Description: Massachusetts has decided to allow businesses and insurance companies to test people for the AIDS antibody. Critics complain that the proposed policy favors insurance companies over patients. Paula Gold, Massachusetts Secretary of Consumer Affairs, speaks at a press conference. She says that testing will be allowed under limited circumstances and controlled conditions. The Urban League of Eastern Massachusetts is a strong opponent of the policy. Don Polk of the Urban League of Eastern Massachusetts speaks at a press conference. He condemns involuntary testing except for clear public health reasons. He believes that the policy does not contain appropriate measures to ensure patient confidentiality and is discriminatory against African American life insurance policy holders. He states that the proposed policy fails to take into account the discrepancy in life expectancy between African American AIDS victims and white AIDS victims. The Urban League believes that the new state policy de-emphasizes public health education campaigns, which are important in minority communities. Public health informational brochures and African Americans at a bus stop. Following the edited story is footage of public health education literature. This edition of the Ten O'Clock News also included the following item: Boston City Council delays vote on school reform
1:00:01: Visual: Shots of medical laboratory workers undertaking the processes involved in testing vials of blood. Callie Crossley reports that businesses and insurance companies have been lobbying for the right to test for the AIDS antibody. Crossley reports that Paula Gold (Secretary of Consumer Affairs) and the administration of Michael Dukakis (Governor of Massachusetts) have decided to allow testing for life insurance. V: Footage Gold at a press conference. Gold says that testing will be allowed under limited circumstances and under controlled conditions. Crossley reports that critics complain that the proposed policy favors insurance companies; that Peter Hiam (former Insurance Commissioner) resigned in protest of the policy. Crossley reports that the Urban League of Eastern Massachusetts also disagrees with the proposed policy. V: Footage of Don Polk (Urban League of Eastern Massachusetts) at a press conference. Polk says that involuntary testing of any segment of the population should only take place for clear public health reasons; that involuntary testing will have a "chilling effect" on those who have a reason to seek testing; that involuntary testing includes tests taken as a precondition for life insurance. Shot of a white audience member at the press conference. Crossley adds that Polk says that some provisions of the policy discriminate against African Americans; that African Americans are more likely to purchase life insurance policies for under $100,000. Crossley reports that the new provisions state that purchasers of life insurance policies under $100,000 will not get payment if they die of AIDS within two years of purchasing a policy. V: Shots of African Americans waiting for public transportation in Roxbury; of an African American man crossing the street; of African Americans boarding an MBTA bus. Footage of Polk at the press conference. Polk refers to evidence that African American AIDS patients have an average life expectancy of three to nine months after their initial diagnosis; that white victims have an average life expectancy of two years. Polk says that the proposed policy fails to take into account the discrepancies between African American and white life expectancies. Shot of an African American woman in the audience. Crossley reports that a spokesperson from Gold's office said that Gold "did not feel that the regulations discriminated against blacks." V: Shot of Gold speaking at a press conference. Crossley notes that Polk does not think that the proposed regulations go far enough in guaranteeing confidentiality. V: Shot of an African American man taking notes at Polk's press conference. Polk says that there are confidentiality measures in the regulations; that there is no enforcement mechanism to ensure adherence to those measures; that we live in an age of "rapid information processing." Shot of a "public health fact sheet" released by the Massachusetts Department of Public Health; of public health informational brochures about the AIDS virus. Crossley says that the Urban League accuses the new regulations of taking emphasis away from public health education and initiatives. Crossley notes that Polk says that public health campaigns are important in minority communities; that African Americans make up 25% of the 25,000 current AIDS victims. Crossley reports that the Urban League will recommend at a public hearing that the new proposed policy be rejected.
Collection: Ten O'Clock News
Date Created: 08/03/1987
Description: Massachusetts State Representatives speak pro and con on gay rights anti-discrimination bill. Reps. Salvatore Dimasi, Roger Goyette, Susan Schur, Philip Travis, Eleanor Myerson, James Miceli, Francis Woodward, Thomas Vallely, Willian Robinson. The debate focuses mainly on discrimination against gay people in the workplace, but also touches on AIDS and gay foster care rights.
Collection: Ten O'Clock News
Date Created: 09/23/1985
Description: Boston Mayor Kevin White speaks at dedication of the Greater Roslindale Health Center.
