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Hi Eric! Hear, hear. Thanks for this. I remember commenting to policy folks at PI when the PrEP study got started, as well as at an SF Town Hall held by StopAIDS, that while I understood the "scientific purity" of proving PrEP's actual efficacy, it bothered me that even if it worked, it was not going to be economically feasible. No insurance company is going to pay $700 month for preventive medication--and very few people have that much extra cash just lying around to pay it out-of-pocket. If there's going to be a role for PrEP then designing regimens that people will actually take, and can afford, will be critical. And yes, how about a cure? AIDS Policy Project is planning two events on both coasts for April 2011, so any citizen-activists who would like to bone up on their cure advocacy skills and attend either event in Philly or Palm Springs, contact APP through our website: aidspolicyproject.org
Mark Leydorf
Here, here. This seems like madness to me. The only way to sharply curb transmissions (since simple things like condoms and clean needles seem to elude governments and users, and we are still sans cure) is to get every positive person on treatment NOW, to suppress everyone's viral loads below infectiousness. Yet we are told that this too is prohibitively expensive and impossible to deliver. This is yet another "advance" that we will quickly leave behind.
December 7, 2010