Annals of Health Law
ACHIEVING AN AIDS-FREE GENERATION
discourage the distribution of drug paraphernalia for use with illegal drugs.185
The punitive focus on drug users hinders policies that could reduce HIV
among IDUs.186 Federal support for SEPs has been politically controversial
and erratic. Federal policy regarding injecting drug use culminated in an
(almost) uninterrupted ban on the use of federal funding for SEPs since 1989.
This policy represents a significant barrier to the President’s stated goal of
achieving an AIDS-free generation. Without federal support, states have been
unwilling or unable to consistently support SEPs. Accordingly, the federal
government must act in unequivocal support for SEPs as part of a
comprehensive HIV prevention program, and provide funding to facilitate
prevention services for IDUs. Only with decisive federal funding and
guidance can an AIDS-free generation be realized.
185. See supra notes 65–69 and accompanying text. Law enforcement agencies operate
under a “zero tolerance” policy toward illegal drug use.