using current HIV/AIDS cases instead of cumulative
We are delighted to see that you think this is something that HUD should do, because it is something we are currently working on! As outlined in HUD’s National HIV/AIDS Strategy Implementation Plan, the Department will work with Congress to develop a plan to shift to HIV/AIDS case reporting as a basis for formula grants for HOPWA funding. To view the Implementation Plan, please visit: http://www.hudhre.info/documents/HUD_NHASImplementationPlan.pdf
I agree - NC
The money must follow the needs! The needs are both urban and rural, without a doubt. But, using cumulative cases clearly skews the formula, channeling more money per living person to some of the urban settings in question. This is simply not right and a new formula should correct it. I suggest that there be no permanent "hold harmless", but a reduction in funding over a 5-8 year period.
Matthew O. Fusilier commented
As a former resident of New Orleans (until hurricane Katrina destroyed the facility and medical records of the LSUHOP clinic)... the patients were kept informed, motivated, and encouraged to become responsible for their health. And Be responsible for the health of Others.
Suicides and new cases were rampant in those early days... and it wasn't uncommon for people to suddenly become re-acquainted in the clinic after having once shared needles or a bed!
Let's face it... ignorance was Not bliss... but the mood of the disease was greatly underestimated in those early decades until one got ill, with a "post-mortem" status often not far behind.
I am fortunate. I am a long term survivor.
I currently serve as a volunteer to a suberb non-profit care/service facility serving to the needs of those infected w/ HIV to a widely rural area of Louisiana.
Professional care, at least in the city of New Orleans, (pre-Katrina)... including medical, therapy, and conselling as well as financial and legal aid ...increased the 'quality of life' for many of us as we watched so many die in the tragic early 1980's & 90's.
As an urban dweller... it took great effort to live in a city w/ health problems... but we were able to acess and receive outstanding care.
I now live in a rural area... and must travell several miles to receive the same great care that LSU doctors provide.
Still, this validates the Need for considering more aid To rural areas, already under constraint when it comes to understanding this crisis.
I was told flat out by a "family physician" out here that "he didn't take care of my kind."
This was shortly after re-locating in the first few months after Katrina! And I'm a conservative-looking guy who wouldn't be turned out of most mother's homes! No.... Not the sort "your mother warned you about"... LOL!.... At least, so I've been told .)
But more speciffically, this is where we Must seriously address the new problem. Many, in rural areas, simply do Not know how to handle the issue. Thus, ... It is here I feel the need to voice my "humble opinion."
The rural areas, now the new face of growing threat... are in need of action, Not just scrutiny! Expert handleing is, and should now be 'top priority' as we face up to this new phase,.
Unless funding is not allocatted for proper care, services, and support to meet these areas... the emergency rooms will remain, for many...as the Only resort.
And frankly, we All know what the cost of that will become.
Patients and clients in rural areas simply Must be made aware and allowed funding and services.
To educate them properly: for Their care as well as Their responsibility to others.
Education is key to fighthing this disease, as with any other... to better facillitate healthier communities.
And proper care facilities, including social services are the first step.
I heartly encourage Anyone reading this to pass this on...from one one who has seen the Very best care... to one who has had to seek and find a facility that understands and monitors this crisis in a rural area.
Sign me as,
a good old "country boy" /turned city,... back to the country!"
There is a different between "newer epidemic" and "higher burden." The south has a newer epidemic but the larger cities still have an extremely high burden of both old and new epidemics.
Julie Hope commented
The Southern states have a newer epidemic with higher burden of HIV to AIDS, put funds where the need is greatest!
Kathie M. Hiers commented
Hallalujah! Let the money follow the people in need!
Office of HIV/AIDS Housing commented
We are delighted to see that you think this is something HUD should do, because we are currently exploring this option. The National HIV/AIDS Strategy (NHAS) Implementation Plan assigned HUD the responsibility of developing a plan to shift to HIV/AIDS case reporting as a basis for HOPWA formula funding.