2013년 11월 28일 목요일

About 'home health care aids'|...people who have some ideas. For health care, some programs — including prenatal care and HIV/AIDS — save $9 to $10 for every $1 ...







About 'home health care aids'|...people who have some ideas. For health care, some programs — including prenatal care and HIV/AIDS — save $9 to $10 for every $1 ...








Fight               Against               HIV/AIDS               Faces               Setback               Due               to               Global               Recession               What               do               you               call               a               crisis               that               has               been               going               on               for               over               two               decades,               has               cost               millions               of               people               their               lives,               and               yet               manages               to               wax               and               wane               in               the               press               and               always               has               budgetary               problems?

For               the               millions               of               people               who               are               HIV               positive               the               answer               is               the               disease               which               may               take               their               lives               if               they               are               unable               to               obtain               antiretroviral               medications.
               While               shortages               of               life               saving               antiretroviral               medications               may               mean               that               millions               in               the               developing               world               will               lose               their               lives               in               the               coming               decade,               many               Americans               believe               that               due               to               the               Ryan               White               Act,               such               a               disaster               would               not               befall               any               American               who               is               HIV               positive.
               This               has               been               more               or               less               true.

When               I               was               a               medical               student               it               was               an               often               repeated               mantra               that               HIV               positive               patients               in               the               United               States               got               the               best               medical               care               possible,               or               at               least               as               good               medical               as               some               fancy               health               care               plans.

This               is               because               a               person               who               is               HIV               positive               gets               pretty               much               their               entire               medical               care               paid               for               by               the               government.
               Feeling               jealous?
               You               shouldn't               be,               many               HIV               patients               don't               take               their               medication,               or               can't               stand               the               adverse               effects               and               die               of               AIDS.

And               if               that               wasn't               enough               of               a               problem,               patients               who               are               living               longer               with               HIV               are               experiencing               something               similar               to               rapid               aging.

While               many               have               described               HIV               as               a               treatable               chronic               disease,               the               reality               is               that               even               with               treatment               many               patients               develop               HIV               resistant               strains               and               die               of               AIDS               anyway.
               However,               as               the               Great               Recession               has               affected               governmental               budgets               and               increased               pushes               for               austerity               measures,               so               to               has               health               care               budgets               for               HIV/AIDS               patients               been               frozen.

This               is               a               problem               because               as               HIV/AIDS               patients               live               longer,               the               budgets               for               their               care               must               expand               to               enroll               a               larger               number               of               patients.

However,               some               legislators               want               to               remove               money               for               the               medical               care               of               HIV/AIDS               patients               for               diseases,               such               as               diabetes,               which               are               not               strictly               due               to               their               HIV               positive               status.

However,               virtually               every               medical               condition               an               HIV/AIDS               patient               has               is               affected               by               the               HIV               virus               in               one               way               or               another.

It               sounds               cruel               to               offer               subsidized               antiretroviral               therapy               and               then               not               pay               to               go               the               extra               yard               to               the               touchdown               by               not               paying               for               diabetes               treatment.
               Why               Do               HIV/AIDS               Patients               Get               "Special               Treatment"?
               This               may               be               a               fair               question               to               ask,               and               many               are               asking               it               with               regards               to               funding               for               global               health               initiatives.

However,               a               recent               development               in               the               study               of               patients               on               antiretroviral               medications               makes               the               care               of               the               HIV               positive               patients               important               to               society               as               a               whole:               HIV               positive               patients               who               are               on               retroviral               therapy               are               much               less               likely               to               spread               the               virus               to               others               due               to               suppression               of               viral               levels               in               the               blood.

Is               this               a               cure?

No,               but               some               experts               believe               that               if               everybody               who               was               HIV               positive               was               on               antiretroviral               medications               then               the               HIV               virus               would               be               wiped               out               in               less               than               a               century.
               This               is               why               it               make               sense               to               treat               all               of               the               medical               conditions               that               an               HIV               positive               patient               has.

If               an               HIV               positive               patient               with               diabetes               can't               get               care               for               this               condition,               then               this               will               likely               affect               their               ability               and               desire               to               care               for               the               HIV               infection.

This               could               lead               to               an               increase               in               HIV               strains               resistant               to               medications,               or               a               failure               to               comply               with               their               therapy.
               What               is               the               Obama               Administration               doing?
               Recently               the               AIDS               Health               Care               Foundation,               on               July               8th               2010,               released               a               statement               which               denounces               the               Obama               administration's               modest               increase               in               HIV/AIDS               funding,               only               $25               million,               as               not               being               enough               to               treat               all               the               HIV/AIDS               patients               in               the               United               States.

Already,               there               are               HIV               positive               patients               on               waiting               lists,               and               the               longer               they               wait               to               get               antiretroviral               medications,               the               longer               HIV               will               damage               their               bodies               unchecked.

New               research               and               expert               opinion               is               pushing               infectious               disease               experts               to               begin               antiretroviral               therapy               for               HIV               positive               patients               immediately               when               they               first               test               positive.

If               anything,               the               treatment               of               HIV               positive               patients               is               likely               to               be               ramped               up               significantly               over               the               next               decade               due               to               this               emerging               consensus.
               Why               Hasn't               President               Obama's               Health               and               Human               Services               Secretary               increased               funding               for               HIV/AIDS               patients?
               It               seems               that               the               approach               that               the               White               House               is               taking               with               regards               to               HIV/AIDS               funding               is               that               measures               which               are               apparently               more               cost               effective,               such               as               preventing               malaria               and               childhood               diarrhea,               in               the               developing               world               is               more               bang               for               the               buck               than               increasing               funding               for               HIV/AIDS               patients.

In               the               United               States,               care               for               an               HIV/AIDS               patient               is               approximately               $10,000               per               year.
               In               addition,               politicians               see               funding               for               HIV/AIDS               as               increasingly               taking               up               a               larger               percentage               of               the               health               care               budget               in               the               United               States,               and               other               countries,               over               the               coming               decades.

A               misguided               approach               would               be               to               keep               funding               levels               where               they               are               or               only               increasing               them               slightly.

In               reality,               increased               funding               of               "test               and               treat"               programs               may               prevent               millions               of               HIV               infections,               thus               it               is               both               a               life               saving               measure               for               the               patient,               and               a               public               health               measure               which               will               benefit               everyone.
               However,               because               the               science               behind               this               new               "test               and               treat"               paradigm               for               HIV               treatment               is               new,               it               is               likely               that               the               White               House               has               not               figured               this               into               their               budget               calculations               when               deciding               where               to               spend               shrinking               government               resources.

Is               the               Obama               administration               behind               the               times?

I               would               say               yes,               at               least               in               regards               to               funding               for               HIV/AIDS               initiatives.
               Sources:
               http://www.businesswire.com/portal/site/home/permalink/?ndmViewId=news_view&newsId=20100707006826&newsLang=en






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