Navigation Links
Bush proposal for HIV-positive visitors makes a bad rule worse
Date:12/6/2007

The Bush administrations proposed rule for waivers allowing some people with HIV to visit the United States is even more restrictive, burdensome, and arbitrary than the rule it is intended to replace, according to the HIV Medicine Association (HIVMA). Furthermore, it does nothing to address a fundamental flaw in U.S. policy barring people with HIV from entering the United States.

The law denying entry to people with HIV has no basis in science or public health and should be repealed, said HIVMA Chair Arlene Bardeguez, MD, MPH, professor of obstetrics and gynecology at the University of Medicine and Dentistry of New Jersey. People with HIV have been barred from entering the United States since 1990, despite the fact that HIV infection is a manageable condition that is not transmitted through casual contact. Individual exceptions for short visits may be granted on a case-by-case basis, but only through an intrusive, stigmatizing, and unscientific waiver process.

On World AIDS Day last year, President Bush promised to revisit the waiver process. The appropriate remedy would be to repeal the law. Instead, what the administration has come up with does nothing to make the process easier and in some important ways makes matters worse.

The proposed rule imposes requirements on people with HIV that are not imposed on visitors with any other chronic medical condition such as heart disease, diabetes, or cancer: Visitors applying for a waiver need to demonstrate to a consular officer in their home country that their HIV infection is under control and will not require medical attention; that they have ample supplies of medicines for the duration of their trip; and that they have sufficient financial assets or insurance to cover any medical expenses that may arise. How a consular officer with limited or no knowledge of HIV disease is supposed to make determinations about the state of the applicants HIV infection or the adequacy of his or her drug supply is not specified. Furthermore, by placing these extra burdens on those who disclose their HIV status, the proposed rule makes it less likely that visitors will do so.

I find it inexplicable that the United States can on the one hand exercise such strong leadership in HIV science and HIV care around the world, and on the other hand display such intolerance toward people with HIV who want to visit this country, said HIVMA Vice Chair Michael S. Saag, MD, director of the Center for AIDS Research at the University of Alabama at Birmingham.

In a sad irony, this policy may make it hardest for the people with HIV from the developing world, who are benefitting the most from U.S. leadership in combating global HIV/AIDS, to visit the United States. Documentation that might be needed to qualify for a waiver may be hard to come by. Treatment guidelines in the developing world are different from those in the United States, calling into question what standard would be used to determine whether visitors have adequate medications. And visitors from developing countries are less likely to be able to have the financial reserves required.

The proposed rule further discriminates against visitors with HIV by denying them the possibility of extending their visa or applying for residency. Furthermore, it does nothing to address a fundamental flaw in U.S. policy barring people with HIV from entering the United States.

The proposed rule adds barriers to the already burdensome and stigmatizing process for people living with HIV seeking to enter the United States, Dr. Bardeguez added. There is no public health rationale for excluding people with HIV from this country. Rather than making a bad rule worse, the administration ought to fix the problem and press Congress to repeal the ban on entry for people with HIV.


'/>"/>

Contact: Steve Baragona
sbaragona@idsociety.org
703-299-0412
Infectious Diseases Society of America
Source:Eurekalert

Related medicine news :

1. United Medicorp, Inc.s Shareholders Approve All Proposals
2. Los Angeles Area Chamber of Commerce Endorses Governor Schwarzeneggers Health Care Proposal
3. NASA, NSBRI Select 17 Proposals in Space Radiation Research
4. amfARs MSM Initiative Seeks Proposals From Front-Line Groups Working on HIV in Developing Countries
5. Poll Shows Voters Want Long Term Care Included in Presidential Candidates Healthcare Proposals, Released at 2007 National Long Term Care Symposium
6. Shareholder Proposals and Director Nominations Due November 5, 2007
7. Congress Proclaims Support for Long Term Care Awareness Week; Recent Poll Shows Voters Want Long Term Care Included in Presidential Candidates Healthcare Proposals
8. National ePrescribing Patient Safety Initiative Supports Medicare Proposal to Adopt Additional Standards for ePrescribing
9. UCLA/RAND study shows that many children of HIV-positive parents are not in their custody
10. A low prevalence of H pylori in HIV-positive patients
11. New Smart Technology Makes Patient Data Collection Easier, More Efficient
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/23/2017)... ... May 23, 2017 , ... Cambridge, MA, May 23, 2017—Total ... according to a Workers Compensation Research Institute (WCRI) study, a contrast from the ... System: CompScope™ Benchmarks, 17th Edition looks at indemnity and medical payments for ...
(Date:5/23/2017)... ... May 23, 2017 , ... The Gallery ... Kevin Sadati, is pleased to announce a new treatment option called Vivace Microneedling. ... their face, neck, and body through a virtually pain-free, non-surgical treatment. Vivace Microneedling ...
(Date:5/23/2017)... (PRWEB) , ... May 23, 2017 , ... New patients ... Kevin Hogan, an experienced dentist practicing in Mt. Pleasant, SC, with or without a ... often recommended for patients with missing teeth in Charleston, SC. Those who ...
(Date:5/23/2017)... ... May 23, 2017 , ... Patients in need of a pulpotomy ... to schedule an appointment, with or without a referral. Dr. Cotey is a respected ... pediatric patients as a healthy alternative to a tooth extraction. , When a child ...
(Date:5/22/2017)... ... 22, 2017 , ... An inventor from Columbia, S.C., wants to offer people ... was damaged in a firework accident, so she couldn’t grip a pen properly," he ... He then designed and created a prototype for the HELPEN HAND, a special pen ...
Breaking Medicine News(10 mins):
(Date:5/3/2017)... , May 3, 2017 A Catheterization ... hospital or healthcare facility. Commonly referred to as ... equipped with diagnostic imaging technology to give physicians ... heart. In these spaces, a team of physicians ... angioplasty, percutaneous coronary intervention, congenital heart defect closure, ...
(Date:5/3/2017)... N.J. , May 3, 2017  Getinge, ... that contribute to quality enhancement and cost efficiency ... from a study of contemporary practice demonstrating that ... first-line therapy for critically ill patients. The single-center, ... Company,s newer large volume MEGA ® 50cc ...
(Date:5/2/2017)... NEW YORK and ... the leading distributor of market intelligence, MarketResearch.com is pleased ... Tech Reimbursement Consulting AB that allows for the ... AB,s proprietary market analyses through the MarketResearch.com website. ... world easy access to complete product descriptions and tables ...
Breaking Medicine Technology: