HIV Testing May Become Routine for Americans

HIV testing may become routine for Americans between the ages of 13 to 64. Nearly half of HIV infections are found in patients who are unaware they have the virus.

About 250,000 Americans have AIDS but don’t know it. These individuals need prompt medical care in order to control the virus and to help prevent its spread to others. Life-extending therapies now available are most effective when treatment is begun early in the disease.

The Center for Disease Control is recommending that HIV testing become part of a routine physical. This recommendation is not binding legally, and all doctors and health insurers may not embrace this policy.


If implemented, more expense would be involved for testing, counseling, and revising consent procedures. Standard tests vary between $2.50 and $8 a test. The new rapid test costs about $15, but follow-up tests to confirm the diagnosis could cost another $50 or more. In this country, treatment for HIV can cost more than $10,000 a year.

It might be difficult to carry out recommended routine testing for these age groups. The most sensible strategy would be to test for the AIDS virus when doing blood work for other conditions or during Emergency visits. The CDC suggests that everyone be tested at least once, and that an annual test should be given to persons in high-risk groups.

If this policy is fully implemented, testing could be administered to between 100 to 200 million Americans. The American Medical Association endorses the proposal and urges doctors to comply.

Patients could decline the testing. Physicians are urged to offer their patients the opportunity to have anonymous testing and allow them to choose the site where they want to be tested.

If the recommendation becomes public policy, an added burden will be placed on public health programs that pay for this type of care. Additional funding would be needed. The benefits of getting early care for HIV or AIDS and helping to control its spread should justify the increased cost.

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