Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
In Reply.—The letters in response to
the Controversies articles regarding specialty vs primary care for HIV-infected
patients fail to extend the discussion around major issues. In fact, these
letters seemingly have only 1 thing in common—they extol the virtues
of their own efforts, which are undoubtedly important.
Ms Dooha describes the achievements of the AIDS advocacy groups, but
while the Managed Care Bill of Rights and the president's Consumer Bill of
Rights imply that AIDS is one of the life-threatening diseases that should
be considered, it is not explicitly mentioned as such. Although these documents
are important regarding policy, who is talking to patients? Who is providing
guidance to those receiving treatment, which includes finding another physician
and advising those receiving monotherapy? It is unfortunate that the policy
work by this group does not seem to have influenced the behavior of those
serving as patient advocates at the grass roots.
Lewis CE. Controversies: The Role of HIV Specialists—Reply. JAMA. 1998;279(11):833-835. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-11-jac80001