Lexington Herald-Leader Examines Funding Issues in Kentucky HIV/AIDS Clinic
March 13, 2009
The Lexington Herald-Leader on Thursday examined funding issues faced by the Bluegrass Care Clinic, a Kentucky-based HIV/AIDS clinic that has seen a twofold increase in the number of patients over the last eight years, despite receiving no federal funding increases. According to the Herald-Leader, the clinic currently treats 850 patients -- an increase from 481 patients in 2001 when the clinic first received federal funding -- and averages between 50 and 100 new patients annually. Services are provided to the patients on a sliding scale based on income, and most of the patients either have no private health insurance or are enrolled in Medicare or Medicaid. The clinic receives about $688,000 from the federal Ryan White Program, in addition to assistance that totals about $1 million annually from the University of Kentucky, which provides office space, receptionists and some of the physicians' salaries.
The Herald-Leader reports that Kentucky has four clinics that receive Ryan White funding but that the Bluegrass Care Clinic is the only one of its kind in eastern and central Kentucky. Patients travel from 63 counties -- many for several hours -- for a doctor's appointment. Thornton said that many patients from rural areas do not want to visit a doctor where they live. She said, "They don't want people in their area to know they have HIV, because there's still, in 2009, a lot of stigma." Thornton also said that more than 40% of patients at Bluegrass have progressed to AIDS in part because most patients in rural areas are unaware they have the virus until they are treated at a hospital for a more serious illness (Vos, Lexington Herald-Leader, 3/12).
This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.