Better Integration Between HIV and Aging Systems is Critical

The United States has come a long way in its response to HIV. While challenges and gaps remain, we have built an HIV services system anchored by the Ryan White HIV/AIDS Program (RWHAP) that leverages public (Medicaid and Medicare) and private insurance such that people with HIV (PWH) now are just as likely to have insurance coverage as people without HIV. While too many people with diagnosed HIV are not in care, those receiving RWHAP services have high viral suppression rates comparable to many other developed nations. The majority of PWH in the United States are over age 50, but we have not done enough to prepare to meet both the clinical and social needs associated with aging HIV to support a high quality of life.

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