HIV and Health Insurance Costs

Hiv_ligand_receptor_binding - Copy

Have you heard about the drug Truvada? It was designed to treat AIDS patients, but a recent news article pointed out a much more controversial use: to prevent the transmission of HIV to men who have sex with men who carry HIV.

The drug is known as a PrEP (pre-exposure prophylaxis), which the Food and Drug Administration approved for this use 3 years ago. Using a drug to prevent a disease which is preventable by other means (abstinence or condom use) is controversial.

[T]he treatment has triggered fiery debate over medical ethics, with critics — including the nation’s largest provider of HIV-AIDS care — raising concerns that PrEP could discourage condom use, leading to more risky sexual behavior.

Some doctors familiar with the treatment either don’t talk about it with their patients or discourage it on moral grounds that it promotes homosexuality and promiscuity. There also is a concern that by going on the drug, condom use will decline, leading to a spike in other STDs.

The drug costs about $15,000 a year, but it’s covered by most insurers. …

[T]hanks largely to social media, PrEP is saddled with the “party drug” tag. Those who are on the treatment have been called “Truvada whores,” implying they are taking a drug only so they can continue to have risky sex. …

All I can say is: no wonder health insurance is so expensive, and getting more expensive by the day.

What say you about insurance companies paying for “treatment” for a disease that is not yet acquired, especially when the “treatment” costs over a thousand dollars a month and when AIDS is a disease that is completely preventable, simply by not engaging in “risky behavior”.

Abstinence works 100% of the time, and condoms are “highly effective” in preventing HIV transmission.

Who would deny this particular PrEP for a person who is married to or at least in a long-term, monogamous relationship with a person with HIV?

Even so, adequate treatment for the infected person would seem to make the use of a prophylactic drug by the sex partner unnecessary,  because AIDS treatment lowers the numbers of the virus to undetectable levels in the bloodstream. Therefore, in combination with cheap (or free) condoms, it would seem to be unnecessary for health insurers to pay $15,000 per year for this PrEP, especially when one considers the side effects, which include lactic acidosis and serious liver problems.  Isn’t part of a doctor’s oath to first do no harm?

When a disease can be wholly prevented by behavioral change, is it appropriate for health insurers to pay for this drug or for doctors to prescribe it in order to prevent a disease, especially when there are many people who, despite having health insurance, are unable to access the care or a drug they need to save their lives when they already have a deadly disease?

Is this health care or political correctness?

You can read more about this issue here.



68 responses to “HIV and Health Insurance Costs

  1. I realize this post is a bummer and a downer, for the Christmas season; but because it is Christmas, I was too darned busy to come up with anything else. Sorry. 🙂 Hope y’all are having a great time preparing for Christmas. I am.

    • Rosemary Woodhouse

      Ethics? It seems as if ethics, morals and values are past tense.

      On a happier note, I’m so glad you’re enjoying Christmas prep, Miri. Wishing everyone here all things merry and bright. Have yourselves a very Merry Christmas!

  2. Thank you Miri.
    this is very informative. 🙂

    • Thank you, Foxy, for reading. It just struck me as something that ORDINARILY the “progressives” would be up in arms about. Know what I mean? Why would health insurance companies (and probably Medicare/Medicaid) pay for this drug that’s so outrageously expensive simply to allow gay men to continue risky behavior without consequences? (You know: the needs of the many outweigh the needs of the few.) Especially when you consider the people with cancer who might be saved if only they could afford the drugs THEIR insurance refuses to pay for. How many of us have had trouble getting doctors to prescribe something that THEY haven’t been given the “ok” to prescribe, even if, in their own opinion, it would be helpful for US? Do you know that doctors sometimes won’t even TELL you about an alternative treatment if your insurance won’t pay for it? If I remember correctly, too, it’s been said that if Medicare won’t pay for something you can’t even pay for it yourself, out of pocket, if you can manage to get your doctor to prescribe it in the first place. The “death panels” and/or bureaucrats get between you and your doctor when it comes to determining your care, and yet, in this case, you just KNOW that it’s political correctness that forces these companies to pay for this drug. WHY? HIV is completely preventable WITHOUT expensive drugs.

    • Pot calling the kettle … Isn’t it? I mean, REALLY! What an ass. Did you hear how he capitalized on the death of that young man who saved three girls from being shot, when he shielded them with his own body? Barry took note of the hero’s death and his courage and self-sacrifice, but then he had to politicize it by saying WE should be ashamed for “not acting”. IOW, we should “honor” the kid’s death by passing gun control laws AS IF one has anything to do with the other. This murder, like nearly every one reported so far, would NOT have been prevented by Barry’s proposed gun control laws.

