Maybe people aren't taking Truvada because the whole thing smells a little bit too much like the Tuskegee Syphilis Experiment.

https://www.washingtonpost.com/opinions/the-miracle-aids-drug-that-people-refust-to-take/2016/01/29/ba2b9460-b88a-11e5-b682-4bb4dd403c7d_story.html

AIDS Healthcare Foundation Files FDA Complaint Against Gilead for Truvada PrEP Ads Promoting Off-label Use 

"On Thursday, AHF sent a letter to Dr. Stephen Ostroff, M.D., Acting Commissioner of the U.S. Food and Drug Administration (FDA), alerting him to the fact that Gilead financed a video ad campaign promoting situational use of its AIDS treatment, Truvada, for PrEP, misleading viewers into believing that Truvada is safe and effective for use on a situational basis, despite knowing that the drug is not FDA approved for such off-label use."

 http://www.businesswire.com/news/home/20160119006859/en/AHF-Files-FDA-Complaint-Gilead-Truvada-PrEP

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