features - issue 84
SMART girlLOST in AMERICA
positive nation

were starting medication later, and also living relatively normal-length lives.
I started to find out everything I could about HIV, voraciously

reading whatever I could get hold of on the subject and spending hours on the internet. In many ways I found gaining information quite empowering for me, like a lot of people do actually, at a time when everything else in my life seemed to be hurtling out of control.
I felt incredibly isolated having to cope with my diagnosis while living thousands of miles away from my family and friends. I had told my closest friends and family back in England and they were all wonderfully supportive. There were, however, not in the same country and I didn't feel that I could chance telling the new friends I had made in the USA.
My husband was of no support and it became clear that the only thing we

photo by Nikki Kastner

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had in common was our HIV status (in addition to mutual contempt). This was enough to keep us together for almost two years - particularly after he said that no other man would want to be with me because I was positive. I have subsequently found this not to be the case, but it was very easy to believe at the time.
In addition to the psychological impact of being diagnosed positive in the USA, there were also a number of practical issues.
In addition to the psychological impact of being diagnosed positive in the USA, there were also a number of practical issues. Immigration was a major one. Being HIV positive gave me the curious status of being 'an inadmissible alien', on a par with being a Nazi war criminal. It was possible for me to have received a waiver through being married to an American, but this proved to be extraordinarily time-consuming and thousands of dollars were spent on legal fees before abandoning the claim and coming back home.
Healthcare was also problematic.

I did manage to secure health insurance through the Louisiana High Risk Group, but this again was very expensive and would have been revoked permanently if cover lapsed through

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