Blocked!

Why HIV Testing and Treatment Are Still Issues

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.

(Source)

Specifics: Obamacare and HIV (dgsmith.org)
Oral Health and HIV (topdentists.com)
San Francisco Thwarts HIV With Wide Testing, Universal Treatment (npr.org)

Specifics: Obamacare and HIV

Sep27 by D Gregory Smith

click for more info

From Think Progress By Tara Culp-Ressler

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.

How Obamacare Helps Americans Living With HIV (thinkprogress.org)
Most HIV-Positive Americans Lack Regular Medical Care (dgsmith.org)
By 2015, Half Of HIV-Positive Americans Will Be Over The Age Of 50 (thinkprogress.org)
Health Department Warns of HIV-Positive Prostitute (stlouis.cbslocal.com)
A Guide to Oral Care and HIV/AIDS (topdentists.com)

Obama Will Be “Democrats’ Ronald Reagan” If Re-Elected

Sep24 by D Gregory Smith

So says Andrew Sullivan in this article. I tend to agree.

“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.”

Read it all for yourself here.

If Rehberg Were a Senator Yesterday:

Sep20 by D Gregory Smith

There would have been another vote against veterans…

Do Tell

Sep20 by D Gregory Smith

It’s the first anniversary of official integration of openly gay, lesbian and bisexual people in the military. I can think of no better way to observe it than by the words of Joint Chiefs Chairman Mike Mullen as he testified before Congress last year:

“No matter how I look at the issue, I cannot escape being troubled by the fact that we have in place a policy which forces young men and women to lie about who they are in order to defend their fellow citizens. For me, it comes down to integrity – theirs as individuals and ours as an institution.”

What many don’t understand is that lies create shame- and shame creates pain. For many LGBT people, lying on a daily basis is dehumanizing and debilitating over the long term, destroying integrity, creating depression, increasing anxiety and lowering significantly a person’s quality of life.

On the other hand, telling the truth and being accepted can greatly minimize depression, anxiety and shame, increasing quality of life significantly.

I think the military’s embracing of honesty sends an important message to Americans- one that should have been sent from the beginning: lying is bad. In fact, it’s bad policy.

Obvious, isn’t it?

And here’s to the many members of the military who survived- who “served in silence” before truth was finally policy (including my husband). Thank you for your service.

In fact, maybe today should be Gay Veteran’s Day….

The Anniversary of the End of ‘Don’t Ask, Don’t Tell’ (towleroad.com)
Barbara Walters To Host Celebration Marking First Anniversary Of DADT Repeal (ontopmag.com)
One Year Later: Admiral Mullen Talks To OutServe About DADT Repeal (lezgetreal.com)

Where DO Non-taxpayers Live?

Sep18 by D Gregory Smith

Mostly in red states. The Atlantic:

Click for story

Quote Of The Day: Stonekettle Station

Sep16 by D Gregory Smith

Part of a response to Rick Santorum’s Value Voters speech– in itself a study of mental Novocain:

…Rush is also the guy who recently said that Batman: The Dark Knight Rises was an attack on Mitt Romney.

I’ll pause for a minute so you can take that in.

Batman was an attack on Mitt Romney.

See in the movie, the bad guy is named Bane.

Get it?

No?

What, are you people idiots?

Look, it’s simple: Bane = bad guy. And Bane sounds like Bain. Bain. See? Bain Capital, Mitt Romney’s company. Ah HA! So therefore obviously Obama is a communist Kenyan who eats little aborted white babies while scheming to turn America into a Liberal socialist vegetarian gay bath-house under Sharia Law.

Also, there might be Nazis.

I’m a little hazy on the part where billionaire industrialist Bruce Wayne, head of Wayne Enterprises, is a filthy liberal socialist. It’s probably because Batman likes cats (and women) and doesn’t pack a gun. But I digress.

Meanwhile, just two days after appearing on stage with Mitt Romney, God’s favorite Christian, Pat Robertson, told a man to move to Saudi Arabia so he could beat his wife legally. …

Please, do yourself a favor read the whole thing here- it’s an amazing example of the schooling of fear-based logic gymnastics, contortionistic ridiculousness and crazy.

I love this guy.

Rehberg’s Anti-LGBT Record

Sep14 by D Gregory Smith

…is spelled out by ThinkProgress:

Rep. Denny Rehberg (R-MT)

In June, Montana Republicans nominated Rep. Denny Rehberg (R-MT) to challenge incumbent Sen. Jon Tester (D). Unlike Tester, a fairly reliable supporter of LGBT equality, Rehberg has opposed the LGBT community at every opportunity.

Over his time as Lt. Governor of Montana, his unsuccessful 1996 Senate campaign, his 12 years in the House of Representatives, and this Senate campaign:

1. Rehberg proudly pranked a fellow Congressman with a gay-mocking “Idaho Travel Package.” In 2008, after Idaho’s Sen. Larry Craig (R) plead guilty to lewd conduct involving a male police officer in a Minneapolis-St. Paul International Airport restroom, Rehberg decided to leave a care-package for Rep. Mike Simpson (R-ID). On a congressional trip to the Middle East, Rehberg reportedlyleft “a stuffed sheep with gloves attached to it, a Village People CD, books on cross-dressing and sign language and a T-shirt that reads, ‘My senator may not be gay, but my governor is Butch.’” The governor of Idaho’s name is C.L. “Butch” Otter. A spokesman claimed “no offense was intended,” Rehberg boasted that he was proud of the travel package and “spent a bit of time putting the things together.”

2. Rehberg has consistently fought against marriage equality and even domestic partnership benefits for same-sex couples. In his Senate campaign kickoff, he told supporters: “I will never, ever, ever be ashamed to stand for the life of the unborn child and the sanctity of traditional marriage.” He has indeed shown no shame, voting twice for a federal constitutional amendment requiring “marriage in the United States shall consist only of the union of a man and a woman.” He also voted for a 2011 amendment reaffirming the unconstitutionalDefense of Marriage Act (DOMA), a 2007 amendment restricting the District of Columbia government from using any federal funding to provide domestic partnership benefits, and a 2004 bill of questionable constitutionality to strip federal courts of the right to review whether DOMA is unconstitutional. In May, he reiterated his support also for his state’s same-sex marriage ban, saying “Montana’s state constitution says ‘Only a marriage between one man and one woman shall be valid or recognized as a marriage in this state,’ and I agree.”

3. Rehberg railed against hate crimes protections for LGBT Americans, calling them “extremist.”….

There’s much more. AND a video.

If you’ve needed some clearly spelled out reasons to deny this man the Senate seat the Tea Party is so desperately seeking to claim, click the link below.

Rehberg’s anti-LGBT Record.