

Will you just calm down?

I feel your pain!

I feel your pain, but if you
want to attack me personally,

you're no better than Jerry
brown and all the rest of these

people who say whatever
sounds good in the moment.

If you want something to be done,
you ask me a question, you listen.

If you don't agree with me,
go support somebody else for

president, but quit
talking to me like that.

This is not a matter of personal
attack, it's a matter of human loss.

I came here tonight because
I'm dying from AIDS.

And it doesn't matter to me who
the next president is if they

don't change 11 years of government
neglect of this epidemic.

Is this on?

This isn't on.

Um, Okay, first off, um,

what happened this week was AIDS
became an issue in this campaign.

I'd like to call
down Bob Rafsky.

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

Uh, never debate a Rhodes scholar...
it gets you into a world of trouble.

It looks like what we have to do
is to keep forcing these clowns

to say the right thing so that
if one of them happens to become

president, we can hold them accountable
for doing the right thing.

Yeah.

But I just... it's always
important to say that we all

know that the names of the
people who might save our lives

are not Bill Clinton
and Jerry brown, etc.

The names of the people who
might save our lives are

iris long, Mark Harrington,
Peter Staley, etc.

And they're the ones who will be

remembered as the heroes of this epidemic,
as well as those who have gone before.

♪...and he smells
like one, too. ♪

Well, I haven't showered,
so I'm not surprised...

No, I've just been writing and
I was up at 5 A.M. yesterday.

This is Bob's birthday,
July 22nd, 1992.

- Ready for the pyrotechnics?
- Yes!

Nathaniel, help.

No!

Yay!

Lydia E. Rios.

Steve H.

My friends David Evans,

Nicolas kaiser, George Marshall,

and my beloved brother Dennis J.

Robert R. Hakins.

Phillip Gregory Ellison.

Terry Ronan.

Michael Bennett.

Ron Field.

Tina Chow.

Perry Ellis.

Freddie Mercury.

Peter Allen.

To the thousands of other people who
were made to suffer in silence.

Join ACT UP for a
political funeral!

Meet at the South of
the capitol at 1 P.M.

Give a wake-up call to George
Bush and Bill Clinton and Perot.

I think the quilt itself does
good stuff and is moving.

Still, it's like making something beautiful
out of the epidemic, and I felt like doing

something like this is a way of showing
there's nothing beautiful about it.

You know, this is what I'm left with...
I've got a box full

of ashes and bone chips.

You know, there's
no beauty in that.

And I felt like a statement like
this is like saying "this is

what George Bush has
done," you know?

This is what him and Ronald
Reagan before him have done.

These are our loved ones and
this is what they've been

reduced to, and we're bringing them to the
person who's responsible for their death.

Fight back!

Fight AIDS!

ACT UP, fight back, fight AIDS!

ACT UP, fight back, fight AIDS!

ACT UP, fight back, fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

Bringing the dead to your door!

We won't take it anymore!

Bringing the dead to your door!

We won't take it anymore!

Bringing the dead to your door!

We won't take it anymore!

Bringing the dead to your door!

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

Shame, shame, shame, shame!

Shame, shame, shame, shame!

Shame, shame, shame, shame...

I love you, Mike!

I love you, Mike!

Welcome to the first of three
debates among the major

candidates for President of the
United States, sponsored by the

commission on
presidential debates.

Mr. president, yesterday tens
of thousands of people paraded

past the white house to demonstrate
their concern about the disease, AIDS.

A celebrated member of your
commission, magic Johnson,

quit saying that there
was too much inaction.

Where is this widespread feeling

coming from that your administration
is not doing enough about AIDS?

I can't tell you where it's
coming from, but I am very much

concerned about AIDS, and I

believe that we've got the
best researchers in the world

out there at n.I.H.
Working the problem.

It's one of the few diseases
where behavior matters.

And I once called on somebody,
"well, change your behavior.

If the behavior you're using, uh, prone
to cause AIDS, change the behavior."

Next thing I know, one of these
ACT UP groups is out saying bush

ought to change his behavior.

You can't talk about
it rationally.

Let everyone here know
that this is not a

political funeral for Mark
Fisher, who wouldn't let us burn

or bury his courage...