Collection: Evening Compass, The
Date Created: 10/16/1975
Description: Mayor Kevin White meets with Roslindale precinct workers to inspire them for door-to-door campaigning. White attends dedication of Greater Roslindale Health Center.
Collection: Evening Compass, The
Date Created: 10/16/1975
Description: Interview with Sen. Edward Kennedy on his Health Security Plan proposal, especially in light of the new, more Democratic, Congress and White House in Washington. He is excited to work with Jimmy Carter, Walter Mondale, and others, to come up with a comprehensive universal healthcare system. He describes the process that Congress will go through over the next year to find the most effective system. He compares his proposed system to the Social Security system. He talks about Medicare. He explains why he favors a health insurance system, which includes private companies, rather than a national health service. He talks about preventive medicine. He defends against claims that people would abuse the system. He hopes the American people will have access to the quality health care that members of Congress have access to for virtually free.
Collection: Ten O'Clock News
Date Created: 01/31/1977
Description: Continuation of interview with Sen. Edward Kennedy on Health Security Plan proposal. He talks about the particularities of his proposed universal health care system, including some of the limitations of dental and mental health services. He advocates for quality healthcare access for all people, not just people who can afford it. While they shoot cutaways, Kennedy talks about the role of smoking and the tobacco industry in the health care discussion. He also talks about the struggle between the lobbies and the public's desire for accessible health care. Reporter reasks questions. B-roll of the office, including shots of John F. Kennedy's Boston Office desk.
Collection: Ten O'Clock News
Date Created: 01/31/1977
Description: Seth Rolbein reports on a dramatic increase in syphilis cases in the late 1980s among women and people of color. Rolbein compares statistics on the incidence of syphilis cases among men and women in the white, Latino, and African American communities. Interviews with Dr. Tony Japour, a medical fellow in infectious disease; Barbara Neustadt, a registered nurse at Beth Israel Hospital; and Dr. Judith Steinberg of Boston City Hospital, about the latest epidemic of syphilis cases. Rolbein reports that the resurgence of cases can be traced to crack cocaine users, who may engage in sexual activity with multiple partners in crack houses. Rolbein notes that victims of syphilis may be at risk for HIV and AIDS. Rolbein's report is accompanied by clinical photos of syphilis patients and by footage of police officers investigating a crack house.
1:00:03: Visual: Shots of clinical photos of syphilis patients. The patients have severe skin lesions. Seth Rolbein reports that there has been an increase in syphilis cases. V: Footage of Dr. Tony Japour (medical fellow in infectious diseases) being interviewed by Rolbein. Japour says that syphilis was epidemic before 1945; that it was an epidemic among sexually active adults. Japour says that the disease declined after the discovery of penicillin; that penicillin cured syphilis. Japour says that after 1945, the disease declined from a rate of 70 cases per 100,000 people to 5 cases per 100,000 people. Rolbein reports that the Massachusetts Department of Public Health has compiled the latest figures for syphilis. Rolbein reports that there were 710 diagnosed cases of syphilis in 1986; that the number of syphilis cases grew steadily and then grew dramatically in 1990. Rolbein reports that more than 1700 new cases of syphilis were reported in 1990. V: An on-screen chart details the numbers of syphilis cases from 1986 to 1990. Shot of a bacteria culture. Rolbein reports that researchers had seen a dramatic growth in the number of syphilis cases only one time since the 1940s. V: Footage of Dr. Judith Steinberg (Co-director, Public Health Clinic, Boston City Hospital) being interviewed. Steinberg says that there were a high number of syphilis cases among white, homosexual men in the late 1970s and early 1980s. Rolbein reports that Barbara Neustadt (registered nurse, Public Health Clinic, Beth Israel Hospital) believes that there must be another population involved in the latest epidemic. V: Footage