1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.

LGBT News Offer PreP to all gay men?

Discussion in 'Current Events, World News, & LGBT News' started by PatrickUK, Feb 25, 2015.

  1. Pret Allez

    Full Member

    Joined:
    Apr 19, 2012
    Messages:
    6,785
    Likes Received:
    66
    Location:
    Seattle, WA
    Gender:
    Female (trans*)
    Gender Pronoun:
    She
    Sexual Orientation:
    Bisexual
    Out Status:
    Some people
    Well, I live in the United States, so I'm not aware of the challenges of limited resources you face. My inclination though is to try to caution you against moral thinking in medical decisions.

    I would agree with you that people who get HIV because they are engaged in risky activities should be farther back in the queue when a zero-sum constraint is involved, but that's not a moral question. That's a question of triage. People who need life-saving medicines or cancer treatments take priority because of the time-sensitivity of their need.

    I also think that expanding tax revenues for NHS programs combined with a focus on preventative approaches to care should be entertained before just saying that we're not interested in helping people whose choices we disagree with.

    I mean, let's consider this in terms of health insurance policies right? I'm a little overweight, but I'm a half-marathon runner, reasonably athletic in my own right. I'm a far cry from being clinically obese. Yet I share the same health insurance policy (which is to say, the same risk pool) as people who are obese. Those people have more health problems than my group has, statistically, so there's a sense in which I subsidize them. I subsidize their choices even though I disagree with them. (Now, I realize some people have weight problems without making radically unhealthy choices. The spirit of my point remains true.) But what I don't do is clamor for weight brackets in health insurance policies so that I can pay less money.
     
  2. Section18

    Section18 Guest

    We'll just have to agree to disagree then mate.
     
  3. Incognito10

    Full Member

    Joined:
    Jan 3, 2013
    Messages:
    805
    Likes Received:
    0
    Location:
    East Coast, US.
    PrEP is a preventative measure and apparently is highly effective. Reframe thoughts to include ideas that men are taking responsibility and adding another layer of added protection by making the decision to take the drug. Of course no one knows if someone will go out and have condomless sex, but with the effectiveness of Truvada as PrEP, you would be slowly eradicating HIV/AIDS and the costs of treatment associated with it...it's always cheaper to pay for preventative medicine then to try to treat a disease once it occurs.
     
  4. Pret Allez

    Full Member

    Joined:
    Apr 19, 2012
    Messages:
    6,785
    Likes Received:
    66
    Location:
    Seattle, WA
    Gender:
    Female (trans*)
    Gender Pronoun:
    She
    Sexual Orientation:
    Bisexual
    Out Status:
    Some people
    On what? I said a whole bunch of things.
     
  5. Section18

    Section18 Guest

    You don't have a moral objection to people who engage in risky behaviours receiving free treatment? Especially since the NHS is low on funds?
     
  6. Pret Allez

    Full Member

    Joined:
    Apr 19, 2012
    Messages:
    6,785
    Likes Received:
    66
    Location:
    Seattle, WA
    Gender:
    Female (trans*)
    Gender Pronoun:
    She
    Sexual Orientation:
    Bisexual
    Out Status:
    Some people
    I think you will find I had a triage objection...

    But even then, that ignores the alternative which is to increase resources available to the NHS...
     
  7. Section18

    Section18 Guest

    Well, do you have a moral objection to it?
     
  8. Pret Allez

    Full Member

    Joined:
    Apr 19, 2012
    Messages:
    6,785
    Likes Received:
    66
    Location:
    Seattle, WA
    Gender:
    Female (trans*)
    Gender Pronoun:
    She
    Sexual Orientation:
    Bisexual
    Out Status:
    Some people
    Look, I have moral objections to things I'm not allowed to state on a support forum, so instead of offering those, I'm going to go with a more solid basis: what we should be doing from a public health perspective. If it turns out we need to triage, then we should triage based on the traditional medical principles for prioritizing care: likelihood of recovery or efficacy of treatment, and the time-sensitivity of the need.
     
  9. Section18

    Section18 Guest

    Ok then.
     
  10. PeteNJ

    Full Member

    Joined:
    Nov 30, 2012
    Messages:
    855
    Likes Received:
    2
    Location:
    NJ
    So if there were a pill you could take every day that would 99% stop you from getting cancer -- wouldn't you say its crazy not to take it?

    60% of HIV cases in the US are gay men. And many of us are undiagnosed HIV+. We are a high risk population.

    I am single, not in a monogamous relationship, and completely unapologetically I am on PrEP.

    It hasn't changed my dating/hook up routine. And yes, I would never f*ck or be f*cked without a condom.

    It's about risk management. For now, PrEP is the best option for non-monagamous gay men.

    At some point do I hope to have a hubby and be monogamous? Yes. But until then, I will be on PrEP.
     
  11. photoguy93

    Full Member

    Joined:
    Dec 27, 2012
    Messages:
    1,893
    Likes Received:
    0
    Location:
    St. Olaf
    If we have it to all gay men, wouldn't we be admitting that it's a "gay disease?"

    Secondly, I have issues giving it free-willy to people who aren't responsible enough to put a simple condom on.

    Pills can be forgotten - heck, any form of medication can be forgotten. i understand the reasoning but it just bugs me.
     
  12. PeteNJ

    Full Member

    Joined:
    Nov 30, 2012
    Messages:
    855
    Likes Received:
    2
    Location:
    NJ
    Non monogamous gay men should seriously consider PrEp. As should other men and women who are at risk.

    While most HIV cases are among gay man, there are other populations that are experiencing high increased levels of HIV -- in this area, that's not actually gay men.
     
  13. 741852963

    Regular Member

    Joined:
    Mar 19, 2014
    Messages:
    1,522
    Likes Received:
    0
    Gender:
    Male
    i think you've both touched upon why this is a tricky area.

    Technically as groups both gay men and black women are at higher risk of getting HIV and certain people within those groups may beenfit from PreP. But it would have to be handled very sensitively save coming across as being a homophobic or racist health policy, or one that could be spun that way by bigots.
     
  14. pokemonfan4life

    Regular Member

    Joined:
    Mar 4, 2015
    Messages:
    39
    Likes Received:
    0
    Location:
    alabama
    Gender:
    Male
    i cant figure out what pREP
     
  15. CuriousLiaison

    Regular Member

    Joined:
    Sep 13, 2014
    Messages:
    163
    Likes Received:
    0
    Location:
    UK
    Gender:
    Male
    Sexual Orientation:
    Gay
    Out Status:
    Out to everyone
    It's short for pre-exposure prophylaxis. In particular referring to something called Truvada. It's a drug you take regularly, and which has been shown to significantly reduce the chances of acquiring HIV on exposure to it. Currently the drugs cost about £360/month, but that might be worth it for certain high risk groups when you consider the lifetime cost managing HIV. In a few years the drugs should become a lot cheaper when the patent on them expires.
     
  16. Theron

    Regular Member

    Joined:
    Feb 17, 2014
    Messages:
    405
    Likes Received:
    1
    Location:
    USA
    Gender:
    Male
    Well considering a guy from San Diego went around spreading HIV KNOWINGLY to dozens of men....it wouldn't hurt men who refuse to use a glove.