This survey is the first to examine refusal of care and barriers to health care among LGBT and HIV communities on a national scale. We hope that these data will influence decisions being made about how health care is delivered in this country now and in the future.
Over the last decade, hospitals throughout the United States have recognized that some groups of people face significant barriers to health care because of historic bias and discrimination against them. Many efforts have been launched to identify these groups, learn more about the challenges they face in health care, and welcome them into the nation’s hospitals. To reach out to these long overlooked groups, hospitals have examined their policies and practices to ensure that discrimination is clearly prohibited, recommendations for equitable and inclusive care are being followed, and staff are trained to provide knowledgeable, sensitive care.
The federal 1987 Nursing Home Reform Law requires nursing homes to “protect and promote the rights of each resident” emphasizing individual dignity and self-determination in the provision of long-term care. Every nursing home accepting Medicare and/or Medicaid must meet federal requirements, including those regarding residents’ rights.
As a result of vast improvements in HIV treatment, more and more people with HIV are reaching retirement
and enjoying the “golden years” that lie beyond. Sadly, however, some are facing discrimination as they seek
living arrangements and long-term care services suitable for seniors.
More than two decades have elapsed since the first HIV cases were identified in the United States, but the unfortunate reality
is that there is still stigma associated with HIV. Too often, disclosure that a person has HIV wreaks havoc on that person’s