Presidents

U.S. Presidents and Hemophilia

Monday, February 19, is President’s Day, which used to be called Washington’s Birthday, in honor of our first president. It got me thinking about whether U.S. presidents have any connection to hemophilia. For the sake of history—our hemophilia history—you should know that they do.

Thanks to the advocacy efforts of the national hemophilia community, President Ronald Regan, our 40th president, issued on February 21, 1986, a proclamation declaring March “Hemophilia Awareness Month.” This was, of course, at the height of the national blood infection scandal—it took Regan’s actor friend Rock Hudson to come out as homosexual and share publicly that he had HIV for the Regan Administration to finally pay attention to what was happening. That is a whole story in itself (Read And the Band Played On to learn the history). It was a dark time, still remembered by many of us.

But the proclamation at least gave our community national, positive recognition.

Now, we celebrate advances made in treatment and technology. And as our community becomes more inclusive, it is called Bleeding Disorders Awareness Month. Read the original proclamation below…

February 21, 1986

By the President of the United States of America

A Proclamation

Hemophilia is a genetic disease in which the blood will not clot properly because a specific clotting factor is missing or defective. It is almost exclusively a male disease, affecting one of every four thousand live male births, regardless of race, nationality, or family economic status.

Significant advances have been made in the diagnosis and treatment of hemophilia. Methods of early diagnosis provide the means to institute preventive measures at an early age. Modern blood fractionation technology provides a moderately priced, readily available supply of the needed clotting component for those who must have regular infusions. Still, hemophiliacs face a life of unpredictable medical complications that may result in disability or death.

Proper medical treatment for the hemophiliac, and public awareness and acceptance of this medical condition, will allow the individual to live a normal, productive, and independent life and will dispel many of the common misconceptions of the disease.

To stimulate public awareness about hemophilia and to encourage the development of improved techniques of diagnosis and treatment, the Congress, by Senate Joint Resolution 150, has designated the month of March 1986 as “National Hemophilia Month” and authorized and requested the President to issue a proclamation in observance of this period.

Now, Therefore, I, Ronald Reagan, President of the United States of America, do hereby proclaim the month of March 1986 as National Hemophilia Month. I invite the Governors of each State, the Commonwealth of Puerto Rico, the officials of other areas subject to the jurisdiction of the United States, and the American people to join me in reaffirming our commitment to finding better ways of helping those afflicted with hemophilia.

In Witness Whereof, I have hereunto set my hand this twenty-first day of February, in the year of our Lord nineteen hundred and eighty-six, and of the Independence of the United States of America the two hundred and tenth.

Ronald Reagan

Presidents Who Know Hemophilia


You could say England is lucky: they have the best hemophilia publicity in the world. Their longest reigning monarch, Queen Victoria, had a son with hemophilia and so gave hemophilia a place in royal history, hence the “royal disease” nomenclature. And she exported hemophilia. Germany, Spain? Hemophilia went straight to the royal families. Russia? The Crown Prince had hemophilia and while his life was cut short, he went down in history, as did hemophilia.

We’re not so lucky. The US has a publicity problem with hemophilia, not counting the Dark Ages when hemophilia was so closely linked to HIV. As it’s president’s day, it got me thinking: have any presidents known about hemophilia or known someone with hemophilia?

Prior to Ronald Regan, we don’t know. Regan seems to be the first to take notice of hemophilia, despite dire warnings from CDC in the early 1980s, when HIV was showing up in those with hemophilia. It took Regan’s Hollywood buddy Rock Hudson, who contracted HIV and stepped forward into the limelight in 1985, for Regan to finally take action on the nation’s blood supply and help stem the contamination.

Thanks to our great community activists, we wanted to keep hemophilia in the presidential eye, but it took a back seat once the HIV problem was controlled and recombinant products available.

Then came insurance problems. Big time. While campaigning, Obama, looking to connect on the insurance issue, was introduced personally to hemophilia through a Denver Town Meeting, where he made Nathan Wilkes–not just met him, Nathan introduced Obama to the televised Town Meeting! Nathan and Sonji Wilkes’ son Thomas has a high inhibitor and their medical bills were catastrophic. I know the Wilkes personally, and their story is incredible.

Apparently, Obama thought so too. He referred to the Wilkes family several times in the campaign. Obama is getting to know hemophilia. Just last summer, Obama had a photo op with HFA president Paul Brayshaw (hey, I know him too), in Paul’s back yard. Paul has fun telling about the secret service arrangements in preparing his humble abode for the arrival of the leader of the most powerful country on earth. Paul has hemophilia and Obama showed again support for our community.
Which presidential contender knows hemophilia? So we have Obama. Newt Gingrich actually does know hemophilia. He took up hemophilia as a study back in 2003-4, before the insurance crisis. Why? My good friend Dave Madeirios, founder of Factor Foundation of America, hired Newt to examine hemophilia as a case study in chronic disease management and why the American system has it all wrong. And I got to spend a day with Dave and Newt, discussing issues regarding reimbursement. Newt was knowledgeable about hemophilia, reimbursement and had ideas on how to fix it.

It’s not looking too hopeful for Newt at this point, but should he get elected, he would be the first president to have in-depth knowledge of the hemophilia community. Mitt Romney, our former Massachusetts governor? I don’t know. He wasn’t in our state too often as governor! But as he launched the first mandated health insurance plan in the US in our state, something tells me he’d make a quick study of it all.

Happy president’s day!

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