Since 1987, HIV-positive travelers and immigrants have been banned from entering or traveling through the United States without a special waiver.
The ban has now ended.
At the dawn of government run healthcare licking at the pocketbooks of every American this new twist has been introduced by President Obama. In 2004 the average annual medical cost per HIV patient was $25,200.
People who have HIV and are not U.S. citizens will now be able to enter the U.S. for both travel and immigration reasons.
President Obama’s support for immigrants with HIV was evident in his support of the PEPFAR 2 bill when he was in the US Senate.
In an effort to protect the citizens of the United States the government had restricted entry of people with AIDS for the last 22 years.
Reason to restrict HIV infected immigrants was that HIV was considered to be a “communicable disease of public health significance.”
Another reason the United States government restricted HIV infected immigrants was because of the likely result the HIV infected person would become a public charge.
According to a report from the Centers for Disease Control and Prevention (CDC), a Department of Health and Human Services (HHS) proposed to remove “Human Immunodeficiency Virus (HIV) infection” from the definition of “communicable disease of public health significance.”
HHS/CDC also proposed removal references to “HIV” from the scope of examinations in its regulations that state:
Aliens infected with a “communicable disease of public health significance” are inadmissible into the United States under the Immigration and Nationality Act (INA).
According to HHS/CDC, in 2004 the average annual cost per HIV patient was $25,200 with a range of $19,466 to $30,954.
The expenditure estimates could be an underestimate since as treatment options increase, the benefits such as quality of life and lifespan will increase but so will costs.
Condiser the onward transmission from HIV-infected immigrants to others in the United States.
The costs associated with onward transmission include:
Shortened lifespan and reduction in quality of life even with treatment,
The health care costs associated with treating HIV infection,
The costs of social services when individuals are unable to fully support themselves because of their illness, and
Decreased productivity when individuals become too sick to work
A 1.51% onward transmission rate was used in the model to represent the annual estimated number of new infections caused by HIV-infected immigrants to the U.S., or caused by U.S. person infected by HIV-infected immigrants (i.e., annually every 100 HIV-infected persons infect an additional 1.51 persons). The most recent estimate of average onward transmission, when limited to sexual transmission, in the United States is 3.02 per 100 HIV positive immigrants.
In terms of health care expenditures for immigrants, by Year Five there will be a cumulative total of 15,755 HIV-infected immigrants living in the U.S.