Or his love for us any more than

he would let the earth take his body
until it was already in flight.

He asked for this ceremony,
not so we could bury him,

but so we could celebrate
his undying anger.

This isn't a political funeral
for Mark, it's a political

funeral for the man who killed
him and so many others,

and is slowly killing me.

Whose name curls my tongue
and curdles my breath.

George Bush, we believe you'll
be defeated tomorrow because we

believe there's still some
justice left in the universe

and some compassion left
in the American people.

But whether or not you are, here
and now, standing by Mark's

body, we put this curse on you.
Mark's spirit will haunt you

until the end of your days,

so that in the moment of your defeat,
you'll remember our defeats.

And in the moment of your death,
you'll remember our deaths.

As for Mark, when the living can

no longer speak, the
dead may speak for them.

Mark's voice is here with us,

as is the voice of pericles, who
two millennia ago warned the

Athenian soldiers who didn't
have to die, and in whose death

he was complicit, but who had
the nobility to say that their

memorial was the whole earth.

Let the whole earth hear us now.

We beg, we pray, we demand
that this epidemic end!

Not just so we may live,

but so that Mark's soul may
rest in peace at last.

In anger and in grief, this fight is
not over till all of us are saved.

ACT UP.

Fight back.

Fight AIDS.

The debate over AIDS therapy
has reignited with a new

European study that challenges
the effectiveness of A.Z.T.,

the widely prescribed drug
used to treat the HIV virus.

This study disproves what
every other study proves,

is that the drug is at best
modest, mostly useless, not good

for you in the beginning.

Two other drugs, D.D.I.
And d.D.C., were approved

because they were as good as
A.Z.T., which means that they

might not be very useful either.

All this is profoundly dispiriting
for advocates of people with AIDS.

We thought we had made some
advance in AIDS treatment over

the last five years, and these
studies show that we really haven't.

Many activists now admit their
demands were short-sighted.

It's been a huge expenditure,
a waste of money for the U.S.

Taxpayer, and it was a naiveté
on our part to think that the

magic bullet was out there, it just
had to be tested in humans and, uh...

Given to us as the cure.

Many doctors and scientists say the bleak
results presented here indicate the U.S.

Government needs to substantially reorganize
the way it conducts AIDS research.

Robert Bazell, NBC News, Berlin.

There's been this big crisis at St.
Vincent's about the way

that we talk about the, uh,

what happened in Berlin.

Couple of doctors said they were afraid
of people committing suicide now.

I don't feel like, oh, now

I just... I don't feel oh, now I
want to give up, now I want to

stop living because A.Z.T.

Doesn't work.

I've felt forever now that I'm not gonna
outlive this epidemic, that I will,

that I will die from this.

You know, maybe that is our future,
that we're gonna watch each other die.

It's... that's not a new thought.

We've been thinking that ever
since we started the group.

The way that the recent spate
of deaths is... I don't know,

it all seems so much
more apocalyptic.

Like the story doesn't seem...

To have this relationship to effective
treatment, or a cure anymore.

It now seems to have this
relationship to death.

It ends, it ends with
everybody dying.

Will the last person alive in
Chelsea please turn out the lights?

Joining me now is Dr. David
Kessler, the commissioner of the

food and drug administration.

Dr. Kessler, how excited should
we get about this new family of

drugs, these
protease inhibitors?

I don't want to over-promise,
but these are the most potent

drugs we've seen
against the virus.

I know that you are pushing
for faster F.D.A. Approval

of these drugs, I know that the
application has just gone for

the first of these drugs to the f. D.A...
It's still gonna take six months.

We will turn around that
application as quick as ever.

We're approving drugs in a
matter of months these days.

But you were telling me
that's six months, right?

That's as quick as possible.

We may be able to do it
even a little quicker.

A split has developed
between those who want

rapid approval based on early
indicators of success...

And the treatment
action group, or "tag".

Tag has asked the F.D.A. To reconsider
the accelerated approval process.

We told the F.D.A., "no,

the company has asked you to
approve that drug too soon.

They need a little bit
more data first."

Tag is asking the F.D.A.
To take a closer look at

saquinavir, the first protease
inhibitor to seek approval.

We need to make sure we don't repeat the
mistake we made with A.Z.T. And D.D.I.

