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...Obama's Health-Care Drama Your story on the battle over health care was timely [Aug. 10]. Unfortunately, the President's plan misses a fundamental point. Our flawed legal system is largely responsible for the way doctors defensively practice medicine and the pharmaceutical and insurance companies and hospitals gouge consumers unlike anywhere else in the world. Nowhere else are there as many malpractice suits as in the U.S. Shame on the lawyers who load the judicial system with phony lawsuits. Without appropriate malpractice reform, nothing will improve. Sudhir K. Bhaskar, Orlando...
...female condoms in a bid to stop a resurgence of HIV/AIDS. Advocates cheered the initiative, saying it would give women more control over their bodies. But in the weeks since, major funders of HIV/AIDS-prevention programs have shown far less enthusiasm, with many deciding not to back the plan. Instead of serving as a surefire weapon against the spread of HIV, Uganda's female-condoms initiative has become the latest example of the limitations faced by governments, advocacy groups and donors in the fight against the virus...
...When Uganda announced its plan to hand out female condoms, it got plenty of support. "The No. 1 issue for women is to be able to negotiate," Serra Sippel, president of the Center for Health and Gender Equity in Washington, tells TIME. "The main issue was the desire for women to be able to say, 'O.K., you're not going to use yours, then let's use mine.' " In the fight against AIDS, say the advocates, any little bit helps. True, studies about the efficacy of female condoms are inconclusive. But, they insist, women, especially in Uganda, need as many...
...disagree. They fear that by offering yet another choice, the government's move may only distract from other drug and condom programs. "You can't just put 100,000 condoms out in district warehouses and expect something to happen," says Mike Strong, coordinator for the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) in Uganda. "Since we try to be an evidence-based operation, we're waiting to see any evidence that this is a cost-effective method of protecting women against unwanted pregnancy and HIV transmission...
...years ago, Uganda will start by distributing only the 100,000 female condoms it has in stock in two regions. The government says it has learned its lesson from the earlier program, and will put more effort into distribution and teaching people how to use the condoms. The government plan is partly a response to demand from civil-society groups, who say Ugandan women are bearing the brunt of the AIDS epidemic. In a meeting on July 7, government officials agreed to start the program this year and extend it after a year if donors contribute more money...