From my review of peer reviewed literature, HIV still inevitably leads to AIDS.
(1). If ART is taken, scientists think a monoantiviral treatment extends life by 1 year, but a multi-antiviral combination extends life by two decades when combined with other health therapies. TRANSLATION: If you're wealthy and can afford the drugs, best doctors, and to eat premium salmon and filets every night, then you'll be alright like Magic Johnson, at least for a few decades. If you eat Mac n Cheese and miss your pills regularly, you're hosed.
(2). If you take ART, mono or combined therapies, all studies show serious adverse medical consequences as "long term toxicities," and include: athero-sclerosis, lipodystrophy, hepatic failure, and cardiac failure. And those side effects are for the lucky ones.
(3). Many US gay men cannot obtain the ART drugs. The cost is approximately 28K per year according to the CDC per patient. That's a lot of money to many gay men, especially those earning just above minimum wage. Obamacare is doing wonders in expanding drug coverage, but that is a recent innovation and protocols still might not get the medically necessary medicine to all people when they need it. "Wait to start is best," "this drug is better but this drug will do the trick too," etc. That's not to mention that class and race issues underlying access to medical care. It's very presumptive to think everyone who needs/wants ART gets them.
(4). Let's not even get into the issues of drug resistant strains, double or multiple infection, and mental issues/stigma.
I cannot tell you how many people my age and younger think of HIV as a mere inconvenience. It's more than that. While well-heeled gay men with nice jobs, insurance and access to a top doctor might fare well for decades, that cannot be said for all or even most gay men with HIV in the U.S. Without stigmatizing those with HIV, we collectively need to stop sugar coating the problem and start spreading awareness that popping a pill doesn't solve the problem of HIV/AIDS.
You have failed to post your citations. From what I can tell your information is at least a decade old.
1) No I'm not wealthy. Actually I'm poor. There are MANY programs especially for the poor. I'm on a Ryan White Program.
By perpetuating that myth (you must be rich for ART Therapy) some people won't even try to get on anti-virals. That's wrong and subversive.
Premium Salmon? I eat crap all the time. Big Mac and Mac N Cheese on occasion. It will not kill you. Missing a dose once or twice a months is OK. Meth users typically miss them 2, 3, 4 times a week. Again not true and a scare tactic to win your "case". Which, in the NY case wouldn't the prosecution have brought your contention up for the victim's benefit?
2) Causes of Lipodystrophy (which I don't have)
These are possible causes of lipodystrophy:
Antiretroviral therapy. There are conflicting ideas about this. The older protease inhibitors (PIs) and nucleoside reverse transcriptase inhibitors (NRTIs) have been implicated in causing lipodystrophy. It is less common in the newer medications.
Again your Medical information is not current. Citations please.
"HIV infection, not antiretroviral therapy (ART)
, is associated with risk for atherosclerosis in patients with no history of smoking, particularly those infected for eight years or more."
3) When I read that "Wait to start is best," I knew how old your information was. That is NOT advised anymore.
"The U.S. Department of Health and Human Services (HHS) provides guidelines on the use of HIV medicines to treat HIV infection. The HHS guidelines recommend ART for everyone infected with HIV, but the recommendation is strongest for those with CD4 counts less than 350 cells/mm3."
As I mentioned before, a friend of mine is a 10% non progressor. He was never sick at all, nothing. Ever. His t cells (1000+)were normal. But his viral load was high. But he was HIV+ and communicable. He is on ART therapy as "treatment as prevention"...so he is very VERY unlikely to pass on HIV even accidentally. Now it's ART therapy immediately after exposure.
It is "presumptive to think everyone who needs/wants ART gets them" and I've not made that claim. More people need to be on ART (25% of HIV people are) and there are programs made just for this purpose.
4) You are stigmatizing HIV+ people! "....we collectively need to stop sugar coating the problem and start spreading awareness that popping a pill doesn't solve the problem
Actually for many "popping pills" has, if not solved the problem, made life normal. ART has saved millions of lives! And PrEP can save millions more.
At this point I have to ask "what is the problem?" If you don't want people to take pills MILLIONS will die....again. There is no logic there. I'm trying RAISE awareness of current medications, and what do you propose? To "spreading awareness" to stop popping those pills?
Actually the model the CDC is basically saying: If all HIV+ were on ART, and all HIV- were on PrEP.....there would be so few transmissions that AIDS would effectively be stopped.