Disaster Free PrEP program unveiled under Trump’s HIV initiative - Pharma companies subsidized; medication for diseases which cannot be avoided simply by not being bummed to remain expensive

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رنج آمریکایی ها
True & Honest Fan
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In the same week World AIDS Day was recognized, the Trump administration has unveiled a new program to provide free PrEP as part of the initiative to beat the epidemic by 2030.

Secretary of Health & Human Services Alex Azar announced the plan, known as “Ready, Set, PrEP,” in a conference call Tuesday with reporters, calling the initiative “a major step forward in the president’s plan to end the HIV epidemic in America.”

“We believe the president’s HIV initiative is and will come to be seen as one of the major health initiatives of the early 21st century,” Azar said. “The president’s HIV initiative is a huge opportunity to make an impact on Americans’ health and well-being. We have the tools to stop the spread of HIV in its tracks. Now it’s about execution.”

Among the details Azar enumerated was the number to call to enlist in “Ready, Set, PrEP,” 855-447-8410, and the website, GetYourPrEP.com.

To receive the free PrEP, Azar said an individual must have no prescription drug coverage, test negative for HIV and have a valid on-label prescription for PrEP.

Azar said HHS will cover the cost for the free PrEP through March 30 2020, but then private pharmaceutical retailers — CVS Health, Walgreens and RiteAid — will donate their pharmacy dispensing services to HHS and distribute the medication at its stores and via mail with no cost delivery.

“Although many programs already exist to expand PrEP access and affordability, our program is of a totally different scale,” Azar said. “It is a national comprehensive approach to free PrEP access to the uninsured, which differs from programs that focus on particular areas or on co-pays in particular.”

Asked about the cost, Azar said HHS is using a system through the pharmaceutical giant Gilead that costs the U.S. government about $200 per bottle and goes to the company, but avoids other costs such as retail and distribution.

The new free PrEP program, Azar said, is the implementation of the announcement earlier this year that Gilead would donate the medication to the U.S. government, which President Trump touted on his Twitter account. At the same time, HHS and Gilead are in the middle of litigation over a patent dispute over PrEP, but Azar said is unrelated to the free PrEP initiative.

“Ready, Set, PrEP” is part of the Trump administration’s plan to reduce the rate of new HIV infections by 90 percent by the year 2030. As part of that initiative, which Trump touted in his State of the Union address, the White House requested an additional $300 million in HIV funding for domestic programs, but at the same time made drastic cuts to global programs.

Azar said 57 target jurisdictions by the year’s end will have received HHS grants to design their implementation strategies, and four jurisdictions have already received funding to begin hiring and implementation: Atlanta, East Baton Rouge, Baltimore and the Cherokee Nation in Oklahoma.

However, Congress has yet to pass an appropriations bill to fund the U.S. government for fiscal year 2020, let alone this HIV/AIDS initiative in particular.

Azar said he hopes lawmakers will include that money as part of a continuing resolution or the upcoming budget for the Department of Health & Human Services, but failing that will seek funds from reprogramming through the White House Office of Management & Budget.

The free PrEP initiative comes the same day the Centers for Disease Control unveiled a new reportfinding about 18 percent of the estimated 1.2 million people at risk for contracting HIV, or about 219,700 people, aren’t on the medication. Coverage, the CDC reports, is especially low among young people, black people and Latinos.

“The time is now to end HIV in America. We have the right tools, the right data and the right leadership to get this done,” CDC Director Robert Redfield said in a statement. “Those living with HIV are our best teachers. They are key to helping us reach people where they are so that we can better diagnose and link patients to care.”

The free PrEP initiative comes the same week as World AIDS Day. Unlike President Trump, who declined to mention LGBTQ people in his World AIDS Day proclamation, Azar enumerated in his statement “gay men and black Americans, Hispanic Americans, and American Indians and Alaska Natives” as among the groups predominately affected by the disease (although he still made no mention of transgender people).

As part of the free PrEP initiative, HHS created social media graphics for distribution. Among the images of the graphics is a gay male couple. Both of the individuals appear to be persons of color.

“We know that stigma is a common barrier to PrEP and we’ve made it a priority to end the stigma around PrEP and HIV,” Azar said. “‘Ready, Set, PrEP will help address stigma by making it more accessible, and raising rates of PrEP use, helping Americans take care of themselves and take control of their health.”

Azar unveils the free PrEP initiative as the Trump administration continues to make policies allowing health care practitioners to refuse treatment to patients based on religious objections, which critics say could allow for denial of care for people at risk of HIV.

In October at the Values Voter Summit hosted by the anti-LGBT Family Research Council, Azar touted the religious freedom initiative as a means to ensure all Americans are “free from discrimination” based on the “dictates of their conscience and the ways they live out their faith.”

Asked by the Washington Blade during the conference call whether it was disingenuous to promote both an HIV program and a religious freedom initiative allowing health practitioners to opt out of it, Azar dodged and instead was critical of the Obama administration.

“President Trump has grabbed on to this initiative and let this initiative to end the HIV epidemic America because we have the right tools, the right data and the right leadership,” Azar said. “The previous administration had the same tools, and the same data to be able to take this on, but what President Trump and this whole team are providing is the right leadership to say, ‘This is a commitment we’re making to end the HIV epidemic in the United States.”

HHS has created a Religious Freedom & Conscience Division to advocate for medical practitioners who object to providing services, such as abortion, gender reassignment surgery or HIV treatment, and instituted a “conscience rule” in regulation to allow these workers to opt out of those treatments. Three federal courts, however, have issued rulings barring the Trump administration from implementing the “conscience rule.”

