I am astonished at the High Court's decision in the case of National Aids Trust versus NHS England to providing preventative treatment for both gay men and sex workers at risk of HIV/AIDS infection.
The World Health Organisation recommends that anyone at high risk of HIV/AIDS infection should receive PrEP.
This is not about discrimination, it is about health, and there is no stigma attached to it, just because anyone could be gay.
The High Court and World Health Organisation have been mislead on the rights of gay men and sex workers to get treatment from NHS England.
It is about duty and costs. NHS England has no real duty to provide preventative treatment because regulations introduced in 2012 transferred many public health responsibilities to local authorities. While PrEP is preventative and curative, it is not for gay men and sex workers to seek it from NHS England.
Treatment options for HIV/AIDS should be sought from sexual health charities such as the Terrence Higgins Trust supporting gay men and sex workers.
NHS England spends £360,000 on average treating an individual who contracts HIV/AIDS over the course of their lifetime only on HIV/AIDS positive mothers and children who have been exposed to HIV/AIDS within 72 hours through no fault of their own.
PrEP is not a promiscuity pill or a lifestyle drug. While women who are exposed have the right to make a range of decisions about their bodies, men also have the right to make a range of decisions about their bodies too.
But men has to take responsibilities if they transmit HIV/AIDS for the sake of pleasure, and at a huge cost of NHS England.
This is wrong, as NHS England cannot be responsible to take preventative measures while men choose to take part in an unclean act in carnal relations for pleasure creating health problems which also include cancers.
There is nothing morally wrong with men wanting to love each other, but taking part in an unchristian and unclean act increasing chances of infection or infecting their partners is not a preventative act to good health.
If men truly love each other, they would not put their lives at risk, and use alternatives to maintain a deep loving relationship. It is their responsibility to consider a sensible public health approach to take preventative measures.
It is no good saying 'Oh goody, we can protect ourselves with a pill'.
We cannot expect NHS England to pay for the huge costs of sexual health of gay men and sexual workers.
We cannot expect NHS England to pay for the huge costs of sexual health of gay men and sexual workers.
But they can use the sexual health charities at their peril, or pay costs themselves.
NHS England does have a duty to make sure PrEP is available, and sexual health charities can buy and obtain them from NHS England, and be sure to include records of users to be included in the NHS medical records.
This is about discipline and restraint as well as responsibilities.
I understand that using condoms are not really 100% preventative, but it is also the responsibility of the condom makers to make sure it is, by making them a bit thicker, stronger and foolproof designed for men and sexual workers.
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