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Thousands of Floridians to lose access to life-saving AIDS drugs under Florida cuts spurred by ACA cuts

essentialsaltes

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At least 10,000 Floridians could loseaccess to life-saving HIV medication because Congress didn’t extend the Affordable Care Act tax credits last fall, according to Gov. Ron DeSantis’ administration.

The Florida Department of Health is justifying deep cuts to theAIDS Drug Assistance Program, which provides medication tolow-income people living with HIV/AIDS, by saying it will prevent a dramatic $120 million funding shortfall.

The department is mailing letters this month to thousands of recipients, telling them they’ll be cut off from the decades-old program on March 1.

His Department of Health has not asked the Legislature to fill in the funding, though Ladapo on Wednesday suggested there may be funding solutions that aren’t onerous. And in Senate committees Wednesday, the department was accused of dropping a bombshell on thousands of Floridians with little notice.

“I can’t understand why there’s been no transparency,” said David Poole, who oversaw Florida’s AIDS program from 1993 to 2005. “There is something seriously wrong.”

The program’s cuts could be especially impactful in Florida, which has long been at the top of the list for states with high HIV rates. In 2016 and 2021, Florida had the highest number of new HIV cases of any state.

Among the states, Florida also has one of the largest shares of people who use the AIDS Drug Assistance Program who are on the federal marketplace: about 31% as of 2023.

Carl Schmid, the executive director of the HIV+Hepatitis Policy Institute, called the state’s abrupt changes to the drug coverage program cruel and life-threatening.

“This is a long-established program that’s been around for decades and that people are relying on to live,” Schmid said.
 

ThatRobGuy

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"It's a very real and consequential issue that we're dealing with," Ladapo said.

"That placed us in a position where we make changes," Ladapo said. "The team has been tirelessly trying to figure out a solution. They’ve considered multiple solutions with HHS at federal level to try and figure out to retain the 30,000 patients with HIV. We have had conservations with other states and our local stakeholders.




I think this highlights a need to create a layer of separation this sort of thing and "regular" healthcare.

Given the substantial risks associated with a potential increase in HIV transmission, it shouldn't be attached to the normal "Republicans vs. Democrats" healthcare debates.

A) it attaches a particularly critical facet to something that's volatile and subject to change
B) it prevents reforms to flawed programs and legislation packages, because the debate and situation is basically held hostage by the fact that HIV funding is bundled in with it.

It would be in the GOP's best interest to strategize and figure out a way to move some money around to cover the cost of this situation, otherwise they'll be stuck with "you're cutting off funding for AIDS medication!" that Democrats can hit them with every single time to pressure them into voting for packaged bills.

For instance, I live in a red state (Ohio), and we have state appropriations that cover the gaps so while it'll sting a little, it won't be as drastic.

While what's known as "Ryan White Funding" is available to all states (and that isn't going away from my understanding), different states built different models around that involving differing levels of reliance on supplemental federal funding streams for HID/AIDS drugs with how they chose to use/allocate their other funding from the feds.

In essence, Florida was relying heavily on "last resort" funding by expanding eligibility a few years back to keep the other parts of their budget "looking good"

Ohio's eligibility for getting the federal funds was already set at a lower income level (and the state was covering the rest of the tab for people up to 500% of the federal poverty level)

Florida has been increasingly expanding their eligibility to the point where the majority of the people in their program were relying on federal funds instead of state funds.

Certain types of supplemental funding were supposed to be the icing on the cake, and not the whole cake.

This is where states can get themselves in trouble, and why it's perhaps not the greatest idea to let states set their own eligibility rules with federal money in this particular realm.
 
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askesis

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Last I checked every human with the exception of Jesus is a sinner per Christian doctrine... so yes we need to support everyones health.

Another good point. If we should support everyone's health, then we should just have universal health care. Unfortunately, us Christians don't support that because communism.
 
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Larniavc

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At least 10,000 Floridians could loseaccess to life-saving HIV medication because Congress didn’t extend the Affordable Care Act tax credits last fall, according to Gov. Ron DeSantis’ administration.

The Florida Department of Health is justifying deep cuts to theAIDS Drug Assistance Program, which provides medication tolow-income people living with HIV/AIDS, by saying it will prevent a dramatic $120 million funding shortfall.

The department is mailing letters this month to thousands of recipients, telling them they’ll be cut off from the decades-old program on March 1.

His Department of Health has not asked the Legislature to fill in the funding, though Ladapo on Wednesday suggested there may be funding solutions that aren’t onerous. And in Senate committees Wednesday, the department was accused of dropping a bombshell on thousands of Floridians with little notice.

“I can’t understand why there’s been no transparency,” said David Poole, who oversaw Florida’s AIDS program from 1993 to 2005. “There is something seriously wrong.”

The program’s cuts could be especially impactful in Florida, which has long been at the top of the list for states with high HIV rates. In 2016 and 2021, Florida had the highest number of new HIV cases of any state.

Among the states, Florida also has one of the largest shares of people who use the AIDS Drug Assistance Program who are on the federal marketplace: about 31% as of 2023.

Carl Schmid, the executive director of the HIV+Hepatitis Policy Institute, called the state’s abrupt changes to the drug coverage program cruel and life-threatening.

“This is a long-established program that’s been around for decades and that people are relying on to live,” Schmid said.
They have AIDS so they must be bad people so who cares?
 
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RileyG

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Pommer

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Ok.

I need to calm down.

I obviously should have known that.

My mistake!
I like that the folks with the “badges” and I are on the same page, lest we tussle, unnecessarily.

I think of this type as “valid straw manning”, it restates a “concern” to point out the logical ethical end-game of a parallel assertion.
(Not-so-subtle hyperbole)

But I misread things all of the time too and I hope for graciousness when I get got.
Have a splendid evening.
 
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askesis

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With our government?
Absolutely!

With the churches?
No, of course not. (Though if they choose do do so, that’s probably up to them)
This is a nation of and for the Christians. In uniformity, we find strength. In uniformity, we flourish. Fight the power. Fight the powers that be.
 
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Larniavc

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I don't think we should be supporting the health of sinners, do you?
Far better for those no good sinners to just die, amiright?
 
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