User fees, transport costs, and the ethics of exemption: how free is free ART?

Abstract

The Southern African HIV Clinicians Society initiated an online discussion forum on ‘HIV Ethics and Policy' in 2007. The case study below concerns the ‘hidden' costs associated with access to antiretroviral therapy (ART), and discusses a number of proposed solutions to the problems faced by indigent patients with HIV/AIDS (to read the entire debate, see http://groups. google.com/group/policy-ethics/topics?start=10&sa=N). Southern African Journal of HIV Medicine Vol. 8 (2) 2007: pp. 52-5

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