WorldView Speaker Series - Mary Fisher's Speeches to promote HIV/AIDS health research, patient care, and advocacy for this worldwide disease.

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The following is excerpted from "When Heaven Weeps: Lessons from the Road to AIDS," a speech that Mary Fisher gave October 20, 2008, as part of the WorldView speaker series at Trinity Christian College, Palos Heights, Illinois.

 
It is a joy to be on this beautiful campus, and to acknowledge this College's good work preparing students to change the world. That is, I take it, the meaning of Trinity's mission. Having visited a good share of the world, often working among the poorest of the poor – I can say with certainty that the world could use some changing. And I honor you and your College for being committed to that purpose.

It's amazing to me that the presidential election cycle has again deposited us on the eve of national elections. I have lived through these cycles in various stations: once in a newsroom as a television producer, once in the White House as the nation's first woman advanceman, once as keynote speaker at the Republican National Convention, and many times since as a sometimes-bemused, sometimes-frustrated, and sometimes just-baffled citizen and voter. But perhaps I could take you back with me for a moment to another place and time that changed my life and, with it, my world view. It was far removed from presidential politics, and the place I live now.

It was July, 1991. I was a young mother, two preschoolers playing near my phone, the hour I learned that I was HIV-positive. The months that followed my 1991 discovery are a haze of grief and chaos, a search for answers that did not exist and a coming to grips with dying.

In 1991 AIDS was already a global epidemic but we did not yet know it as we know it now. The virus had planted roots in specific populations including sex workers in Asia, trafficked women in Eastern Europe, the impoverished of Africa and the gay community of the United States.

In 1991 everyone infected with AIDS was headed for the grave. Some drugs could slow the pace of dying a bit, but not much. Those of us who heard the diagnosis knew the reality: In a matter of five years or so, we were going to become ill, and we would waste into the grave. We knew it. Our families soon knew it. Everyone with AIDS knew it. We were pilgrims marching inevitably to our deaths. So I spent those early years doing the only common-sense thing I could do: preparing to die....

I quickly discovered that dying is not a mainstream activity in America. Candidates for the presidency visit college campuses and VFW halls, but their campaign buses do not stop at hospices and funeral homes. We don't like death, and we don't know what to say to the dying.

Encouraged by my parents to make the best of the years I might have, I looked for a mission to achieve. President Ford encouraged me not to give up hope. His wife, Betty – then as now, a friend and a mentor – had courageously shown how to deal with both alcoholism and breast cancer: by telling the truth, and telling it as boldly as possible. And so I did what I could. On August 19, 1992, I spoke to four- or five-hundred million people around the world, telling them that I – a Republican mother of two preschoolers – was dying of AIDS.

Antiretroviral drugs emerged in 1996, bringing the miracle of prolonged life to millions of people with AIDS who have access to the drug regimen. It was, for me and for many on the road to AIDS in America, an extraordinarily difficult time. We had come to grips with dying. I had held the hand of Brian, my husband, the man who had infected me, as he died – just as so many others had held the hands of those who'd infected them as they died, showing us our own futures. I was managing the closure of my life, caring for the future of my children, arranging the details of death and all that would follow. I was one of millions who knew that hoping to avoid death was a personal folly and a cultural mutiny. How could we seize life after so many had wasted into death? We did not want to hope for life, or to yield our places in the crowd of AIDS pilgrims moving steadily to our deaths. We were ready to die; we were not prepared to live.

Hope is not easy. To hope for life in a context saturated by death is to reach for what seems improbable if not impossible. What's more, if I were going to live, then I would need to acknowledge a life purpose that I had not yet fulfilled. To hope means more work to be done. But in time, I came to grips also with hope, imperfectly but as best I could. And so I have lived, seeking and sometimes finding a purpose in my life, knowing that I cannot give in or give up until the work is done. Mostly, I am grateful. Mostly, I am able to hope. Mostly, I want to live.

My children are grown now, one out of his teens and the other about to make the same transition. I've been honored to represent the United States and the United Nations in various roles, to take on challenges that are both daunting and rewarding, and to learn what it means to trying living with hope especially among those who have no hope in places like Asia, Eastern Europe and Africa.

What we have learned since those days of dying, before the dawn of antiretroviral drugs, is that cultural change is hard. Africa is still poor, Asia is still in denial, America has pursued other wars. Satellites and the internet have taught us to think globally during the past decade, but millions of dusty orphans wandering the Sub-Saharan move most policy makers to nothing more than a sigh. Young people think AIDS has been cured. Communities of color, of women, of immigrants, of drug users, of the rural poor and urban ghettoes – they have much in common: They lack prestige, they lack power, and therefore they lack hope. They also lack...leadership. What they do not lack is AIDS.

We have learned that the American capacity for denial is boundless. Prior to the current financial mess, the signs of gluttony and greed – of easy money that would result in hard debt – the signs were everywhere. We were, as individuals and as a nation, utterly willing to deny the reality. And so it has gone with AIDS in America. We treat the epidemic as though there were a cure; there is not. The number of people in American who are becoming infected, and the number of people who are dying for lack of treatment, continues to escalate – and we look the other way.

