A key concept for anyone considering the success of anti-HIV treatment in improving the health of individuals and in preventing onward transmission in their communities is the ‘treatment cascade’ or ‘care continuum’. This shows how, at every stage, patients are not retained in the healthcare system or are unable to access the medical care they need.
A new brief from the Kaiser Family Foundation reports that President Obama’s health care reform represents a significant step forward for Americans with HIV, helping to expand health insurance to many HIV-positive individuals who would be “otherwise unable to access affordable and stable health care coverage.” Representing hugely important tactics to continue addressing the HIV/AIDS epidemic, several of Obamacare’s provisions will have a directly positive impact on the estimated 1.1 million Americans who live with the HIV virus:
Obamacare will prevent insurance companies from denying HIV-positive Americans coverage simply based on their HIV status. The health care reform law prohibits insurance companies from discriminating based on pre-existing conditions, including HIV. Before Obamacare, Americans living with HIV often struggled to find insurance companies willing to take them on — according to the Kaiser Family Foundation, just 13 percent of HIV-positive individuals were covered under private insurance in 2010.
Obamacare’s expansion of the Medicaid program helps low-income Americans with HIV who otherwise wouldn’t qualify for coverage. Over 40 percent of HIV-positive Americans accessed their health insurance through the Medicaid program in 2010, and expanding Medicaid even further will extend additional coverage to this community. Furthermore, under Obamacare, HIV-positive individuals do not have to have to be diagnosed with AIDS as a precursor to qualifying for Medicaid coverage. Although this was an old eligibility requirement for the program, the health reform law ensures the states that accept Obamacare’s Medicaid expansion will not have to impose this restriction on Americans living with the HIV virus.
HIV-positive Americans will no longer reach limits on the amount of treatment their insurance companies are willing to cover. Obamacare eliminates lifetime coverage caps and phases out annual limits, which will help all Americans with chronic conditions — including the Americans who rely on treatment for HIV infections — continue to be able to afford the care they need without reaching an arbitrary cut-off set by their insurance companies.
HIV testing will likely be covered under Obamacare. This year, the U.S. Preventive Services Task Force is expected to recommend routine HIV screenings as a part of regular preventative care, similar to a routine blood pressure test. Since the health reform law requires insurers to cover the preventive services recommended by the Preventative Services Task Force, a new standard for HIV testing could ensure that it becomes a standard part of annual check-ups. The Centers for Disease Control estimates that about 20 percentof the total population of Americans who are infected with HIV don’t know they have the virus, so regular tests that don’t incur an out-of-pocket expense could help encourage more Americans to learn their status.
Since Obamacare helps close the prescription drug coverage gap for Medicare beneficiaries, HIV-positive individuals will be more likely to afford their drug treatments for the virus. By closing the “donut hole,” or the gap in coverage for expensive prescription drugs under the Medicare program, Obamacare will help ensure that older Americans living with HIV aren’t unable to afford any of the 26 antiretroviral drug treatments that can be used to combat HIV infections. Twelve percent of Americans with HIV relied on Medicare for their health coverage in 2010, and that number may rise significantly as the population of HIV-positive Americans continues to age.
Obamacare increases resources for HIV research and prevention. The health care reform law allocates $10 billion over ten years for a new fund that focuses on prevention, wellness, and public health activities. In 2010, $30 million from that fund was awarded to the Centers for Disease Control for HIV prevention activities, including new investments in HIV surveillance and testing among high-risk populations.
Suicide has overtaken car crashes as the leading cause of injury-related deaths in the U.S.
English: Skull and crossbones (Photo credit: Wikipedia)
While public health efforts have curbed the number of car fatalities by 25% over the last decade, a new study shows suicide deaths rose by 15% during the same period.
“Comprehensive and sustained traffic safety measures have apparently substantially diminished the motor vehicle traffic mortality rate, and similar attention and resources are needed to reduce the burden of other injury,” researcher Ian Rockett, PhD, MPH of West Virginia University and colleagues write in theAmerican Journal of Public Health.
“Contrasting with disease mortality, the injury mortality rate trended upward during most of that decade,” write the researchers.
The top five leading causes of injury-related deaths were:
Motor vehicle crashes
Researchers say the findings demonstrate that suicide is now a global public health issue.
And I would remind readers that LGBT youth attempt suicide at four times the rate of their peers. Notably because of intolerance, shame and fear perpetuated by ignorant institutions and people- sadly, many of them “Christians”. So here’s a not-so-gentle reminder:
“…but whoever causes one of these little ones who believe in Me to stumble,
it would be better for him to have a heavy millstone hung around his neck,
and to be drowned in the depth of the sea.” ~Matthew 18.6
“If Obama wins, to put it bluntly, he will become the Democrats’ Reagan. The narrative writes itself. He will emerge as an iconic figure who struggled through a recession and a terrorized world, reshaping the economy within it, passing universal health care, strafing the ranks of al -Qaeda, presiding over a civil-rights revolution, and then enjoying the fruits of the recovery. To be sure, the Obama recovery isn’t likely to have the same oomph as the one associated with Reagan—who benefited from a once-in-a-century cut of top income tax rates (from 70 percent to, at first, 50 percent, and then to 28 percent) as well as a huge jump in defense spending at a time when the national debt was much, much less of a burden. But Obama’s potential for Reagan status (maybe minus the airport-naming) is real. Yes, Bill Clinton won two terms and is a brilliant pol bar none, as he showed in Charlotte in the best speech of both conventions. But the crisis Obama faced on his first day—like the one Reagan faced—was far deeper than anything Clinton confronted, and the future upside therefore is much greater. And unlike Clinton’s constant triangulating improvisation, Obama has been playing a long, strategic game from the very start—a long game that will only truly pay off if he gets eight full years to see it through. That game is not only changing America. It may also bring his opposition, the GOP, back to the center, just as Reagan indelibly moved the Democrats away from the far left.”
“What does the Bible say about loving, same-sex relationships?”
Nothing. Not a thing.
And in that absence of Biblical direction of support for or condemnation of these relationships, Christians need to follow the general principles of the Bible: love, justice and kindness.
This was the point Matthew Vines wanted to emphasize at his recent presentation at Marble Collegiate Church in Manhattan.
Matthew’s story is intriguing; he began to understand and accept that he was gay while in his first semesters at Harvard. The Wichita native knew, that by accepting his sexual orientation, he was risking his long time status in the Presbyterian church in which he had been raised, as well as relationships with family and friends.
“You realize how alone you might be when you come out,” recalled Matthew. He resolved to take a leave of absence from Harvard to embark on a scholarly study of the subject of homosexuality in the Bible.
What most people see and know of Matthew is his excellent 67-minute video, “The Gay Debate.” The presentation in itself is quite remarkable; the young man is even more impressive.