Buchanan R J
Sloan Program in Health Administration, Department of Human Service Studies, Cornell University, Ithaca, New York 14853.
Am J Public Health. 1988 Apr;78(4):432-6. doi: 10.2105/ajph.78.4.432.
Medicaid programs are paying for 23 per cent of the health care costs of AIDS patients nationally, and approximately 40 per cent of all AIDS patients will become dependent on Medicaid to pay for their health care. The state Medicaid programs were surveyed by mail for this research in mid 1987 to determine if the states covered AZT (Retrovir), if limits apply to this coverage, if the states have or are developing AIDS-related policies, and if hospice care is a benefit. Forty-four states cover AZT (two additional states cover AZT only during inpatient hospital care), with most Medicaid programs placing some limit on coverage or reimbursement. Most states do not have special Medicaid coverage for AIDS care nor are they developing proposals or policies for this care. However, a number of states are developing or implementing AIDS-related policies through their Medicaid programs. These policies can become models for other Medicaid programs to follow if the incidence of AIDS increases in their states.
医疗补助计划承担着全国艾滋病患者23%的医疗费用，并且所有艾滋病患者中约40%将依赖医疗补助计划来支付其医疗费用。1987年年中，通过邮件对各州的医疗补助计划进行了调查，以确定各州是否涵盖齐多夫定（叠氮胸苷）、这种覆盖范围是否有限制、各州是否有或正在制定与艾滋病相关的政策，以及临终关怀护理是否属于福利范畴。44个州涵盖齐多夫定（另有两个州仅在住院治疗期间涵盖齐多夫定），大多数医疗补助计划对覆盖范围或报销设置了一些限制。大多数州没有针对艾滋病护理的特殊医疗补助覆盖范围，也没有制定此类护理的提案或政策。然而，一些州正在通过其医疗补助计划制定或实施与艾滋病相关的政策。如果这些州的艾滋病发病率上升，这些政策可以成为其他医疗补助计划效仿的典范。