To the best of my knowledge, the following truth has never found a headline in a major American newspaper: In Zambia, an African nation I know well, one out of four family households is now headed by a child twelve years old or younger – an orphan raising orphans, or dying in the attempt. The horror of this reality should make us recoil; it ought to stir our souls; it wants to make us sleepless. But most of our policy makers, and most of our fellow citizens, prefer not to be bothered by such a distressing truth. We are too worried about our 401(k) accounts. We take refuge in denial.

We have learned something about the power of stigma and discrimination, of judgmentalism that rises with the passion of religious fervor. When my friend is diagnosed with cancer, his family rallies and his colleagues pitch in; had he been diagnosed with AIDS, his family would have wanted to know what immorality he had practiced, and his colleagues would feel no demand for compassion. A heart attack victim in Chicago gets medical care; a person with AIDS "gets what he has coming."

The single most striking characteristic of the AIDS epidemic, worldwide, is stigma. In Asia, it warrants stoning women – a peculiar response for those whose husbands have infected them. In Africa, saying you have AIDS may result in your exclusion from family, village, children and hope. In Boca Raton, Florida, I went from being an ex-White House staff member, welcome at any charity event, to being "that woman with AIDS" whose children were no longer invited to visit the "nice" homes – "Who knows what they may bring with them?"

We have learned in our quarter-century with AIDS, that one response to the virus is pure, unadulterated fear. Those diagnosed with the disease are fearful of what it will do to their bodies, their families, their jobs and their ambitions. Each fear has roots that run deep into the experience of the AIDS community. The fear that someone in the office will learn that I have AIDS; the fear that my children will be ashamed of me; the fear that I will never again be considered "clean...." AIDS has taught people how to fear.

I don't know whether it is AIDS, or fear, that has taught us the meaning of vulnerability. But we've learned it, those of us in the AIDS community. When you lacked economic status or political standing; when you do not speak English but live in America; when you are tricked into slavery and become one of the million women and girls who are trafficked annually – look at those most readily infected with AIDS and you will be looking at the world's most vulnerable people. They are, in many instances, incapable of protecting themselves.

Forgive me for a quick digression: I was visiting with a nice gentleman while flying home from Africa a month ago. He was an advocate of abstinence as the best way to prevent AIDS. I asked him how he thought that should apply to marriage, since in Africa the majority of women infected with AIDS are infected by their husbands, in marriage. To spend U.S. government funds fighting AIDS in Africa, you are compelled to teach abstinence. And you are teaching it, in most cases, to incredulous married couples. The nice gentleman wasn’t sure how to make this work, and neither am I.

We have learned, during our sojourn with AIDS, a good deal about the power of community. When I was first diagnosed with AIDS, no one knew of a support group for women with AIDS in America because we had not yet found our voice; we were not yet standing up in public. Had it not been for a courageous gay community in this nation, where I was welcomed and educated and supported and loved, I do not believe I would have made it to 1996. Men who had been despised and rejected by families and employers stepped forward to ask what they could do to help me. Men who had been reviled for their sexuality offered to care for my children when I was ill. Men who had transformed beautiful condos into darkened hospices – they welcomed me. From their death beds, some of them thanked me. And I had done nothing more than heed the advice of Betty Ford: I had told the truth, and told it publicly.

The power of community, you know, is largely the power of communication. It is the voice of the neighbor who calls to be sure you’re well. It's the song that lifts our spirit, the speech that stirs our soul, the sermon that draws us toward the Divine, the cry of the abused child who the community has failed. Community is largely built by, and sustained on, words. It is in listening, and being listened to, that a child learns she is valued in the community. It's in the whispered "I love you" that brightens the darkness of shame.

It is no accident that when strong communities want to exclude an individual, they practice something called "excommunication." And it was no accident that, in 1992, I opened my address to the world by asking all "to lift the shroud of silence which has been draped over" AIDS, "to bring our silence to an end." Communities communicate, and when they are silent, that communicates something too....

The series of which this evening is one part is called "WorldView." It's a splendid title with a broad vision, a desire to explore how we might see the world differently – and, if we did, what difference this might make....

It is we who hear the voice of God breaking in grief, sobbing in frustration, galled at our indifference...and it is we who are privileged to make a difference, to get out of our chairs and into action befitting of kingdom builders. We were not put on this earth to engage in self-pity and fear and tentativeness. We were given an opportunity to do the work of God....

If you will join in this work, you will carry hope to those who are hopeless; you will throw open the gates to the kingdom, and the nations will march in. And in the quiet that follows the blaring trumpet, you will hear what others in this kingdom have heard before you, and I say to you again tonight: "Grace to you, and peace."


© 2008, The Mary Fisher Clinical AIDS Research and Education (CARE) Fund at the University of Alabama at Birmingham
 

In the Media

 
 

The Mary Fisher CARE Fund fights for HIV/AIDS medical research, patient health care, education, and advocates to fight this deadly worldwide disease.
The Mary Fisher CARE Fund fights for HIV/AIDS medical research, patient health care, education, and advocates to fight this deadly worldwide disease.
The Mary Fisher CARE Fund fights for HIV/AIDS medical research, patient health care, education, and advocates to fight this deadly worldwide disease.
Mary Fisher is an artist, activist, speaker and author who travels the world advocating for those who share her HIV-positive status.
 

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