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- Newsgroups: sci.med.aids
- Path: sparky!uunet!think.com!ames!elroy.jpl.nasa.gov!ucla-cs!usenet
- From: Billi Goldberg <bigoldberg@igc.apc.org>
- Subject: Re: (6695) The New Activism
- Message-ID: <1993Jan1.141928.456@cs.ucla.edu>
- Note: Copyright 1992, Dan R. Greening. Non-commercial reproduction allowed.
- Sender: usenet@cs.ucla.edu (Mr Usenet)
- Nntp-Posting-Host: sole.cs.ucla.edu
- Archive-Number: 6700
- Organization: unspecified
- Date: Thu, 31 Dec 92 22:24:30 PST
- Approved: david@stat.com (David Dodell)
- Lines: 80
-
- In post 9:43 am Dec 31, 1992 in sci.med.aid by KMILLER%BROWNVM.
- > The
- >>Establishment's failure to cure this disease has largely been a
- >>by-product of institutional territoriality between virologists,
- >>molecular biologists and oncologists.
-
- > Would it be too bold to suggest that the "establishment's" failure
- >to "cure this disease" has instead been a product of BIOLOGY? There
- >are no true "cures" for ANY viral disease, and therefore one might
- >suggest that basic science, not political infighting, is needed to
- >cure AIDS.
-
- Cure as used by Caulfield does not mean cure as is normally used. I know
- this because we communicate continually. That word is used for the mass
- public in the SF gay/lesbian/transgender communities that thinks in
- terms of a cure. The HIV retrovirus will never be totally removed from
- chronically infected cells where HIV has integrated into the cellular
- genome. Since long living cells such as follicular dendritic, epithelial
- and many of the macrophages get infected, they can never be all replaced
- and more cells get infected continually. Therefore HIV is a viral
- disease such as herpes, chronic hepatitis, etc. that will be there
- forever. Also many chronically HIV infected cells do not show viral
- antigens on their surface so they cannot be attacked by the immune
- system.
-
- You, of course, are not being too bold. But why not start asking why the
- biologists, etc. who obviously have known that there is no "cure" for
- any chronic viral disease, attempted to "cure" such a disease by the use
- of retroviral treatments? Why didn't they just attempt to boost or
- modulate the immune system so as to keep people alive. That is how the
- long-term survivors have survived.
-
- I propose that the scientists, researchers, and doctors know and have
- known enough basic science to keep people alive by using
- immunomodulating drugs. Hey, I may denigrate the scientific community,
- but I know that they are a long way from being dumb about what is
- happening with AIDS. And, they are sure smarter about science that I
- could ever be in a million years. So, know that that has been said,
- let's try another hypothetical scenario.
-
- Let's just pretend that a public policy decision was made by the
- Reagan-Bush Administrations to "cure" all HIV infected people by
- destroying the HIV virus. We all know that the military has tremendous
- power to destroy, but they are controlled by the civilian government. It
- would seem logical that scientific decisions that affect the citizens
- would be made by the civilian government. That is not only logical and
- rational, but expedient. Let's continue along the line and surmise that
- since it was gays, minorities, and IV users that are predominately
- infected, the conservative Republican administrations had no great love
- for these people. Now, wonder if a public policy decision was made that
- the last thing that was desired was to have a bunch of long-term
- survivors that would live a long time with a chronic but manageable
- disease. For, if these infected people stayed alive, they would not only
- continue to have sex and infect others, but it would be tremendous drain
- not only on the medical system but on the financial integrity of the
- nation to treat their opportunistic diseases.
-
- I would never state that our "leaders" would just love to get rid of the
- HIV-infected people, but I definitely will state that I believe a
- rational public policy decision was made to focus on the complete cure
- of infected individuals such as in syphillis and gonorrea rather than
- keeping them alive forever and forever by using immune modulating
- treatments.
-
- I also believe that, knowing the hubris of scientists, they "guaranteed"
- to the civilian leaders that they could find a real cure for HIV and rid
- the retrovirus from the body. For who would have the audacity to state
- to the president that they weren't smart enough to find the answer. But,
- of course, they said that they must have funding, and they would work
- hand-in-hand with the drug companies. The results of this scenario have
- been 160,000 people dead in this nation; the nucleosides analogues
- killed instead of curing and most of the deaths were iatrogenic. But,
- one must admit, they really tried to the best of their abilities
- considering the focus they were given.
-
- Remember, I said this was just a hypothetical scenario so don't take it
- too seriously and flame me, but..............................!!!!!
-
- Billi Goldberg
-
-