21.
See Droste ( 1987) for a consideration of the economic and social problems engendered in local public health care by the move toward "dying at home."
22.
The Visiting Nurse-Service of New York (VNS) is certified to receive Medicaid and Blue Cross reimbursement. Most private agencies are licensed but not specifically certified by the state in this manner.
23.
Lambert ( 1989:B2) reports:

[ New York State's] first nursing home ward for AIDS was originally scheduled to open in Manhattan in October [ 1988]. But the opening has been delayed until early this year [ 1989]. Two other AIDS nursing homes and a third health-related facility are also proposed this year. If they materialize, they would raise the total capacity to 364 beds. Existing nursing homes have been reluctant to take PWAs because they claim they are not adequately reimbursed for the extensive care necessary. There is a limited number of beds available for PWAs at Goldwater Memorial Hospital on Roosevelt Island. This is a city facility similar to a nursing home which provides chronic care services.

24.
Oppenheimer and Padgug ( 1986:20) point out,

AIDS and ARC strike primarily males between the ages of twenty and fifty, precisely the classes that are most often found in employee health insurance groups--the most common form of private health insurance--and that, until now, have had the lowest rates of health utilization... AIDS seems to strike directly at the heart of the principles of "sound underwriting" that underlie private health insurance. Given a sufficiently high incidence, the disease might, many believe, make private reimbursement for AIDS treatment impossible.

25.
Using private medical/health care facilities to avoid public exposure of mental illness, pregnancy, and other stigmatized conditions is a well-documented phenomenon associated with higher socioeconomic groups. See, for example, Ryan ( 1976:99-101).

REFERENCES

Andrulis Dennis P., et al. 1987a. "The Provision and Financing of Medical Care of AIDS Patients in U.S. Public and Private Teaching Hospitals". Journal of the American Medical Association 258:1343-46.

-----. 1987b. "State Medicaid Policies and Hospital Care for AIDS Patients". Health Affairs 6:10-118.

Arno Peter S. 1988. The Future of Voluntarism and the AIDS Epidemic. Unpublished paper delivered at Cornell University Medical Conference: The AIDS Patient-- An Action Agenda for New York City, February 25, 1988.

-----. 1986a. "AIDS: A Balancing Act of Resources". Business and Health 4:20-24.

-----. 1986b. "The Nonprofit Sector's Response to the AIDS Epidemic: Community Based Services in San Francisco". American Journal of Public Health 76:1325-30.

Barhydt-Wezenaar Nancy. 1986. "Home Care and Hospice". In Health Care Delivery in the United States, Steven Jonas, ed., pp. 237-62. New York: Springer.

Borzi Phyllis C. 1987. "What does COBRA Portend for the Future?" Business and Health 5:4-6.

Burke Gregory C., and Mary Jane Koren. 1984. "Home Care: An Industry on the Horizon". Business and Health 2:8-13.

Droste Therese. 1987. "Going Home to Die: Developing Home Health Care Services for AIDS Patients". Hospitals (August):54-58.

-201-

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Culture and AIDS
Table of contents

Table of contents

  • Title Page iii
  • Contents v
  • Preface vii
  • Chapter One - Introduction: Culture and Aids 1
  • Chapter Two - Aids in Cultural, Historic, and Epidemiologic Context 9
  • Notes 23
  • References 24
  • Chapter Three - the Sick Role, Stigma, and Pollution: the Case of Aids 29
  • Notes 42
  • References 43
  • Chapter Four - Assessing Viral, Parasitic, and Sociocultural Cofactors Affecting Hiv-1 Transmission in Rwanda 45
  • Note 51
  • References 51
  • Chapter Five - Aids and the Pathogenesis of Metaphor 55
  • Note 64
  • References 65
  • Chapter Six - Aids and Accusation: Haiti, Haitians, and the Geography of Blame 67
  • Notes 88
  • References 89
  • Chapter Seven - Prostitute Women and the Ideology of Work in London 93
  • Notes 108
  • References 109
  • Chapter Eight Minority Women and Aids: Culture, Race, and Gender 111
  • Notes 128
  • References 131
  • Chapter Nine Language and Aids 137
  • Notes 157
  • References 158
  • Chapter Ten Aids and Obituaries: the Perpetuation of Stigma in the Press 159
  • References 168
  • Chapter Eleven Sex, Politics, and Guilt: A Study of Homophobia and the Aids Phenomenon 169
  • Note 181
  • References 181
  • Chapter Twelve Increasing the Cost of Living: Class and Exploitation in the Delivery of Social Services to Persons with Aids 183
  • Notes 198
  • References 201
  • Chapter Thirteen Postscript: Anthropology and Aids 205
  • Note 208
  • References 208
  • Index 209
  • ABOUT THE EDITOR AND CONTRIBUTORS 215
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