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Some patients have taken to ordering generic forms of PrEP, approved by the FDA last year, over the internet. It additionally pointed to limited transportation options to PrEP providers in low-income and rural communities, healthcare providers being unable to offer sliding-scale services to low-income people, and departments of health lacking funds to launch HIV-prevention efforts.
This is what Savage described: increased risk behavior spurred by a perceived decrease in susceptibility to HIV.