As President Short Standed Against General Congressional Session on Its State of State Union in February He urged Republicans and Democrats to support a sincere goal to stop the spread of HIV in a decade. "Together, we will overcome AIDS in America and beyond," he said.
This Week's White House Budget Request for 2020 Offers an additional $ 291 million However, the $ 4.7 trillion budget also requires that Medicaid, a public insurance program for the poor, who own more than 2 in five Americans, is greatly reduced
. budget arithmetic for many Trump administration health care priorities. Not only did the President fight with HIV but also struggled with childhood cancer and opioid crises, but his budget would undermine all these efforts by reducing the health infrastructure that people fighting with these issues rely on at the same time reducing national cancer research costs. she offers discreet money for those reasons, says policy makers
"If you cut Medicaid, you are helping your feet with a system of AIDS assistance to people with AIDS," said Jennifer Kates, director of the Kaiser Family Fund Global Health and HIV Policy
Keeping up with the opioid crisis – another promise mentioned in the short-lived language of the Union – Professor Keith Humphreys of Stanford University called the budget "really negligent The budget has spent 4.8 billion. US Department of Health and Human Services to help stop the epidemic. However, as with HIV, Medicaid is the best addict treatment payer for $ 1 billion. Over the years, and this program cuts – including Medicare – swamps all the government says it does.
Medicare, you leave the pool much more than you spend, "Humphreys said. And he criticized the budget's recommendation to abolish most of the funding for the White House's National Office for Drug Control – the idea that Trump brought in all three of its budgets.
"The White House Office is the only place for an epidemic policy," Humphreys said, and now you will cut it.
Combating Child Cancer, the White House Fiscal Plan would increase research funding next year by $ 50 million. The state of the Union language, however, would reduce the overall funding of the National Cancer Institute by EUR 897 million. USD 18, which is almost 18 times the amount.
And despite the president's promises not to hurt Medicare, his budget foresees changes that would reduce the cost of popular people. $ 845 billion US $ 20 million over the next decade – with the biggest savings associated with a reduction in payments for service providers and new efforts to combat fraud and abuse.
The bravest budget ideas to revise health care policy are unlikely to leave this page because they were rejected during the short term, even when Congress was fully controlled by republics – less democrats now considered Parliament. The main one is the invitation to convert Medicaid from its history to half a century as a program of empowerment in which the government pays a certain percentage of those eligible for support, state group grants or strict personal limits that are not affected by economic change
Capitol In the case of Hill, it appears that early bilateral support is provided for the financing of HIV and child cancer. Republicans and Democrats withdrew this week to National Health Institutes and its Cancer Institute.
"I was worried about seeing NIH Cancer Research, Fred Fred Upton (R-Mich.), Reduction. Former Chairman of the House's Energy and Trade Committee, said Alex Azar, Secretary of Health and Human Services, on the budget sub-committee on Tuesday.
"I understand the pain," Azar replied, saying that the incision was proportional to 12 percent. reduced HHS budget. "It's a difficult budget environment."
Democrats further frightened the main source of nation's insurance for the poor. "If this administration is serious about blocking or any other definition of Medicaid, as we know," said G.K. Butterfield (NC) warned Azar: "We will be sure that not only from Congress but also from the Americans."
Charles N. "Chip" Kahn III, President of the American Hospital Federation, said that "although almost every president has this The concept that the budget is dead upon arrival, and that is true at all, "The political priorities listed in the Short Budget should be taken seriously
" Budgets have many goals – to set priorities and make political statements, "said Kahn. reliability ”. It gives people the opportunity to cover change. "Well, it was in the president's budget, so it must be fine." "
Previous presidents, including Barack Obama, have been trying to slow down the costs associated with Medicare, partly by prolonging the life of the financially vulnerable trust fund. a program that includes hospitals. However, this year's budget is "at a different level and has a broader impact", suggesting a slow financing of medical education and a reduction in compensation for doctors and hospitals who are caring for a large proportion of patients who are unable to afford to pay their bills
Medicare Changes would not have a direct impact on the benefit of patients, although their care may be affected if doctors leave the program because they are opposed to lower payments
However, the proposed changes to Medicaid can have a significant impact on people with HIV as well as drug addiction. Medicaid is the largest single source of health insurance for drug addicts and HIV-infected people, according to Kaiser figures.
First of all, the budget goal of ending Medicaid expansion under the Affordable Care Act "will undermine our efforts to end HIV," said Carl Schmid, Deputy Executive Director of the Washington AIDS Institute. About three dozen countries were "very important for HIV," he said, because he first allowed single men and women infected to receive coverage, even if they did not have full AIDS. , which has long been considered a disability in line with program participants.
Lawyers argue that budget funds for the HIV initiative, although welcome, do not correspond to what would be needed to meet the President's goal of halting the spread of the virus for a decade. Of $ 291 million, Schmid said that nearly $ 60 million in money was already spent on community health centers and other purposes. People who are protective medicines known as PrEP cost about $ 20,000 a year per person, experts say. Centers for Disease Control and Prevention estimated that 1.1 million people People should be given medication – much more than can be covered in the budget.
"It's a great thing to find this problem on radars, and it's great to end up seeing new money". said Rochelle Walensky, Infectious Disease Specialist at Massachusetts General Hospital. "However, these numbers give you a sense of what we are going to think about."