its shopping. >> sunday on "q&a," what would happen to the economy and the environment the world cut consumption by 25%? j.b. mckinnon discusses that in his book "the day the world stops shopping," arguing we are currently using up the world's resources at a rate that's unsustainable. sunday night at 8:00 p.m. eastern on c-span's "q&a." listen on our new c-span now app. >> up next, remarks by president biden on world aids day. he ad leuned the administration's strategy to end the epidemic in the united states. this is about half and hour >> the president of the united states, accompanied by the

secretary and gabriel maldonado. [applause] pres. biden: good afternoon, everyone. >> good afternoon, everyone. it's great to see so many familiar faces and champions of the fight. let me start by thanking president biden and members of the white house for hosting us today and their steadfast leadership over the last year. i want to thank our extraordinary team at the department of health and human service, dr. francis collins, dr. anthony fauci, admiral rh devine, assistant secretary lois hayes and so many others who helped the department improve the health and well being of the american people. finally, i want to recognize the

generation of activists, the game-changers, the people who made things happen, who have made their voice heard in the fight against h.i.v. over the years. people like pedro samoya, who died of aids-related complications in 1994. before his passing pedro asked the world a simple question. he said, i wonder now, as i look around me, who is going to pick up my torch? today, we are still fighting to end the h.i.v. epidemic. but we have not let pedro's torch extinguish. nor have we forgotten the 36 million people with pedro who died from aids-related illness around the globe. as secretary of health and human services i'm proud to lead a department and serve an administration that's

confronting the h.i.v. epidemic head on. look no further than the new national hiv-aids strategy that president biden released today. over the past few months, h.h.s. has worked together with the white house and other agencies to develop a whole of society response to the h.i.v. epidemic. this strategy provides a road map for ending the epidemic by advancing equity. expanding resources. and engaging those who have lived with this struggle including gay, bisexual and other men who have sex with men, racial and ethnic minorities, especially african-americans and latinos, transgender women and heterosexual women. people who use drugs and people experiencing homelessness or unstable housing. health and human service will play a critical role in implementing this strategy and we're already leading the way

through the ending the h.i.v. epidemic in the u.s. initiative, e.h.e. like the new h.i.v. strategy, the e.h.e. initiative is focused on ending this epidemic by 2030. e.h.e. -- [applause] my team said to me, you better get applause after that one. e.h.e. will provide additional support to the 50 jurisdictions where more than half of the country's new h.i.v. diagnoses occur as well as seven states with a disproportionate occurrence of h.i.v. in rural areas. i will be working closely with my assistant secretary for health, admiral devine, and the presidential advisory council to support this new strategy. our h.h.s. agencies will also continue to support the global fight to end h.i.v. through the president's emergency plan for aids relief, epfar.

we are working to improve detection, aplay the latest research and safest medications and provide life-saving treatment to those in need. we're partnering with the world health organization and others to advance critical policies that will save lives. last month, the united states announced that we will host the global fund's seventh replenishment conference. [applause] back in june, the department of health and human services marked the 40th anniversary of the first official report about aids in 1981. there are a lot of young people who don't even remember what that was like. but there are still people who do. we have come a long way in the last four decades. this year's world aids day theme reminds us, we still have plenty

of work to do to ensure equitable access to h.i.v. services and to end this epidemic. we need everyone's voice to make that happen. we all have a role to play, whether we are in government, health care, private sector or community-based organizations. it's on us. on world aids day, we remember all those we've lost, the faces in the frame, the names on the quilts, the millions gone way too soon. let's honor them the best way we know how by picking up that torch and keeping it burning. now i'm pleased to welcome one of those in our community, a community partner, one of the game-changers i spoke about, a fellow californian, better get some applause. [applause]

gabriel maldonado. as c.e.o. of true evolution he leads an organization that offers h.i.v. prevention and care services and we're thrilled that he, along with his incoming c.o.o., who happens to be his mother, marguerite, is here today and that they can join with us the i and that's why he is here to get to introduce the president of this eunited states. gabe, the floor is yours. [applause] gabriel: good afternoon. thank you to secretary becerra for your generous introduction and for making the people of california very proud with your leadership. my name is gabriel maldonado, an

lgbtq and h.i.v. advocate and c.e.o. of true evolution, a community health and social justice organization serving riverside and can bern kino communities in california. i'm honored to be here with you today as we celebrate world aids day, an opportunity to not only remember and honor the lives lost over the last 40 years, but the -- but to celebrate the lives living and thriving. the advocate, the healers, the freedom warriors, who lead the work today. i founded true evolution in 2007 when i was 18 years old, to fight for health equity and racial justice to advance the quality of life and human dignity of lgbtq people. at that time, platforms like this were scarce for people like me. it is certainly -- it has certainly been a full circle moment to be here with you now, sharing a story that is not only

