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AIDS Vaccine Activist Luis Santiago Speaks with HIV InSite

AIDS Vaccine Activist Luis Santiago Speaks with HIV InSite

by Joe Wright, HIV InSite Guest Editor. This is the second in a series of interviews with AIDS vaccine experts. Luis Santiago is also on the board of the AIDS Vaccine Advocacy Coalition, on the Community Advisory Board for New York’s Project Acheive (an HIV prevention and vaccine research site), a member of ACT-UP New York and a founder of ACT-UP New York’s committee ACT-UP Americas. And writes articles about vaccines for a Gay Men’s Health Crisis newsletter and web site. And–I’m sure I’m…

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“Mental health care is preventive health care.”

“Mental health care is preventive health care.”

Making the Grades Healthline: What will these report cards look like? Zingale: We’re still developing the format. The goal is to present them in a format that is easy to use and will cross language, linguistic, and cultural barriers. Healthline: Are we talking about report cards like in school, with actual grades on how plans are doing in different areas? Zingale: We’re looking at various formats in use around the country. Healthline: Industry and medical officials often complain that such efforts gloss over complexities in…

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“I have been very direct about the fact that I am most interested in preventive health care and preventive regulation. . . Economists who argue that preventive care is not cost effective are wrong.”

“I have been very direct about the fact that I am most interested in preventive health care and preventive regulation. . . Economists who argue that preventive care is not cost effective are wrong.”

Making Prevention Universal Healthline: Sometimes HMOs decide to go find healthier enrollees. Zingale: That is a slightly different problem involving adverse selection or what is sometimes called “cherry picking.” The answer to your first question is to make access to preventive services universal. Even though most health plans are doing a good job with preventive health, where there are holes, you fall into the problem you’ve just articulated. If 90 percent of the plans are providing good diabetes screening and prevention, but…

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Fighting Over the Shrinking Pie

Fighting Over the Shrinking Pie

Zingale: Unfortunately, we’ve been spending a lot of time and resources fighting over how we divide a shrinking pie in the health care delivery system. I am interested in moving beyond this and returning to the root principle of managed health care, which I believe offers the key. Managed care was founded on the principle of early investment in preventive health to keep more people healthy for a longer period of time, thereby preserving our precious health care dollars for people…

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“Only by returning to first principles will we be able to raise ourselves out of this bickering over who pays how much for what.”

“Only by returning to first principles will we be able to raise ourselves out of this bickering over who pays how much for what.”

On July 1, 2000, the newly created California Department of Managed Health Care began operation, assuming from the Department of Corporations the job of regulating HMOs and protecting consumers. Governor Davis gave the reins of the new agency to an old friend and ally, Daniel Zingale, who had been deputy controller and chief of staff during Gray Davis’s tenure as state controller. A Sacramento native, Mr. Zingale most recently served as executive director of the Washington, D.C.-based AIDS Action Council, a…

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Editorial Note

Editorial Note

Editorial Note: This report demonstrates that M. tuberculosis can spread rapidly among HIV-infected inmates in congregate living situations and to their visitors; disease developing in a visitor and a parolee may have led to secondary transmission in their household contacts. Containment required efforts of correctional and health department staff at the state and local levels to address the unique medical, custody, public health, and fiscal challenges posed by the outbreaks. Updated policies and procedures for managing possible TB cases and…

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Tuberculosis Outbreaks in Prison Housing Units for HIV-Infected Inmates — California, 1995-1996

Tuberculosis Outbreaks in Prison Housing Units for HIV-Infected Inmates — California, 1995-1996

During 1995-1996, staff from the California departments of corrections and health services and local health departments investigated two outbreaks of drug-susceptible tuberculosis (TB). The outbreaks occurred in two state correctional institutions with dedicated HIV housing units. In each outbreak, all cases were linked by IS6110-based DNA fingerprinting of Mycobacterium tuberculosis isolates. This report describes the investigations of both outbreaks; the findings indicated that M. tuberculosis can spread rapidly among HIV-infected inmates and be transmitted to their visitors and prison employees,…

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