of Neustadt being interviewed by Rolbein. Neustadt says that the gay community in Boston has worked hard to educate community members about safe sex; that there has been a significant drop in all sexually transmitted diseases in the gay population. Footage of Japour being interviewed. Japour says that the disease is in an epidemic stage. Japour says that the number of cases among gay and bisexual white men has decreased dramatically; that the number of cases among people of color and women has increased dramatically. Rolbein reports that there was approximately one case per 100,000 people among white men and women under the age of twenty in Massachusetts in 1988 and 1989. Rolbein reports that the number of syphilis cases increased dramatically among African American men and women under the age of twenty in Massachusetts in 1988. Rolbein reports that the number of cases among African American men and women under the age of twenty doubled in 1989. Rolbein reports that there were 80 cases per 100,000 people among African American women under the age of twenty in 1989. Rolbein reports that there has been a dramatic increase of syphilis cases in the Massachusetts Latino community in 1988 and 1989. Rolbein reports that there were 135 cases per 100,000 people among Latina women under the age of twenty in 1989. Rolbein reports that statistics are comparable across the nation. V: An on-screen chart details statistics for the numbers of syphilis cases among men and women under the age of twenty in the white, African American, and Latino communities in Massachusetts in 1988 and 1989. Rolbein reports that medical investigators from Philadelphia, Connecticut and Massachusetts believe that crack cocaine is at the root of the epidemic. V: Shots of workers in a laboratory setting. An African American man hands a white bag over the counter. Shot of people walking on a street. Shot through the window of a car of a housing development. Shot of a bag of crack. Footage of Japour being interviewed. Japour says that there are crack houses where individuals sell sex for drugs. Japour says that crack houses are the equivalent of the "gay bath houses" of the 1970s. Japour says that crack makes people sexually aggressive; that clients of the crack houses may have several sexual encounters in the course of an evening. Rolbein says that syphilis is spreading quickly. V: Shots of police officers entering an apartment; of police investigating a room of an apartment. The floor of the room is strewn with trash. Footage of Neustadt being interviewed. Neustadt says that it is frightening to see young people with syphilis; that syphilis patients may eventually contract HIV and AIDS. Rolbein says that AIDS and syphilis are both spread through sexual contact; that syphilis is curable while AIDS is not. V: Shot of an AIDS prevention poster. Footage of Neustadt being interviewed. Neustadt says that the increase in syphilis probably reflects an imminent increase in HIV-positive people in Boston. Rolbein reports that the syphilis epidemic is moving away from the gay community; that the syphilis epidemic is affecting people of color and communities in the inner city. V: Shot of the entrance to Boston City Hospital.
Collection: Ten O'Clock News
Date Created: 03/01/1991
Description: Alexandra Marks reports that the infant mortality rate in Boston is higher than in many third-world countries. Marks interviews Dr. Ronald White of the Martha Eliot Health Care Center. White talks about the problems facing low-income populations in Boston. White talks about changes in US government policy that ended the link between health care policy and economic development policy. Marks interviews Dr. Rodrigo Guerrero, one of several experts from the developing world to visit Boston for a conference on the health care crisis. Guerrero explains that people's health is related to income and says that reducing poverty will improve people's health. White agrees with Guerrero's recommendations about attacking poverty. Marks reports that attendees at the conference recommended that the city of Boston levy a twenty-five cent tax on cigarettes to pay for new health care programs. Interview with Mayor Ray Flynn about the need for quality health care in the city. Marks' report also features footage of women and children at health clinics in Boston and footage from Frontline of Colombian cities and villages.
