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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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The United States of America

The United States of America

Chapter:
(p.577) Chapter 39 The United States of America
Source:
The HIV Pandemic
Author(s):

Bruce Fetter

Douglas Morgan

Jeffrey Levi

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0039

This chapter reviews the United States' response to its HIV epidemic. The USA does not have an integrated healthcare delivery or financing system, even within public sector programmes. Many have noted that the challenges faced by people with HIV are simply a lens through which one can see the larger challenges of the US healthcare system. This is indeed true. However, as challenging as things are for people with HIV, the presence of multiple HIV-specific programmes provides access to more services for poor people with HIV than for those with other chronic conditions. Indeed, while there are probably few lessons to offer other countries regarding HIV care financing, given that many other nations rely on a publicly financed system, the US recognition of a need for a broad continuum of services does provide a model for care delivery for nations across the world.

Keywords:   HIV care financing, HIV epidemic, health services, US healthcare system, HIV infection

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