Based on the report he sent out last week, he's succeeded. Revenues
are up, costs are down and the group is reaching a larger share
of women and minorities.
Bruner, 39, stopped by our office a couple of weeks earlier to
give us a sneak preview. Below is a partial transcript of that interview,
edited for brevity and clarity.
Willamette Week: You make a good case that CAP is a well-managed
organization with stable funding and a strategic plan for the future.
Yet that's not what people think of when they think of CAP. Why's
that?
Thomas Bruner: This is an organization that was founded and run
on passion, piss and vinegar, grassroots fervor, righteous indignation,
fire in the belly, and without much business sense. Everybody knows
it; I've said it everywhere I've gone. It's no big secret. And one
of the reasons I was hired was to help be a part of the team that
changed that. That's why I'm here. So think about it. The organization
is 16 years old. I've been here 2 1/2 years. That means that for
13 1/2 years, the organization's history...it's had a big heart,
but not so big a brain. That stuff dies really hard. Those impressions
linger far after the data indicates otherwise. What's the saying?
"You only have one chance to make a first impression." It's true.
And we didn't make a first impression; we made a first and a second
and a third and a fourth and a fifth and a sixth.
What do you mean?
We would have relatively good years-relatively stable, relatively
healthy. Those years would be followed by what seemed to be the
cyclical crash-and-burn years where programs would be cut and people
would be laid off and things that would have just started rolling
would be down-sized. I can't imagine the disruption that caused
for lots of people: volunteers, staff, people in need of services,
people receiving prevention education messages. It must have been
very disruptive. I'm really sorry about that, that's a bad deal.
But those impressions, in the minds of some people, are firmly rooted.
And will probably take 13 1/2 years of consistent turn-around to
begin to counter the 13 1/2 years of episodic disappointment. And
that's how it works.
How do you explain that long cycle of "crash and burn"?
I think that CAP, as part of its grassroots, crisis-driven, idealistic
culture, didn't really think much about things like public information,
marketing, newsletters, annual reports, communication. I think that
sort of business acumen is a part of what didn't exist at the agency
for a long, long time. I guess the idea was anybody who needs anything
from us will hear about us somehow. Or whoever is in need out there
will somehow find us. But our good works alone don't speak for themselves.
When I arrived two and a half years ago and I think uttered the
word "marketing" in the very first all-staff meeting, you could
just cut the tension in the room with a knife. "Marketing? My God!
That's what banks do! That's what Hoffman Construction does, what
are you talking about, marketing?" That isn't a slam on the organization
heart, its passion, its values or its ideology. It's a sign of this
historical lack of sophistication.
What's been your biggest surprise in the time you've been here?
My biggest surprise was how tightly connected-culturally, philosophically,
civically-the issues of gay rights and HIV were in this area.
How did that differ from where you were before?
I came from Texas, which, depending on the reporting period, is
either fourth or fifth out of all 50 states in incidents of reported
AIDS cases. It has a huge population, so obviously it's going to
have a huge number of AIDS cases. It's a border state. Its population
in general is much more demographically diverse. So the whole issue
of AIDS organizations thinking like, acting like, marketing like,
talking like gay community centers or gay civil-rights organizations
was a very old discussion in my mind.
And it's still a discussion here?
It's a huge discussion. It's gut-wrenching. These are places that
were founded by white gay men, by and large, and a few other supporters.
So culturally and politically we're wrestling with what we are,
who we are here for and how we market it. Those are gut-wrenching
conversations, and I think I underestimated the freshness of that
conversation here in this state because it happened years ago in
the state I came from. Things I took for granted were big news at
this place.
Along those lines, I noticed you brought three pieces of promotional
literature. With the exception of one photo, you could strip away
all the text and think they're brochures for the United Way or the
Humane Society. Nothing about this says "gay men" at all. Is that
new for CAP and, if so, is it drawing any criticism?
Any coordinated aggressive marketing and public-information campaign,
regardless of its content or images, is new for CAP. I think CAP
has been largely a public-information disaster through the years.
Figuring out who we are, where we are, what we are, how we are,
has been very difficult for people. So that's part of our more aggressive,
coordinated public-information campaign. Number two, the mission
of this organization is about a disease, and wherever that disease
goes is where this organization will go and should go. The mission
of the organization isn't inherently political or tied to any specific
sub-group of the population; it's tied to a disease. So as the face
of that disease changes, that's where we go.
