AIDS and the Policy Struggle in the United States

cover art
176 pp., 6 x 9
ISBN: 9780878403783 (0878403787)

August 2002
LC: 2002190217


Table of Contents

AIDS and the Policy Struggle in the United States
Patricia D. Siplon

Chosen as a 2003 Outstanding Title for Public and Secondary School Libraries by the American Association of School Librarians
Lucid and compellingly written, Patricia Siplon has immersed herself in the history and ongoing firestorms of how AIDS policies are influenced, fought over, and enacted in the United States. AIDS and the Policy Struggle in the United States is equally as engrossing and as revealing in its own way as And the Band Played On. With an initial chapter that clearly follows the tangled historical string from the first realizations of a medical emergency to today's overwhelming worldwide epidemical crisis, she goes on to look at how medical treatments have changed and grown; how blood policies were formed; how value-based debates raged and continue to rage over prevention; how communities developed to first respond to the crisis, and later organized to fight for health care; and finally-now that AIDS is recognized for the global crisis it is-how foreign policy is being shaped.

Invaluable for activists and anyone involved in fighting for the humane treatment of people with HIV/AIDS around the world, this is also an important and insightful guide to the how and what of public policy as it is fashioned out of the clay of U.S. democratic institutions.
Patricia D. Siplon has written extensively on HIV/AIDS, politics, and public policy, and is currently assistant professor in the Political Science Department, Saint Michael's College, Colchester, Vermont.
"While the focus of [this book] is on detailed documentation of AIDS-specific issues, readers interested mainly in the policymaking process will also find this a valuable example of a high-stakes and controversial issue area. Siplon has filled a major gap in the political science literature with much of the passion and engagement she so clearly admires among the activists she profiles."—Perspectives on Politics

"Patricia Siplon's book, AIDS and the Policy Struggle in the United States, offers useful source material for what may be the rightful beginning of a shift toward a richer focus on AIDS as a public policy issue. . . . a compelling work about the often-problematic public-policy responses (or lack thereof) to the countless medical and social problems presented by the AIDS epidemic in the United States. . . . a terrific read."—New Political Science

"This is an important book for political scientists, policymakers, and anyone interested in understanding the policy battles that have transformed the medical establishment, the pharmaceutical companies, and U.S. foreign policy. Patricia Siplon helps us understand the dynamics and dimensions of the U.S. government's response to the worldwide spread of HIV/AIDS. She clearly and concisely outlines the key players, their positions, and the process through which policy is formulated and implemented."—Alan Berkman, MD, Mailman School of Public Health, Columbia University and founder of the Health Global Access Project

"Dr. Siplon's analysis of governmental and corporate HIV/AIDS policy struggles demonstrates the important point that while policy decisions may appear rational, or based upon objective criteria, they are generally in fact based upon who wins the policy contest. As she states, 'policy is the product of struggles between groups.' AIDS policy has especially been a reflection of value-based conflict, and Dr. Siplon investigates the nature of the values and self-interests that underlie these conflicts. AIDS and the Policy Struggle in the United States clearly and passionately reveals the values and interests of those engaged in the policy and resource allocation struggles that directly impact on the lives of people with HIV/AIDS domestically-and internationally."—David Hoos, MD, assistant professor of clinical epidemiology, Mailman School of Public Health, Columbia University

Table of Contents
1. The Nature of the Policy Process

2. New Drugs, New Rules, New Relationships

3. Blood Policy in the Age of AIDS

4. Dueling Models of AIDS Prevention: Harm Reduction and Abstinence

5. A New Means of Providing for the Sick: The Ryan White CARE Act

6. Us and Them: AIDS as a Foreign Policy Issue

7. Conclusion: Struggling Toward the Future