ABSTRACT
This article presents the development of the first AIDS Service Organization in South Carolina, which hastened to respond to a raging, stigmatizing, life threatening pandemic in a conservative political climate and with inadequate financial support. Tichy's framework for health care organizations, which examines political, technological, and cultural challenges, forms the basis of the analysis. Histories of early responses to the HIV epidemic are worth preserving because of what they can teach us about social movements, organizational tensions, and current challenges in the HIV arena.
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