Yet, as we see AIDS cases increase among gay men in San Fran
and other major gay areas in the country, is CAP losing some of
its mission statement?
Absolutely not. The idea that an institution can care and be passionate
about only one group of people is ridiculous. The idea that we can't
care about, be passionate about, market aggressively toward and
work to be relevant to multiple populations simultaneously-that
we've got only this much caring and that if we give this much of
it to black women we take a comparable amount of it away from gay
men-is ridiculous. And think about it. I am a white gay man, our
deputy director is a white gay man living with HIV. My boss, our
board president, is a white gay man. We are not trying to rip CAP
out of the arms of needy gay men; what we're trying to do is send
a message that we want to be everyone's CAP. That's the message.
You seem frustrated about having to explain this.
I am amazed that this is an issue! It's 2001. We're entering our
third decade in this disease. I'm in my 16th year of HIV work. I
got into this arena because people who looked like me were getting
sick and dying. Had it been 8-year-old, one-legged girls from Canada
that were overwhelmingly impacted, would I have felt that same sense
of urgency? Probably not. As a white gay man, people like me started
saying years ago, AIDS is a gay issue but it's not exclusively an
issue for gay people. It impacts whole groups of people. That's
a message we began to beat the drum about aggressively years and
years ago, so it's just surprising to me that in 2001 I'm sitting
in a major media outlet in a major metropolitan area in the United
States still talking about it.
What's been your biggest frustration at CAP
This is a region that really likes process...a lot. I'm an advocate
for thoughtful planning. Absolutely. Research, homework, testing
your ideas, gathering your ducks in a row. But...well, it's summed
up in this quote: I went to lunch with one of the leading nonprofit,
health and human service people in town, early on.
Who?
I'm not going to tell you who. It was a private lunch. And this
person said to me, "This area sometimes honors process more than
product." And I thought, "That's ridiculous." But it's true. And
I honor product more than I do process. I think that when somebody
cuts a $50 check at the end of the year to this institution, puts
it in an envelope that says, "I'll help you fight AIDS," I think
I have a pretty good idea what they have in mind. And I do not think
that they have a vision of a bunch of well-intended philosophers
sitting around navel gazing ad nauseam. I think they intend us to
get off our butt and go fight AIDS. Does that mean we shouldn't
plan, that we shouldn't research, that we shouldn't test our potential
product before we deliver it? No. It just means I think they envision
action.
Can you give an example where process won out over product?
Let's see. Well, upon my arrival, some people on our staff talked
more about their feelings and how everything felt to them and whether
they felt this way or that way about some decision, than they did
about our course of action around that decision. It seemed to me
irresponsibly indulgent. I think it's an occupational hazard in
a lot of health and human service arenas. And when somebody's grandmother
cuts a $50 check at the end of the year for me to fight AIDS, I
don't think she give a rat's ass whether I feel real excited about
it and real safe about it or kind of excited about it and kind of
safe about it. I just think she expects me to get off my ass and
go fight AIDS. And the way I feel about this or that is wholly secondary.
This isn't group therapy. This is work.
What's your greatest accomplishment been at CAP?
Is it sexy and exciting to be the guy who comes into town and shapes
up the business infrastructure of CAP? No. Does it make for the
same kind of copy? No. Does it really get people excited about the
tenure of Thomas Bruner? Probably not. But, is it a critical turning
point in the organization's history upon which its program and service
delivery rests? Absolutely. You know about the past travails the
organization. Most everybody else knows about that. What they don't
know is not just the recovery; this is beyond the recovery. The
recovery connotes being back at a level where you were before your
latest slash-and-burn. This is not an institution that's recovered
to the level it enjoyed before its most public slash-and-burn in
1994 and 1995. This is an organization that's on a whole new level
of sophistication and health and credibility and viability.
You came from Texas, a much more ethnically diverse state. What
effect does that difference have on your work in Oregon?
HIV work here feels more balkanized within certain subgroups that
are either infected or affected by the disease.
What does that mean?
Each group is concentrating on its unique needs and issues that
are not shared by any other group, instead of integrating into a
broader health and human services challenge that happens to have
many faces to it.
Why is that?
