One camp urges a "shameless" approach that nurtures gay self-esteem. It doesn't challenge behaviors like anonymous sex. Fred Swanson, executive director of Gay City, helped to produce public health education messages like this one: "Anonymous sex doesn't give you HIV. Unsafe sex does."
The other camp urges less anonymous sex, accountability around disclosing HIV status, and treating one another as people rather than as disposable sex objects. Its approach was described by Dan Savage, syndicated sex columnist and editor of The Stranger, an alternative weekly in Seattle: "They need to start telling gay men the things that gay men don't want to hear."