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EQUITABLE FINANCING OF AIDS AND OTHER HIV-RELATED HEALTH CARE Summary of an Invitational Meeting INSTITUTE OF MEDICINE Division of Health Care Services 1988 National Academy Press Washington, D.C. 20418

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This meeting summary was prepared by the staff of the Institute of Medicine's Division of Health Care Services, directed by Karl D. Yordy. Major themes are reported to provide highlights of the conference discussions; however, they do not represent policy statements by the Institute of Medicine. The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Acad~my's 1863 Congressional charter responsibility to be an advisor to the federal government, and its own initiative in identifying issues of medical care, research and education. The conference was supported by the Health Care Financing Administration, Department of Health and Human Services. 2101 Constitution Avenue, N.W. Washington, D.C. 20418 202/334-2184 Publication IOM-88-002

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Preface The equitable financing of the care of AIDS victims is increasing as an issue as the number of cases of AIDS grows. Given the projections of future growth, this issue will take on even greater urgency in the years to come. This summary records the sense of the discussion of this issue during a meeting convened by the Institute of Medicine at the request of Dr. William Roper, Administrator of the Health Care Financing Administration. ~ _ _ _ Participants included persons from both the public and private sectors knowledge- able about the issue from various perspectives. The intent was to stimulate a frank discussion among interested parties that would improve the common understanding of the issue. We hope that such understanding might facilitate reasonable actions to deal with the problem. The challenge of AIDS is so great that our best efforts at cooperative action will be required. I would like to thank the Health Care Financing Administration for supporting the meeting and William Roper and William Winkenwerder of HCFA for their advice and assistance in its planning and organization. I would like to thank all of the participants for their thoughtful contri buttons. Special thanks are due Mary Ann Baily, consultant to the TOM, for her work in drafting the background paper and the meeting summary. Finally, I would like to thank Karl Yordy, Dorothy Sheffield, and Bobbie Alexander for their work in organizing this meeting on very short notice. Samuel O. Thier President, Institute of Medicine . .

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