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Health Care

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by

Alexander Held

on 6 May 2010

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Transcript of Health Care

The gap worsens with The Great Depression The 1920s and Modern Medicine Beginnings in Baylor Hospital, Dallas. Commercial Insurers Enter The Game ...and the same premium for all Harry Truman Calculating Risk (12% of the market was served by for-profits in 1981; by 1997, that was more like 65%.) 1993 - no compromise reached People with inadequate coverage faced insufferable odds finding dental care, filling prescriptions, applying for and appeal to Medicaid, finding an oncologists, dermatologists, or other needed specialists, including HIV treating physicians.


A call for national health care reform and a National AIDS Strategy Just in time State level cutbacks A proposed budget in South Carolina would eliminate funding for HIV/AIDS prevention and for help with buying drugs to treat the disease. In California, which is facing one of the most severe budget shortfalls, the government cut $85 million from its HIV/AIDS programs last year ? **Sources: Table 1, The National HIV Prevention Inventory: The State of HIV Prevention Across the U.S., The National Alliance of State and Territorial AIDS Directors (NASTAD) at www.nastad.org and Kaiser Family Foundation, July 2009 available at: http://www.kff.org/hivaids/7932.cfm.
New York: $60,000,000
California: $39,303,000 Alaska
Arizona
District of Columbia
Georgia
Idaho
Iowa
Mississipi
Missouri
Montana
Nebraska
Nevada
New Hampshire
North Dakota
Oklahoma
West Virgina
Wyoming

N/A, Guam
N/A, Puerto Rico
N/A, Virgin Islands "We've never adequately funded prevention in this country -- at any level: federal, state, or local."

Julie Scofield, executive director of the National Alliance of State and Territorial AIDS Directors. 7th in the nation in the percentage of people infected with HIV Ryan White, ADAP (AIDS Drug Assistance Program) & Others HEALTH CARE REFORM & HIV/AIDS
• Creates Medicaid eligibility

• Phases out the Medicare Part D donut hole and allows ADAP to be used to pay true-out-of-pocket expenses.





• Increases access to private health insurance


• Increases coverage

• Increases affordability

Other key improvements • Invests in prevention and wellness initiatives, including addressing health disparities, and invests in public health infrastructure and the clinical workforce and Community Health Centers serving vulnerable populations.


• Invests $75 million in evidence-based sex education programs.

• Requires that health insurance plans in the exchange include where available community providers that serve predominately low-income, medically-underserved individuals. NO SILVER BULLET
The legislation does not achieve everything HIV and reproductive rights advocates had hoped, and it includes some harmful provisions:

• Fails to include a public health insurance option.


• Imposes a 5-year waiting period on permanent, legal residents...


• Re-authorizes harmful abstinence-only-until-marriage programs

• Fails to incorporate ETHA (Early Treatment for HIV Act) into the final legislation. Public Health Care Private Health Insurance The Losses
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