The patient was recently interested in preventing preventive prevention, which was known as Prep, and was nervous without protecting HIV, a black man lost to AIDS, but was eager to try. After we discussed his sexual activity and reviewed his blood activities, I thought he was a great candidate.
When he asked if he prefered the pills once a day or a long behavior injection, he said he wanted what options were the cheapest in cash. I explained that his insurance would be almost clearly dealing with two options, but he expressed his fear that he would warn the government through an insurance company.
I am a clinical pharmacist and does not distribute the drug, so I asked a pharmacy to send a prescription. He seemed particularly worried that prescriptions would make traces of paper. There was no special threat to his safety yet, but I was afraid that the recent reduction in HIV treatment might be the first sign of worse fear. It was one of the most painful conversations in my career. You don’t have to worry about blocking HIV.
But as the Trump administration Lay waste For the required HIV prevention and treatment, I have more painful discussions with patients from black and Latin people and other groups of other groups in general, facing higher infection rates and worse treatments.
Federal Health Institution, Minister of Health and Human Services Robert F. Kennedy Jr. It is said to be placing We are trying to end and resolve the entire employees of infectious diseases and HIV/AIDS policies, US HIV epidemics. Related racial health imbalances. The National Institute of Health has been canceled More than 100 subsidies for research on disease. Alienated groups are concerned that they may lose access to Prep in the gutting of the federal support program, and may worsen if the Republican Republican Party wants to cut Medicaid. At the end of this month Supreme Court We will make an ideal claim that private insurance companies should continue to pay for preparation and other preventive drugs.
With these events -with attempts dissolution The US Global HIV/AIDS Program, HIV’s Federal website promotes “gender ideology” and ends LGBTQ -centered HIV program And research -I was afraid of my patients and colleagues. It is angry to watch the Trump government. Erase the virus of the American virus by 2030He gives up vulnerable Americans and retreats from the long -term HIV reaction.
After all, I was convinced that taking Prep was the best way to protect myself from infection, and this administration was more important in support for erosion for HIV treatment. HIV prevention is what all medical service providers must integrate into their own practice. Despite being one of the best tools we can dispose of to prevent the spread of HIV, Prep is not particularly mentioned about the population that is most burdensome for this disease. Medical service providers can start by implanting their practices so that they can be educated on preparation and make it easier to prescribe. It is a disability that prevention can be delayed or suspended from people who can be a problem of life and death.
The imbalance of diagnosis and treatment is cruel. that projection HIV in the United States is about 0.4 %. But the research estimated it 14 % to 42 % Transgender Women live with HIV. Compared to other women with HIV, there is a transgender woman Less possibility Inhibit the virus to an unknown level or receive appropriate medical services. A man with sex with a man It represents 67 %of new infections Black and Latin man In this group, it is most likely to be suppressed by the virus. Overall, black and Latin people account for 70 %. New diagnosis 61 % of the death of an individual with HIV
Therefore, medical service providers must prescribe the daily parts of preliminary screening and tasks, similar to checking hypertension and cervical cancer. This will not be difficult for some people. Others may need to help work through their prejudice. Research is said to buy stereotypes that even many clinical trials encourage preparation. Color In order to avoid being involved in unprotected sexual activities or taking drugs according to instructions Drug resistance HIV strains thrive. Such assumptions contribute to prescription Inappropriate low rates. However, research suggests that there is a danger exaggeratedAnd they are much more important than the ability to reduce HIV infection.
For each patient who discloses the fear of what’s going to happen in this administration, I wonder how many others are afraid of pursuing the treatment they need. As a medical service provider, we tried to protect the patient from the damage. The words of support are not enough to fight the policies and investigations that can worsen the marginalized group’s public health inequality.
calculation There may be 2,000 new HIV infections every day, and if the US funds are frozen or replaced, there may be 10 times more related deaths. My colleagues and I can’t avoid mass death on that scale. But as usual, continuing business is to surrender the future. Strengthening Preparation prescription is one of the most suitable power for our disposal to prevent the new HIV crisis.