0:59:19: Visual: Footage from Frontline of native residents of a village in Colombia. Alexandra Marks reports that the infant mortality rate in Colombia is seventeen deaths per 1,000 infants. Marks notes that Boston is the home of some of the most sophisticated medical technology in the world; that the infant mortality rate in parts of Boston is higher than in Colombia. V: Shot of a young African American boy walking near parked cars. Audio of Dr. Ronald White (Martha Eliot Health Center) saying that medical officials and government officials must acknowledge the crisis in health care. Marks reports that White is director of the Martha Eliot Health Care Center; that the Center is an affiliate of Children's Hospital. Marks reports that the clinic is in the frontlines of the fight against disease and violence in Boston's low-income neighborhoods. V: Shot of the exterior of the Martha Eliot Health Care Center. Shot of a woman with an infant and a child entering the health care center. Footage of White being interviewed. White says that substance abuse, violence, AIDS, infant mortality, and the decreased life expectancy of minority males are all problems of the low-income population. Footage of Dr. Rodrigo Guerrero (Carvajal Foundation) being interviewed by Marks. Guerrero says that development is not a problem of resources. Guerrero says that people must be mobilized. Marks reports that Guerrero is in Boston to give advice to White and his colleagues. Marks reports that Guerrero is the executive director of a Colombian charitable foundation; that programs sponsored by Guerrero's foundation helped to decrease the infant mortality rate in Colombia. V: Footage from Frontline of children in a Colombian village. Marks reports that Guerrero is one of several experts from the developing world who gathered in Boston today; that the medical experts are here to help medical workers in Boston deal with the health care crisis. V: Shots of attendees at the conference; of a speaker at the conference. Footage of Ray Flynn (Mayor of Boston) being interviewed. Flynn says that people look at Boston as a center of medical expertise; that Boston needs to provide quality health care for poor and needy people. Marks reports that Flynn has pressured two of Boston's leading maternity hospitals into providing $3 million over three years to decrease the infant mortality rate. V: Shot of a Latina woman and infant in the lobby of a pediatric clinic. The woman enters an examination room, followed by a white female health care worker. Shot of the infant on an examination table. The two women stand over the infant. Marks notes that the hospitals will provide more doctors and midwives; that health clinics will receive funding for more prenatal care. V: Footage of Flynn being interviewed. Flynn says that there have been cuts in federal and state spending on health care; that the city must rely on private hospitals to provide quality health care for all people. Footage of Guerrero being interviewed. Guerrero says that his foundation began opening health clinics and schools in poor areas of Cali, Colombia. Guerrero says that his foundation had limited success at first. Marks reports that Guerrero believes that providing medical care is not enough. Marks reports that Guerrero switched his focus from the development of health clinics to economic development. Marks notes that Guerrero's program trained people how to open small businesses like soda shops and beauty parlors; that the program provided technical assistance and loans to the businesses. V: Footage of an urban area in Colombia; of residents and traffic on the streets; of small businesses in a commercial area. Footage of Guerrero being interviewed. Guerrero says that income is related to health. Guerrero says that an increase in a family's income will result in better health for family members. Footage of White being interviewed. White says that Guerrero's idea is an excellent one. White says that this idea was behind the construction of neighborhood health centers during the Lyndon B. Johnson administration's War on Poverty. White says that the neighborhood health centers were originally under the jurisdiction of the Office of Economic Opportunity. Marks reports that the health centers were shifted to the jurisdiction of the Office of Health, Education and Welfare during the Richard Nixon administration. Marks notes that the shift in jurisdiction marked the end of the connection between health care and economic status. Marks reports that White believes that this shift led to a decline in health care. V: Footage of a white female health care worker and a Latino woman in a medical examination room. An Latino infant is on the examining table. The Latino woman changes the boy's diaper. Footage of White being interviewed. White says that jobs must be provided in order to reduce violence. White says that economic development provides opportunities for people. Marks stands outside of the Martha Eliot Health Care Center. Marks reports that attendees at the conference recommended that the city of Boston levy a twenty-five cent tax on cigarettes to pay for new health care programs. Marks reports that the measure is expected to be controverial; that the measure will probably be opposed by merchants. V: Footage of White being interviewed. White says that new revenue is needed to provide minimal programs; that programs are needed to make headway against AIDS, violence, drug abuse, and infant mortality. Marks reports that it is unlikely that new taxes or new health or development programs will be funded during this economic crisis. Marks reports that it is possible that poor people in Colombia will lead longer and healthier lives than poor people in Boston. V: Footage of an infant being weighed on a medical scale. A Latina woman and a white female medical worker look on.
Collection: Ten O'Clock News
Date Created: 04/26/1991
Description: Alexandra Marks reports that the Center for Disease Control (CDC) has reported that women are the fastest-growing segment of the HIV-positive population. Marks reports that many believe that the CDC has radically underestimated the number of women with AIDS. Interview with April Moore, a recovering drug addict, who has recently been diagnosed with AIDS, but has no health insurance and no steady job. A conference on women and AIDS was held in Boston recently. Interview with Jean McGuire of the Harvard School of Public Health and Martha Moon of the Fenway Community Health Center at the conference. McGuire and Moon believe that many women are dying of AIDS without being diagnosed. Moon says that the CDC definition of AIDS does not include the symptoms of female victims. McGuire and Moon say that many female victims are not eligible for medical benefits because they do not meet the CDC definition of the disease. The CDC says that there is not enough evidence to link the symptoms of women patients to AIDS. McGuire and Moon criticize the CDC's lack of initiative on the issue.
