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Copyright 1999 The Atlanta Constitution  
The Atlanta Journal and Constitution

March 31, 1999, Wednesday CONSTITUTION EDITION

SECTION: Features; Pg. 3C

LENGTH: 443 words

SERIES: Home

HEADLINE: HEALTH WATCH;
Getting AIDS drugs in Georgia tough for many, study shows

BYLINE: Lillian Lee Kim, Staff

BODY:
Hundreds of Georgians with the AIDS virus have a tough time obtaining drugs that can make the difference between life and death.

And the state's safety net for helping such people has the longest waiting list of any similar program in the United States, according to a new report by the Kaiser Family Foundation, an independent organization that studies health care issues.

In June 1998, when the Kaiser foundation compiled its statistics, Georgia's AIDS Drug Assistance Program had 944 people on its waiting list. By mid- January, the most recent figures the state has, that number had grown to 1, 350. Only 11 states have waiting lists.

State AIDS officials say Georgia's ADAP has improved since Kaiser did its research.

"That report is already outdated," said Mark Schrader, director of the STD/HIV section of the state Department of Human Resources Division of Public Health.

Additional state and federal ADAP funding recently added slots for 700 new patients up from 1,421, but several hundred Georgians will still have to wait. These are people who are well enough to work and earn too much to qualify for Medicaid, yet cannot afford the $ 10,000-$ 15,000 annual cost of HIV drugs.

"We know that the waiting list will be reduced, but we will still have a waiting list," said Jeff Graham, executive director of the AIDS Survival Project in Midtown.

The state does help those on the waiting list obtain HIV drugs through patient assistance programs offered by pharmaceutical companies.

"The waiting list is an issue, but to my knowledge we're not aware of people who need drugs," Schrader said. But the patient assistance programs lack the security of ADAP, since drug companies are under no obligation to maintain them.

Eliminating ADAP's waiting list would require about $ 10 million more in funding above ADAP's budget of $ 17.9 million, most of which comes from federal sources, Graham estimates.

Georgia also is one of only six states whose ADAP does not cover supplemental drugs needed to treat infections that commonly afflict people with HIV, according to the Kaiser report.

People can obtain such drugs through the Grady Health System, but a pending price hike for prescriptions to $ 10 each from 50 cents will hurt them. People with HIV take an average of five to seven supplemental drugs per month in addition to their HIV drugs, Schrader said.

"The investment in ADAP is paying off nationally," Graham said. "We need to learn that lesson in Georgia. We need to have the resources to make our ADAP as comprehensive as others in the country, or we will fall further and further behind in the fight against AIDS."

LOAD-DATE: March 31, 1999




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