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Building Genetic Medicine: Breast Cancer, Technology, and the Comparative Politics of Health Care (review)

to live long and healthily with HIV/AIDS because of effective treatment, the very notion of an “AIDS community” lost much of its meaning. As the author puts it in her introduction, “Three qualities of the epidemic shaped the development of the AIDS community: uncertainty, stigma and the disaster-like impact.” As HIV/AIDS has become a manageable chronic illness, much of the uncertainty has dissipated, the stigma has lessened, and the impact of the virus has become far less disastrous for those fortunate enough to have access to treatment. Just as one doesn’t hear of a “diabetes community” or a “heart disease community”—groups of people with nothing necessarily in common besides a largely treatable (though deadly if unmanaged) medical condition—the notion of an “AIDS community” may itself become history. Perhaps, then, one can hope that a book like Fighting for Our Lives will join the ranks of others written about HIV/AIDS that chronicle important medical and social history, provide wisdom to apply to present struggles over health care inequities, and inspire hope that a future health catastrophe will be met by communities united in compassion and undivided by such matters as sexual orientation, race, and socioeconomic status.