1:00:04: Visual: Footage of April Moore (recovering drug addict) walking with Alexandra Marks (WGBH reporter) through a local park. Moore and Marks sit down on some stairs outside of the playground. Marks reports that Moore is a former drug addict and prostitute who is now in recovery. Marks reports that Moore recently completed her GED (Graduate Equivalency Diploma); that Moore is looking forward to finding a job. Marks notes that Moore was diagnosed as HIV positive last year. V: Footage of Moore being interviewed by Marks. Moore says that she was in a state of disbelief when she found out about her condition; that she has known for a year now. Moore says that she does not know how long she has been infected with the HIV virus. Shots of Moore; of Marks. Marks reports that Moore is low-income, a minority and has no health insurance; that Moore is a typical woman with AIDS. Marks reports that the Center for Disease Control (CDC) has said that women are the fastest-growing segment of the HIV population. Moore notes that the CDC estimates that women comprise 11% of the HIV population. Marks reports that some experts believe that the CDC radically underestimates the number of women infected. V: Footage of Jean McGuire (Harvard School of Public Health) being interviewed by Marks. McGuire says that women are dying before they are diagnosed with AIDS. McGuire says that the medical field does not have an accurate image of the AIDS population. McGuire says that the women who die without being diagnosed were never eligible for benefits like Medicaid and Social Security. Marks reports that McGuire spoke at a conference on women and AIDS in Boston today. Marks reports that McGuire believes that the CDC has a narrow definition of AIDS. V: Shots of the conference on women and AIDS. Shots of a small AIDS quilt hanging on a wall; of attendees and panelists at the conference. Footage of McGuire being interviewed by Marks. McGuire says that the CDC definition was constructed to track an epidemic; that the CDC definition is constructed around narrow presentations of the disease. McGuire says that the CDC wants to be sure that it is definitively tracking the disease. McGuire says that the CDC definition narrows the population to males with AIDS. Footage of Martha Moon (Fenway Community Health Center) being interviewed by Marks. Moon says that women develop symptoms unknown to men with the disease; that the symptoms of women are not counted in the CDC definition. Moon says that women with HIV experience chronic yeast infections, recurrent cervical cancer, uterine tumors, and other pelvic diseases. Marks reports that Moon is the clinical director of the Fenway Community Health Center; that the Fenway Community Health Center was the sponsor of the conference. V: Footage of Moon being interviewed by Marks. Moon says that surgery eliminates cervical cancer in most women; that some HIV-positive women have recurring bouts of cervical cancer. Moon says that some of these women are completely disabled by the disease; that they are not eligible for medical benefits because they do not meet the CDC definition of the disease. Marks quotes Thomas Skinner (CDC Spokesperson) as saying that "We established this case definition of AIDS for our surveillance purposes. We do not control the use of the definition by other government agencies." V: Skinner's quote appears written on-screen in text. Footage of McGuire being interviewed by Marks. McGuire says that Medicaid has relied on the CDC definition; that the CDC refuses to take responsibility for the reimbursement structure of the government agencies. McGuire says that HIV-positive women do not care which agency is responsible. Footage of Moore being interviewed by Marks. Marks asks Moore what she will do if Medicaid will not cover her medical bills if she becomes ill. Moore says that she has not thought about it; that she tries not to think about it because stress could make her become ill. Marks stands on Commonwealth Avenue. Marks reports that the CDC says that there is not enough medical evidence to link female opportunistic infections to AIDS; that the CDC refuses to change its definition. V: Footage of McGuire being interviewed by Marks. McGuire says that the CDC refuses to include some symptoms in its definition; that those symptoms are those which are experienced by poor people and people of color. McGuire says that poor people and people of color are those who will need benefits. McGuire wonders if the dynamics of race, gender and class have anything to do with the government's reluctance to move forward on the issue. Marks reports that Moore has been unaffected by this issue so far. V: Shots of Moore walking on Commonwealth Avenue with Marks. Audio of Moore saying that she must keep an open mind; that she must stay aware in order to remain alive. Footage of Marks being interviewed by Moore. Moore talks about being afraid.
Collection: Ten O'Clock News
Date Created: 04/19/1991