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Aran Ron, MD; David Rogers, MD
The New York Hospital— Cornell Medical Center

JAMA. 1989;261(3):378.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply. —

We agree with Dr Oryshkevich's assessment of the enormous strain that HIV has imposed on New York City's overburdened health care system. Human immunodeficiency virus has highlighted many of the weaknesses and faults in our medical and social support systems. Until recently, political forces at play in the AIDS epidemic have conspired to minimize its importance to the larger society, to restrict its funding, to penalize its victims, and to block knowledge-based educational approaches to its control.

An appropriate response requires public understanding and political commitment. Signs of change are now appearing—the Presidential commission's report, increased funding, confidentiality bills, and greater attention focused on drug abuse.

That there are many things in our health care system that are done poorly or far from ideal is beyond argument. We hope that the HIV epidemic will be used to develop public agreement on how to correct, forcefully and directly, . . . [Full Text PDF of this Article]

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