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Projecting the impact of AIDS on hospitals.

Prologue: In the context of the acquired immunodeficiency syndrome (AIDS) epidemic, a recent Washington Post editorial stated that “no hospital wants to shrink from the sick, but every hospital wants to protect its staff” Faced with these twin objectives, hospitals—the front line of the battle against AIDS—must meet moral and philosophical questions head on. In “balancing the rights and needs of the sick against [those] of the society at large,” the Post editorial continued, hospitals must resist the “panicky and demagogical responses” that the AIDS epidemic has provoked. And they must do so in a climate in which cost estimates and prevalence projections are constantly revised upward. In this article, Jesse Green and his colleagues at the New York University (NYU) Medical Center assess hospitals reactions to the AIDS crisis. They look at practical ways hospitals have responded to the disease's impact on staffing and financing patterns. Green, who is currently director of health services research at the NY...