Health Affairs, 25, no. 4 (2006): 1103-1112
doi: 10.1377/hlthaff.25.4.1103
© 2006 by Project HOPE
 
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Fact, Fiction, And Fairness: Resource Allocation Under The Ryan White CARE Act

Erika G. Martin, Harold A. Pollack and A. David Paltiel

Debate over the reauthorization of the Ryan White CARE Act (RWCA) raises questions of fairness, equity, and efficiency. Critics charge that the program targets disproportionate resources to historical urban epicenters at the expense of underserved areas of incident HIV infection. We used 1998–2004 data on RWCA allocations to examine these claims. We found that states’ concentration of AIDS cases within urban areas remains the dominant predictor of RWCA funding, although the impact of concentration declined after 2000. Other state characteristics, such as poverty rates or racial/ethnic diversity, play a much smaller role.


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This article has been cited by other articles:


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PubliusHome page
E. G. Martin and P. S. Keenan
Sticky Dollars: Inertia in the Evolution of Federal Allocations for HIV Care through the Ryan White HIV/AIDS Program
Publius, December 23, 2009; (2009) pjp041v1.
[Abstract] [Full Text] [PDF]


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American Journal of Medical QualityHome page
S. Kazi and S. Boroumand
Assessing Quality of Primary Care Provided to the HIV-Infected Ryan White Population in the Baltimore Eligible Metropolitan Area
American Journal of Medical Quality, November 1, 2008; 23(6): 484 - 491.
[Abstract] [PDF]


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AJPHHome page
R. J. Buchanan and W. Hatcher
Compassionate Conservatism: Federal Funding for the Ryan White CARE Act During the Bush Administration
Am J Public Health, November 1, 2007; 97(11): 2013 - 2016.
[Abstract] [Full Text] [PDF]