Taken any tests lately?

Like HIV? Me either. At least, not that I know of. But apparently, according to CDC Guidelines health-care providers (i.e. doctors) should routinely screen all patients aged 13-64 years for HIV. I'm not sure about those of Medicare age--maybe we're too old to count and they like to bump us off the rolls, or we're staying out of bath houses and not shooting up. Here are the risk factors for HIV:

A man having sex with another man even just one time.

Taking street drugs by needle even one time.

Trading sex for money or drugs even one time.

Sex, even one time, with someone who would answer yes to any of the above.

You have hemophilia and have received clotting factor concentrations.

According to a report in JAMA (CDC/MMWR) Nov 5, 77% of persons with HIV risk factors were not tested in the preceding 12 months, and the recommendation for them is an annual test. However, 40% of the general population has been tested. 60.7% of pregnant women were tested for HIV in 2006 (lower than other infectious disease). In 2006, non-Hispanic blacks accounted for 49% of all reported cases of HIV/AIDS, and the HIV prevalence among non-Hispanic blacks was 2.1% compared with 0.4% in the over all U.S. population. (I'd cite the sources, but they aren't printed with the article which is really dumb.) Depending on how often you go to the doctor for allergies or the flu, you might be tested multiple times, and someone else scoring BINGO on all the risk factors, is never screened. Something's very wrong here. They can't keep track of the MSM who are doing all sorts of disgusting things with body parts, so they decide to test everyone? And they still can't get the gay and bisexual guys to come in for screening by changing the rules? These tests must be awfully cheap.

They don't need to have you sign anything or give you anything in writing either. Here's the rules.

Here's the take from the ACLU.

If you've gotten a 3 page list of "services provided" for the last time you were in the hospital, here's the coding guidelines.

These guidelines from 2006 were part of Bush's Domestic HIV Initiative. (Approximately $18.9 billion (83%) of the FY 2007 HIV/AIDS request was for domestic programs; $3.9 billion (17%) for global programs. Only 4% was for prevention, however. Here) The CDC allocated funds to: 23 jurisdictions in clinical settings; 67 grantees in 25 states through the Substance Abuse and Mental Health Services Administration; 41 family planning clinics grantees in 34 states through the Office of Population Affairs. And the funds were allocated primarily to test blacks. Of course, testing isn't research or treatment or behavior change--it's just to figure out if they have successful strategies in place to overcome barriers to--testing.

Test product

This is the only article I found on the cost effectiveness of testing the entire population. And obviously, if it's your life, or that of someone you love, you think the cost is worth it.