Public Policy. Eligibility Rules Used by AIDS.gov

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Table of Contents

Drug assistance program
Services offered
Covering the cost of services
Trade-offs
Any weak rules
Are eligibility rules fair and sufficient?
References

People who are infected by Human Immunodeficiency Virus and those who are defined to have Acquired Immune Deficiency Syndrome are all eligible. Territories or states need residential, additional finance, and medical criteria to be able to establish eligibility. Individuals who are not infected in situations that are limited are eligible for the services and benefit a person who is infected with HIV indirectly.

Drug assistance program

Assistance programs for drugs for curing AIDS fund medications for treating HIV disease. Each territory and state establish its criteria for eligibility. All these criteria require individuals to document their HIV status and meet all the established criteria for their income. The AIDS drug assistance program operations are under the model of pharmacy reimbursement that is similar to Medicaid and purchase drugs directly and distribute them to the patients. Clients enroll into the program depending on their enrollment state and apply to the office directly or submit applications through the manager, nurse, physician, or service provider. (Gostin, 1998 pp12-19)

Services offered

There are no restrictions that prohibit the tailoring of health care programs by clients and using various services and providers that are eligible for meeting the health care needs of individuals. Clients can not be denied from enjoying the services and tribal facilities. White programs are separate programs for health care and clients that present their need for care or services have individual programs that prescribe them to the eligibility rules.

Ryan White program is not supposed to replace any of the services that are already available and offered and other fund services are used for supplementing the already available services.

Covering the cost of services

Ryan white programs offer to cover the cost of care given except for the programs that are administered by IHS who are not the payer of the last resort if the patient is considered eligible and has coverage for health service such as Medicaid, the provider or grantee seek payment from the payer and follow established procedures for determining coverage of health care and this is done under last resort program.

Trade-offs

The program of Ryan White covers an array of costs of HIV/AIDS health and supportive services that are related. The health services involved are primary health care, early intervention services, and dental services. Ryan White Program covers support services that are related to critical health for HIV/AIDS individuals for them to achieve medical outcomes. Support services offered are respite care of HIV individuals, linguistic services, health care referrals, and support services. Payment made for these services is from other sources, private insurance, and reimbursement plans from guarantees.

The policy against AIDS that is successful was implemented and adopts intellectual property rules. The government analyzes carefully any trade-off to be able to avoid the mistake of engaging in trade for export dollars. The agreement should not prevent members of the organization from taking public health protection measures. The agreements are not supposed to be interpreted in a manner that supports world Trade organization members and denies them their right to protect their public health and promote access to medicine to all.

The above excerpts were taken from the agreement that was reformulated in November 2001 when members of WHO including the United States of America held a discussion and signed a new agreement that clarified that, there should be predominant of public health over patent protection that give hope to poor economies that struggle to ensure they control spread of AIDS inside the national borders. (Chin, 2007 pp37-40)

Any weak rules

There are weak rules because for the program guidance’s to be released, applicants are supposed to apply electronically through the site. Interested programs must review all the necessary steps for applying for grants and use information that must be provided for one to be a competitive applicant and for one to be an eligible client, one has to be competitive.

Are eligibility rules fair and sufficient?

The eligibility rules are fair and sufficient because they can ban the parallel import of drugs that are used by people who are infected by AIDS, they have data for regulating tests for HIV/AIDS, and offer five-year protection for that test. There is a patent extension that cares for regulatory delays to ensure that there are no unnecessary delays that may affect the HIV/AIDS victims. The obligation for generic drugs ensures that they get marketing approval issues offered by state agencies. (Chin, 2007 pp33-36)

References

Chin J. (2007): The AIDS Pandemic: Radcliff Publishing, pp. 33-40.

Gostin L. (1998): Legal Responses to AIDS in Comparative Perspective: Martinus Nijhoff, pp. 12-19.

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