Popular Articles

Convicting HIV-Positive People Contributes To Spread Of Virus, Opinion Piece Says
The recent conviction of HIV-positive Toronto resident Johnson Aziga is "part of an upward trend," as more "charges and prosecutions for HIV transmission -- and even potential HIV exposure -- are popping up around the planet," Regan Hofmann, editor-in-chief of POZ, writes in a Dallas Morning News opinion piece. According to Hofmann, the Canadian court that convicted Aziga took "the criminalization of people with HIV to a new level of severity," convicting him of two counts of first-degree murder and 10 counts of aggravated assault. "He"s the first person in the world who was aware of his HIV status to be convicted of first-degree murder for exposing a sexual partner to HIV," she notes. "In some cases, HIV-positive people are being imprisoned even if HIV transmission couldn"t have possibly occurred," she writes, citing a case in Dallas, Texas, last year in which "an HIV-positive man was sentenced to 35 years for harassing a public servant with a "deadly weapon" when he spat on a police officer." Hofmann writes that her decision to be with the partner from whom she contracted HIV involved a risk that exists for "anyone anytime they have intercourse without a condom," adding that while she was "certainly upset at the man who gave me HIV," she is "equally upset with myself for choosing to risk my own life when, arguably, I knew better." She continues, "The finger of justice seems to inevitably wag at the person living with HIV, but given that these cases in question involved consensual sex, it makes me wonder why we are not discussing the culpability of both parties," adding, "Why are we not asking the person who was exposed, and who perhaps contracted HIV, whether they felt any responsibility for the risk they took when having unprotected sex?" According to Hofmann, "Criminalizing people with HIV ... helps deepen the stigma around the disease, which in turn, undermines prevention, testing and treatment efforts," making people less likely to seek out information on HIV, discuss HIV with their partners or get tested. "According to U.S. law, if you don"t know you have HIV, you are less culpable should you pass it along to a partner," Hofmann writes, adding, "This provides a disincentive for people to know their HIV status. And, if people are unaware of their HIV status, they are not seeking care for the disease." Hofmann writes, "When people are aware that they have HIV and seek treatment, their viral load can be reduced, rendering them less infectious." She adds, "Therefore, criminalization of HIV actually leads to the spread of HIV" and deters people from talking about the virus. She concludes, "People should fear" HIV "rather than those whose bodies harbor it. The barrier of stigma wedged between a person and others they deem "dirty" or "derelict" will not keep AIDS at bay" (Hofmann, Dallas Morning News, 5/15).

Blogs Comment On Media Coverage Of Abortion Issues In Health Reform Debate, Other Topics
The following summarizes selected women"s health-related blog entries. ~ "Mainstream Media Reinforces Unexamined Arguments Against Public Funding for Abortion," Amanda Marcotte, RH Reality Check: It "seems that mainstream media s ... believe that abortion is an effective cudgel to beat health care reform to death," Marcotte writes. According to Marcotte, the "unvarnished truth" is that there is "no way that any kind of public health care plan will have elective abortion coverage. Nor is there any real chance of abortion becoming mandated coverage." However, "you wouldn"t know it to read the media coverage of this issue," she writes, continuing that "we"ve got the toxic mixture of pants-on-fire lying anti-choicers and cowardly media outlets that give the opponents of health care reform an opportunity to lie about the potential for taxpayer-funded abortions." Those who defend health care reform are "so busy trying to shut down the misinformation about abortion coverage that we"re not having the more interesting discussion about whether or not abortion should be covered," Marcotte says. She adds, "And by not having that discussion, we"re allowing the belief that some people"s moral objections to abortion should dictate federal policy lay unchallenged," she continues. She writes that she "suspect[s] that anti-choicers latched onto taxpayer-funded abortions because they can count on a lot of the public to imagine the government funding female licentiousness." Marcotte concludes that the "good news is that this contempt for female sexuality has receded enough that the media debate hasn"t -- yet -- turned to whether or not health care reform should cover contraception" (Marcotte, RH Reality Check, 7/28).~ "Privileging Opposition to Abortion," Jamison Foser, Media Matters for America: Some reporters "have skewed their reports in favor of those who oppose" coverage of abortion in federally subsidized insurance plans, according to Foser. For example, Foser writes that on a recent episode of MSNBC"s "Hardball," host Chris Matthews asked Sens. Richard Durbin (D-Ill.) and Orrin Hatch (R-Utah) "leading questions that encouraged them to state their opposition to insurance coverage of abortion" but never asked them "one simple question: Why shouldn"t abortion be covered, given that the procedure is legal?" Foser adds, "Nor has he asked if there are any other legal procedures that shouldn"t be covered." The "premise that taxpayers who oppose abortion shouldn"t have to pay for them with their tax money carries obvious implications the media ignores," Foser writes. He adds that the "idea that taxpayers shouldn"t pay for insurance that covers medical services they don"t support is fundamentally incompatible with the very concept of insurance." He continues, "If every interest group wields veto power over the medical care insurance can cover, insurance simply can"t work." However, this is not the "only logical inconsistency on the part of abortion foes that the media fail to examine" in their coverage of abortion issues in the health reform debate, he writes. "Many of those who are most adamant that the government not allow abortion to be paid for by health insurance plans are the same conservatives who argue against health care reform by warning of the prospect of a government bureaucrat getting between you and your doctor," according to Foser. He continues that the "same people who want a government ban on insurance coverage for a legal medical procedure turn around and demagogue about government bureaucrats making medical decisions," which is "a pretty obvious inconsistency, the kind any reporter should be able to spot easily." However, the "tension between those two positions has gone unexplored in news reports about the abortion controversy," Foser concludes (Foser, Media Matters for America, 7/24).~ "Obama Abortion Backtrack Shows He"s All Rhetoric, No Fight," Bonnie Erbe, U.S. News & World Report"s "Thomas Jefferson Street": "[O]ne thing we know will not be incl
News of the day
H1N1 Influenza Pandemic Modelling For Public Health Action
Mathematical modelling can help inform public health policy in outbreaks such as the H1N1 pandemic, write members of the Pandemic Influenza Outbreak Research Modelling Team in Canada in a CMAJ (Canadian Medical Association Journal) article http://www.cmaj.ca/press/cmaj090885.pdf. These models are useful tools for simulating plausible scenarios, developing control strategies and identifying important areas for immediate research.
Health Insurance

