AIDS: Signs Of Progress, But Worries About Cuts
By Lisa Keen
Originally printed 1/2/2014 (Issue 2201 - Between The Lines News)
More than 9,000 people with HIV were on a waiting list for federal assistance in buying their medications in August 2011. In December, President Obama announced that number is down to zero.
"At one time, the need was so great that over 9,000 people were on the waitlist," said the president, at a White House ceremony marking World AIDS Day. "We vowed to get those numbers down. And I'm proud to announce that we have cleared that waitlist. We are down to zero. And we're going to keep working to keep it down."
Carl Schmid, an official at the AIDS Institute who has devoted considerable voice to shining a light on that waiting list, agreed the Obama administration deserves some credit. Schmid said the administration's re-direction of $35 million in funding to the AIDS Drug Assistance Program (ADAP) two years ago "really helped" clear the waiting lists.
The vast majority of names on the waiting lists (96 percent) were in southern states. In August 2011, the National Alliance of State and Territorial AIDS Directors (NASTAD) showed Florida with 3,751 names on the waiting list; Georgia with 1,718; Louisiana with 961; South Carolina with 896; Virginia with 875; North Carolina with 316; Alabama with 130; Arkansas with 51. The only other states with waiting lists were Ohio with 247, Utah with 40, Montana with 29, and Idaho with 25.
And most of these same southern states have now declined federal funding under the Affordable Care Act to expand their Medicaid programs and to set up state-run exchanges that citizens can use to find affordable health insurance options.
Schmid said the lack of state-run exchanges doesn't hurt so much because people with HIV can seek options through the national exchange. (The AIDS Institute has surveyed the options and is making its recommendations through a mainstream media outlet later this week.)
But the refusal of many states to accept Medicaid expansion does hurt many people with HIV, said Schmid, because "most ADAP clients are low income, and the majority are below the poverty level."
So, said Schmid, it's just not clear how much money will be needed for ADAP in the future because no one can forecast yet just how many people with low incomes and HIV will be able to get medication assistance under Medicaid or through private insurance in the exchanges.
Schmid and other AIDS activists are also concerned about federal and state budget cuts generally, as well as the looming sequestration cuts that could hit as soon as January. Many analysts are predicting those cuts could be much more dramatic next year than the first round of sequestration cuts that took place this year.
Such AIDS-related funding took on renewed urgency for the LGBT community last week when the U.S. Centers for Disease Control and Prevention (CDC) reported last month that, among men who have sex with men (MSM), "Unprotected anal sex at least once in the past 12 months [has] increased from 48 percent in 2005 to 57 percent in 2011." Also in 2011, said the report, MSM "accounted for at least half of persons diagnosed with HIV in all but two states." The two states were Pennsylvania and South Dakota, but even in those two states, MSM still accounted for between 46 percent and 49 percent of HIV infections.
In his World AIDS Day remarks, President Obama signaled he understood that urgency for the LGBT community and others particularly hard hit by HIV.
"We need to keep focusing on investments to communities that are still being hit hardest, including gay and bisexual men, African Americans and Latinos," said the president.
He also announced that the National Institutes of Health would re-direct $100 million in funds over the next three years toward research seeking a cure for AIDS.
Meanwhile, many of the community's own AIDS organizations are struggling with loss of funding and continued federal budget cuts. The National Association of People with AIDS (NAPWA) went out of business earlier this year after filing for bankruptcy. Gay Men's Health Crisis (GMHC) in New York suffered a $66,000 cut in federal funding to its meals program for people with HIV and the state was able to chip in only $22,676 last week to help make up that deficit.
A survey of 131 AIDS organizations in 29 states, released by the AIDS Institute in October, found that 85 percent of the groups experienced a drop in funding at the same time that 79 percent of them saw an increase in clients seeking help.
AIDS Institute Executive Director Michael Ruppal said his group was urging "Congress and the President to reverse the cuts caused by sequestration and adequately fund critical public health programs, including those that prevent HIV and provide for care and treatment for people living with HIV."
But it's hard to predict whether there's any chance of that happening.
A House-Senate conference committee working on a budget agreement for FY 14 missed its Dec. 2 deadline. The House is due to leave December 13 for the holidays but leaders on both sides of the aisle have indicated they are still optimistic they can come up with a bottom line for the federal FY 14 budget. From that bottom line point, lawmakers then have until Jan. 15, 2014 to work out the details agency by agency.
- Study: Only 16 Percent Of Men Who Have Sex With Men Report Using Condoms 'Always'
- New Data Shows U.S. Benefiting From Same-Sex Marriage
- NYC Approves Ordinance On Trans Birth Certificates
- LGBT Baby Boomers Face Tough Retirement Hurdles
- In Wake Of Murder, International Day to End Violence Against Sex Workers
- Financial Tips For Same-Sex Couples
- Group: Army To Recognize Transgender Vets' Names
- New Non-Discrimination Rule Implemented Federally
- Attorney: Same-Sex Marriages Should Start Soon In Miss.
- Will U.S. Supreme Court Resolve Marriage Debate?
- Mississippi Judge Overturns Same-Sex Marriage Ban
- Study Suggests Genetic Link For Male Homosexuality
- Shelter in Kansas City Won't House Gay Couples
- Gay Marriage Issue Now Linked To Ohio Senator
- Another Top Ohio Republican Speaks On Gay Marriage
- Pope Reinforces Traditional Family Values
- Election 2014: LGBT Candidates Make Some History Across U.S.
- Republican Sweep Captures Senate And Some Pro-Gay Governors
- LGBT Veterans Still Denied Equal Federal Benefits
- GLSEN Releases New National School Climate Survey On America's Middle And High Schools
- Harbour Tax & Accounting
- Families and Parents
- PFLAG Livingston County
- Florists/Floral Design
- Foundations and Funders
- The Gill Foundation
- J. Thomas Jewelers
- Legal Organizations
- Lambda Legal Defense & Education Fund, Midwest Regional Office
- Religious & Spiritual
- Metropolitan Community Church of Flint
- The Hot House
Enter contests to win great prizes like CDs, DVDs, concert tickets and more
- Exclusive! 'Looking' Star Russell Tovey On Sex Scenes, His Famous Butt & That Rimming Cake
- Q&A: Andy Cohen On His (Almost) Tell-All Book, 'Nasty' Names Gays Call Him
- Divine Intervention: Bette Midler Talks Early Gay Support, 'Diva' Degradation & Twerking ('Girls, Please!')
- Creep of the Week: The Duggars
- Being Young & Coming Out To Bette Midler
Sign up to receive our weekly newsletters today!
A study published in the journal The Lancet HIV reports that there is a significant disparity in HIV prevalence between black and white men who have sex with men. The study was published on Nov. 18 and found a startling 32 percent prevalence rate for black men who have sex with men, compared with only eight percent for white men who have sex with men.View More World AIDS Day
This Week's Issue
Download or view this week's print issue today!
Sign up to receive our weekly newsletters today!