<redrum1@alltel.net> wrote...
><redrum1@alltel.net> wrote...
>>>and while it is unethical for doctors to prescribe it to an HIV
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>I'm wondering what kind of trouble a doctor would get into if he did
>refuse to prescribe Viagra to an HIV patient.
The physician is obligated to the patient (and by inference,
the insurance company). In the U.S. the doctor has no obligation
to the public at large. Socialized medicine would likely change
that...
>Under the ADA HIV is
>defined as a "disability," legally no different from being crippled
>or blind. I can already hear the protesters screaming about
>discrimination against the "disabled," not to mention discrimination
>against gays if the doctor refused to prescribe Viagra to an HIV+ gay
>man. It could also be argued that HIV medications cause impotence,
The argument has been made that having an HIV+ diagnosis
contributes to the depression and anxiety which is commonly
associated with impotence.
>therefore Viagra is an essential component of the drug cocktail
>treatment. Of course all this is silly,
Actually, Viagra isn't part of the antiviral "cocktail" - it is
a separate component of a "holistic approach based on
observational medicine" ... (now that's being silly).
> but even without Viagra they managed to spread it for 20 years;
Drunk drivers also speed in their vehicles without turbochargers.
Does that mean we should put drunk drivers in turbocharged cars?
>naturally the only solution is to
>remove them from the general population (quarantine),
That worked in Cuba!
>but in the meantime we do not have to be paying to
>fuel their compulsive sex
>drive that caused them to catch HIV in the first place.
Viagra is only part of the bigger picture of disease vectors
we know of as methamphetamine-fueled gay sex clubs,
internet "dating" sites or ecstasy circuit parties. It
is interesting to track geographically-localized outbreaks
of STDs that have been repeatedly traced to these
events.
Interestingly, the association of HIV transmission to the
transmission of STDs is, a best, a weak one. Even
this newsgroups resident AIDS doctor, Robert Holzman
admitted this one!