Meanwhile, the Trump administration has rescinded one Obama-era regulation interpreting the ban on sex discrimination in health care under the Affordable Care Act to apply to transgender people, and another barring federal grantees from discriminating against LGBTQ people. Critics say that could hamper HIV treatment by enabling discrimination against communities most afflicted by the disease.

David Stacy, government affairs director for the Human Rights Campaign, said the Trump administration to trying to have it both ways with its anti-LGBT and PrEP initiatives.

“Increasing awareness of and access to PreP is an important step toward ending the HIV/AIDS epidemic — an epidemic that faces thousands of Americans, especially LGBTQ people and people of color,” Stacy said. “At the same time, the Trump-Pence administration has undermined efforts to end the epidemic by issuing new rules that empower health care providers to turn people away from lifesaving care simply because of who they are. Everyone should have access to medically necessary care, treatment and services and should never be turned away because of who they are or whom they love.”

Article (Archive)

As part of the free PrEP initiative, HHS created social media graphics for distribution. Among the images of the graphics is a gay male couple. Both of the individuals appear to be persons of color.
Surely there's a more succint way to say that?
 
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Drive-by punster

88 smiles per hour
kiwifarms.net
How exactly is this a 'disaster'? It's a viral plague that needs to be eradicated. Healthcare in this country is awful and this is a step in the right direction.
America First.
Agreed! Sexually transmitted disease a totally unavoidable plague. In no way could this simply be another case of "society needs to subsidize my exceptional behavior because self-control is sooooo 2012".

Condoms aren't thrown around like candy at a parade. No one is constantly bitching and moaning about reproductive/sexual rights literally every day. And there are absolutely no clean needle dispensaries strategically placed in the shittiest areas of most American cities.
 

Arctic Fox

Merry Christmas, everyone!
kiwifarms.net
Agreed! Sexually transmitted disease a totally unavoidable plague. In no way could this simply be another case of "society needs to subsidize my exceptional behavior because self-control is sooooo 2012".

Condoms aren't thrown around like candy at a parade. No one is constantly bitching and moaning about reproductive/sexual rights literally every day. And there are absolutely no clean needle dispensaries strategically placed in the shittiest areas of most American cities.
It is avoidable, just as small pox was, and the bubonic plague, etc.
Hiv can be transmitted through any bodily fluids. It's not just people having sex. Consider the freaks who run around infecting people on purpose like a modern day Typhoid Mary. Or people who are lied to and get infected through holes poked in condoms. Then you have people who don't even know they have it because the aforementioned freaks.
Condoms are cheap, this medicine is not. The health of the public is paramount.
 

Groyper

kiwifarms.net
A dual-action formula which integrates an anal relaxant should also be made available to increase compliance.
It is avoidable, just as small pox was, and the bubonic plague, etc.
Hiv can be transmitted through any bodily fluids. It's not just people having sex. Consider the freaks who run around infecting people on purpose like a modern day Typhoid Mary. Or people who are lied to and get infected through holes poked in condoms. Then you have people who don't even know they have it because the aforementioned freaks.
Condoms are cheap, this medicine is not. The health of the public is paramount.
Well said. Progressive states like California could lead the way by PrEP-ing the water supply and fortifying breakfast cereals.

Silly Valley Startup idea: Bioengineered soya bean HIV prophylactic
 
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Drive-by punster

88 smiles per hour
kiwifarms.net
It is avoidable, just as small pox was, and the bubonic plague, etc.
Hiv can be transmitted through any bodily fluids. It's not just people having sex. Consider the freaks who run around infecting people on purpose like a modern day Typhoid Mary. Or people who are lied to and get infected through holes poked in condoms. Then you have people who don't even know they have it because the aforementioned freaks.
Condoms are cheap, this medicine is not. The health of the public is paramount.
Oh, so an absolute minority of cases justify spending millions of dollars on something that the overwhelming majority of people could probably just avoid. Got it.
 

ThePurpleProse

Average Joe
kiwifarms.net
I press X on this one, while the eradication of California HIV is something I really wanna see, saw this PrEP thing a long time ago, and whenever you ask yourself how does this drug work you always get a 404 on results or a spaghetti document.

As far as I remember they had troubles testing it out due test subjects adherence to medication and being tested in the HIV shit infested party that is Africa, but tbh someone has to bite the bullet for medicine progress and rather be some african nigger than anyone else.

Here's a CDC guideline from 2 years ago if anyone wanna take a look at this shit, I personally don't think this will work the way that is expected.
 

Attachments

CivilianOfTheFandomWars

Consuming Vast Amounts of Lebkuchen
kiwifarms.net
Wait, I was told that Trump actively hates and wishes for the systematic extermination of the gays. What gives?
In all seriousness though, would the monetary cost of treating a large HIV/AIDS epidemic be more or less than free Prep for all? Because I kind of see support for socialized heathcare in the US rising, and I wonder if free Prep would actually save money in the long run. Because it’s not just the minority that is the gays that are at risk, even though they do have pretty much the highest risk for it in the first place.
All in all, I don’t want people to get AIDS, or die, or any of that stuff. But, life is unfair and you need to be careful. Even though you’re both dudes, use a condom. They’re not just for pregnancy.
 
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NOT Sword Fighter Super

Kind of a tool.
True & Honest Fan
kiwifarms.net
I press X on this one, while the eradication of California HIV is something I really wanna see, saw this PrEP thing a long time ago, and whenever you ask yourself how does this drug work you always get a 404 on results or a spaghetti document.

As far as I remember they had troubles testing it out due test subjects adherence to medication and being tested in the HIV shit infested party that is Africa, but tbh someone has to bite the bullet for medicine progress and rather be some african nigger than anyone else.

Here's a CDC guideline from 2 years ago if anyone wanna take a look at this shit, I personally don't think this will work the way that is expected.
I'm immediately distrustful of the government when it does stuff like this out of nowhere.
 
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