“We can not do without effective HIV prevention methods”

“We can not do without effective HIV prevention methods”

 

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Thursday, 18.08.16, written by Cora Christine Döhn

There are around 83,400 people living with HIV or AIDS in Germany. The number of new infections is low by international standards. This is due to extensive HIV prevention in this country. Holger Wicht from the German AIDS Aid tells in an interview that prevention can even be improved, but the possibilities must remain unused so far.

What role does HIV prevention play in Germany?

Holger Wicht: German HIV prevention is very successful: Germany is one of the countries with the lowest infection numbers worldwide. There is a proven division of labor: The Federal Center for Health Education is providing information to the general public – the new “Liebesleben” campaign has just started. The German AIDS-Hilfe is responsible for the groups that are particularly affected by HIV, for example gay men. In order to keep up the successes and perhaps even lower the numbers , we must not let up on HIV prevention . And there are gaps to fill, for example with the nationwide establishment of drug consumption rooms and the issue of clean syringes for drug addicted people in custody .

How much money is spent annually in prevention?

Holger Wicht: The federal government provides around twelve million euros annually for the prevention of HIV and other sexually transmitted infections, of which five million go into the work of Deutsche AIDS-Hilfe. There are also funds from other sources, for example from the Länder and municipalities and from the Association of Private Health Insurance.

What costs are incurred in this country for the treatment of HIV-positive people?

Holger Wicht: The costs of HIV therapy can fluctuate greatly, On average, they amount to about 20,000 euros per year. About 60,000 people are currently receiving HIV medication.

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What costs are covered by health insurance?

Holger Wicht: The health insurance companies assume all necessary costs for diagnostics and medicines.

Are there differences between the reimbursement and the benefits of private and statutory health insurance?

Holger Wicht: No, no material, the benefits of the statutory health insurance cover everything that is necessary in the context of HIV therapy.

HIV prevention is not only at the societal level, but also more medically: there is a pill that, when taken regularly, reduces the risk of infection with HIV. What role does this so-called pre-exposure prophylaxis (PrEP) play in the fight against HIV / AIDS?

Holger Wicht: The PrEP will not play a role for the general public. The condom remains the simplest and most important means of protection against HIV. However, PrEP can prevent HIV infection anywhere where people are at particularly high risk and other protective options are not working properly . In Germany, for example, it comes into consideration for a relatively small group of gay men who, for various reasons, do not always manage to use condoms. We can finally offer these people another opportunity with PrEP. It is important to use!

Why is not she in the main afflicted group long since commonplace in Germany?

Holger Wicht: The PrEP is not yet approved in Europe, also is the drug Truvada, which can be used for this purpose, far too expensive – the monthly package costs more than 800 €. But that could change soon: Next year, the patent expires, then other companies can offer the drug cheaper . In addition, there will be more drugs in the next few years that can be used as PrEP. The goal must be that a low-cost drug is available. It must be accessible to anyone who can help them stay HIV-negative. The pharmaceutical industry must also contribute to this, for example through special prices for the use of HIV medicines for prevention .

Is there a possibility that PrEP in Germany will be prescribed by physicians in the future and health insurance will cover the costs? Are there any reasons against prescribing the drug?

Holger Wicht: Doctors can prescribe the PrEP without any problems as soon as it is approved. Whether the health insurance will pay for it, is currently open. We would welcome that. Otherwise, other financing models are needed. We can not afford to give up effective prevention methods!

In the US, PrEP is widely used. Who will be there for the costs?

Holger Wicht: In the US, the PrEP is submitted via the national health service and even advertised extensively. One hopes to be able to significantly reduce the number of infections. Partially already successful, for example in San Francisco. The pharmaceutical industry grants discounts on the use of the drug as PrEP.

 

Third Nursing Law: New bill in the criticism

news Third Nursing Law: New bill in the criticism

finanzen.de News always well informed

Third Nursing Law: New bill in the criticism

Wednesday, the 29.06.16 , written by Christian Hafler The Federal Cabinet yesterday approved the draft of the Third Nursing Act. After the first two stages of the law, care should now be better organized and controlled. While the government emphasizes the fight against billing fraud in care services, social and disability associations fear discrimination for those in need of care.  Third Nursing Act: against fraud in nursing

The Federal Cabinet has agreed on Tuesday on a draft for the Third Nursing Act . Having agreed on increased care benefits and a new concept of care in the first two stages of the law, it is now about better organized and controlled care . Following the scandal surrounding fraudulent care services, the Federal Government has taken various measures to combat billing fraud in the Third Welfare Act (PSG III).

According to this, the medical service of the health insurance (MDK) is to receive in the future extended powers in the control of ambulatory care providers. While old-age care services have so far been reviewed by the MDK, providers specializing in home care must now expect unannounced inspections . In addition, the MDK has more options for billing auditing.

Third Nursing Act: Better infrastructure throughout Germany

In general, the Third Nursing Act provides for an improvement in the quality of care and care in Germany . For this purpose, the long-term care funds will in future be involved in committees dealing with the supply infrastructure. For example, it should be ensured that sufficient care facilities and services are also available in rural areas . Furthermore, people in need of care and relatives have better access to counseling opportunities.

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Advice for people in need of care: More offers through the new Nursing Welfare Act

With the PSG III, improvements in the provision of advice to those in need of care are foreseen. Often, those affected and relatives are insecure, especially in the case of a new care situation, and do not know which services they can use or which care options are available to them. The municipalities should therefore set up nursing homes in the next five years. In addition, counseling centers are planned in up to 60 districts or independent cities.

Third Pflegestärkungsgesetz brings not only improvements

The Nursing Laws serve to ensure long-term care for all those in need. However, the current bill is also in the criticism. Pia Zimmermann, nursing policy spokeswoman for the Left Party in the Bundestag, accuses the Federal Government of promoting two-class care : “The Federal Government remains faithful to the erosion of the welfare state, including the Nursing Welfare Act III. This law creates new differences in treatment. Savings will be made to the poor again. “

Among other things, her criticism relates to a new provision in relation to the so-called integration aid , which provides benefits for medical rehabilitation, participation in working life and participation in life in society, if no other institution is responsible for this. These benefits are treated as subordinate to the benefits under the bill. This means, for example, that people with disabilities who depend on care services can be denied partial hire services in the future .

Handicapped assistance is shocked by the Third Nursing Act

There is also criticism from the Federal Association of Protestant Disability Assistance (BeB). According to the controversial Law on Participation, the current draft of the Nursing Welfare Act is also considered to be discrimination against people with disabilities . The BeB is shocked that the benefits from long-term care insurance for people with disabilities who live in community-run residential communities are being cut from 1,612 euros to a maximum of 266 euros per month . “The opportunities to live outpatient care will be significantly impaired, especially for people with high levels of support. Without this funding, they risk losing their homes. “

Municipalities must be allowed to decide more

Zimmermann also complains that the municipalities are given too few opportunities to actively participate in the care provision . “The desired strengthening of the municipalities would be a much-needed step. Reduced to a model initiative for better advice and non-binding voice, this goal is not achieved. Municipalities must be able to plan, design and secure a good, local care themselves. People in need of care, caregivers and nurses really need to be able to influence decisions, “says Zimmermann.

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