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Author Topic: 75 percent in US dont get proper treatment  (Read 3496 times)

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Offline mikeyb39

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  • Posts: 922
75 percent in US dont get proper treatment
« on: July 28, 2012, 07:54:53 AM »
Maybe its just me and i'm Naive, but 75 percent of folks not getting treatment is astounding to me.    This is not good or right, it makes you want to do something like providing needed treatment for these folks.

I guess i take for granted that i get my 90 day supply of meds delivered to me and with no issues.   IS this a cost issue or is it just young folks dont have a sense of urgency?

http://vitals.nbcnews.com/_news/2012/07/27/12990984-75-percent-of-us-hiv-patients-lack-effective-care?lite

I've tried to give access to a stockpile of medications that i have 'virea' about 5 months supply never been teampered with, but i can't give them away it seesms, the ASO here seems to not have any interest in them
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD

Offline leatherman

  • Member
  • Posts: 6,150
  • Google and HIV meds are Your Friends
Re: 75 percent in US dont get proper treatment
« Reply #1 on: July 28, 2012, 10:37:08 AM »
iS this a cost issue or is it just young folks dont have a sense of urgency?
simple non-adherence is the issue.
Some basic causes for non-adherence are issues like complacency, depression, alcohol, drugs, housing, stigma- internal and external, fears of side effects, side effects, mistrust of doctors, lack of knowledge about HIV and the meds, access to meds for some people, etc.

Of course, then you must factor in the approx 20% of those infected with HIV who haven't been tested and diagnosed. They are not receiving treatment at all.
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline buginme2

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  • Posts: 2,841
Re: 75 percent in US dont get proper treatment
« Reply #2 on: July 28, 2012, 12:14:58 PM »
I like this quote from the article

“Every state really must enact the Affordable Care Act,” said Dr. Judith Aberg, president of the HIV Medicine Association and an AIDS expert at New York University. “States need to fund HIV treatment and prevention. We need to continue this fight.”

Sooo many variables though, not to mention, there was recently an article about how there are so few HIV specialists in the US.  Some of the hardest hit states in the south have the fewest numbers of HIV specialists.  Which is requiring people to drive hundreds of miles to see an HIV doctor or simply not see one at all. 

Offline Miss Philicia

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  • Posts: 24,013
  • celebrity poster, faker & poser
Re: 75 percent in US dont get proper treatment
« Reply #3 on: July 28, 2012, 12:37:33 PM »
In Killadelphia, we have HIV clinics where patients are seen regardless of ability to pay, and of course there is no waiting less for ADAP. Additionally, travel is a non-subject as all parts of the city are well served by public transportation and the prices are affordable.

If one was to subtract the % of undiagnosed people I'm quite certain that there would still be a significant amount of diagnosed people that simply due not stay in treatment. If one is very poor, and lives in a dangerous neighborhood, and has five children, you're more concerned with paying rent, buying food, and dodging bullets. As long as current HIV demographics disproportionally affect poor, non-white people this situation will continue.
"I’ve slept with enough men to know that I’m not gay"

Offline Pilot

  • Member
  • Posts: 126
Re: 75 percent in US dont get proper treatment
« Reply #4 on: August 01, 2012, 02:23:45 AM »
The list of services and drugs your allowed keeps getting smaller and smaller.  The only thing i can get now is my Atripla and blood pressure medicine.  The basic tests they do to monitor it is now every six months.  If you do not have insurance, you do not get it.  They want everyone to get in a high risk pool but who has 500 bucks a month for insurance when you make just enough to get by on.

Offline leatherman

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  • Google and HIV meds are Your Friends
Re: 75 percent in US dont get proper treatment
« Reply #5 on: August 01, 2012, 10:15:32 AM »
The list of services and drugs your allowed keeps getting smaller and smaller.  The only thing i can get now is my Atripla and blood pressure medicine.  The basic tests they do to monitor it is now every six months.  If you do not have insurance, you do not get it.
That is part of the whole reason healthcare reform was needed. those are all current problems the ACA is designed to address. ;)

Well, not so much the testing time though. Experience has shown that less testing is required once a patient reaches and maintains UD for a certain amount of time. Of course, patients who choose to not stay properly adherent to their meds run a great risk by the longer time between tests; but that problem is the consequence of the patient's actions, not the doctors, insurance, or healthcare guidelines.

If you are eligible, the ACA will provide subsidies to pay the premium
They want everyone to get in a high risk pool but who has 500 bucks a month for insurance when you make just enough to get by on.
"The ACA also introduces a premium tax credit subsidy for qualifying households between 139% and 400% FPL that limits a household’s premium contribution to a maximum percentage of household income.  "
http://www.in.gov/aca/files/Individual_Market_Premium_Rate_Change_Executive_Final.pdf
http://www.spotlightonpoverty.org/exclusivecommentary.aspx?id=ba21673c-b1ac-44b7-8f76-50e856cdb9b5

"All people who buy coverage through an Exchange will have a cap on their total out-of-pocket spending, including deductibles, co-pays and co-insurance. These limits are based on the out-of-pocket limits that apply to high-deductible plans used with Health Savings Accounts (HSAs). People with incomes under 400 percent FPL will get subsidies to lower those caps based on their income. "
http://101.communitycatalyst.org/aca_provisions/subsidies <-- seems to be a very good and informative link

google "aca subsidies" for lots more info ;)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

 


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