Stigmatized silence: the exclusion of HIV and AIDS sufferers from the "Obamacare" legal landscape.

Q2 Social Sciences
Ashley N Southerland
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Abstract

The continued presence and growing rates of individuals infected with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in the United States has come to reflect an epidemic of significant proportion. Unfortunately, federal legislation has been eerily silent regarding the establishment of protections against health status-based discrimination for asymptomatic HIV and AIDS sufferers. Congress has done little to change this reality, despite the institution of major healthcare system and insurance reform by the Obama Administration in 2010. This Note argues that "Obamacare" and the two laws that define it—the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010—fail to address asymptomatic HIV and AIDS infection as a significant source of health status-based insurance discrimination. As a result, these individuals continue to be ignored, subject to the ambiguities of "disability"- based legislation, and relegated to the status of a legally invisible class.

耻辱的沉默:将艾滋病毒和艾滋病患者排除在“奥巴马医改”的法律版图之外。
在美国,感染人体免疫机能丧失病毒(艾滋病毒)和获得性免疫机能丧失综合症(艾滋病)的个人继续存在,而且感染率不断上升,这反映出这是一种相当大比例的流行病。不幸的是,联邦立法对于为无症状的艾滋病毒和艾滋病患者建立防止基于健康状况的歧视的保护措施一直出奇地沉默。尽管奥巴马政府在2010年实施了重大的医疗体系和保险改革,但国会在改变这一现实方面做得很少。本文认为,“奥巴马医改”和定义它的两部法律——《患者保护和平价医疗法案》和《2010年医疗保健和教育和解法案》——未能解决无症状艾滋病毒和艾滋病感染问题,因为这是基于健康状况的保险歧视的一个重要来源。结果,这些人继续被忽视,受制于以“残疾”为基础的模糊立法,并被降级为法律上看不见的阶层。
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期刊介绍: Founded in 1991, the Cornell Journal of Law and Public Policy (JLPP) has quickly risen to become one of the leading public policy journals in the nation. A fixture among the top 10 policy journals, JLPP has consistently been among the top 100 student-edited law journals. JLPP publishes articles, student notes, essays, book reviews, and other scholarly works that examine the intersections of compelling public or social policy issues and the law. As a journal of law and policy, we are a publication that not only analyzes the law but also seeks to impact its development.
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