1. Many people who use PrEP have only one partner. They're using PrEP because their partner has HIV.
2. The alternative is letting people get AIDs. This is more expensive than PrEP.
3. Insurance doesn't pay the full list price of drugs, they pay a lower, negotiated rate. CostPlus Drug Company charges about $20/month for PrEP. This is probably closer to what insurance companies actually pay.
Other methods of protection fail. People lie about the status. People don't know their status.
Know what's ridiculous is that these drugs cost so much money and companies like Gilead can engage in "revenue maximization" schemes at the cost of the health of US citizens... and then apparently win lawsuits with their Big Pharma war chests.
The options aren't shell out $30k/year or let people get AIDs. There's a missing third option: don't let drug companies charge so much money, especially when the government paid for the development of the drug!
I don't think that attending "100% bareback, no loads denied" orgies regularly is a good idea, yet a bunch of my queer friends do exactly that on a fairly regular basis.
I know it's not popular, but AIDS is just what we have now. If people continue living like this, there will be another, and it might be worse. Hell, we probably already dodged a bullet with Monkeypox due to concomitant COVID precautions.
Lol, no one was observing COVID precautions at that point. It was dodged because people got vaccinated for it and observed spacing requested in a responsible manner.
Hell, in the UK heterosexual cases of AIDs overtook homosexual cases because of adherence to medication and good practice. [1]