home were brought to the patients’ rooms— often because supervisors were unwilling to get involved with the novel ward and the risks associated with it. yet because of these changes, patients were given more control over their medical decisions and hospitalization. originally a county hospital, it was common for san francisco general to receive inmates or homeless patients—those with less resources. as such, those without insurance, first attending haight-ashbury free clinic, would receive care until conditions worsened enough to merit a visit to san francisco general hospital (academia article), whereas those with insurance went to ucsf hospital. thus, middle, middle-upper class patients were less willing to receive care from this county hospital, but because of the model of care demonstrated within this hospital, san francisco general became a sought-after establishment rather than a last-resort place for the poor and uninsured. caregivers caregivers played an essential role in this model of care. as noted, they acted as an emotional and social outlet for patients isolated from normal human contact because of their disease. aids, in this way, was and still is a nursing disease. nurses provide for the opportunistic infections, mental well-being, and social health of the patient—seeing more patients, and initiating interactions with them, nurses and not doctors remained the most experienced in aids care. not only did caregivers provide for complex mental and social needs, but also for simple chores such as laundry, cooking, cleaning, and organizing appointments. care was also provided through informal social networks— support among people who could understand the true reality of aids, and who are accepted as a person and not a burden to be abandoned. the trust, concern, and compassion freely provided by these caretakers were essential for the emotional well-being of aids patients, especially for those unaccustomed to reaching out for help. people often chose to become a caregiver as a responsibility to care for a family member, lover, or friend. others volunteered with the hope of helping others through advising or supporting. yet both nurses and patients were placed in undesirable positions. the patient, forced to cope with this disease, and the nurse, forced to cope with helplessness. a caregivers job was difficult in that they were responsible for a dying patient— his mood swings, associated stigma, and oncoming death. in effect, nurses often were unable to sleep, emotionally numbed by the pain suffered by these patients, and physically drained from the chores required of them. because aids patients were often in the same age group as the caregivers— an age categorizing healthful youth— it was especially difficult for nurses to watch patients die. as a result, emotional support groups are also necessary for these social and emotional outlets for aids patients— those suffering from care-related depression. the continuance of this model is reliant on the prominence of caretakers. in this way, training the next generation of caretakers must include rotation through hiv units and experience with the many stages of hiv care in order to ensure this model of care remains within hospital settings. a future model the unaids 90-90-90 target is aiming to have 90% of people living with aids knowing of their diagnosis, 90% of those infected being treated, and 90% of those on treatment suppressing their virus by 2020. with this goal in mind, the model of care has been readily adopted by cities to facilitate this intention. by understanding the importance of outpatients clinics, cities are able to adopt this model by providing resources necessary for those who are no longer in need of acute inpatient care, but are still in need of emergency housing, longer-term housing, hospice care and support systems— programs made possible by implementation of this model of care. as such, there is also an economic benefit with this model in that organizing care for patients can reduce a hospital stay and allow for the patient to be cared by the volunteers and organizations associated with this model. with the many variations among different cities, this model itself will not be identical nationwide, but rather the idea of care and intentions for the actions facilitated by this model will be recognized among the many variations that will exist. created in 1988, the university of alabama's 1917 clinic is modeled after the san francisco model of care. a community based clinic that prioritizes patients, it is able to focus on the needs of patients rather than only on the implications of medicine. in this way, the clinic has placed a greater emphasis on helping the low income and uninsured population—stigmatized as marginalized and unimportant to society. one method for monitoring patients in order to maintain viral suppression and consistent use of medication is through electronic medical records. as a result, 71% of the patient population had a virally suppressed load in 2012— similar to that of san francisco general. though the homosexual population is still the most affected in terms of size, there has been an increase in aids infections among african american and hispanic gay and bisexual men. in this way, the current model of care is emphasizing a focus on minority and marginalized populations and not only on the white homosexual population of san francisco in 1983. the fight to eradicate the effects of stigmatization and discrimination directed towards aids patients remains constant, though the focus must expand to include other populations that are infected. the model now includes addressing the health of disadvantaged populations and not only on the maintenance of community involvement and emotional support. in this way, it may not only advance public health, but also social justice. thus, the future of this model must now depend on the responsiveness of the health care system in order to ensure that current at-risk populations will continue to use these programs and remain in them. health care must address medical discrimination and unsatisfactory experiences in order to ensure the continuance and effectiveness of this model of care. the different implications of marginalized populations must be considered in continuing this model, adding greater emphasis on mental and health substance abuse services, or increasing the involvement of family members. in addition, this model of care must now adapt to an older generation of patients. as the young aids patients of the 1980s are now able to live longer with art treatment, prep, and a possible future vaccination, these create different circumstances that must be considered. with aids infecting a greater variety of people, more resources and a broader outlook will be needed in order to maintain this model of care.