      I read a letter to the editor recently, where a liberal ridiculed Trump for proposing the wall along the southern border. He said, paraphrasing, “what makes Trump think that people won’t get across anyway?” THEN, believe it or not, after saying the wall is useless because illegal aliens (he didn’t use those words, of course) will come across despite the wall, he went on to harp on the need for … you guessed it–GUN CONTROL. AS IF criminals who want guns will not get them ANYWAY, just like the illegals will get in ANYWAY. That’s what passes for logic in liberal land.

  3. ~President ????? Obama Says Donald Trump Is
    ……. ‘Exploiting’ Americans’ Fears ……
    By BENJAMIN SIEGEL 12 hours ago Good Morning America

    • He should know. Takes one to know one. He’s back, btw, in so many words, to talking about the bitter clingers–those blue collar white workers who are being pushed aside. BY HIM. BY HIS POLICIES.

      Gee, whatever happened to the presidents who honorably just kept out of it? Can you imagine what the next POTUS will have to put up with from Barry’s “peanut gallery”?

    SO MISSES TAKE THAT .. 2 the B A N K !!! LIER won’t WIN IT!!!

  5. ~ A POCKET OF RESISTANCE Libsareclowns • …^^^
    They also need to tag Bill as a rapist… even Hillary said that all accusers should be believed!

    TRUMP 2016!!!

    Bill might not have raped them all (speaking about Bill Clinton, not Cosby), but Hillary made sure everyone who claimed Bill abused them got screwed.

    ~ Pattée Cross hubwolf • 21 minutes ago

  6. ~ suspicioua WhiteBluecollarRedneck • ….. ^^^^

    This IS the ……….”Second time”……… that Hillary has blamed terrorism
    on a Video. The “First was Benghazi,”…….. and that was a LIE, too. This woman
    is not capable of learning from her Own Mistakes.

    Trump 2016!

    • But she got hers from Bernie. btw, her two word response was rather “vulgar”. Schlonged again.

      Did y’all even ever hear that word before the Donald allegedly dissed Hill by using it? What’s her problem, btw? She wants to play in the big leagues and yet, when criticized for her need for a long, private potty break or when correctly described as someone who was schlonged by Obama, she whines and retreats into the poor “little woman” defense. NO, HILLARY. BIG GIRLS DON’T HAVE BASHFUL BLADDERS. What will she do at 3 a.m., when that call comes, but she needs to use the potty? WWIII? Wait for Hill to have her private potty break. Oh, my. When will we poor widdle women have bathroom equity? ARGHHH!!!!!

      Imagine Maggie Thatcher whining about a man using what she considers a “vulgar” expression or whinging about needing a potty break. I have one word for Hillary:


  7. ~ formerly_fishbone

    Prison? Maybe.

    Gallows? Hell YES.

    She’s a traitor, pure and simple.

      • ~NoObama DWEBSTER • … & HILL won’t PEE in a STALL ??? ha
        And the list that ISIS uses is long……..
        A list of BILL Clintons Victims…. DID HILLARY PERVERT HIM? I ponder …
        THESE R the ONES that SPOKE UP TONS …. .DIDN’T 4 SURE!
        Juanita Broaddrick (AR)- rape
        Eileen Wellstone (Oxford) – rape
        Elizabeth Ward Gracen – rape – quid pro quo, post incident intimidation
        Regina Hopper Blakely – “forced himself on her, biting, bruising her”
        Kathleen Willey (WH) – sexual assault, intimidations, threats
        Sandra Allen James (DC) – sexual assault
        22 Year Old 1972 (Yale) – sexual assault
        Kathy Bradshaw (AK) – sexual assault
        Cristy Zercher – unwelcomed sexual advance, intimidations
        Paula Jones (AR) – unwelcomed sexual advance, exposure,
        bordering on sexual assault
        Carolyn Moffet -unwelcomed sexual advance, exposure, bordering
        on sexual assault
        1974 student at University of Arkansas – unwelcomed physical
        1978-1980 – seven complaints per Arkansas state troopers
        Monica Lewinsky – quid pro quo, post incident character assault
        Gennifer Flowers – quid pro quo, post incident character assault
        Dolly Kyle Browning – post incident character assault
        Sally Perdue – post incident threats
        Betty Dalton – rebuffed his advances, married to one of his supporters
        Denise Reeder – apologetic note scanned

  8. ~ “Queen” ….. Caught on Throne During Debate @RUSH
    December 21, 2015

    RUSH: So Hillary Clinton leaves the debate stage to go take a Whiz. They timed it for her. She had a minute 45 seconds to get there, a minute 45 to get back and whatever length of time it took to do the business. They had Huma, Huma Weiner was Standing Guard, they even timed this. They had Huma standing guard outside the restroom. When Hillary shows up to use the restroom, she finds out that there’s somebody in there, so she Refuses to go in there. There are multiple stalls in this restroom, but Mrs. Clinton,
    in full Queen Mode, refused to go in the bathroom when there was another woman in there.

