Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

HIV/AIDS vaccine underscores need for better health access

Alyson O’Daniel, PhD
Policy
October 11, 2021
Share
Tweet
Share

“HIV has been a blessing in my life.”

Lola was a 48-year-old woman living in Denver when I interviewed her in 2002 about her HIV-positive diagnosis. She said the diagnosis improved her life in important ways; she had received income and housing support, nutritional assistance, health insurance, medication assistance and primary and infectious disease health care based on that diagnosis.

She said her sense of life’s purpose had changed, her basic needs were being met, and she found herself in a community of loving and fierce advocates who never stopped insisting on all the ways her life mattered. It was in this context that Lola regained her health.

Though she has since passed, in my 20 years of social policy research with vulnerable populations, Lola’s attitude still resonates. The seeming impossibility of her words prompt more questions about access to health resources and the successes of comprehensive HIV/AIDS health care.

Compared to the efficacy of vaccines on the global spread and death tolls of COVID-19, recent news of an HIV/AIDS vaccine is a failure, and far off in the future.

In early September, Johnson & Johnson and their partners announced that one of their highly anticipated HIV vaccines was not effective in preventing infection. Although Johnson & Johnson will continue with its Phase 3 study of a different vaccine and Moderna has begun its phase 1 human trials to test a vaccine targeting HIV differently, it will likely be 2024 before results for either are reported.

While a vaccine is still possible, millions of lives at stake may be saved the devastation of an HIV-positive diagnosis.

The recent National Gay Men’s HIV/AIDS Awareness Day points to the ongoing urgency of addressing the effects of a diagnosis. In 2020, there were 37.7 million people living with HIV worldwide. Although great strides in the global provision of antiretroviral therapy via programs such as the U.S. President’s Emergency Plan for AIDS Relief are available, 680,000 people died of HIV-related illnesses in 2020, according to UNAIDS.

In the U.S., the most recently published statistics report 1.2 million people living with HIV, approximately 65 percent of whom received at least some HIV care in 2019. In that same year, 15,815 HIV-positive people in the U.S. died.

Clearly, there is still a great deal of work to be done in adequately providing access to the most marginalized HIV-positive populations.

However, it is crucial to focus on how a comprehensive health programming approach can be improved and used to strengthen strategies to address widening and broader health disparities in the U.S.

The COVID-19 pandemic has brought into focus ways in which social injustice increases risk of ill-health, disease, and death. President Joe Biden’s proposed $3.5 trillion Human Infrastructure Bill would bolster federal initiatives to reduce health disparities, such as the National HIV/AIDS Strategic Plan and Healthy People 2030.

These initiatives expand access to Medicaid, increase home and community-based care spending, improve food systems, urban infrastructure and public housing conditions and create meaningful workforce opportunities targeted to underserved groups.

ADVERTISEMENT

An HIV-positive diagnosis provides some with their primary — or sole — access to basic health resources. That is indeed a startling and unacceptable paradox.

As the world is necessarily preoccupied with controlling the pandemic that is COVID, it is also urgent for activists, allies, advocates and survivors of HIV/AIDS to push for not just an HIV/AIDS vaccine but for comprehensive health care.

For example, in the U.S., the Ryan White HIV/AIDS Program has addressed systemic barriers to health care faced in common by so many of our country’s poor and marginalized people. The program, now more than 30 years old, is designed to provide comprehensive health care to low-income people living with HIV/AIDS.

It includes programs to meet the needs of vulnerable populations who experience systemic barriers to health care, including racial and ethnic minorities, transgender individuals and people who struggle with addiction. In 2020, Ryan White care programs served more than 500,000 people and was funded at $2.3 billion. In the prior year, 88 percent of program clients were reported as virally suppressed, an essential part of keeping HIV-positive people healthy.

Treating the conditions of poverty and issues of housing, financial and food insecurity, childcare, transportation, addiction, and mental health as priorities of health care delivery comprises a system of HIV/AIDS care that offers proven pathways forward for improving health.

