Why Isn’t Revolutionary HIV Medication PrEP Getting to Sex Workers?

On a crisp day in the fall of 2013, Casper,* a slender white queer man prone to wearing a slick of plum-red lipstick, visited a free walk-in health clinic in Crown Heights, Brooklyn, for a routine HIV test. Casper had moved to New York nearly two years earlier after graduating from an elite East Coast liberal arts school, and he had been doing sex work casually through Craigslist and Grindr to supplement his income ever since. He didn't feel comfortable disclosing that during a risk-assessment questionnaire at the beginning of his visit, but he had questions of his own.

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