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January 20, 1989

New York City's Health Care Crisis: AIDS, the Poor, and Limited Resources

Author Affiliations

Albany, NY

Albany, NY

JAMA. 1989;261(3):378. doi:10.1001/jama.1989.03420030052013

To the Editor.—  The commentary by Drs Ron and Roger1 on the impact of the human immunodeficiency virus (HIV)-1 epidemic on New York City was both timely and correct in pointing to the critical and destabilizing effect of that virus on New York City.Their proposals were limited largely to increased federal funds for New York City for an expansion of acute care beds. Such a proposal is not likely to meet with enthusiasm in Washington, nor is it likely to solve New York's critical health care problems.What is urgently needed is broad reassessment and reform of New York's care institutions and services in light of the HIV health epidemic. Such reform must begin with a solid understanding of why and how New York City, with its tremendous wealth and medical resources, became the incubator of, the disseminator of, and an endemic area for HIV. This reassessment must