Wednesday, March 22, 2017

Epidemic on the Horizon: The Affordable Care Act and HIV/AIDS Suppression

Today, there is a war waging in the American political climate based off the effectiveness of the Affordable Care Act (Obamacare).  President Donald Trump, and many Republican lawmakers, are spearheading a movement against Democrats to repeal the Affordable Care Act in order to place new standards on American healthcare and its accessibility.  If the Affordable Care Act is repealed, millions of Americans will go without healthcare, and a surprising new epidemic will potentially emerge out of the ACA’s ruins.  This epidemic is one that Americans think of as part of the past, and not prevalent among members of society needing healthcare.  The epidemic is a potential AIDS and HIV outbreak, mainly in the LGBTQ+ community, that could rival the major outbreak America had in the 80’s and 90’s.  Before the ACA, 24 percent of the 1.2 million people diagnosed with HIV in America did not have healthcare.[1]  Without health insurance for these individuals, proper care cannot be assessed, resulting in the overall spread of the virus.  This issue would mainly hit poor, less educated areas that are filled with minorities such as African American, Latino, Asian, etc. members of the LGBTQ+ community.  The ACA’s role in preventing the spread of HIV, along with its efforts to educate people about the virus, is vital to the health of preexisting HIV cases and to individuals without HIV who identify themselves as LGBTQ+.
These events parallel to a similar event in history as seen in the VD epidemic among American soldiers between 1917-1919. The man who is to blame for this epidemic was fundamentalist Christian, and the Secretary of the Navy during WW1, Josephus Daniels.  Daniels used his power in the military to completely discontinue the sale of chemical prophylactics on U.S. Navy ships.  By discontinuing chemical prophylactics as forms of blocking VD’s, Daniels relied on “moral prophylactics” by handing out pamphlets and educating soldiers on the harmful effects of sex.  However, soon after the prophylactics were banned, it was obvious there was no self-control among the soldiers.  According to Devices and Desire by Andrea Tone, “Between April 1917 and December 1919, 380,000 soldiers-roughly one in eleven-were diagnosed with syphilis, gonorrhea, or chancroid.”[2]  This is strikingly similar to the administration Trump is running, along with numerous Republican congressman, because they are attempting to eliminate forms of healthcare that is keeping a major HIV and AIDS epidemic from occurring.  If you take away a system that is doing its job, why change it?  American politicians should take a step back, and look at the wrongs from the past.  As seen with Josephus Daniels attempts to apply moral/self-control on sex within the Navy, humans will keep doing what they think of as pleasurable no matter the risk or cost.  If Republicans lawmakers can take a lesson from this event in history, we as Americans should continue down the path the ACA has laid in front of us in order to suppress HIV and AIDS from spreading.  If the ACA is repealed, there will more than likely be a drastic rise in HIV and AIDS diagnosis’ sweeping the nation.  Overall, if we forget our history, it is doomed to repeat itself.   



[1] TheAdvocateMag. "Trumpcare Could Bring HIV Roaring Back." ADVOCATE. March 20, 2017. Accessed March 21, 2017. http://www.advocate.com/commentary/2017/3/20/trumpcare-could-bring-hiv-roaring-back.

[2] Tone, Andrea. Devices and desires a history of contraceptives in America. New York, NY: Hill & Wang, 2002., 99

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