It is anticipated that Donald Trump will have a plan in the address of the State of the State tonight (February 5) to finalize the transmission of HIV in the United States by 2030.
The real goal is, experts say. If Trump is great about achieving it, however, its administration needs to change its policies greatly.
"The challenge is that the White House and the GOP policies so far are against any way you should come [ending HIV], "Gregg Gonsalves, professor of public health of the University of Yale, who studies epidemiology.
Last year, the president of the White House HIV / AIDS Advisory Committee fled and took nearly one year to replace it. He also managed to stop HIV important research as he was in a position; including an artificial device.
However, the policy-based administrative actions – from attempts to make Obamacare's changes to his sexual orientation education – who have made dangerous progress against their illness, Gonsalves says.
Here is what Trump should do instead:
1. The Protection of the Inclusion and Extension Care Act of Medicaid
HIV and AIDS affecting poor and marginalized communities are unacceptable: minority groups, men with men, and people who are infected. live in poverty. Many of those who are HIV-treated are a & c; Medication through Medicaid or through health insurance purchased by the Obamacare Adult Care Act (ACA) marketplace.
By trying to restore the ACA, the Trump administration was a preventing many of HIV-positive patients to access medication. Although the plan failed to recall, the administration is now trying to abolish the law by going to the # 39; removing the individual command, the main policy provision.
In the same way, Gonsalves says that HIV / AIDS disease is more important in a state that has not accepted Medicaid's expansion of how important it is to do; reach as many and as many as people with accessible health insurance.
2. Get wounded people on PrEP
About one million Americans live with HIV and 40,000 have a population; holds a risk to the annual virus. Still, experts say that the end of the crisis within access is largely to thank the remedies that are available; Reduce its virus restriction to the extent it is no longer converted.
There are drugs that protect healthy people from being able to; HIV reproduction, known as pre-exposure profilagexis (PrEP), has also been a game transformer. The more available, especially for people at risk, fewer people who reproduce them are at risk; virus.
In the US, Truvada, the drug being used for PrEP, is very expensive. One-day single-pipe diesel usually raises about $ 1,500 a month, or $ 18,000 for a full year of treatment. In many cases, this cost is included in insurance and other support programs. But not everyone is covered and this imposes a huge financial pressure on the states that are in a position; Try to encourage access to its drug.
There are general versions of Truvada. In some other countries, annual supplies are being sold to patients for just $ 70 per annum. In the United States, the unified FDA phone was received in 2018 but it has not been done. The government could help to make Truvada more accessible, for example, by finding a way to give the general version, says Gonsalves.
3. Exclude how to make a genre
To stop the transmission of AIDS, Trump administration needs to take a step from the only genetic approach to sex education. It has, for example, considered the "prohibition of" sexual health "sources in State Department communications. He expressed the opinion of a "safe species" from the Health and Human Services website, which included the phrase "safer sex" for a & # 39; mentions programs that provoke conflict. The administration has also been on focusing on secret-sexed education, an approach to sexual health with poor results, and putting more young people at risk of disease.
4. Funding thread exchange programs
"The Republican party is a major advocate of the war on drugs," said Gonsalves, and advocating the fight against illegal drug sales in the health of drug users. This is why it has traditionally been opposed to voice exchange programs, which have been criticized as something that promotes the use of drugs. In practice, these programs reduce the needle section, and & # 39; sets HIV levels among partners.
Even Mike Pence, himself an enemy of needle exchange programs, had to endorse a person as a governor in Indiana to prevent HIV infection among ordinary drug users. But a number of states – including some of the worst HIV-still, lacking unnecessary attack programs. White House could give them funding.
5. Remember the rest of the world
HIV / AIDS is a pandemic disease. So, there is not much point in the home fighting while & # 39; And it's cutting money from programs to reduce the spread of overseas disease. But this is what Trump administration has been doing from the beginning, by going to # 39; implementation of the Global Gag Directive and money cuts for the United Kingdom Population Fund: The two actions, which aim to reduce the theory of accessibility to any, removing important funding streams away from organizations that specialize in a & # 39; sexual health promotion, anti-solvent, and HIV / AIDS prevention.
"Any infectious diseases do not know," said Gonsalves. He can not have a strong home-to-home drive and should continue the route set by initiatives such as President George Bush Bush's Emergency Plan for AIDS Relief (PEPFAR), which was convinced to & # 39; Saves millions of life in Africa.