Obamacare HIV problems

Hundreds of people with HIV/AIDS in Louisiana trying to obtain coverage under President Barack Obama’s healthcare reform are in danger of being thrown out of the insurance plan they selected in a dispute over federal subsidies and the interpretation of federal rules about preventing Obamacare fraud, Reuters reports

“Some healthcare advocates see discrimination in the move, but Blue Cross and Blue Shield of Louisiana says it is not trying to keep people with HIV/AIDS from enrolling in one of its policies under the Affordable Care Act, also known as Obamacare.

“The state’s largest carrier is rejecting checks from a federal program designed to help these patients pay for AIDS drugs and insurance premiums, and has begun notifying customers that their enrollment in its Obamacare plans will be discontinued.

“The carrier says it no longer will accept third-party payments, such as those under the 1990 Ryan White Act, which many people with HIV/AIDS use to pay their premiums.

“In no event will coverage be provided to any subscribers, as of March 1, 2014, unless the premiums are paid by the subscriber (or a relative) unless otherwise required by law,” Blue Cross Blue Shield of Louisiana spokesman John Maginnis told Reuters. The dispute goes back to a series of statements from Centers for Medicare and Medicaid Services (CMS), the lead Obamacare agency. In September, CMS informed insurers that Ryan White funds “may be used to cover the cost of private health insurance premiums, deductibles, and co-payments” for Obamacare plans. In November, however, it warned “hospitals, other healthcare providers, and other commercial entities” that it has “significant concerns” about their supporting premium payments and helping Obamacare consumers pay deductibles and other costs, citing the risk of fraud. The insurers told healthcare advocates that the November guidance requires them to reject payments from the Ryan White program in order to combat fraud, said Robert Greenwald, managing director of the Legal Services Center of Harvard Law School, a position Louisiana Blue still maintains. Continue reading “Obamacare HIV problems”

Not buying the “Buyers Club” revisionism

Critics have showered Dallas Buyers Club with praise, which is good news for Focus Features and Matthew McConaughey, whose outsized performance swings for the fences.

But it’s bad news for LGBT history and the history of AIDS activism, writes Partrick Mulcahey in Huff Post. You see, Mulcahey ws really thre in those days:

“McConaughey plays Ron Woodroof, a Texan homophobe who loves rodeo, drugs, booze, and loose women and scams for cash. The chance discovery in 1985 that he has HIV and a T-cell count of 9 marks him for imminent death, but he won’t go down easy. He buys AZT stolen from a study. He smuggles unproven treatments home from Mexico to sell at a profit, cutting a deal with a drug-addicted transgender woman (a transcendent Jared Leto) who disgusts him for access to gay men who might be desperate enough to pay.

“What is largely missing is the sense that Ron’s efforts are part of a larger movement,” theNew York Times review diplomatically suggests. Variety puts it more artlessly, gushing over McConaughey as “a redneck bigot who becomes the unlikely savior to a generation of gay men frightened by a disease they don’t yet understand.”

“Really? Is that how you remember it, if you remember it? ACT UP doesn’t exist in Dallas Buyers Club, nor do NAPWA, the PWA Health Group, GMHC, John James’ AIDS Treatment News, the Healing Alternatives Foundation.  The film’s only gay characters are weak, docile, dithering, relegated to the background, standing in line for what Woodroof is selling — and overselling.

“In 1986, after years of blind rage — at the sickness and sanctimony, the calls for quarantine, the hawking of crystals; at affirmation-spewing quacks like Louise Hay; at the sheer, harrowing loss of friends and neighbors and co-workers — I stumbled into Project Inform’s shabby little office in San Francisco’s Tenderloin neighborhood. Two men, Tom Jefferson and Ron Koslow (“a Texas sissy, honey”), were on the phones, answering questions about experimental treatments for AIDS. (There was no other kind, of course.) I learned to take calls. I stuffed mailing packets with information about ribavirin, AL721, isoprinosine, interferon, rifabutin, pentamidine, fluconazole, and dextran sulfate and how to get them. I scanned the AmfAR Treatment Directory and study lists from all over to identify clinical trials that our callers might qualify for. Continue reading “Not buying the “Buyers Club” revisionism”

“Getting to Zero”

On this December 1,  2012, the United Nations GETTING TO ZERO campaign to eradicate HIV/AIDS reports significant progress, while also pointing out limited spending by nations that could be doing more . Getting to Zero reports a 50% drop in new diagnoses in 25 as the world approaches its 1000 day target for certain goals, described by the UN below. For more informaton, see “World AIDS Day, Dec. 1, 2012.

Continue reading ““Getting to Zero””

Cell phones raising HIV risks in India

The recent closings of hundreds of ancient brothels in India, while something of an economic victory for prostitutes, may one day cost them, and many others, their lives. The decentralization of prostitution has done little to curb demands for such services, which now is met on an ad hoc basis by individual prostitutes using cell phones to connect with clients. As reported in the New York Times:

“Millions once bought sex in the narrow alleys of Kamathipura, a vast red-light district here. But prostitutes with inexpensive mobile phones are luring customers elsewhere, and that is endangering the astonishing progress India has made against AIDS.

Continue reading “Cell phones raising HIV risks in India”

LA law protects adult film industry workers

In a state famous for it’s detailed ballot initiative process, Los Angeles County yesterday passed a novel worker safety measure that supporters compare to regulations requiring construction workers to wear hard hats.

Henceforth,  performers in porn movies will be required to wear condoms while filming in LA, a decision that opponents say will leave consumers unsatisfied.

As reported in an article entitled Condom requirement for porn filming approved by voters,” in the Los Angeles Times:  “The initiative garnered 55.9% of the vote after a hard-fought campaign,’This is a major referendum on the subject of safer sex,’ said AIDS Healthcare Foundation President Michael Weinstein. Continue reading “LA law protects adult film industry workers”