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To the Editor.—Although Dr Lewis¹ addresses the critical role of clinician expertise in the delivery of care for patients with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS), he misinforms readers about the position of AIDS advocates on this issue.

Lewis asserts, "It is surprising that by mid-1997 AIDS advocacy groups have not seized on, to a greater extent, the relevance of the findings of Kitahata et al² and the obvious growth in complexity of decision making with regard to medical management of persons with HIV or AIDS. By now, one would have presumed that these groups would be encouraging persons with HIV infection to seek physicians who are ‘AIDS experts.'"

In fact, AIDS advocacy groups have done much more than encourage direct access to HIV experts. In 1995, we made direct access to HIV/AIDS experts a top priority. We mobilized AIDS activists, joined forces with others . . . [Full Text of this Article]

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Management of Patients With HIV/AIDS: Who Should Care?
Charles E. Lewis
JAMA. 1997;278(14):1133-1134.
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