This is a new class of drugs.

We need to know if it works.

...the battle over early
approval of saquinavir was a

really pivotal moment for
treatment activism, and we took

such shit for it... from within.

There are a lot of people
who do agree that there are

problems, serious problems the way
drug testing and drug trials are run.

But there are many of us
who feel that halting, um,

accelerated approval is not
necessarily the answer.

Tag made their proposal for
this large, simple trial of

18,000 people that they want to

put in a placebo control trial
where one-third would get placebo.

They pushed this idea on the F.D.A.
At a secret meeting,

which was not announced
to the community.

This is something we have
fought hard and long for.

We've been arrested to get
accelerated approval through.

It's the behavior that
I have a problem with.

It's the work they're doing that
I have a problem with, and it's,

this is what I am gonna fight.

I'm not interested in mud
wrestling with the boys.

I am absolutely enraged
that there are

people who have appointed
themselves elitist

representatives, and represent themselves
as the single voice of this epidemic.

I am gonna fight them, my
patients are gonna fight

them, and you goddamn
well better fight them!

Apparently there's a big discussion on
accelerated approval and protease drug

development last week on the
floor, so we just wanted to give

you sort of the tag perspective,
and give you a sense of our, um,

proposal on protease drug
development so we can start from

a baseline of common
understanding and knowledge.

This proposal is not about
taking expanded access away,

taking accelerated approval away...
this is about adding something.

This is about figuring
out how do we get

information about how to
actually use these drugs.

We need more people when you
have a less powerful drug.

If we were dealing with penicillin,
we could do it in 20 people.

So we put together a large,
simple trial that tried to

synthesize expanded access
in a large, simple trial.

And what we did is we presented
it to Merck, we presented it to

the F.D.A., we wanted to start
a community discussion.

I just wanted to thank Gregg and Derek
for coming to tell us about this...

Because we hadn't heard anything
until we read about it in Barron's.

If you wanted to hear the proposal,
you could have heard it 40 times.

It's been talked about all over.

Dr. Cotler wants to speak.

Tag is talking about getting
accurate information.

ACT UP is talking about
making drugs available.

There should be a way to mesh those
two, it's really not one or the other.

Your two groups are really
talking past one another.

Try not to scream, try not to
go at each other's throats,

but just talk, because the
differences really can be bridged.

No, no, no.

- Hey!
- Shh...

Quiet!

'93 to '95 were the worst years.

It was a really terrifying time.

They were the worst years.

And then we got lucky.

Um...

You know, just losing...

And, uh...

Just so many...

So many good people.

And... uh...

You know, like any war,

you wonder why you came home.

Mark collected all of

our writings, pieces that all of
us had done about what had gone

wrong in the ways that we studied
previous drugs, and what

we were already doing wrong in
terms of trying to figure out

whether the protease inhibitors
worked, and we published it

as this big report and started
passing them out everywhere we went.

Let's do this study.

They elevated themselves by
their own self-education about

these things, and then it became
very, very clear that you

weren't gonna mess with these
people because they knew exactly

what you were talking about, and
they knew exactly what they

were talking about.

Activists created a system
that was able to do everything

faster, better, cheaper, more
ethically, and more effectively.

They forced people to put
together the right clinical

trials where you had the patient in
mind, and you weren't cutting corners.

And of course, the big
breakthrough was combination

therapy, 'cause mono-therapy
was clearly not the way to go.

So let's go back into patients,
and let's go back into

patients with crixivan plus A.Z.T.
Plus 3tc.

The activists proposed a study
design, industry used it.

It got the drug
approved in six months.

So I was at a meeting in
Washington, and I stood up

there and I showed for the first
time the data in the study.

The data goes up on the screen and
everyone gasps and cameras start to click.

And just, it's a realization that this
is, this is really great drug, and it,

it could work.

I remember sitting there in a
hotel room in Washington, D.C.,

our hotel banquet room,
and just crying.

It was like, we did it.

We did something.

It was too much to
take in at that point.

It wasn't until we started
putting the drugs in our bodies

and we all went home and...

Started, went straight on that
regimen that had been on that

slide, including crixivan and
two nucleoside analogues.

And sure enough, it happened in
us within 30 days, all of us.

