AIDS Treatment Goes Global: The Primary Focus Has Shifted "From End-of-Life Hospice Care to Outpatient Clinical Care, as HIV-Positive Patients on New Drug Regimes [Sustain] Longer, Healthier Lives."

By Kenslea, Ged; Yeghiayan, Lori | USA TODAY, March 2006 | Go to article overview

AIDS Treatment Goes Global: The Primary Focus Has Shifted "From End-of-Life Hospice Care to Outpatient Clinical Care, as HIV-Positive Patients on New Drug Regimes [Sustain] Longer, Healthier Lives."


Kenslea, Ged, Yeghiayan, Lori, USA TODAY


ALMOST 20 YEARS AGO, a small group of friends, outraged over seeing peers with AIDS dying in the streets of Los Angeles, banded together to "fight for the living and care for the dying." With a coffee can and a clipboard, this group, led by New York native Michael Weinstein, raised awareness and funds door to door to press for legislation that ultimately allowed them to open the first licensed AIDS hospice in California. Since that time, the fledgling group has grown to become AIDS Healthcare Foundation (AHF), the largest ADS organization in the U.S., operating free treatment clinics in this country as well as Africa, Central America, and Asia, serving close to 30,000 patients worldwide. The group also has continued--and expanded--its tradition of outspoken advocacy through protests, patient marches, lawsuits, and lobbying for legislation, all on behalf of those who are living with HIV/AIDS.

As the Foundation grew and evolved in response to the exploding epidemic, Weinstein never lost sight of the co-founders' original pledge. As president, he oversaw that historic opening of the Chris Brownlie Hospice, named in honor of co-founder and close friend, Chris Brownlie, a Los Angeles writer. Brownlie, who was living with--and dying from--AIDS, first inspired Weinstein and friends to act after he spent days on a stretcher in the halls of a Los Angeles hospital awaiting admission. At the time (1988), in addition to widespread misunderstanding and fear of the disease, few hospitals were equipped to care for AIDS patients, and no effective medical treatment was available.

"We provided compassionate end-of-life care to nearly 2,000 patients at this first hospice," recalls Weinstein. "Chris himself lived his last days here. We, his friends, find comfort in the care we provided to so many in the facility that bore his name."

Brownlie often wrote of his straggles with AIDS, chronicling the physical and emotional toll of the disease that ultimately claimed his life in November 1989. In his poem, "AIDS," he captured a sentiment that still resonates today, " ... It is surviving and believing in the future."

"All of us at AHF continue to honor Chris" memory and his belief in the future in the work that we do every day bringing life-saving treatment to people living with HIV/AIDS worldwide," concurs Weinstein.

Today, AHF is a 24/7 operation, offering HIV prevention and testing services, as well as medical care and life-saving drug treatments in more than 30 clinics on four continents. With the arrival of effective treatment in the form of anti-retroviral therapy--the so-called AIDS drug cocktails in 1996--HIV/AIDS, at least in the developed world, has become a chronic, manageable disease. In response, Weinstein and AHF shifted the primary locus of the organization from end-of-life hospice care to outpatient clinical care, as HIV-positive individuals on the new drug regimens began leading longer, healthier lives.

With Federal backing, it also created Positive Healthcare, California and the nation's first managed care plan designed specifically for people with AIDS. Besides improving the health outcomes of its clients, the program has generated significant cost savings for California. The initiative later served as an example to Florida officials, who engaged AHF to bring an effective disease management program, Positive Healthcare/Florida, to that state's Medicaid population living with HIV/AIDS, showing that quality care and cost containment can coexist and, indeed, thrive.

After groundbreaking advancements in AIDS treatment in the mid 1990s. AHF's advocacy efforts turned toward ensuring access to these new life-saving drugs. This was reflected in a shift in the organization's mission, which became a commitment to provide, "cutting-edge medicine and advocacy regardless of ability to pay."

As the epidemic grew in the developing world. AIDS Healthcare Foundation has moved with it.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

AIDS Treatment Goes Global: The Primary Focus Has Shifted "From End-of-Life Hospice Care to Outpatient Clinical Care, as HIV-Positive Patients on New Drug Regimes [Sustain] Longer, Healthier Lives."
Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.