my own but represents millions of my brothers, sisters, siblings, who are part of the many vulnerable communities. it is especially the opportunity of and lifetime to be here before you today because my mother is here with me. she was my co-founder and backbone as we built true evolution. and when the day came to navigate my own diagnosis with h.i.v. i waded -- wait through the months of loneliness and guilt, i held the belief that somehow this new circumstance of life would make me unlovable. but mom said that this was all part of the mission. that life will give us experiences so that we may use them to find ourselves and our purpose. her words would sustain me as i faced my own difficulties and disappointments when trying to access basic health services in my own community. those experiences and her words inspired me to turn true evolution into a direct various

provider for the lgbtq community including those living with h.i.v. and those at highest risk. our mission was to create programs and services and deliver care to, for, and led by the people we wanted to serve as well as a place to employ and develop them. what began in a kitchen counter in my first apartment is today an organization that provides comprehensive h.i.v. care and prevention services, mernl health and emergency and permanent supportive housing. we celebrate our 14th year anniversary this month. [applause] and it is all thanks to a team of 28 talented and committed individuals whom i have the profound privilege to work with. and late they are month we break ground on project legacy, a one and a quarter acre community campus that will be home to 49

beds of permanent supportive house, primary care center, mental health clinic, open park space for wellness and fitness programs. and i think for so many of us who step into advocacy, we often begin in an effort to speak up for someone in our own home. a loved one. a friend. ourselves. and as a gay man you discover along the journey the endless stories. experiences of struggle and challenge, of poverty, isolation, and injustice. and h.i.v. has been and remains a very real part of the social and cultural experience for lgbtq people in this country and around the world. sitting at the center of many intersecting social issues, new rates of infection continue to be driven by factors such as poverty, lack of sexual health education, basic access to health care, homelessness and cultural barriers and stigma.

and there still remains so many people whom we've left with in the margins. indigenous, transgender communities, black and latin folks, our youth, women, and the millions of people around this country who live in rural and underdeveloped areas. the field of h.i.v. has before it an opportunity to itself to meet the public health needs of tomorrow they feel ending of the h.i.v. epidemic is an opportunity to not just focus on the volume of clients and the number of patients served, but to the quality of life and human dignity that we leave them with. this builds on a rich legacy as h.i.v. response was first born out of community activism and has always recognized the intersection between h.i.v., human rights and civil liberties. i am excited by the opportunity we have today under the leadership of president biden, with the release of the national hiv-aids strategy which outline

ours collective national work to end the h.i.v. epidemic, the passage of the infravukture investment and jobs act and hopefully soon the build back better act. [applause] we have a once in a generation moment to make the necessary investments for communities that have often been ignored. tele health and mobiler is virks creation of new health care facilities and expanded access to transportation and roadways for those who live in geographic isolation, this will all help us to end the epidemic. i am grateful, very, very grateful for this moment to thank and send continued courage to president biden and vice president harris in an era where political leadership requires renewed courage.

and on that note, it is my high honor and privilege to introduce the 46th president of the united states, joe biden. [applause] pres. biden: thank you. come on up here a minute. come on. [laughter] i want you to meet gabe's mom who i still believe is more like his sister. than his mom. she is the inspiration, she is the reason why this young man has done such incredible things. and it's a simple lesson my mother always told me, listen to your mom. thank you. you deserve a great deal of credit. [applause]

before i begin my formal remarks, i look out in the audience and see so many people who have been in this battle for so long. but the one person who i know from personal experience having been here for more than four years, who has been a champion when it was viewed as political suicide to be a champion, was the speaker of the house of representatives, nancy pelosi. [cheers and applause] many others behind her as well but nancy, not a joke, you were the one who started that fight in the way that you took it on with such passion and it wasn't -- it was not -- it was

you -- it was a political death sentence to take this on at the time put you did it. you fundamentally changed the way we look at this. you even got george bush to lead on this too. [laughter] all kidding aside, i just want to personally, in front of all these people and all the world thank you for your incredible work. ladies and gentlemen, i'm also joined by the second gentleman, he's a hell of a lawyer. and i thank him for being here. mr. secretary, thank you for your leadership of h.h.s. and i want to thank gabe for sharing his story. because you know, you committed your life to this work, gabe. i don't know if you had that plan when you began it but it's amazing what you've done. it's amazing what one person can do. tans honor to meet with you both and learn more about the work you're doing together to support your community. folks, we're also joined today

