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July 21, 1993

Commission Report: 'AIDS: An Expanding Tragedy'

JAMA. 1993;270(3):298. doi:10.1001/jama.1993.03510030022005

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THE NATIONAL Commission on Acquired Immune Deficiency Syndrome (AIDS) has delivered its final report, warning in grim terms that if the present course of "unreasoning fear and cruel indifference" to the disease continues it will expand relentlessly, taking the lives of young Americans on an unprecedented scale. In more than 60 cities in the United States, AIDS is now the leading cause of death among men between the ages of 25 and 44 years (JAMA. 1993; 269:2991-2994 and p 305, this issue).

The report was characterized by June E. Osborn, MD, and David E. Rogers, MD, the commission's chair and vice chair, respectively, as "angry" and "filled with sadness and foreboding" because, they say, earlier recommendations made by the commission have been consistently underfunded or ignored.

"The human immunodeficiency virus (HIV) has profoundly changed life on our planet. America has not done well in acknowledging this fact or in mobilizing