Short-Timer Whitehouse Has His Say

"While Sen. Sheldon Whitehouse (D-R.I.) is expected to be on the Senate Health, Education, Labor and Pensions Committee only for a short time, he should have a major effect on health reform," Roll Call reports. "Senate Majority Leader Harry Reid (D-Nev.) chose Whitehouse to temporarily take the place of former Sen. Hillary Rodham Clinton (D-N.Y.), now secretary of State, on HELP because of his experience with health care policy at the state level." But when Sen. Al Franken, D-Minn., takes over "the long-vacant Minnesota seat, Whitehouse"s time on the committee will soon be coming to an end -- but not before the health debate is finished." Whitehouse, who "has represented Rhode Island since 2006," is a former Rhode Island attorney general, a former state insurance commissioner, and a former U.S. attorney. "Among his responsibilities were helping to establish a statewide children"s health insurance plan, pursuing health care fraud and founding a state health care quality center. As a result, Whitehouse said, he "came into the debate with a very, very strong set of views" on how to overhaul the health care system." Whithouse "believes that health care can be improved through a focus on preventing diseases, changes to the Medicare reimbursement system and an increased investment in electronic medical records." His "hope is that he will make a favorable enough impression so that he would be considered for any future openings on committees that cover health care" (Langel, 7/6). Roll Call also has a profile of Elizabeth Wroe, "who serves as health counsel to Sen. Judd Gregg, R-N.H. Wroe "always makes clear up front what her boss needs to support a bill," and "is consistent, never wavering on the Senator"s terms throughout negotiations." She "also played a central role in passing reforms to the Food and Drug Administration, including reauthorizing and increasing industry user fees used to fund agency safety inspections and reviews." Wroe says her plan for health care "negotiations is to be "as aggressive as possible" in trying to further Gregg"s goals of expanding coverage while lowering costs. Gregg, who is the ranking member of the Budget Committee, has taken an active role in trying to ensure that health care reform does not add to the federal deficit. For Wroe, the key to these negotiations is to take a long-term view. "It"s a marathon, where every mile feels like a sprint," she said." "While Wroe believes there are a lot of unanswered questions in the reform bill that HELP is working on, she is optimistic that a bipartisan deal can be found. ò€¦ This week, HELP will address the coverage provisions of the bill in what is expected to be the most contentious stage of negotiations. While Wroe has worked closely with Democrats, she complains that Republicans have been left out of recent talks, a point Democrats reject. She says that while staff from both parties worked closely together on legislation from last February until a month ago, that ended when Democrats told Republican staff that they had finished the bill and were ready to go to markup" (Langel, 7/6). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


Add your comment:
Name:
Site address: http://
Your message:
Enter today\\\\'s date, 2 digits
(spam protection):