Meds, Mind, Body & Benefits > Insurance, Benefits Programs & HIV

ADAP Watch Jan 7, 2011

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leatherman:
ADAPs with Waiting Lists
(5,154 individuals in 10 states*, as of Jan 6, 2011)
(changes from December 10, 2010 noted in parens (+611))

Arkansas: 15 individuals (+10)
Florida: 2,715 individuals (+319)
Georgia: 853 individuals (+16)
Louisiana: 578 individuals** (+67)
Montana: 15 individuals (+1)
North Carolina: 99 individuals (+15)
Ohio: 425 individuals (+51)
South Carolina: 337 individuals (+39)
Virginia: 116 individuals (+92)
Wyoming: 1 individual (+1)

ADAP Jan 6th Watch List
**Louisiana has a capped enrollment on their program.  This number is a representation of their current unmet need.

At the end of 2010, Congress did not pass the omnibus bill (the budget for federal spending) and only an emergency spending bill was passed that pays for the very basics. That means that the proposed $60 million that was to go to ADAP never materialized - so sadly the ADAP waiting lists keep growing.

Over 5000 American citizens now financially qualify to receive ADAP's help to provide meds or to cover insurance costs and are not receiving this assistance, but have gone onto a "waiting list". Although some ASOs and other agencies have found or provided work-arounds, all of those solutions are only temporary while the meds are a life-long commitment.

To make matters worse, some state Medicaid programs are facing serious financial issues also. Already reductions in services and co-pay amounts are being put into place to prop up these systems from collapsing.

If you live in one of the states that has an ADAP waiting list or one that is experiencing Medicaid cuts, you owe it to yourself and your fellow citizens to write your state Senators and Representatives explaining to the them the importance of staying on anti-retrovirals, and the savings to the taxpayers by paying to provide these life-sustaining meds rather than paying for the extreme costs of caring for unmedicated hospitalized HIV+ patients - not to mention that treatment also helps stem the spread of HIV.

With no foreseeable help from the federal government, it is incumbent on all of us to work towards persuading state legislators to take up the slack that they have created in the first place by not adequately funding health care for their own citizens.

buginme2:
Hmm all red states (ohio included) wonder if thats a coincidence.

leatherman:

--- Quote from: buginme2 on January 07, 2011, 08:52:42 PM ---Hmm all red states (ohio included) wonder if thats a coincidence.

--- End quote ---
nope. ;) it's been pointed out before by others (and I mentioned it in the last lines of my post) that our very own (republican-controlled) state legislatures have purposely unfunded health care initiatives in our states (not just HIV/ADAP issues) which has in turn undercut the federal matching dollars coming up in FY2012. So the short-sightedness of these actions in 2009 and 2010 will continue into 2011 and on into 2012.

However, I always feel obligated to point out that regardless of who has caused these problems, these problems are here and need a fix - because eventually they can become everyone's problems.

For example, just because it was the South Carolina state legislature that choose to fund a beauty pageant and loan $10mill for a golf tournament, and nearly scuttled restaurant and nursing home inspections, childhood inoculations, HIV prevention programs and ADAP, doesn't mean that other states won't share in the problem. When HIV remains untreated and continues to be spread, eventually turning SC into an HIV hot spot, it won't take long for the disease to spread across state lines into the surrounding blue states. Just like it behooves America to help stem the tide of the epidemic in Africa to spot the spread of the epidemic worldwide, it helps protect our own society when the all the states in America work to quell the spread of HIV/AIDS amongst the citizens in our neighboring states.

Not to mention that the biggest reason everyone should help with this problem is because eventually those Americans unable to access HIV meds can begin to die (as 4 people did in 2006 during the last ADAP crisis, and as one has already passed away in 2010)

Miss Philicia:
the issue has been going on this entire decade, more or less (though yes it's much worse now due to the Great Recession)

http://www.thebody.com/content/art33015.html

That's just a snapshot of 2001 - 2003 in terms of waiting lists, capped enrollments and reduced formularies per state.

metekrop:
Is it not possible to move to states where there are no waiting list for ADAP?  I think it might be life saving to think of that.  Is it not???  I heard no one raising of this issue here or somewhere else.

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