The Failure Of Aids Control And Treatment In The Us
A particularly striking example of canonical failure in public health, and a clear dysfunction of distributed institutional cognition/collective consciousness, involves systematic and widespread inadequate response to AIDS in the United States. Here we examine that pattern from the perspectives of this analysis, first for a geographic region near the principal West Coast epicenter, and then for African-American religious groups in and near New York City, the principal East Coast epicenter. We will end with a broad case study examining systematic inadequacy in medical care provided HIV positive women of color.
In 1998, while conducting a study of community leaders’ response to the AIDS epidemic, Mindy Fullilove and colleagues gained first-hand experience of society’s hesitance to engage epidemic response (Morales and Fullilove 1992). No matter that AIDS was a deadly killer, nor that this attack on the immune system posed nearly imponderable implications for human survival. Because the illness was associated with intravenous drug use and sex – particularly male homosexual acts –community leaders backed away from providing care or engaging in prevention efforts. That stigma could trump death was remarkable.
KeywordsSubstance Abuse Treatment Minority Woman Inattentional Blindness Black Church Alameda County
Unable to display preview. Download preview PDF.