Americans with HIV are living longer, and federal spending isn’t keeping up

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Researchers estimate that 70% of people living with the virus will fall in that age range by 2030.

DECATUR, Ga. — Malcolm Reid recently marked the anniversary of his HIV diagnosis on Facebook. “Diagnosed with HIV 28 years ago, AND TODAY I THRIVE,” he wrote in a post in April, which garnered dozens of responses.

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. Some people face what researchers call the “dual stigma” of ageism and anti-HIV bias. They also have high rates of anxiety, depression, and substance use disorders.in older adults and can lead patients to stop treatment. It isn’t an easy problem to solve, said Heidi Crane, an HIV researcher and clinician at the University of Washington.

“When a lot of people aren’t getting care, how do you decide where that next dollar is spent?” Cheever said.

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