As the world copes with rising outbreaks and attempts to control the COVID-19 pandemic through vaccines and boosters, it is necessary to consider the lessons of the global HIV/AIDS pandemic as important to the nation’s blueprint to “build back better.”

Yes, an HIV/AIDS diagnosis can be a blessing if it leads to improved health outcomes and a call to action on better health access for all.

Alyson O’Daniel is an anthropologist and author of Holding On: African American Women Surviving HIV/AIDS.

Image credit: Shutterstock.com

Prev

Domestic violence: May the circle be broken

October 11, 2021 Kevin 0
…
Next

How to recover from a bad electronic health records implementation [PODCAST]

October 11, 2021 Kevin 0
…

Tagged as: Infectious Disease, Public Health & Policy

Post navigation

< Previous Post
Domestic violence: May the circle be broken
Next Post >
How to recover from a bad electronic health records implementation [PODCAST]

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Alyson O’Daniel, PhD

  • How strong policies can improve guardianship

    Alyson O’Daniel, PhD

Related Posts

  • Major medical groups back mandatory COVID vaccine for health care workers

    Molly Walker
  • Are negative news cycles and social media injurious to our health?

    Rabia Jalal, MD
  • How social media can help or hurt your health care career

    Health eCareers
  • Sharing mental health issues on social media

    Tarena Lofton
  • Novavax may be able to provide equitable access to another vaccine alternative

    Vibhav Prabhakar, Tejas Sekhar, and Divya Srinivasan
  • Expanding health care access and equity through telehealth

    Gjanje L. Smith, MD, MPH, Wanneh A. Dixon, and Maria Phillips, JD

More in Policy

  • Why physician voices matter in the fight against anti-LGBTQ+ laws

    BJ Ferguson
  • The silent toll of ICE raids on U.S. patient care

    Carlin Lockwood
  • What Adam Smith would say about America’s for-profit health care

    M. Bennet Broner, PhD
  • The lab behind the lens: Equity begins with diagnosis

    Michael Misialek, MD
  • Conflicts of interest are eroding trust in U.S. health agencies

    Martha Rosenberg
  • When America sneezes, the world catches a cold: Trump’s freeze on HIV/AIDS funding

    Koketso Masenya
  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How school meals can transform health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why would any physician believe that the practice of medicine will become less abusive for them in the future?

      Curtis G. Graham, MD | Physician
    • Why congenital CMV should be on every parent and doctor’s radar

      Kathleen Muldoon, PhD | Conditions
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Bridging the rural surgical care gap with rotating health care teams

      Ankit Jain | Education
    • Understanding the ethical injury of moral distress in clinicians [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why fixing health care’s data quality is crucial for AI success [PODCAST]

      Jay Anders, MD | Podcast
    • Physician patriots: the forgotten founders who lit the torch of liberty

      Muhamad Aly Rifai, MD | Physician
    • The hidden cost of becoming a doctor: a South Asian perspective

      Momeina Aslam | Education
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
    • How the 10th Apple Effect is stealing your joy in medicine

      Neil Baum, MD | Physician
  • Past 6 Months

    • What’s driving medical students away from primary care?

      ​​Vineeth Amba, MPH, Archita Goyal, and Wayne Altman, MD | Education
    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Make cognitive testing as routine as a blood pressure check

      Joshua Baker and James Jackson, PsyD | Conditions
    • How scales of justice saved a doctor-patient relationship

      Neil Baum, MD | Physician
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • The broken health care system doesn’t have to break you

      Jessie Mahoney, MD | Physician
  • Recent Posts

    • How school meals can transform health [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why would any physician believe that the practice of medicine will become less abusive for them in the future?

      Curtis G. Graham, MD | Physician
    • Why congenital CMV should be on every parent and doctor’s radar

      Kathleen Muldoon, PhD | Conditions
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Bridging the rural surgical care gap with rotating health care teams

      Ankit Jain | Education
    • Understanding the ethical injury of moral distress in clinicians [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...