Western scientific medicines conceptualization of acquired immunodeficiency (AIDS) as a and its commitment to what is described as an anal sexual transmission theory is condemned. Biomedicine is reportedly unwilling to face problems of chronic illness which are not amenable to high-tech remedies. Instead Western health professionals frequently resort to explanation in terms of patient noncompliance lifestyle or personality. The presumption of homosexual transmission has guided data collection and reporting. The initial stigmatizing labels prior to AIDS such as compromise syndrome are discussed as well as the attempts to fit such cases as heterosexual Haitians central Africans and American intravenous users into the promiscuous male homosexuality etiology. The identification of AIDS as a has been continuously reinforced by the Center for Disease Controls classification system. In 1982 58% of AIDS cases classified as gay rather than as drug user used 5 or more different street drugs; 68% had used amphetamines with a median of 120 times. The removal of Haitian immigrant from the Center for Disease Controls hierarchical list of risk groups in 1983 is traced. Rather than a male homosexual disease the trend for AIDS in Haiti is as a female disease although bisexuality and transfusions were emphasized in US medical journals. In 1986 the sexual deviance being medicalized to account for AIDS was prostitution with no attention to prostitutes habits or even sexual habits. Risk should be applied to kinds of behaviors such as sharing needles and passive anal intercourse (without condoms) and not to kinds of persons.