Monday, June 17, 2013

From the President - HIV Screenings, Lexington Medical Society, AMA

By Bruce Snyder, MD, SCMA President

President Snyder stays busy as he represents the South Carolina Medical Association across the state and even nationally at the AMA. Tune into The Voice as Dr. Snyder describes his adventures each month. 

June is turning out to be a busy month as president of the South Carolina Medical Association. I had an opportunity to participate in an interview with a reporter from the Spartanburg Herald Journal this week to give the physician perspective about the recently announced guidelines from the U.S. Preventive Care Task Force of the CDC regarding HIV testing for all adults aged 15 to 65. As many of us know, the previous recommendation was for testing of high risk adults and all pregnant women. The new guidelines published at the end of April are designed to remove the stigma of HIV testing and to identify as many of the estimated 200,000 individuals unaware of their positive status to allow early treatment. The goal by antiviral treatment is to improve longevity for the individuals themselves as well as to reduce transmission of the virus to others. Since this is a Grade A recommendation, the testing for insured individuals would be performed at no expense to the individual but instead would be borne by the insurer (and likely passed along through premium cost increase). As a Vascular Surgeon, I had to go back and "hit the books" to discuss the subject. The most interesting information I learned was that transmission of the virus to women is overwhelmingly caused from heterosexual activity with an infected partner, obviously not suspected by the woman carrying the HIV virus. What are your thoughts about the expansion of the guidelines? Is the benefit vs the cost a value in South Carolina? To read my comments in the news article, click here.

I traveled to the Lexington Medical Society this week as well and had an enjoyable dinner with several members and their spouses. This is an active and enthusiastic county society. I was pleased to learn of the number of members who have spoken at local schools regarding health related issues. Likewise, there have been numerous individuals who have authored op-ed pieces and letters to the editor. Clearly, they are an active group in their community. This is exactly the dedication I am looking for through my Leadership Campaign, which you'll hear more about soon.

Lexington Medical Society is well represented in the SCMA by their Trustee, Dr. Leon Bullard, and the Vice-Speaker of our House of Delegates, Dr. March Seabrook. I discussed the benefits of SCMA membership as well as Medicaid expansion and the APRN scope of practice issue in a presentation before dinner. I am looking forward to traveling and speaking to other county societies throughout the state as the year progresses.

As I write this, I am sitting in the GSP airport awaiting to board my flight to Chicago to attend the AMA Annual Meeting. Unfortunately, although we routinely see the airline industry used as an example of quality that medicine should emulate, the two hour delay for the flight doesn't seem high quality service today. I wonder what United's HCAPS scores would be today. I suspect not very good. The AMA meeting will run from Friday through noon on Wednesday. We will all be there in support of our own Dr. Gerald Harmon in his election campaign for AMA Trustee!

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