by many who have been part of this effort for decades. including dr. fauci, who has -- he's all things -- [applause] you're the best and you never walk away from an issue or a problem. thank you. all of you who contributed so much to this mission, advocating for better presks services for those at risk of getting h.i.v. and improved care services and living with h.i.v., breaking down the stigma and disinformation that still exists around h.i.v.-aids. i want to thank you. thank you for your woises and for putting your heart into your work. that's what you do, put your heart into your work and people can tell. it's because of all of you and the dedication of scientist and activists around the world that we've been able to dramatically reduce new h.i.v. transmissions

and make individuals with h.i.v. today lead long and healthy lives. and you know, best because -- it's because of the persistence and resilience of the h.i.v. community that changed so much about the way we approach health care, research and equitable access to services. even relationships between patients and health care providers. you know, it's because of you and it's not hyperbole to suggest it that we are within striking distance of eliminating h.i.v. transmission. within striking distance. and i think everybody but nancy couldn't have imagined us being here 40 years ago. but the fact is that when c.d.c. reported the first case of what we now know as aids it's something that we couldn't fully imagine even 0 years ago, before

the landmark investments that the united states made through pepfar and the president's emergency plan for aids relief. but you made it possible. made it possible. i want to thank this moment on this historic anniversary to acknowledge the incredible passion and work that got us here. because i know, i know that so many of you, many -- this is personal. today, we once more raise a two-story tall red ribbon on the north portico of the white house to remember how far we have come, work we have left to finish, so we never forget the price, the price that's paid all along the way. so many of you to know and relations with people who have, whether a fam -- whether family members or friends and you've watched them in the past wither away. in the past four decades, as has been mentioned, an estimated 36 million people, 36 million people, including more than

700,000 here in the united states, have died of aids-related illnesses. think about that. that many people. more than almost all the modern wars combined. all the wars combined. here at home we saw entire communities devastated by this decide, particularly among the lgbtq plus communities. and they lost frechedz, loved ones, family member, partner, instead of being seen and being recognized. i can recall, if you excuse a point of personal privilege, being i think in this very room when a senator who -- he's deceased now so i don't want to mention his name because he can't defend himself but standing up and saying, along with another gay named jerry falwell, this is god's punishment, paraphrasing, god's punishment finally.

think how much has changed. back in those days, the willingness of other members of the senate and the house to stand up and take him on was, nancy was there, many of you were there, but it wasn't a universal thing. wasn't a universal thing. but you all demanded, demanded to be treated with dignity and equity. those voices, stoesz stories are stories are invaluable as we continue the fight to make those individuals living with aids, help them drive and inform our efforts every step of the way. we're going to finish this fight. so when my administration came into office not only, not only did we re-establish the white house office of national aids policy, which -- [applause] i don't deserve -- it was the easiest possible thing to do. i really mean it. think about it. think about it.

it gets a round of applause in the year 2021 when we say that? i mean, it should have never, ever -- i'm not going to do that. [laughter] i've asked harold phillips to lead our efforts. [cheers and applause] harold, i think they know you. harold has decades of experience working with -- to end aids, the h.i.v. epidemic. i want to thank him for his leadership and willingness to join the administration in releasing the national hiv-aids strategy for 2022-2025. that's what he's doing. it's a road map for how we're going to put our foot on the gas and accelerate our efforts to end the h.i.v. epidemic in the united states by the year 2030. that's goal.

[applause] and it centers on the kind of innovative community-driven solutions we know will work. it's a plan to make sure that the latest, the latest advances in h.i.v. prevention, diagnosis and treatment are available to everyone. regardless of age, race, gender identity, sexual orientation, disability or other factors. it shouldn't matter where you live in the country. or how much money you make. or how you respond or how -- we have to respond across the board to h.i.v. epidemic everywhere. and support all people living with h.i.v. critically this strategy takes on a racial and gender disparities in our health system that for much too long affected h.i.v. outcomes in our country to ensure that our national response is a truly equitable response. so we're going to take aggressive action and back it

up. we've asked congress for $670 million in historic budget request for the ending the h.i.v. epidemic in the united states initiative. and i'm confident we're going to get that done, right? [applause] we've got some great congressional champions for this work here today starting with a woman who as i've said, i've already mentioned, leader of the issue from the moment she set foot in congress. starting with nancy. but also representative barbara lee who -- [applause] maxine waters. [applause] i learned a long time ago, maxine says, i have an idea, just say yes.

