The Magic Paradox?

I found myself wondering earlier whatever had happened to former basketball star Magic Johnson (who contracted the HIV virus in 1991), as I hadn't heard or read anything about him in quite some time. Naturally, I made certain assumptions, but then I Googled him, and saw no mention of his death.

Quite the contrary. He is very much alive and healthy, even though he has lived for well into his second decade with HIV. But because he has devoted his life to AIDS prevention (especially among blacks) his health and longevity present a slight problem -- called "the Magic Paradox":

Call it the Magic Paradox. Fifteen years ago, L.A. Laker legend Magic Johnson announced he had AIDS and would retire from basketball. Today, Johnson, 47, looks so healthy some may question whether AIDS is the menace it was made out to be.
Let me interject here that AIDS absolutely was "the menace it was made out to be" back in the 80s. Magic Johnson may be lucky enough to die of old age, but I lost most of my friends.
That's one of the myths Johnson says he will have to dispel if he's going to succeed in perhaps his most ambitious venture of all, a $60 million partnership with the drug firm Abbott that aims to cut AIDS rates among African-Americans by 50% in the next five years.

"You can't take that attitude that you're going to be like Magic," says Johnson, who will launch the I Stand with Magic partnership at a World AIDS Day briefing in Los Angeles on Friday.

"Since I announced 15 years ago, hundreds of thousands of people have died of HIV/AIDS," he says. "There will be more people dying. The virus acts different in all of us. There's no certainty that if you get the virus, you're going to be OK."

Could the man have lived so long that he might be undermining his own work? It's a fascinating idea, which the article explores in some detail:
Despite his best intentions, Johnson can be part of the problem.

"Just last night, I did a seminar with a group of high school girls," Myisha Patterson, 25, national health coordinator for the NAACP, said Thursday. "I had them write down three things they knew about HIV/AIDS. Somebody wrote, 'There's a cure for AIDS. Look at Magic Johnson.' "

Johnson says he's anything but cured. He says he owes his well-being -- and quite possibly his life -- to the multidrug cocktail he takes everyday.

The drugs, GlaxoSmithKline's Trizivir and Abbott's Kaletra, are standard treatments used by many thousands of others infected with the AIDS virus, HIV.

Johnson can also credit luck and possibly the conditioning that comes from playing up to 100 heart-pounding NBA games a year.

The paradox is also described as a "sad irony."
The sad irony of the Magic Paradox is that Johnson has worked so hard to raise AIDS awareness among blacks.
Hmmm... With awareness should go honesty. There's no point in lying to people Many people have died and continue to die from AIDS, but increasing numbers are long-term survivors. No disease is ever 100% fatal.

I'm not sure there's anything sad about this irony, and I see no reason why Magic Johnson shouldn't continue to do exactly what he has been doing.

Of course, it is quite possible that treatments may continue to improve -- to the point where AIDS in Western countries may become as treatable as prostate cancer. There might eventually be a vaccine or a cure. None of that changes the fact that AIDS is a preventable disease.

I find it a little tough to believe that anyone would look at Magic Johnson's longevity and decide the disease is worth contracting. True, there might be a few people who are that irrational, but they don't need him as an excuse.

UPDATE: My thanks to Glenn Reynolds for the link! Welcome all.

UPDATE: Wow! Thanks to Pajamas Media in Barcelona for linking this post!

posted by Eric on 05.16.07 at 05:46 PM





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Comments

Eric, what do you think of Peter Duesberg and his theories? Given the Berkeley connection and all, and his past achievements in retroviruses, shouldn't we consider his theories?
You and I have lost friends to AIDS. And yet I know of people who should be dead but who have refused the standard treatments and are healthy after many years of infection.
My partner has a gay cousin diagnosed with HIV 10 years ago. He has refused the coctail, and despite it he is healthy.
I've read Duesberg's book. I wasn't convinced.
But the fact that better minds than I could reach such dissenting views does make me wonder.

Frank   ·  May 17, 2007 12:57 AM

Frank,

People differ. People differ in their response to disease, resistence to disease, and in their recovery from disease. There are African blacks with immune systems so aggressive they hunt down and destroy HIV infected cells wherever they are. The virus has no refuge where they are concerned. Your friend had the right ancestors.

Magic Johnson is lucky too in his ancestry. He also has the same trait some say has kept Stephen Hawkings alive to the age of 65 with ALS, a purpose. Magic has things to do, and the determination to see them done. He may well live into his third decade with AIDS.

If he does, then here's hoping he continues to use the time well.

