United States, TREATMENT AND CARE FOR PERSONS WITH HEARINGS BEFORE THE HUMAN RESOURCES AND INTERGOVERNMENTAL OF THE COMMITTEE ON GOVERNMENT OPERATIONS ONE HUNDRED FIRST CONGRESS FIRST SESSION JULY 28 AND AUGUST 1, 1989 Printed for the use of the Committee on Government Operations 22-690 U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1990 For sale by the Superintendent of Documents, Congressional Sales Office CARDISS COLLINS, Illinois GLENN ENGLISH, Oklahoma TED WEISS, New York MIKE SYNAR, Oklahoma STEPHEN L. NEAL, North Carolina ROBERT E. WISE, JR., West Virginia GERALD D. KLECZKA, Wisconsin MATTHEW G. MARTINEZ, California NANCY PELOSI, California DONALD M. PAYNE, New Jersey JIM BATES, California FRANK HORTON, New York WILLIAM F. CLINGER, JR., PENNSYLVANIA STEVEN SCHIFF, New Mexico CONTENTS Arno, Peter S., Ph.D., health economist, department of epidemiology and social medicine, Montefiore Medical Center, Albert Einstein College of Brown, Lawrence S., Jr., M.D., M.P.H., senior vice president for research and medical affairs, Urban Resource Institute, Addiction Research and Christen, Pat, acting executive director, San Francisco AIDS Foundation .. Craven, Donald E., M.D., director, clinical AIDS programs, Boston City El-Sadr, Wafaa, M.D., chief, infectious disease section, Harlem Hospital Jellinek, Paul S., Ph.D., senior program officer, the Robert Wood Johnson Mason, James O., M.D., Assistant Secretary for Health, Department of Health and Human Services, accompanied by Dr. Samuel C. Matheny, Associate Administrator for AIDS, Health Resources and Services Ad- ministration; Dr. Edward D. Martin, Director, Bureau of Health Care Delivery and Assistance, Health Resources and Services Administra- tion; Dr. Anthony S. Fauci, Director, National Institute of Allergy and Infectious Diseases, National Institutes of Health; Dr. Frank Young, Commissioner, Food and Drug Administration; Dr. Ellen C. Cooper, Director, Division of Antiviral Drug Products, Office of Drug Evalua- tion, Center for Drug Evaluation and Research, Food and Drug Admin- istration; and Elmer Smith, Director, Office of Eligibility Policy, Bureau of Policy Development, Health Care Financing Administration.. Rango, Nicholas, M.D., director, AIDS Institute, New York State Depart- Scott, Cornell, executive director, Hill Health Center, New Haven, CT. Smith, David, M.D., medical director, community oriented primary care, Volberding, Paul A., M.D., associate professor of medicine, University of California, San Francisco, CA, and chief, AIDS program, San Francisco Weiss, Hon. Ted, a Representative in Congress from the State of New York, and chairman, Human Resources and Intergovernmental Rela- Arno, Peter S., Ph.D., health economist, department of epidemiology and 18-65 Brown, Lawrence S., Jr., M.D., M.P.H., senior vice president for research 70-89 Christen, Pat, acting executive director, San Francisco AIDS Foundation: 172-187 Craven, Donald E., M.D., director, clinical AIDS programs, Boston City 137-144 |