the wealthy fled the city for the hopefully cleaner air and surroundings of their rural properties. When the AIDS crises first erupted, injection drug users and homosexuals were the first populations hard hit by the disease. The Reagan AdministrationÆs initially slow response to the disease was attacked by many as evidence that marginalized populations did not deserve the same attention as other groups. As Jonsen (et al. 1993) argues, epidemics typically ôhit institutions hardest where they are weakest: serving the most disadvantaged people,ö (8).
Historical epidemics have greatly influence public health care policies with respect to the development of societies. While third world u
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