    • A real disgrace!!! 😡

      • Exactly. We’re supposed to worry about the “fact” that half the country would be embarrassed to have Trump as POTUS, AS IF more than half the country isn’t CURRENTLY EMBARRASSED to have Barry as potus, not to mention his “wife” as first “lady”.

        Wait until Trump’s in office for a while and then get back to the people to see if they’re still embarrassed or surprisingly pleased.

        I KNOW I’d be embarrassed to have Hillary in the WH. We were already embarrassed to have BILL there. She’s a known liar. People are DEAD because of her decisions. She IS a disgrace, as well.

  9. yes ….TRUMP will out CROWN YOU ALL….. NO CHEATING OK!

  10. He sold us out. 👿

  11. “The Nation, which indulges towards another an habitual hatred, or an habitual fondness, is in some degree a slave. It is a slave to its animosity
    or to its affection, either of which is sufficient to lead it astray from its duty
    & its interest. … The Nation, prompted by ill-will and resentment, sometimes impels to war the Government, contrary to the best calculations of policy.
    The Government sometimes participates in the national propensity, &
    adopts through passion what reason would reject; at other times, it makes the animosity of the nation subservient to projects of hostility instigated by pride, ambition, & other sinister & pernicious motives. The peace often, sometimes perhaps the liberty, of Nations has been the victim.”

    ― George Washington, George Washington’s Farewell Address ^^^

    • They’re “trying to make sense” of it? It’s perfectly OBVIOUS and it makes perfect sense. Are these people dense as well as misguided in their political correctness? Not that I agree with the act, but it does make sense.

  12. ~ Dan 6 minutes ago
    Here’s some of Obama’s words and deeds
    – at an Islamic dinner -“I am one of you.”
    – in the event of a conflict -“I will stand with the Muslims.”
    – assured the Egyptian Foreign Minister that – “I am a Muslim.” 

    – bowed in submission before the Saudi King.
    – exempted Muslims from penalties under Obamacare that the rest of us have to pay. 

    – mocked the Bible and Jesus Christ’s Sermon On The Mount while repeatedly referring to the ‘HOLY’ Quran.
    – traveled the Islamic world denigrating the United States Of America.
    – refused to attend the National Prayer Breakfast, but hastened to host an Islamic prayer breakfast at the WH..
    – appointed anti-Christian fanatics to your Czar Corps.
    – appointed rabid Islamists to Homeland Security. 

    – said that NASA’ “foremost mission” was an outreach to Muslim communities.
    – as an Illinois Senator was the ONLY individual who would speak in favor of infanticide. 

    – curtailed the military tribunals of all Islamic terrorists. 

    – refused to condemn the Ft. Hood killer as an Islamic terrorist.
    – funneled $900 Million in U.S. taxpayer dollars to Hamas. 

    – ordered the USPS to honor the MUSLIM holiday with a new commemorative stamp. 

    – directed our UK Embassy to conduct outreach to help “empower” the British Muslim community. 

    – embraced the fanatical Muslim Brotherhood in your quest to overthrow the Egyptian President, Hosni Mubarak.
    – funded mandatory Arabic language and culture studies in Grammar schools across our country. 

    – follows the Muslim custom of not wearing any form of jewelry during Ramadan. 

    – appointed your chief adviser, Valerie Jarrett, an Iranian, who is a member of the Muslim Sisterhood, an off-shoot of the Muslim Brotherhood.
    * thats just a start! (google them)
    comforting aint it!!!



    CARSON 11.3%, CRUZ 11%, RUBIO 8.3%

  14. $ .. $1,000.00 or WAY LESS …..GET real FOLKS!!! WERE POOR

  15. PISS OFF ….. SPEAK of NOTHING … really HILL very SAFE ….??
    U meet when NO one can SEE OR HEAR U …. BUT I DID!!! LIER!!!

    • “The lack of warmth that Democratic women decry in Carly Fiorina is applauded in Hill, who stiffly saws the air with her hands, drumming home her harsh rhetoric in a manner reminiscent of history’s less savory demagogues.”

      Isn’t that the truth? She does remind me of Adolph’s speech making style.

  16. HILL U & OBAMA have BLOOD on YOUR …H A N D S ~ PERIOD!
    U can’t & won’t pass this OFF 2 TRUMP ….U R A ….LIER – 4 sure!

  17. December 23, 2015, 10:02 am

    Trump warns Clinton against playing ‘war on women’ card

    By Bradford Richardson

    • YES. What’s up with this sudden campaign to deport those Central Americans? There’s always an ulterior motive.

      Which reminds me: What’s up with this new policy to not share seizure monies with the states and local police departments? Surely it’s SOME kind of blackmail to get them to submit to something. Is it to “persuade” all local police departments to allow the feds to DICTATE “social justice” reforms to them? OR ELSE?

    • How the heck do they figure IQ for people who were dead long before the concept even existed? I’m sure Hitler, Mao, and Stalin had “high” IQ’s, too. I notice that a particular person is missing.

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