VaObama vanovhura muganho kune vashanyi nevatorwa vane zvirwere zvepabonde

Mugore ravo rekutanga pachigaro, President Obama vakabvisa mutemo wekurambidza vanhu vekune dzimwe nyika vane HIV. Mugore rake rekupedzisira ari pachigaro achabvisa kurambidzwa kupinda kune zvimwe zvitatu zvezvirwere zvepabonde (STDs). Bazi rePresident’s Health and Human Services Department rinoti izvi zvinovimbisa kuti vanhu vakawanda vabatwa nechirwere ichi muUnited States, zvichiratidza zvekare kuti nyaya yekupinda nekubuda kwevanhu munyika ndiyo iri kunetsa kune vezvematongerwo enyika vakaita saObama. Kuwedzera kwekupinda kune dzimwe nyika kunokanganisa zvimwe zvese zvinonetsa.

Kutanga, mamwe mamiriro. Muna 1993, chikamu chakanyatsogadzirirwa kuderedza kupararira kweHIV / AIDS muUnited States chakawedzerwa kune Immigration uye Nationality Act. Yakapfuura Senate nemavhoti makumi manomwe nenhatu kusvika makumi maviri nematatu.

Chero mutorwa akatemerwa (maererano nemirau yakatarwa neMunyori weHealth and Human Services) kuti ave nechirwere chinotapukira chakakosha pahutano hweveruzhinji, izvo zvinosanganisira kutapukirwa neiyo etiologic agent yekuwana immune deficiency syndrome [AIDS] ... hazvitenderwe. 1

Kunyangwe mutemo uri pachena kuti AIDS inofanirwa kutorwa se "chirwere chinotapurirana chakakosha pahutano hweveruzhinji", nhasi ibasa reDepartment of Health and Human Services (HHS) kuona kana chirwere chasvika padanho iroro. Izvi zvakakonzerwa nemutemo wakasainwa nemumiriri weimmigration President George W. Bush muna 2008.2 VaObama vakanhonga bhora vakamhanya nemaonero aBush epamuganhu uye vakasarudza muna 2009 kuti HIV hachisi “chirwere chinotapurirana chakakosha pautano hweveruzhinji”. 3

Pasinei nekuzivisa kuti HIV yakanga isisiri chirwere chinotapukira chehutano hwehutano hwevanhu, CDC inofungidzira kuti vanhu vanosvika zviuru makumi mashanu muUnited States vanongotapukirwa neHIV gore negore uye kuti vanhu vanopfuura mamiriyoni 50,000 munyika iyi vane HIV. United States ndiyo ine hutachiwana hweHIV hwakanyanya kudarika nyika dzakabudirira.1.2

HHS yakapa fungidziro yemhedzisiro yeshanduko yemutemo uyu uye yakaona kuti gore rega rega kubva pa1,073 kusvika 6,409 vanhu vane utachiona hweHIV vaizopihwa mvumo yekugara zviri pamutemo. zvenguva pfupi; nemamwe mazwi, nhamba yevanhu vane HIV vanobvumirwa kupinda inenge yakakura zvikuru. Uye izvi hazvisanganisire vanhu vanoverevedza vachiyambuka muganhu, hongu.

National Institutes of Health (iyo inowira pasi peHHS) yakataura kuti kana kuvhenekwa kweHIV kusiri chikamu cheongororo yekubvakacha, vatsva vanobva kune dzimwe nyika "vachawedzera huwandu hweavo vane HIV asi vasingazive nezvehutachiona hwavo", izvo zvinogona kutungamira. ku "nhamba yakawanda yevanhu vane HIV isina kuonekwa ... vane mikana yakawanda yekutapurira utachiona kune vamwe, zvichida munharaunda dzavanogara." 6 HHS yakataura zvakajeka kuti: “Mutengo mukuru womutemo uyu mukana wokupfuurira kutapurira vagari vomuUnited States vasina kutapukirwa neHIV.”