just say yes. and sean patrick maloney. [applause] david cicilline. [applause] jenniffer gonzalez-colon. [applause] thanks for all you're doing. not for your support, this is sui generis for all of you. you're incredibly committed to all of this. we're looking forward to working across the aisle, god willing. i want to make sure everyone in the united states know theirs h.i.v. status. that everyone with h.i.v. receives the high quality care and treatment they deserve. and that we end the harmful stigma around h.i.v. and aids. [applause] in particular, still a large number of states that have

h.i.v. criminalization laws that do not reflect an accurate understanding of h.i.v. for example -- [applause] h.i.v. cannot be transmitted through saliva. there are still laws on the books that criminalize spit big people with h.i.v. this is 2021. the united states of america. we have to follow science. that means eliminating the laws that perpetuate discrimination, exacerbate disparities, discourage h.i.v. testing and take us further away from our goal. we can do this. and as we're exert -- as we accelerate our efforts at home we're not going to let up on the efforts to fight hiv-aids globally. leading re-authorization of pepfar in 2008 was among the highlights of my time as chairman of the foreign relations committee. [applause] by the way -- i was not one they have great leads for the this. i always supported the effort but it wasn't -- it was because

i was chairman of the committee and believe it or not, there was republican president and i'm not being a wise guy when i say this, who pushed for pepfar. undeniable proof of the good that american leadership and innovation can achieve in the world when we commit to it. we have a moral obligation to do that and continue. since president bush launched pepfar in 2003, we saved more than 21 million lives. [applause] prevented millions of h.i.v. infections. and helped at least 20 countries bring their h.i.v. epidemics under control, or reach their u.n. aids 90-90-90 treatment targets. meaning 90% of the people living with h.i.v. in this country know their h.i.v. status, 90% of h.i.v. positive individuals can access treatment, and 90% of those receiving treatment will

have lowered virus loads. through pepfar, we'll support 19 million men, women and children with life-saving h.i.v. treatment. this is an incredible achievement. those are not the only lives saved, though. there are communities strengthened by the talents and cricks of h.i.v. positive individuals who are here today leading productive lives because of what you've all done. as a -- and as we face the covid-19 pandemic we have reached additional benefits from our investment in strengthening health systems around the world through pepfar. working thru the c.d.c. and usaid, pepfar supports more than 70,000 case care facility, 3,000 laboratory, 300,000 health care workers across 55 country, all of which have been vital in

supporting the global fight against covid 9 by strengthening country's ability to fight aids, we have improved our collective ability to fight other diseases. and i want to thank and recognize a guy that i can't believe all he's done, dr. john kingason. stand up. [applause] doctor, you can call me joed bien. -- joe bid dervetion n. -- bidden. he is my nominee for am bass -- ambassador at large to oversee pepfar. our global effort to combat h.i.v. i understand you're joined by peter sands. peter stand up, will you.

executive director. of the global fund. this marks 20 years of the global fund and the united states is proud to be both a founding member of the fund and largest contributor in the united states -- and the united states is looking forward to hosting the global fund's seventh replenishment conference next year here. thank you. [applause] can't kid ourselves, particularly about the disparities we see nestcally and globally, particularly the high transmission rates among adolescent girls and young women. as we look back over the last 40 years where there's been so much pain and suffering, it's a testament to the hard work of those in this room and around the world that we have gathered today with hope in our hearts for the future that's within our grasp. we can do this. we can do this. we can eliminate h.i.v. transmission. we can get the epidemic under

control here in the united states and in countries around the world. we have the scientific understanding, we have treatments, and we have the tools we need. we're going to engage with people with lived experience of h.i.v. and ensure that our efforts are appropriate and effective and centered around the needs of the h.i.v. community, not us, but the needs of the community. folk, together we're going to save lives. i can imagine no higher calling to which we can be dedicated than our commitment to save lives. and this is the one area where we can get a lot more done quickly. i want to thank you all again, i'm honored to be with you today and this is one heck of a group of people who have hearts that are as big as their heads. and thank god. thank god. [laughter] have in those beautiful skulls so much knowledge. [laughter] thank you, thank you, thank you.

[applause] [captions copyright national cable satellite corp. 2021] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy visit ncicap.org] ♪

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♪ >> today's jobs report showed that the unemployment rate dropped to 4. #% from 4.6%. and that the u.s. economy added 210,000 jobs in november.

>> today the deputy administrator and director of the center for medicaid and chip services will give and update on u.s. health policy. live coverage beginning at 2:00 p.m. eastern on c-span, online at c-span.org or watch full coverage on c-span now, our new video app. >> american history tv. saturday, on c-span2. exploring the people and events that tell the american story. at 2:00 p.m. eastern on the presidency, we look back at herbert hoover's 1964 funeral, when the 31st president was buried near his childhood home in west branch, iowa. then, pepperdine university professor on baseball in the depression she discusses the role of baseball in american culture and the origins of sports

journalism. exploring the american story. watch american history tv saturday on c-span # and find a full schedule in your program guide or watch online any time at c-span.org/history. joins us.