In this thought-provoking discussion, Malcolm and Simone Collins delve into the controversial topic of PrEP (Pre-Exposure Prophylaxis) and its implications for public health, personal responsibility, and healthcare costs. They explore the ethical dilemmas surrounding government-subsidized HIV prevention medication, questioning whether lifestyle choices should be funded by taxpayers and insurance premiums.

Key points covered:

* The effectiveness and cost of PrEP medication

* Government and insurance coverage of PrEP

* The moral and ethical implications of subsidizing sexual health choices

* Comparisons to other lifestyle-related healthcare costs

* The impact on insurance premiums and healthcare accessibility

* Cultural shifts in attitudes towards sexual behavior and public health

* The intersection of personal freedom, responsibility, and societal costs

This video offers a balanced yet critical examination of a complex issue, challenging viewers to consider the broader implications of healthcare policies and personal choices. It's a must-watch for anyone interested in public health policy, healthcare economics, or the evolving cultural landscape of sexual health.

Malcolm Collins: [00:00:00 ] Keep in mind straight people can get HIV too and straight people might need to prep as well. Straight people who wouldn't need prep are straight people who are in monogamous relationships and trust their partner. It is not the being gay that makes somebody need prep. It's the orgies. That makes somebody need prep, or the treating sex like a handshake among friends that makes somebody need prep. If you are straight, and you are doing that, you will need prep.

If you are gay, and you are monogamous, you will not need prep. When the Act was passed It was mandated that all insurance plans have to pay for this.

So if a person is sexually active. They have to pay for this

Obamacare has made things insane because insurance companies can't say, well, we won't take you. You need to go for a higher cost insurance. If you're going to make these lifestyle choices because at the end of the day, going to orgies is a lifestyle choice

It's not just that it's affecting insurance. A number of states just offer this for free to people who want it. People pretend like this stuff, money comes [00:01:00 ] from nowhere, but no, it's always from something. If it's going to this, it's, it's not going to sick kids and I actually want to point out the perversion of a society that sees it as a moral necessity to pay for a drug that enables sex whenever you want, but that doesn't see it as a moral necessity to pay for IVF, the creation of new human life.

Simone Collins: Oh, s**t.

Would you like to know more?

Malcolm Collins: Hello, Simone. I'm excited to be here with you today. Today's episode was inspired by actually an episode that Short Fat Otaku had done, opened my eyes to something I had no idea was going on. And it means when you ever look at your health care bills and you're like, why is Obamacare so unaffordable?

Why is it so unaffordable to force everyone on to the same health care plan? And the answer, it turns out, is gay orgies.

Simone Collins: Among other things, but definitely it seems gay orgies.

Malcolm Collins: In part, gay orgies, yes. So, we're [00:02:00 ] going to get to something, and I don't think that there is actually That easy, a moral solution to this.

Like at first it's gonna seem like, oh, obviously you should do X. But then when you think about it for a second, you're like, oh, but that'll have some really negative downstream effects.

Simone Collins: I don't know. I I, I have maybe some moral equivalence, so I'm, I'm excited to discuss this with you.

Malcolm Collins: So, what started was a Twitter fight. So I will describe to you the first tweet in this chain that led to the Twitter fight. Plant Mommy Posadis said, Realizing that sex doesn't have to be this sacred, all important thing and can instead just be an expression of affection between friends who are dear to one another is honestly the most life changing realization for me, surpassed only by realizing that I'm a girl.

So this is obviously a trans person they're pointing out here. And saying, well, because you don't, most girls don't realize they're girls. I don't

Simone Collins: know. I feel like I realized I was a girl when your mom [00:03:00 ] was like, did you know that you can dress nicely and wear makeup? And I'm like, Oh,

Malcolm Collins: wow. I want to reread.

What we're saying here, right? Because I actually think this ends up being important to the conversation.

Simone Collins: Yes.

