It's been some 30 years since the first cases of AIDS were diagnosed in the United States. Twenty years have gone by since the passage of the Ryan White Care Act, the largest federal program for people living with the disease. But since then -- despite 1.1 million people living with HIV in this country, and the fact that AIDS is the number one killer of African-American women 25 and 34 -- federal action on the epidemic had effectively flatlined. Until now. On Tuesday, the White House announced the first comprehensive domestic strategy against AIDS. ESSENCE.com spoke with Andy Izquierdo, a spokesman with the National Minority AIDS Council, about the significance of the National HIV/AIDS Strategy, why it's already being called into question, and what everyone has to do to create a bigger change.