HHS yakafungidzirawo kuti mushure memakore mashanu vanhu vangangosvika 170 kusvika 1,014 vemuUnited States vaizotapukirwa nekuda kwekushanduka kwepolicy, zvichidhura kubva pamadhora 4 miriyoni kusvika kumadhora 22 miriyoni mukushandiswa kwehutano hwe "kutapurirana" uku. Huwandu hwehutachiwana hwakaderera hunosvika chikamu chimwe chete nemazana mashanu nerimwe kubva muzana - zvichireva kuti vanhu zana vese vane utachiona hweHIV vachatapurira vanhu 1.51. Asi HHS yakataura kuti inogona kuva yakakwirira, ichitsanangura kuti “fungidziro yenguva pfupi yapfuura yeavhareji yokutapuriranwa kunopfuurira, kana kwakaganhurirwa kukupfuudzwa kwevatano, muUnited States i100 pavanhu 1.51 voga voga vane HIV.”

HHS inofungidzira kuti mushure memakore mashanu ekutanga emutemo uyu kuchinja, panogona kunge kune 3,956 kusvika ku23,622 vatami vatsva vane HIV muUnited States. Zvakare, izvi zvakanangidzira chete pavatorwa vari pamutemo vechigarire vanobva kune dzimwe nyika. Vese vane utachiona hweHIV vanosvetuka-svetuka kana vashanyi vakapfuura mavhiza avo havana kuverengerwa mufungidziro iyi.

Pakazere, mutengo unofungidzirwa wehutano hwekubvisa HIV kubva mukurambidzwa kufamba ungangove kubva pamadhora 19 miriyoni kusvika kumadhora 173 miriyoni mugore rekutanga chete. HHS yakatsanangura kuti izvi zvaizova pachena zvakapetwa kaviri gore rechipiri sefungu idzva revatorwa rinosvika, katatu pagore rechitatu, zvichingodaro. HHS inofungidzira kuti mushure memakore mashanu mutengo wehutano hwaizova $86 mamiriyoni kusvika $513 mamiriyoni. Asi kuti tisanetseke, HHS yakaona kuti mutengo kune vateresi "ungangove mudiki uchipihwa zvirambidzo zvemubatanidzwa kune vatsva vanobva kune dzimwe nyika." Ehe, fungidziro idzi dzakaitwa muna 2009, Obamacare asati.

Munguva pfupi yapfuura, Mutungamiri Obama vakaita dzimwe shanduko, vachivhura miganhu yedu kune mamwe STDs. Asi imwe chete yakakosha-yenhau inoburitsa nhau yakatozviona.7

Gore ra2009 risati rasvika, HHS yakataura zvirwere zvisere se “zvirwere zvinotapuriranwa zvine kukosha kwehutano hweveruzhinji”: tibhii, maperembudzi, Human Immunodeficiency Virus (HIV), njovhera, chancroid, gonorrhea, granuloma inguinale, uye lymphogranuloma venereum. Mushure memaviri ekutanga pane rondedzero, zvasara zvese zvirwere zvepabonde. Mushure mekunge manejimendi adonhedza HIV kubva pakurongwa, STDs shanu chete dzakasara: syphilis, chancroid, gonorrhea, granuloma inguinale, uye lymphogranuloma venereum.

Panguva iyoyo ndaishamisika kana mamwe emamwe maSTD aizobviswawo kubva pakurongwa sezvo asina kupotsa auraya seHIV. Zvakamutorera makore manomwe, asi nguva pfupi yadarika Obama akasarudza kubvisa chancroid, granuloma inguinale, uye lymphogranuloma venereum semamiriro ezvinhu asingatenderwi anechekuita neutano kune vatorwa vanoda kupinda muUnited States.8

Zvirwere zvinotapukira zvasara zvinoonekwa se“zvinokosha pautano hweveruzhinji” tibhii, maperembudzi, njovhera, uye gonorrhea. Kusvikira vanhu vane maperembudzi vataura.

