usmbguest5318
Gold Member
Seeing as I must speculate on an answer, I'm guessing it's because not enough people, people who are sexually active with partners who are poorly known by them, don't take, don't take properly, or know about PrEP/Truvada. PrEP is in essence a very effective HIV vaccine; however, it's not a "one shot every so many years" one. It must, to be effective, be taken on a strictly adhered to schedule.How is it possible to be right back in an aids epidemic in America?
Additional PrEP information resources:
- PrEP | HIV Basics | HIV/AIDS | CDC
- Pre-Exposure Prophylaxis (PrEP)
- Truvada, the Miracle HIV Drug Few People Take, Suffers Another Setback
- PRE-EXPOSURE PROPHYLAXIS (PrEP)
- How Stigma Surrounding the Use of HIV Preexposure Prophylaxis Undermines Prevention and Pleasure: A Call to Destigmatize “Truvada Whores”
- No Link between HIV-Prevention Pill Truvada and Increased Sexual Risk Behavior, Study Finds
- The Cost and Impact of Scaling Up Pre-exposure Prophylaxis for HIV Prevention: A Systematic Review of Cost-Effectiveness Modelling Studies
- Weighing the Risk of Drug Resistance With the Benefits of HIV Preexposure Prophylaxis
- A Qualitative Study of Provider Thoughts on Implementing Pre-Exposure Prophylaxis (PrEP) in Clinical Settings to Prevent HIV Infection
- Insurers and Medicaid Cover It. So What's Behind the Slow Adoption of Truvada PrEP?
PreP is also $1300 a month. A generic for Truvada has been recently authorized by the FDA so maybe the price will come down to make it more widely available outside sex worker industries.
I think most people, however, equate this with a gay thing, and are grossly oblivious to needle sharing being a big factor across some demographics.
PreP is also $1300 a month.
Okay....Um, I'm not sure how that features into the equation....Can you after reading "Insurers and Medicaid Cover It. So What's Behind the Slow Adoption of Truvada PrEP?" which I linked in my first post, clarify what you're getting at, please? Perhaps you're referring to the delta between a brand name and a generic version of the medication? I don't really know, that's why I'm asking for a clarification.
I read in that article that
Truvada, a commonly used drug for treating people who already have HIV, costs about $1,300 per month. That’s the wholesale acquisition cost [WAC], or the cost that large providers pay, that is set by the federal government....it should be no surprise that public and private insurers are willing to make PrEP available to people at risk for contracting HIV. PrEP is not intended to be taken forever, he said, and it is much cheaper than treating someone who ends up positive and will likely live a long life on costly antiretroviral medications.
Though I know -- because the article is ambiguous about it -- what the $1300 WAC, as stated in the article is, I don't know what that corresponds to in terms of what patients must copay to purchase it from retailers, that is to say, the price one must pay after insurance/Medicaid has covered whatever it does. (Do you?) I read too that the drug's maker will pay $200 to anyone who needs the drug, financial need be damned.
I think most people, however, equate this with a gay thing
Yes, I guess so. People felt that way in the 1980s and 1990s during the outbreak era of AIDS/HIV. Our political leaders didn't exactly help alter that perception, indeed they cast it as a gay affliction even though the virus does not care about one's sexual orientation or sex. According to the CDC, between 1981 and 2000, "41% [of the people then living with AIDS/HIV] were infected through male-to-male sex." That, of course means 59% were not infected that way. I think discounting the significance of the disease and portraying it as a "gay problem" was and continues to be a damn shame, gross dereliction of duty and a major disservice to the American and global citizenry.
- Russia's AIDS Epidemic Reaches Crisis Levels | VICE News
- History of HIV and AIDS overview | AVERT
You know, I remember when "The Quilt" was in D.C. The city was packed! What struck me most was that the straight bars I went to back then were overflowing. I thought about that after the event was over. That's when it dawned on me that just because someone self-identifies as "straight," their doing so does not mean there's no real risk, for there could not have been so many more "straights" in the city for that even were it not so that they don't "dabble." Thus I came to the understanding that when straight folks "mess around," they need to take precautions too. Hell, for all one knows, the person (male or female, as befits one's/the situation at the time) is just outright lying -- about their sexuality, about their promiscuity, etc. -- because they're only half sober, all horned up, and trying to "get with you."