People with HIV are aging, and the challenges are piling up

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Advances in medicine mean more people are living longer with HIV. But aging with HIV comes with increased health risks, and this growing population needs specialized care that's hard to find.

Malcolm Reid at home in Decatur, Georgia, with his dog, Sampson. Reid, who recently marked his 66th birthday and the anniversary of his HIV diagnosis, is part of a growing group of people 50 and older living with the virus.

They worry that funding constraints, an increasingly dysfunctional Congress, holes in the social safety net, untrained providers, and workforce shortages leave people aging with HIV vulnerable to poorer health, which could undermine the larger fight against the virus.“I think we're at a tipping point,” says Dr. Melanie Thompson, an Atlanta internal medicine physician who specializes in HIV care and prevention.

The complexity of care is a heavy lift for the Ryan White HIV/AIDS Program, the federal initiative for low-income people with HIV. The program serves more than The latest infusion of funding for Ryan White, which has totaled $466 million since 2019, came as part of aIt’s a sign of eroding bipartisan support for HIV services that puts people “in extreme jeopardy,” says Thompson, the Atlanta physician.that Ryan White patients on private insurance had better health than those on Medicare, which researchers linked to better access to non-HIV preventive care.

 

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People with HIV are aging, and the challenges are piling upAdvances in medicine mean more people are living longer with HIV. But aging with HIV comes with increased health risks, and this growing population needs specialized care that's hard to find.
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