It was determined that the best option was for Williamson to resign. Williamson was torn about stepping down and "very opposed to the unionization of volunteer organizations." The organization made no announcement about Williamson's departure, and following her resignation, the employees decided not to unionize. The organization initially struggled in her absence, as she had been its most effective fundraiser. Within six months of her departure, the organization was restructured. Over 35 percent of the staff was laid off and counseling services were ceased to over 200 clients, which staff who had been loyal to her called "karmic payback for pushing Marianne out of the picture." Project Angel Food was able to remain operational after Williamson's departure. By 1998 it had over 1,500 volunteers and nearly 1,000 clients. As of 2018, with expanded food, nutrition and counseling services, it delivered 12,000 meals weekly throughout Los Angeles and had 55 employees, over 3,000 volunteers, nearly 1,500 clients, and revenue of nearly $4 million. In 30 years Project Angel Food has provided and delivered 12 million meals. Williamson remains a trustee of the organization. AIDS work Williamson has helped thousands of gay men who "were told that they weren't loved by their family and friends, employers, politicians, hospitals. [...] It was more about that feeling of hope that she gave to all these people, and they all died." Calling herself a "midwife to the dying", she officiated at funerals, drove men to their doctors, and paid for patients' AIDS medication. Some who worked with her said that Williamson was "at the center" of the tragedy, assisting patients without regard. During her 2020 presidential campaign, Williamson was accused of telling gay men not to take medication for AIDS, of implying that they were "not positive enough" to counter the disease, of telling them that they "deserved" the disease, and of telling them to "pray the AIDS away". She has repeatedly denied these accusations. Most of the accusations stem from excerpts or paraphrases of her 1992 book A Return to Love. Detractors accuse Williamson of being a grifter who "deluded dying men to concentrate on their spiritual well-being rather than on activism." Supporters say she is being maligned for a book written nearly 30 years ago, when the understanding of HIV/AIDS was in its infancy, which provided "solace to gay men when they were afflicted with paranoia, loneliness, and grief." She is said to