cities and states ( Hilts 1990:B9). Analogous legislation should be enacted to subsidize social services as well.

Like great wars, major epidemics test a society's institutions and values, its resilience and coherence as a community. In the case of health care financing and its institutions and values, we have attempted to muddle through the AIDS epidemic, changing as little as possible. As a consequence, the weakest of the "players," those who are ill or perceived to be at risk, have had to pay the consequences.

It remains to be seen whether the organized voices of the gay community, joining with others who recognize the need for "communal provision of security and welfare" for the acutely and chronically ill, will succeed in changing the status quo. Ten years into the epidemic, are we prepared to place mutual assistance above market principles? If we are not, we may lose our belief in adequate health care for all who need it in our society. In the process, we may further encourage social forces of polarization and distrust. In that case, the reality of community will continue to erode in America, with massive inequities and injustice the rule, not only for gays, IV drug users, and persons with AIDS, but also for all too many of our citizens.


REFERENCES

ACLU (American Civil Liberties Union) AIDS Project. 1990. Epidemic of Fear. A Survey of AIDS Discrimination in the 1980s and Policy Recommendations for the 1990s. New York: ACLU.

Altman, Dennis. 1986. AIDS in the Mind of America. Garden City, N.Y.: Anchor Press/Doubleday.

Anderson, Porter. 1990. "Insurers Nix Arts Coverage". American Theater (January), pp. 42-43.

Andrulis, Dennis, Virginia Beers Weslowski, and Larry S. Gage. 1989. "The 1987 U.S. Hospital AIDS Survey". JAMA 262:784-794.

Antman, Karen, Lowell E. Schnipper, and Emil Frei III. 1988. "The Crisis in Clinical Cancer Research, Third Party Insurance and Investigational Therapy". New England Journal of Medicine 319:46-48.

Arno, Peter. 1987. "The Contributions and Limitations of Voluntarism". In John Griggs , ed., AIDS: Public Policy Dimensions, pp. 188-192. New York: United Hospital Fund.

Arno, Peter and Karyn Feidan. 1986. "Ignoring the Epidemic: How the Reagan Administration Failed on AIDS". Health-PAC Bulletin (December), 17:7-11.

Bayer, Ronald. 1989. Private Acts, Social Consequences: AIDS and the Politics of Public Health. New York: Free Press.

Bayer, Ronald and Gerald Oppenheimer. 1986. "AIDS in the Workplace: The Ethical Ramifications". Business and Health (January/February), pp. 30-34.

-124-

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AIDS & Ethics
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Preface ix
  • Contributors xv
  • 1. Aids: the Relevance of Ethics 1
  • Note 22
  • References 23
  • 2. Aids, Public Health, and Civil Liberties: Consensus and Conflict in Policy 26
  • References 47
  • 3. Mandatory HIV Screening and Testing 50
  • References 73
  • 4. Aids and the Ethics of Human Subjects Research 77
  • Acknowledgments 101
  • References 102
  • 5. Aids and the Crisis of Health Insurance 105
  • References 124
  • 6. Ethical Issues in Aids Education 128
  • Acknowledgments 151
  • Notes 151
  • References 153
  • 7. Ethics and Militant Aids Activism 155
  • Notes 186
  • References 186
  • 8. Aids and the Physician-Patient Relationship 188
  • Notes 211
  • References 213
  • 9. Aids and the Obligations of Health Care Professionals 215
  • References 236
  • 10. Aids and Privacy 240
  • Acknowledgments 272
  • Notes 272
  • References 274
  • 11. Aids and the Law 277
  • References 305
  • SUGGESTED READINGS 306
  • Index 311
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