MedPage Today January 17, 2021
— Lessons learned from HIV/AIDS and COVID-19
The COVID-19 pandemic has forced our medical community to critically examine our care delivery systems. But this is not the first instance of a pandemic forcing such a reckoning. Nearly four decades ago, our country faced another infectious disease that threatened public health: HIV/AIDS. Looking back, the HIV/AIDS crisis offers lessons in how we might identify flaws and reform our contemporary healthcare system in the wake of COVID-19.
At the outset of the HIV/AIDS epidemic, the U.S. healthcare system was marked by overspecialization, fragmentation of services, service gaps, and poor coordination — leaving it ill-equipped to supply and finance long-term care, particularly as AIDS transformed from a universally fatal disease to a chronic...