Alan Kellogg   ·  May 17, 2007 05:07 AM

My husband's older cousin was in that early Bay Area crowd... diagnosed with HIV in an early wave... avoided the early drug therapies (and chalked up his long survival to that fact)... The cocktail came along when he had just developed full-blown AIDS, after losing his partner of many years to it. He got very healthy on the cocktail, maintained that health for, oh, ten years or so - then seemed just to give up.

He went off the cocktail, resumed the lifestyle he'd had back in the Bay Area days, and only lasted two more years. Near the end, when he didn't know any of us, we spent a lot of time speculating about what drove him off his treatment. I'll never know; but I wonder if a lack of a sense of purpose was a contributor. He had lost so many people he cared about, had to deal with the draconian regimen and unpleasant side effects of the cocktail, could never feel "free" with his lifestyle so circumscribed, and on top of all that, his main purpose in life was to make ends meet without ever appearing on anyone's payroll, lest he lose his disability benefit (since he said he'd never qualify again, his health having improved so dramatically).

It was one of the more tragic deaths I've witnessed. The consolation for those of us in the family was that at least he now was free and well.

Jamie   ·  May 17, 2007 07:22 AM

Instead of touting drug cocktails to alleviate the effects, perhaps Magic would do better by helping prevent the spread of AIDS in the first place.

m   ·  May 17, 2007 07:36 AM

I think there's at least two points to consider concerning Magic Johnson's longevity: From the time he was first diagnosed, he had the resources to afford, presumably, the most effective drugs at a time when such drugs were even more out-of-reach for many epople than they remain today. Secondly, going back to the height of the first wave of HIV in the U.S. there have always been cases such as Johnson's of infected people who did not display any symptoms. That said, I think the concern that Johnson may cease to be an effective or appropriate advocate for HIV/AIDS education is probably misplaced. I once had similar thoughts about jazz pianist Fred Hirsch. When he first announced he was positive, like it or not, it gave his subsequent recordings an added poinancy because you couldn't help wondering if each one would be his last. Well, by now he's accumulated quite a catalog but, because he's a great player, I don't think anyone faults him for it.

Ultimately, celebrity advocacy is about attaching a face to a cause and it's never been a requirement the celebrity have a personal connection to that cause.

Frank   ·  May 17, 2007 07:54 AM

Maybe Johnson should talk about how AIDS ended his NBA career, and kept him from going for Wilt Chamberlain's record of 20,000 women.

DWPittelli   ·  May 17, 2007 07:58 AM

There are 2 "Franks" posting here. I posted the Duesberg question but not the 5th post.

Frank   ·  May 17, 2007 09:23 AM

Not true about no disease being 100% fatal. Rabies is 100% fatal once symptoms appear (there have been a handful of survivors so it's actually 99.999% fatal but that certainly rounds to 100%).

Joseph   ·  May 17, 2007 10:51 AM

Magic needs to keep doing what he is doing. The article points out that there was a seminar of girls where one said there is a cure, "look at Magic Johnson." Okay, how many girls were there? Is that one person out of 500? My point is that there is always a goofball factor in anything. You don't stop good work because of the goofball factor. Although this is an interesting look into human nature and how risk is sidestepped in people's minds.

Jason   ·  May 17, 2007 11:20 AM

No disease is ever 100% fatal.

Am I correct in understanding however that AIDS does not kill its victims directly, but rather weakens their immune system so that something as simple as the common cold actually does them in?

Dar   ·  May 17, 2007 12:50 PM

I think it likely if one is healthy and maintains a healthy life style, ones body can keep an HIV infection "confined" so as to prevent the decent into full-blown AIDS. This may explain how Magic Johnson, along with many others, have remained healthy despite having HIV and not using the cocktail.

However, once the immune system declines, either due to traumatic injury (e.g. car accident) or aging process, then the HIV will progress to full-blown AIDS and the person's decline and death will be quite rapid.

Kurt9   ·  May 17, 2007 01:19 PM

Jamie,

If you read the linked article you will see Magic is actually doing quite a lot to try and combat the spread of HIV.

CRogers   ·  May 17, 2007 03:38 PM

I think hiv might be harmless. See hiv fact or fraud, its on the web free. the virus doesnt cause aids when injected into chimps, all other viruses do. It only infects 1 out every 100 or so t cells.

Mycoplasma is probably the real caise of aids and cfs. read project day lily.

fr   ·  May 23, 2007 07:47 PM

I think hiv might be harmless. See hiv fact or fraud, its on the web free. the virus doesnt cause aids when injected into chimps, all other viruses do. It only infects 1 out every 100 or so t cells.

Mycoplasma is probably the real cause of aids and cfs. read project day lily.

fr   ·  May 23, 2007 07:48 PM

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