Paive neimwe shanduko yekuwedzera yakaitwa nehutungamiriri ine chekuita nechirwere cherurindi, zvisinei, izvo zvakakosha kucherechedza. Usati wachinja mutemo, mirau yemubatanidzwa yaida kuti vese vanyoreri vatariswe pachifuva x-ray, "uye kune avo radiograph inoratidza kusajairika kunoratidza chirwere chetibhii, vanozodiwa kuti vawedzere kuongororwa chirwere cherurindi." Kuchinja kwemutemo kunodonhedza zvinodiwa ne "shall". Ikozvino inoti: "Vese vanonyorera vanogona kudikanwa kuti vawedzere kuongororwa chirwere cherurindi zvichibva pane zvakabuda mukuongororwa kwechiremba." Iko kushanduka kusinganzwisisike kungave kusina kukosha kwakakosha; kune rumwe rutivi, zvinogona kureva dziviriro shoma shoma kubva kuchirwere cherurindi.

Saka zvakadini nemitengo ine chekuita neshanduko yemutemo mutsva pamaSTD matatu asara? Usazvinetse, munyori weHHS waObama ndiye akamhanyisa nhamba uye akatsanangura muFederal Register kuti “Zvabuda hazvina kukosha mune zveupfumi, kureva mari inodarika zana remamiriyoni emadhora uye mabhenefiti mugore rimwechete.”100 Nemamwe mazwi, mutengo wekugamuchira. muvatorwa vane STD idzi vachange vari pasi pe $9 mamiriyoni gore negore.

Munyori anopokana kuti pane "zvinogoneka" zve "kuwedzera kusingakodzeri kwehuwandu hwezvirwere zvinopinda muUnited States", asi kuti "kugona kuunzwa kwenhamba shoma yenyaya hakuzoshandure mutengo wazvino uno unoenderana neazvino." dambudziko rechirwere." Zvakadaro, munyori uyu anotiwo pazvirwere izvi, chancroid ndicho chega chakamhan’arwa kuCDC, zvichireva kuti zvinonetsa kufungidzira kuti mutemo uyu unobata sei zvimwe zvirwere. Zvakadaro, HHS inotaura kuti "[d]ata pachancroid, granuloma inguinale, uye lymphogranuloma venereum haiunganidzwe zvine hungwaru nenyika ipi kunze kweUnited States kungave nenyika kana matunhu akanyorwa neDHS yevatorwa, kana kubva kuWorld Health Organisation. .” Hatinyatso kuziva zvatiri kuunza.

Uye tisinganetseki, HHS inotsanangurawo kuti izvi “zvikuru zvirwere zvomunzvimbo dzinopisa zvinopisa zvinogona kudziviswa kupfurikidza noutsanana hwomunhu oga uye vatano yakadzivirirwa” uye kuti kana ukadziwana, zvirwere zveSTD zvinogona kurapwa “nenguva pfupi, isina kuoma yokurapa nemishonga inorwisa mabhakitiriya.” Ndinovimba vari kuudza vabvakure izvozvo.

Vatungamiri vanopokana kuti shanduko iyi inobatsira nekuti varapi vangangove vachinyora bvunzo "vachakwanisa kupa nguva yakawanda nekudzidziswa kune zvimwe, zvakajairika uye / kana zvakakomba nyaya dzehutano." Unonzwika wakajairana here? Iyi ndiyo nharo imwe chete iyo hutongi hwaObama hunoita kutungamira ICE kuti ingotarisa pakudzinga "akaipisisa" matsotsi evatorwa. Nekuregeredza vatorwa vasiri pamutemo, vemutemo vanogona kutarisa zvirinani kune vapari vemhosva zvakanyanya, vanodaro.10 Asi zvinoreva kuti ruzhinji rwevatorwa vane ngozi vanowana pasi uye zvinoreva kuti mhirizhonga yave chinhu chinodiwa immigration enforcement. Saizvozvo, shanduko yemitemo yeSTD inoreva kuti hutachiona hwakawanda hunogona kufuratirwa.

United States ndiyo ine hutachiwana hweHIV hwakanyanya kudarika dzimwe nyika dzakabudirira. Kuchinja kwemitemo yehutongi hwaObama kunogona kuona kuti United States inochengeta zita iroro. Zvishoma, shanduko ye2009 ne2016 inoderedza kugona kwehurongwa hwedu hwekutama kuchengetedza vanhu vekuAmerica kubva kuzvirwere zvinotapuriranwa.