Compared with various other high-income Western nations, the United States fares remarkably poorly in getting people with HIV diagnosed, into stable care, on treatment and to an undetectable viral load. In a recent analysis of “treatment cascade” figures in the West, estimated national HIV diagnosis rates ranged from a low of 71 percent in British Columbia (figures for all of Canada were unavailable) to a high of 86 percent in Australia, with the United States at 82 percent. The United States had the lowest linkage to care rate, at 66 percent, and by far the lowest rate of HIV-positive people retained in care, at 37 percent, compared with a high of 81 percent in Denmark. A low of 33 percent of Americans with HIV are on treatment, compared with a high of 67 percent in the United Kingdom. The U.S. viral suppression rate is also the lowest at 25 percent, compared with a high of 62 percent in Australia.