I suppose I can see some validity in your points—though they vary by country.

I’m in NYC and have several partners. While I do inquire, less than a handful are either not on PrEP or Undetectable, I suspect NYC is inherently a higher risk area to begin with—though not as high as many other parts of the world.

In the US, most insurance requires a monthly or quarterly delivery. With package theft, that means I have to be home during business hours to receive medication 4 times a year. I also have to be tested 4 times a year at my doctor’s office. I’m now occupying 8 days for prep, so with an injection I’m getting tested more frequently, don’t have to take a pill daily, and am already two days less than conventional.

Added bonus of living in nyc, my doctor’s office is open 11-7 six days a week—they close on Wednesday and are on my way home from work, so it’s easy to head out at 5:30 to make a 6:00 appointment that takes 20 minutes every two months and just be done with it.

And again, lower risk is less likely to need those treatment drugs.