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I read your article...and I am so angry it is hard to respond. Not to you but to the ignorance of our governments, agencies, and non-profits. It's all such BIG talk and little action. People are going to start dying because they can't get meds to survive. We need to stay focused on this issue or primary care won't be an issue.
Hello; Thanks for your timely writings on drug access. Frankly, it is hellish to have health insurance, take meds and be undetectable. Then, loose health insurance, make too much to qualify for state ADAP. Now, off meds and praying my health holds up until I can get insurance, another job or other assistance. I suppose I am better of than some who never could afford to start treatment? Keeping my head up. James
Hi Reagan, I know this is a bit hrash and personal to some and to me it is personal too for I am one of the 27.3 million without excess to pills today and it is personal. Oh .. buy the way it you deside to publish the last entry I made to your blog will you please add a "s" at the end of million in the last Paragraph. xxxxooox Frederick
I think you did a great job summing up your views of the problems, however the chart of the US where 900 thousand or about 90 percent of HIV folks are not on drugs might suggest that these people do not put as much faith as some, in the treatment options available, in other words these folks may believe that ARV’s as first strike are their best treatment options and unproven in their minds. More proof must come forward in this new test and treat theory for me to buy into it. I think it is a clear indication that not one press out let covered this new test and treat theory or the morning before or after pill make it is clear to me that Americans are over spending more money for HIV care. You see when it comes between the American people picking healthcare and food for their own children or healthcare for HIV people they will always pick their own. I also think that this new theory on test and treat make the HIV climate more stressful in pitting Zero viral load people against elevated viral load people. Very sad, when all know that the problem with treatment for most communities is because of extend greed to keep their own money in their pockets and not addressing human sexual honestly. In America and Europe we have no problem spending Trillions of resources on a war machine to kill our neighbor, but food, clean water and meds is somehow at the bottom of the list. As long as we are diverting Trillion of dollars in killing people in war than how can peace and universal excess be accomplished? This test and treat is just another scheme in my opinion to market a theory that many have not bought into, due to the facts that the science is not factual and a bunch of opinions built on assumption and quantitative tests from a corrupt scientific community build on pride and headlines for their pimps, as so known as the CEO’s of Multinational Corporations and such. My faith assure me that the truth will come forward and many in their greed and fine words will met their maker to know the truths of their deeds and many know it now. Again if the HIV thinkers would come out of the box to include many other global health problems like lack of jobs, food, clean water and treatment for other illnesses for women, children and men and get their heads out of the sand and stop branding AIDS as a religion of pills for big business, then true hearts will win the battle of AIDS and I believe many will be unchained and free. I hope and pray that the 250 thousand people in the USA with undetectable viral loads or proteins understand that the viral load counting of proteins is shaken science at best and many scientists think it is a snake oil promotional tool. I thank God for my faith each day for I find it hard to put faith in science that is so inter mingled with such large money trails on the backs of the poor and oppressed. Shame on the money whores ( you all know who they are and many are on your non-profit boards) without a true heart of charity for their communities and hope they enjoy their big houses, expensive cars and private planes built on Blood PILLs, during this life, for God will judge these folks and I pity them and glad that I am a person that will not have to answer for all the deaths due to greed and corruption within these money whores and the sad part is that are sociality puts these folks up on a pedestal of success to teach their children that success is how much money you can collect on the backs of the poor and oppressed and somehow grandfather and grandmothers elevate these behaviors as successfully people and my theory is that these money whores are the ones with the New AIDS or Acquired love Deficiency Sindrome. The Good News is these folks have a chance to change their behaviors and do the right thing for the millions in need of true charity.
Regan - thanks for this very thoughtful piece. I want to make one important correction. You call Mapping Pathways (a project I manage on behalf of AIDS Foundation of Chicago, with partners in S. Africa, India, and Europe) - a "PrEP feasibility" study. This is quite inaccurate. Mapping Pathways is no such thing. It is a project designed to look at the data, and solicit stakeholder input, on ALL the ways that ARVs can be used as prevention - which includes more than PrEP. That means microbicides, treatment, and PEP -too. We want to provide full analyses that help jurisdictions and countries make decisions about how they deploy any of these new strategies - or not. I hope you will note the correction.
mark hester
why dont we fund hiv care /research in the u.s. its a joke , now the blacks have become the poster children. can we send then to africa where the focus and money goes.
August 26, 2011