Cover image for AIDS and the policy struggle in the United States
AIDS and the policy struggle in the United States
Siplon, Patricia D.
Personal Author:
Publication Information:
Washington, DC : Georgetown University Press, [2002]

Physical Description:
xii, 162 pages ; 24 cm
General Note:
Notes: p. [141]-154.

Includes index.

Format :


Call Number
Material Type
Home Location
Item Holds
RA643.83 .S575 2002 Adult Non-Fiction Non-Fiction Area

On Order



Lucid and compellingly written, Patricia Siplon has immersed herself in the history and ongoing firestorms of how AIDS policies are influenced, fought over, and enacted in the United States. AIDS and the Policy Struggle in the United States is equally as engrossing and as revealing in its own way as And the Band Played On . With an initial chapter that clearly follows the tangled historical string from the first realizations of a medical emergency to today's overwhelming worldwide epidemical crisis, she goes on to look at how medical treatments have changed and grown; how blood policies were formed; how value-based debates raged and continue to rage over prevention; how communities developed to first respond to the crisis, and later organized to fight for health care; and finally-now that AIDS is recognized for the global crisis it is-how foreign policy is being shaped.

Invaluable for activists and anyone involved in fighting for the humane treatment of people with HIV/AIDS around the world, this is also an important and insightful guide to the how and what of public policy as it is fashioned out of the clay of U.S. democratic institutions.

Author Notes

Patricia D. Siplon has written extensively on HIV/AIDS, politics, and public policy, and is currently assistant professor in the Political Science Department, Saint Michael's College, Colchester, Vermont.

Reviews 1

Choice Review

Siplon (political science, Saint Michael's College, Vermont) wrote this book as a result of her desire to offer her students an accessible exploration of many of the important AIDS policy issue areas in the US, and a personal belief that AIDS activism, though widely written about in various disciplines and subfields, had been largely written out of the discussion of AIDS as a policy issue. Siplon examines several AIDS issues from a policy perspective, i.e., what decisions were made by a combination of government and private actors. An important assumption is that all of these decisions are the result of struggles among groups and individuals; therefore, she also closely examines some of these struggles to determine how they resulted in the policy options that ultimately were chosen. Siplon introduces some of the groups that have been heavily affected by AIDS and that have in turn strongly affected AIDS policy. She outlines one of the first policy struggles over AIDS: identifying its cause and outlining a research program to treat the new disease. Finally, she discusses five policy areas: medical treatment, blood policy, transmission prevention, social service delivery, and AIDS-based foreign policy. ^BSumming Up: Recommended. Upper-division undergraduate and graduate students. J. M. Howe AIDS Information Center, VA Headquarters (DC)

Table of Contents

1 The Nature of the Policy Process
2 New Drugs, New Rules, New Relationships
3 Blood Policy in the Age of AIDS
4 Dueling Models of AIDS Prevention: Harm Reduction and Abstinence
5 A New Means of Providing for the Sick: The Ryan White CARE Act
6 Us and Them: AIDS as a Foreign Policy Issue
7 Conclusion: Struggling Toward the Future