For folks who aren’t going to read through all four pages, here are a few thoughts and highlights:
First, this memo was released more than two weeks ago, so it wasn’t written in response to PLWH freaking out because they’re getting a small handful of pills, instead of the normal 90-day refill. Those little baggies of pills started appearing after this memo came out, so the rationing of ARVs may be seen a response to the guidelines? Who knows.
Next, it’s important to point out that DOH expects shortages through September—or another three months. The DOH points out that an earlier memo, dated January 28, foretold of the impending shortages.
While local hubs blame DOH, DOH blames the US/Iran war fucking up shipping and deliveries. Buried in the second paragraph are statements about pharmaceutical manufactuerers needing to buy precursor chemicals, so you can’t simply oder 1.2 million bottles of TLD and expect them to show up like a book ordered over Amazon.
This implies that DOH has no experience ordering ARVs, since past supplies magically appeared, courtesy of USAID, who managed procurement timelines in the past. DOH saw the SNAFU comming in January, and told the hubs they couldn’t depend on the DOH for ARVs, so they should look elsewhere.
This is not in the document, but since some hubs are still giving out 3-bottle refills, while others hand out 7 pills, some hubs did a better job of heeding DOH’s warning than others.
There’s a tremendous amount of finger pointing, but zero in the way of mea culpas. In a just world, folks @DOHgovph, @LoveYourselfPh, and others should apologize to #PLWH. Finger pointing is not helping to put drugs in bodies. Neither are your past efforts. Saying I’m sorry lets us know that you recognize that you’re hurting the people you’re supposed to serve, you recognize the problem, and you’re not pretending the problem isn’t there.
There’s a lot in the document about alternative regimens. They point out effective 2-drug combos, and that FTC and 3TC are interchangable. They forgot to point out that TAF and TDF work identically as well. For folks who switched from LTE to TLD—and not because of resistance—they could be switched back. They also point out that people on 2-drug combos should be tested first for HBV and all persons switched should get another VL in 3 to 6 months, just to make sure the new combo is working. Part of me thinks that the alternative regimens are probably not going to happen in any substantial way. If the TLD storage facilities are empty, the LTE storage facilites are empty too.
They say if shortages should get worse (this is the part where it sounds like PLWH are passengers on the Titanic), priority should be given to pregnant women and people with AIDS. They offer no advice on people who are newly diagnosed who haven’t started ARVs. Another way of looking at this: if you want to continue of life-saving medication, get pregnant or get AIDS. Yikes!
The underlying message in this memo is that the DOH wants to avoid the catastrophy of the appearance of community-wide dolutegravir resistance. Explicitly DOH warns against intermittant dosing and treatment interruptions that would make the number one treatment in the Philippines unusable.
They point out HIV is getting worse. The number of new positives keeps increasing, so there’s exponential growth in the number of people needing ARVs. There’s also exponential growth in the number of people dying of AIDS. This means too many folks find out they’re HIV positive because they become symptomatic with some opportunistic infection, and die of those infections before their immune system can recover.
Currently there are about 98,000 PLWH on mostly TLD. But there are a quarter of a million PLWH. That means that DOH can’t serve the existing population, let alone the 150,000+ who will need treatment, if DOH ever gets the problem under control ❤️
Senator Risa Hontiveros said people should be held accountable over the shortage in the supply of antiretroviral (AVR) drugs used as medication by those with human immunodeficiency virus (HIV).
https://t.co/lKkLXvQ5rN
“PEOPLE I HAVE FOUGHT MANY FIGHTS WITH”
LOOK: Naga City Mayor and former Vice President Leni Robredo meets with opposition figures in what she said their first lunch together since 2022.
📸Leni Gerona Robredo/Facebook
Boni Serrano corner Katipunan papunta ng Ateneo. Sabi sa waze 1 hour and 10 mins. Mas mabilis siguro maglakad kaso umuulan. Baha sa Katipunan.
Hay huwag na huwag na sana natin ihahalal ang mga magnanakaw, sugapa at sinungaling. 🙏🙏🇵🇭🇵🇭
🇵🇭 A Nation at the Crossroads:
A Call to Conscience and Reform
By Dr. Tony Leachon
Independent Health Reform Advocate
We reflect today not merely to speak, but to reckon. To confront the widening gap between promise and reality, between leadership and accountability, between the privileged few and the forgotten many.
This administration began with bold declarations—unity, reform, and prosperity.
But today, we must ask: Where are we headed?
🧩 Mangled Budget, Betrayed Priorities
The 2025 national budget was not a blueprint for progress—it was a battlefield. Vital sectors like education, health, and social welfare were gutted by last-minute insertions. Even the President himself condemned these manipulations, warning of foreign-assisted projects now in peril. Yet Congress stood firm, asserting its power while the people bore the cost.
🩺 PhilHealth Defunded, Healthcare in Crisis
PhilHealth, once the cornerstone of Universal Health Care, was stripped of its lifeblood. No subsidy for our senior citizens, indigents, and persons with disabilities. This is not just fiscal negligence—it is moral abandonment. And as if that weren’t enough, we witnessed the exodus of competent officials like Dr. Maria Rosario Vergeire, whose integrity and expertise were sacrificed at the altar of political expediency.
🌊 Corruption in Flood Control, Lives Washed Away
Flood control projects—meant to protect lives—have become monuments to corruption. Ghost projects, substandard infrastructure, and kickbacks have cost us billions and countless lives. The President condemned it in his SONA, but silence on other pressing issues—like the impeachment of Vice President Sara Duterte—reveals a troubling pattern: selective accountability.
🏥 Overflowing Hospitals, Systemic Neglect
At the Philippine General Hospital, the emergency room overflowed by 400%. Twenty hospitals were mobilized, yet private institutions warned they could not absorb the burden without support. This is not just a logistical failure—it is a humanitarian crisis. Our health system is bleeding, and the poor are paying in pain and silence.
⚖️ Divisive Politics, Democratic Erosion
The impeachment of VP Sara Duterte, later archived, exposed the deep fractures in our political landscape. The alliance that once promised unity now breeds division. Social media has become a battlefield of tribalism, while dynastic politics and vote-buying continue to erode our democratic soul.
💡 A Nation in Crisis
We are not just facing policy failures—we are facing a crisis of conscience. Promises have been made, but lives are being lost. Institutions are being hollowed out. And the poor, the sick, and the voiceless are caught in the crossfire.
✊ A Call to Unite, Reform, and Remember the Poor
Let me echo the President’s own words:
“Mahiya naman kayo sa inyong kapwa Pilipino.”
Let those words ring not just in the halls of power, but in every barangay, every hospital, every flooded street, and every broken promise.
Let us demand a government that serves—not silences. That heals—not harms. That remembers the poor—not just during elections, but every single day.
Because a nation that forgets its people…
…is a nation that forgets its soul.
Let us rise. Let us reform. Let us remember.
Thank you.
#HealthWithHonor
#RelentlessForChange
Tony Leachon
JAPAN'S ABC-MART IS COMING TO PH 🇯🇵🇵🇭
Heads up, sneakerheads! Japanese shoe retailer ABC-Mart is opening in the Philippines this September. Located at Bonifacio High Street in Bonifacio Global City, Taguig, ABC-Mart Grand Stage will span over 750 square meters across two floors. | via Karen Flores Layno, ABS-CBN News
READ: https://t.co/hutjV23eoK