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jhairehmyah208 karma

Everyone else who is not self-employed or run their own business. True, this is the most understood part about self-employment, but let's not forget there are lots of us who share this sad truth... paying in April, not partying with a refund. :(

jhairehmyah152 karma

Not OP, but...

Biktarvy, which is a once-a-day pill that many (not everyone) can now use to treat HIV and which someone close to me uses, is $3400 per month. For him, insurance pays 95% of it, and Gilead has a co-pay card to bring the cost to zero.

Once you have HIV under control, you need to get semi-annual checkups with your doctor (so 2x as many as a normal person should get) plus HIV viral load, kidney, and liver labs. If you're uninsured, these costs vary by doctor, but for my friend, he says its around $50 out-of-pocket every six months.

Here is the kicker though: I'm on PrEP to prevent transmission of HIV to myself. I need once every three month checkups and STD/STI checks in order to stay on PrEP and with insurance and the Gilead co-pay card, I also pay zero for Truvada/Descovy, which are $2800 per month cash. To prevent HIV, it costs more than my friend pays to treat it.

I will note: people who had HIV before these much more effective drugs came to market have long-term issues caused by the illness. OP mentions some. Those long term issues have costs associated with treatment.

HIV meds including PrEP can be rough on the body, especially kidneys. People who take PrEP but who face kidney/liver issues can stop, but people with HIV with the same issues must switch to less effective meds (2x daily, 3x daily, etc) with varying costs.

jhairehmyah18 karma

To be honest, a well-treated person with HIV is likely a safer sexual partner than a person who says they're "clean".

  • A person with HIV is getting regular checkups, including STD/STI checks.
  • A person with HIV who is taking their meds will, in just 3-6 months of treatment, get a to "undetectable" where studies show that copies of the virus are so low that transmission doesn't occur via sex.
  • Meanwhile a "clean" person who engages in condomless sex with other "clean" people can be spreading the illness for literal years before they show symptoms or get tested. The virus lays dormant in your body for 2-5 years before developing into AIDS.

The cases of an infected person knowingly transmitting the disease in a malicious way were far outnumbered by the false reporting due to stigma.

The change in the law gave space for people who are no danger to others, ie: undetectable, safe-sex only, to choose to be responsible with or without disclosure while still punishing the person who is aware they have it and choose to be irresponsible.

jhairehmyah9 karma

So lots of places do that, my friend.

States and Federal Elections are held every other year, and cities and counties choose when to hold elections. In Arizona, our cities and counties hold local elections on off years.

The issue is participation.

Big elections, like for President and Senate, attract participation that improves participation in elections that people are not as interested in.

So even if they have the option, sometimes it’s better to do it all at once.

jhairehmyah5 karma

I take PrEP because I'm in a high-risk group.

In any group people cheat, or don't know their status, or have their status wrong. In any group condoms fail. In any group the insertive partners may "stealth" (secretly remove a condom) or pinhole a condom because they get off the on the idea of "breeding" their partner, even if the partner asked for a condom. In any group there are people sexually assault others, and usually without protection.

If I can add one tiny pill alongside my vitamins every morning to prevent me from getting and passing along this disease, it's a small part to play in stopping its spread.

When "someone close to me" got it, it got me serious in taking HIV seriously--which I regret not having done up to that point--and the solution is right there: stopping the spread starts with me.

Edited: formatting.