Well, I think, in any HIV-relative effort, it's important to adopt both individual and structural approaches. Structural approaches are important because you can only give people day-to-day coping strategies for so long. So, I think, in terms of structural barriers, we need to, for instance, ensure that every person has access to fact-based, sex-positive, judgment-free, sexual health education. I think that is important and vital.
I think we also need to look at programs that exist for HIV treatment that could also be retooled for HIV prevention -- like, for example, the Ryan White CARE Program -- and seeing whether or not that can be utilized to help gear resources toward people and communities where PrEP has not penetrated or reached.
Additionally, I think it's important for us to expand access to quality health care services through the Affordable Care Act and other health care delivery systems. So, structural barriers need to be addressed.
But that does nothing for the gay black man in Arkansas or the young transgender woman in Washington, D.C. So, those folks need to have access to providers who have been trained on how to deliver HIV-inclusive LGBTQ culturally competent care. They need to know where they can go to fill a prescription and what payment-assistance programs exist to fill those prescriptions. They also need to be supported by a community of folks who are willing and able to support them in their PrEP journey.
At the end of the day, I think we need both individual and structural approaches to help us get over the gap between where we are with PrEP users in the United States and where we need to be.