Undetectable, undetectable,
undetectable.

The dying was stopping with
triple drug combination.

And if you needed your clinical
trial, you could just go to

these hospitals that were not
filling up the way they were

filling up with people with HIV.

You would see their Kaposi's
sarcoma lesions that had been

bright and red and, um, big,

melting back into their skin.

They were calling it
the Lazarus effect.

People who were deathly ill,
would get put on this drug

and all of a sudden,
they're working again.

That was a phenomenal feeling.

It worked.

You know, we did
something remarkable.

So that breakthrough, you
know, that we thought was

gonna happen in '88 or '89 if we

just worked fast enough,
you know, it did happen.

But not until '96, and so...

You know, a lot of people died.

Maybe if Reagan had started

putting money into AIDS
a little earlier...

They wouldn't all be dead.

I feel very fortunate, and
there's probably a lot of

complicated reasons why,
but I still find it very

difficult to plan for the
future, and/or accept that

I will have a long life.

Which is unfortunate because

I've had a long life and I've been
living with AIDS for 20 years.

But it's hard for me
to relax into life.

I know lots of us went through
really difficult times after...

Um, trying to figure out,
well, what do I do now?

You know.

Not just because I didn't think
I had a future and now I do,

so I have to make some plans, but... how
do I do something else that is as...

I mean, it's a weird word, but as
fulfilling as that work has been.

To be that threatened with

extinction, um...

And to not lay down, um...

To stand up and to fight back.

The way we did it, the way
we took care of ourselves,

and each other, the goodness
that we showed, the humanity

that we showed the world

is just mind-boggling.

Just incredible.

Fight AIDS!

ACT UP!

Fight back!

Fight AIDS!

Every single drug that's out there is
because of ACT UP, I am convinced.

We had the brainpower and
we had the street power.

We had the good cops
and the bad cops.

The government didn't
get us the drugs.

No one else got us the drugs.

We, ACT UP, got those
drugs out there.

It is the proudest achievement

that the gay population of
this world can ever claim.

We could do it because we
could deliver hundreds and

sometimes thousands of bodies.

We had people with AIDS putting
their bodies on the line,

flopping out in the streets, saying
"fine, this is my body, take me away."

I drew the line there.

I didn't want to get arrested.

That far I wouldn't go.

♪ Keeping up,

keeping up with the
feeling, oh, yeah ♪

♪ getting to know what you like

and what you love ♪

I'd like to close with words written
by fellow AIDS activist, Vito Russo.

"When future generations ask
what we did in the war, we have

to be able to tell them that we
were out here fighting, and we

have to leave a legacy to the generations
of people who will come after us.

Remember that someday the
AIDS crisis will be over.

And when that day has come and
gone, there will be a people

alive on this earth, gay
people and straight people,

black people and white people,
men and women who will hear

the story that once there was a
terrible disease, and that a

brave group of people stood up and fought...
and in some cases

died... so that others
might live and be free."

♪ And there's,

and there's, and there's
no end in sight ♪

♪ and there's, and there's,

and there's no end in sight ♪

We might have a federal
charge against us...

Great!

Leavenworth, here we come.

...an invoice?

♪ Keeping up ♪

♪ keeping up ♪

Green, green...

Ouch, that hurts.

♪ Keeping it up, keeping it up ♪

Information is essential so
that doctors and patients

can make intelligent
treatment decisions.

Okay, all right.

Do I have to hold
the red button?

No, you can let go.

I'm really glad to
see everybody here.

You look really good.

♪ Try to keep up in time. ♪

I'd like to suggest that
we not be unethical, to do

a randomized trial of two
different prevention programs.

If we don't eradicate HIV everywhere,
we will never eradicate it anywhere.

♪ Keeping up ♪

♪ keeping up ♪

We may march without incident
or they may arrest us.

But it'll be fun.

...plane insky magazine.

♪ We're going to ad-min today. ♪

♪ and there's, and there's,
and there's no end in sight ♪

♪ and there's, and there's,

and there's no end in sight ♪

♪ keeping up ♪

In just over, um, two years,

um, that drug went from
test tube to full approval.

♪ Heartbeat won't go slow ♪

♪ and when it's knowing you
will be there tonight ♪

♪ keeping up ♪