Maybe that's because leadership here through the years-including
at this institution-largely failed to build bridges. Does it mean
that there are no bridges? No. Does it mean that there are not existing
examples of lots of collaboration and shared resources? No. It just
means that it still feels more balkanized here. That's one of the
things so vexing about HIV. The question of "Who owns HIV?" Whose
epidemic is that, anyway?
How do you answer that?
Well, I think what HIV looks like in sub-Saharan Africa is extraordinarily
different than what AIDS looks like in Houston, Texas. Which is
very different from what it looks like in Portland, Oregon. Which
is very different than it looks in Rapid City, South Dakota. It
depends on where you are.
What's the biggest challenge facing CAP right now?
Organizations like this one all around the country, even when financially
healthy, tend to be very, very lean operations, financially, and
very dependent on government funding, primarily federal. Groups
like ours have worked hard to increase our private fund raising
and build an individual donor base. But still, we operate on the
kindness of strangers. You would, ideally, like to look at an organization
like this one and see its funding base heavily diversified, which
we're not. And that's a weakness, because it leaves us vulnerable
to whims of the federal government.
It seems that some of your fund-raising efforts, like the AIDSWalk,
don't have the high profile they once had in this city. Do you agree?
I think what you're referring to is a nationwide trend that is
much bigger than CAP. You've written about it ("A Plague out of
Vogue," WW, Dec. 9, 1998). It is the deglamorization of AIDS. And
it is why organizations like this one are working harder than ever
before to communicate that things are better-but that better doesn't
mean over. People live longer, a lot longer, thank God-but that
doesn't mean it's over. And all kinds of issues have their day in
the sun, followed by their relative days in the shadows. They wax
and wane depending on whether Elizabeth Taylor has raised some record-setting
amount of money or whether a Magic Johnson comes out with HIV or
whether there's a Rock Hudson who dies or whether there's some HIV
outbreak somewhere-particularly within the group of people that
look kind of like we do, that we can relate to.
That's not answering the question.
It is absolutely answering your question, in a hundred ways. And
the answer is: People don't die as often. The death rate has plummeted
around the nation. And the people with HIV today who get helped
by places like CAP don't look as much like you and me as they used
to. They don't sound like you or me. And our ability as a community
to relate to them, feel empathy for them, feel very urgent about
their needs, is limited. Look, 27 percent of everybody we saw last
year was a person of color. And even among the white gay men we
see, we don't see people who look like Terry Bean, Gary Maffei,
Jeff Miller and Craig Hartzman. The white gay men we see are often
people who have complicated substance-abuse histories and mental-health
issues and are facing other challenges that make dealing with their
HIV infection really hard. So who walks for them? Who raises money
for them? They don't cut my hair. They don't do flower arrangements
in my home. They don't cater my parties. And I'm not being facetious.
I'm being extremely candid: that we are moved most by situations
that seem to be closest to us. That's not just here, that's all
around the country.
How big of a deal-for you and Cascade AIDS Project-was the controversy
over reporting the names of people with HIV in the state health
department?
It was a big deal. That's a bigger issue than Oregon Health Division,
Cascade AIDS Project, Portland metro area. That's big national news
and has been for years. It just happened to hit Oregon, like some
other things, a little later than it did many other places.
CAP supported the proposal. Does that mean you don't believe
there's any danger in the reporting of names?
In and of itself, it is not a dangerous thing to do. The devil's
in the details-it's how it gets done. It's the security of the data
that's important. It's the method by which the Oregon Health Division
does it that determines whether it's an OK thing or not an OK thing.
It depends on how well they train their staff out in the field.
It depends on how much they lobby the legislative session for really
tight confidentiality laws. It's how good of a job they do educating
and marketing to make sure people know what is going to happen and
what isn't going to happen. The science of it is absolutely sound.
The practical implementation of it state by state is something that
places like ours need to watch carefully. I want to check out the
data in the 35 or so states that already do this, and see if the
draconian projections about all hell breaking loose actually have
come true in any of those states.
Do you think your support of the state's plans has aggravated
the criticism of CAP?
I think any bold leadership move is bound to win some allies and
also gather some detractors. I think that's what leadership is about.
Is the confidentiality concern still weighted more heavily toward
the HIV population that is gay?
It depends. A lot of people who are in complete opposition, under
any conditions, to name reporting talk about communities of color
more than about white gay or bisexual men. So it depends on who
you talk to, it depends on who they claim to be speaking on behalf
of and who they claim to represent and whose interests they have.