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AIDS AND HEALTH CARE Introduction The purpose

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The purpose of this paper is to examine health care system efforts to prevent and treat HIV/AIDS in the United States and the United Kingdom. To this end, the paper first presents a brief description of the health care system in both countries. These descriptions are followed by discussions of HIV/AIDS prevention and treatment programs provided by each country's health care system. The final section of the paper presents an evaluation of whether the United States or the United Kingdom is better able to deal with HIV/AIDS patients.

The United States Health Care System

The United States medical-care system is a complex mix of public and private payments. Raffel and Raffel (1994) report that the system is costly, and often characterized by an inadequate distribution of resources and serious inequities of access.

The authors further state that, at present, private medical practice in America's health care system is eroding due to several variables. These include:

(1) a movement from solo practice into clinic conglomerates, which physicians usually do not control;

(3) an undersupply of primary-care physicians providing primary care at specialist rates;

(4) the replacement of fee-for-service by salaried and capitated payments;

(5) the addition to traditional medical practices of an array of expensive, often redundant, technological diagnostic and surgical procedures; and

. . .
cross the lifespan. According to Lancaster (1994), these programs are directly responsible for slowing the spread of AIDS across diverse groups and subgroups. Prevention Efforts Involving Immigration. Yap (1993) reports that one way to reduce the spread of HIV/AIDS is to effectively stop or limit the immigration of infected individuals into the country. It is noted that the United States has not actively reduced the risk in this regard because its immigration policy has been more focused on appeasing special interest groups than on the health threat posed by infected immigrants. Treatment Efforts The efforts of the American health care system to prolong the lives of people who have contracted the HIV/AIDS virus are mixed. Regarding the development of medications, good progress is being made; however, the cost of the most effective medication is staggeringly high (Marks, 1996). Moreover, there are large inequalities in terms of gaining access to services provided by the American health care system; the question of who is included or excluded is compounded by the demographics of AIDS patients, the majority of whom belong to deviant groups, e.g., gay men and drug users. (Marks, 1996). For example, the insurance industry
. . .

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Approximate Word count = 2636
Approximate Pages = 11 (250 words per page)

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