Irresponsible Tax Bill Trades Community Health for Corporate Wealth

SAN FRANCISCO, December 20, 2017—San Francisco AIDS Foundation stands opposed to the tax bill passed by Congress today, which will cause millions of Americans to lose health coverage, cut essential health programs, and put communities at risk.

“Tax breaks for corporations and the one-percent have no place above community health. The members of Congress who voted for the passage of this bill prioritized corporations over communities struggling to meet basic needs,” said San Francisco AIDS Foundation CEO Joe Hollendoner. “Make no mistake: this bill will hurt public health. It will damage effective programs that have worked for decades, and it will eliminate health care for millions. San Francisco AIDS Foundation will remain committed to our work helping people know their status, linking people to care, and promoting community health and wellness through our policy and programmatic work.”

Among the effects of this bill:

  • Repeal of the Individual Mandate will cause an estimated 13 million to lose health insurance by 2027 and increase premiums by an estimated 10 percent

  • $1.5 trillion increase in the federal deficitpaves the way for major cuts to social safety net programs including:
    • Across the board automatic $150 billion cuts to domestic programs every year for a decade if Congress doesn’t step in, including $25 billion cuts to Medicare every year for a decade

    • Pressure from the deficit spending could result in cuts to CDC HIV Prevention Programs; the Ryan White Program; Housing Opportunities for People with AIDS (HOPWA); the HIV research budget; Hepatitis C programs; Medicaid and SNAP

    • Massive deficits create pressure for additional permanent cuts to Medicaid, a program that over 40% of people living with HIV depend on for care.

Despite the threat of federal budget cuts, San Francisco AIDS Foundation will continue to work with both local and state officials and partners to provide HIV testing, linkage to care, and social support services to the most at-risk populations in San Francisco.

In San Francisco, insurance status at the time of an HIV diagnosis varies by race and ethnicity. While 38% or more of newly diagnosed white individuals reported having private health insurance between 2011 and 2016, 43% of newly diagnosed African Americans in San Francisco were publicly insured. This public insurance includes Medi-Cal, Medicare and other public insurance options that are at risk under the new law.

About San Francisco AIDS Foundation                       

San Francisco AIDS Foundation works to eliminate new HIV transmissions and extend the longevity of people living with HIV through a network of direct programs and supportive services. Each year, more than 25,000 people look to San Francisco AIDS Foundation for access to sexual health services, substance use & mental health services, and community engagement and social support programs. Policy and public education initiatives are a critical part of supporting community health and wellness, and San Francisco AIDS Foundation advocates at all levels of government. Learn more at


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