![]() We were taught how to medically manage HIV, and that’s about it. And that doesn’t even begin to address the hurdles faced by the uninsured. Even as I write this years later, after the federal government has mandated insurers to cover PrEP at no cost, some insurers are still in violation of this rule. And yet, despite PrEP clinical trials being almost fully taxpayer funded, the arcane logic of our health care system has kept PrEP incredibly underutilized (as of 2019, only about 1 in 5 people who could benefit from PrEP had received a prescription). Restricting access is morally bankrupt, not to mention completely illogical from a public health perspective. PrEP should be free for everyone, period. If he couldn’t find a way to reduce the cost, he wouldn’t be able to get on PrEP, he told me. ![]() Even with insurance, his annual cost was thousands of dollars. One of the first messages was from a man living on the East Coast who’d been quoted an outrageous copay for pre-exposure prophylaxis (PrEP), a once-daily medication that reduces the risk of getting HIV through sex by 99 percent and through injection drug use by 74 percent. On the other side of that cynicism is awe. ![]()
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