Comment by mattjhall

> Is someone irresponsible enough to pursue causal, unprotected sex with random partners also likely to be responsible enough to visit a doctor proactively and comply with a prep regimen?

Yes, it's the exact reason that it is widely available on the NHS. 20,000 people took it, adherence was high, HIV rates dropped significantly.

> Sure, it's a "really good idea," but a simpler and better idea is not to have random sex in the first place

Shaming people has been tried for centuries, maybe millennia and famously _does not work_. We have ample evidence that PrEP does.