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Amateurs Confronting Specialists: Expenditure on AIDS in England

ABSTRACT Present public policy in Britain towards the Acquired Immune Deficiency Syndrome (AIDS) funding is unusual if not exceptional; first because the funding is earmarked and second because no other area of medicine receives such high levels of resources. This paper examines the cause of AIDS and the likely trend of new cases and hence future resource demands upon the NHS. This paper offers four explanations for massive ‘ring-fenced’ AIDS expenditure of public revenue. The distribution to and allocation of those monies by Regional Health Authorities is analysed. It concludes that there is very little rationale for this, especially when alternative uses of funds are considered. Furthermore the politics of incrementalism indicates that what has already become a major misuse of public funds is likely to continue in the foreseeable future.