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Re: Update from the US Consulate on entry to the US for people...   Topic List   < Prev Topic  |  Next Topic >
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#27790 From: solarjerom@...
Date: Sun Jan 11, 2009 11:38 am
Subject: Re: Re:Update from the US Consulate on entry to the US for people...
solarjerom
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From a recent post:
There was a law specifically targeting people with AIDS or HIV which
was eliminated with the PEPFAR reauthorization. However, HIV/AIDS is
still on the list of excluded diseases that CDC or whichever govt
entity keeps. That list has things like malaria, stds, cancer...etc.
Hell will freeze over before hiv is removed from that list, so in
effect striking down that other hiv-specific law will have limited
effect. That law excluded all hiv poz people regardless whether they
have health insurance or not. So for example if you were a French
citizen with the best health care in the world, with all your
medicines and health care paid by the state, you were still prohibited
from coming to the US because you had hiv. If they somehow discovered
that fact they could just deny entry. The CDC list prevents all the
world's sick and poor coming to the US and overloading the healthcare
system. While many dont give much credit to W, he is probably smart
enough to realize this.
 
From me: There is no sound public health reason for trying to keep poz people from entering the US.  If not a single poz person came to the US from this point forward we would still have to deal with a growing and overwhelming epidemic of new infections, especially among younger people and US citizens on the DL who are difficult to reach with information, much less treatment.  The CDC estimates that a third of all poz guys THING that they are negative.  (One more reason why "UB2" is a useless and dangerous mantra.)
 
Unlike TB and other diseases that are easily spread, HIV is no threat to anyone unless there are specific unsafe activities -- sharing of needles and unprotected anal intercourse (BB) being the leading causes of transmission.  The threat from non-US citizens pales next to the domestic threat of our expanding HIV infections.
 
As for the argument about millions of people coming to the US for free medical care -- we don't HAVE free medical care.  There are emergency rooms, but they are unable to provide health and medical care that are relevant to dealing with HIV or other serious chronic diseases.  We already have some 40 million CITIZENS without access to health and medical care.  That lack of health insurance and access to care is the core dilemma.  People from the developing world are much better off if they can get to an EU country, where they can get real medical care at little or no cost.  The US is not a desirable destination in that regard.
 
I have traveled to countries that officially ban entry by people with HIV.  I somehow have neglected to mention my status to anyone.  My meds are in ziplock bags labeled as multivitamins, and those two bags (for my two combo meds) are two among over a dozen (supplements, vitamins, OTC meds for allergies, diarrhea, etc.).  No one has ever questioned this, even when my carryon bags have been carefully scrutinized, as when traveling through Hong Kong airport on connecting flights.  they won't ask if you don't tell.
 
Jerome




#27800 From: John Barrow <pozbod@...>
Date: Mon Jan 12, 2009 4:46 pm
Subject: Re: Update from the US Consulate on entry to the US for people...
johnftl59
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"As for the argument about millions of people coming to the US for free 
medical care -- we don't HAVE free medical care. There are emergency rooms, but 
they are unable to provide health and medical care that are relevant to 
dealing with HIV or other serious chronic diseases. We already have some 40 
million CITIZENS without access to health and medical care. That lack of health 
insurance and access to care is the core dilemma. People from the developing 
world are much better off if they can get to an EU country, where they can get 
real medical care at little or no cost. The US is not a desirable 
destination in that regard."

You are mistaken.  There are thousands of non-citizens and illegal aliens getting free health care in Miami/Dade County alone.   One more perverse issue with our health care system is that the burden of caring for non-citizens falls disproportionately certain jurisdictions.  Not only certain states, but specific counties and the property owners who pay sales taxes to cover local county hospital short falls.

While it might be better to get to Europe, for many, it's much harder to get there.

JB

#27810 From: Mark B <markboothan@...>
Date: Mon Jan 12, 2009 11:24 pm
Subject: Re: Re: Update from the US Consulate on entry to the US for people...
markboothan
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Same in NYC,
if you have no coverage and you are willing to stand in line to the ER,doctors will see you and treat you and give you all tests you need and if you say you have no money or insurance for medications they will give them to you from the hospital pharmacy, the only down side is that each time you see a different doctor.
Also NY state ADAP is supposed to ask for prove that you are a resident but they are really 
relax about it.
Also NYC has a program called guest of NYC, people from all around the world gets here 
for very expensive procedure like transplants and the city pays for it.
I have seen it on the news many times, but I don't know what the requirements are.

mark B



==============================================================

"As for the argument about millions of people coming to the US for free 
medical care -- we don't HAVE free medical care. There are emergency rooms, but 
they are unable to provide health and medical care that are relevant to 
dealing with HIV or other serious chronic diseases. We already have some 40 
million CITIZENS without access to health and medical care. That lack of health 
insurance and access to care is the core dilemma. People from the developing 
world are much better off if they can get to an EU country, where they can get 
real medical care at little or no cost. The US is not a desirable 
destination in that regard."

You are mistaken.  There are thousands of non-citizens and illegal aliens getting free health care in Miami/Dade County alone.   One more perverse issue with our health care system is that the burden of caring for non-citizens falls disproportionately certain jurisdictions.  Not only certain states, but specific counties and the property owners who pay sales taxes to cover local county hospital short falls.

While it might be better to get to Europe, for many, it's much harder to get there.

JB
 


 
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