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Existing research has focused on the extent to which transnational interventions compel recalcitrant governments to reduce levels of domestic repression, but few have considered how such interventions might also provoke new forms of repression. Using a longitudinal study of repression against AIDS activism in China between 1989 and 2013, the author proposes that transnational institutions’ provision of material resources and reshaping of organizational rules can transform a domestic repressive apparatus in specific policy areas. The intervention of transnational AIDS institutions not only constrained traditional violent coercion but also generated new forms of “diplomatic repression” through (1) changing repressive motives by moving AIDS from the margin to the center of mainstream politics and (2) supplying resources, networks, and models of action that enabled government organizations to reformulate health social organizations as new repressive actors with innovative repertoires of strategies inside and outside China’s territory.

What a Texas town can teach us about health care.

This article addresses AIDS as a pandemic of changing social conditions. It reviews the form and consequences of several persistent responses to AIDS (denial, marginalization and urgency) both from within the context of the epidemic in North America and globally. Sociologists are called on to see AIDS as a rich environment for the application and testing of theories, with sociology seen as a discipline whose presence is required for understanding and potentially resolving social challenges produced by AIDS.