Buried in the controversial Swiss report on HIV treatment and transmission of the virus is a nugget about initiating treatment. (French report here, unofficial English translation here) They say that antiretrovirals should only be given when it is medically indicated, and not to prevent the onward transmission of HIV in discordant couples. Two reasons: in the first place, it would be expensive. Secondly, they judge that HIV-infected people who don’t have any medical reason to take ARVs probably won’t be motivated to stick rigidly to what can be a really unpleasant drug regime, even when it means protecting their regular partner.
Do we really think that HIV negative people will be sufficiently motivated? These brave and honest scientists don’t mention pre-exposure prophylaxis, but their stand on treatment for those already infected would seem to call into question whether it makes sense to give drugs to healthy people.