Private Acts, Social Consequences: AIDS and the Politics of Public Health

Bayer, staff member of a policy studies center in New York State, here reviews the record of public agencies in dealing with AIDS-created biological, social and political problems, including resolution of conflicts between privacy and the public good. He notes the contradiction between Centers for Disease Control recommendations of counseling, education and broad-scale voluntary testing of all Americans at risk, and federal policies that favor mandatory testing of the military, marriage applicants, hospital workers, patients and prostitutes, among others, and quarantine of AIDS carriers advocated by some states. Bayer recommends restraint by individuals in sexual matters and drug use, accompanied by an assault on the economic and social problems that underlie the epidemic, especially as regards the newborn and teenagers. In the growing body of AIDS literature, this is a valuable fact-finding study that should interest a lay as well as professional audience. (Jan.)