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Follow the Money: AIDS Funding and
AIDS Deaths in the Bloomberg Years - pdf attached
 
 
 
 
Download the PDF here
 
A Study by Health People: Community Preventive Health Institute written by Chris Norwood
 
http://www.healthpeople.org/
 
"Summary: The massive redistribution of the city?s federal AIDS care and support funds, started by the Bloomberg Administration in early 2006, favored Manhattan to the extent that the city Department of Health allocated almost 60% of federal funds for AIDS medical care and support services to Manhattan-based agencies. As Manhattan AIDS deaths then began decreasing at twice the rate of deaths in the Bronx and Brooklyn, the other major AIDS-impacted boroughs; the significant progress that these two "outer" boroughs---which have the poorest, most minority and highest percentage of women?s AIDS cases---had shown in bringing down their AIDS deaths during the years before this funding redistribution collapsed. Overall, black and Hispanic women suffered the worst consequences of the funding and service redistribution and were clearly denied the full chance at life which is possible today with proper AIDS care.....
 
.....It is past time for the federal government, including investigative agencies, to completely probe the contracting of New York City Ryan White funds......he city tried to block FOIL (Freedom of Information Law) requests for the most basic information with responses that defied credulity.....
 
.....The available public record shows that the New York City Department Health and Mental Hygiene, under Dr. Thomas Frieden, Commissioner during most of the Bloomberg Administration, made little effort to disguise its disdain for outer borough AIDS populations. At one key stage after another, the Administration would only involve Manhattan agencies and leaders in determining AIDS policy and funding.....In 2005, when Mayor Bloomberg, on the advice of Commissioner Frieden, appointed a New York City Commission on AIDS---to provide the Administration with "guidance" on improving NY AIDS care and prevention---all 20 members came from Manhattan agencies or represented government.....in its clear intent to maximize AIDS funding in Manhattan, the city violated that requirement of the City Charter.......
 
.......Brooklyn as a borough lost the most funding and overall now has the greatest disparity between the number of residents who have HIV/AIDS (24.5% of the NYC total) and the number of their deaths (30.8% of the city total)......Bronx women lost the most funding and services; indeed, key Ryan White services were so completely withdrawn from Bronx women with HIV/AIDS that by, the end of 2006, only 3% of all Ryan White clients in the city receiving Supportive Counseling/Family Stabilization services---services specifically intended to help stabilize women with AIDS raising children---lived in the Bronx. The result was to derail the significant progress the Bronx had been making in keeping women---and mothers---alive......As a group, Manhattan men received the most funding and medical/support services from the funding switch; they then had the largest decrease in deaths of any male or female group in the major AIDS boroughs.....Treatment adherence support---namely teaching people to use their AIDS medications correctly---was almost entirely confined to Manhattan, with 73.5% of clients receiving this help being Manhattan residents......
 
.......Thousands of AIDS clients were just left without services as de-funded programs shut down before new ones were in place. In an unprecedented act, this disarray and disruption occurred as a direct result of an order from the New York City Health Commissioner. (The "carefully crafted" response, also given to the press, was that the delay occurred because the city was developing better ways to evaluate the programs; not one piece of paper appeared in response to FOILs to support this public claim.).....
 
..........Although the federal government largely allocates this money to AIDS-impacted cities and states based on their caseload, the New York City Department of Health blatantly favored Manhattan hospitals, clinics, social service and support agencies in contracting the AIDS services provided with federal funds. The city?s distribution of federal Ryan White AIDS funds directly impacted death rates in the boroughs---and the prospects of life."........."
 
 
 
 
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