Malcolm Collins: That the, the huge realization for them. That was the second biggest realization they've had in their life. That sex can just be an expression of affection between friends.

Simone Collins: Just a fun thing to do

Malcolm Collins: with your friends, getting drinks, going out, having drinks, going out, having sex.

Yes. Then a person responded to them, Mia Aren't we in another AIDS epidemic or something? Y'all are seriously trippin And then the original poster replied, I literally take pills every day that make it so I can't contract HIV. And then short fatter taco but it in here with the SpongeBob fish meme looking like,

And says, You need to take pills to not contact, to not contract.

HIV. You can't just not have sex with people who have [00:04:00 ] HIV. And this tweet blew up. It's at 9.3 million views now. It went super viral and for, with, with, with a lot of hatred as well, that's considered just a completely out of line thing for him to say.

That they should be, that he, from his cultural perspective, that he expects them to exercise any level of of sexual constraint.

But this just opened a new world for me. I was like, wait, wait, wait, there's a pill that can keep you from getting HIV now. I did not know about this. But

Simone Collins: isn't it called PrEP? Like I'd heard of people taking PrEP. It

Malcolm Collins: is. We're

Simone Collins: going to go. Friends who take PrEP. Yeah.

Malcolm Collins: This pill is how it works, how well it works, et cetera.

Because that was one thing I didn't know. I also didn't know that the drugs around HIV are so good now that generally if you're on them, you're non contagious. So, you know, this is needed more for people who aren't already on drugs or don't know that they have HIV, i. e. This isn't really as relevant if you have a partner.

So somebody can be like oh, well, you need this if you have a partner with HIV, but not [00:05:00 ] necessarily anymore because now you can be made non contagious. If you want. So

Simone Collins: basically, as long as the partner is taking it, it's okay.

Malcolm Collins: Right. So this is really important. Specifically, mostly meant for orgies. Or,

Simone Collins: yeah, well, basically, if you can't guarantee that the people with whom you're sexually intimate are being very conscientious about taking this medication if they indeed are HIV positive, right?

So if one, you aren't being indiscriminate about having sex or two, you're having sex, but only with people where, you know, they're not HIV positive or three, you do know they're HIV positive, but you can 100 percent trust that they're taking this medication. You wouldn't need this. You wouldn't need PrEP.

Malcolm Collins: Yes but if you are treating a you know, sex is just something you do with your friends when you feel like it You know, and you're gonna need

Simone Collins: this medicine. Yeah, you're

Malcolm Collins: definitely gonna need he is not that she is not being irresponsible In taking this medicine. Yeah Safety first and and and she is not spreading hiv because she's taking this [00:06:00 ] medicine So, you know, I support that she has chosen this lifestyle, but then that got me thinking.

Okay, how much does this stuff cost? And who's paying for it? And who's paying for it. Now this gets interesting because this is where I was like, Oh, Oh, this is a moral quandary.

Anyway, so I'm just going to read to you cause I decided to ask perplexity about some of this stuff. So a month's supply of prep pre exposure prophylaxis medicine, specifically Trivetta.

Cost nearly 2, 000 without insurance while the generic version is approximately 60 per month. The total annual cost can exceed 21, 000 if purchased without any financial assistance or insurance coverage. However, most private health insurance plans, as well as Medicare and Medicaid, are required to cover the cost of PrEP without any out of pocket expenses due to provisions under the Affordable Care Act.

However, patients may still incur costs related to lab tests and doctor visits, which are [00:07:00 ] necessary for monitoring while on PrEP. And that's because it's very hard on your liver. If you, if you consistently take this, you will probably die from it.

So I dug into this a bit more because I wanted to make sure I was correct in this statement. And it turns out that most of the people who are on prep are regularly seeing doctors to monitor for dangerous levels of things like lactic, acidosis, or liver cancer. , which they are at. A much higher risk of, uh, so, well, it is almost certainly shortening your lifespan. It is not a.

Necessarily going to kill you.

If you