> This is already available via an injection every two months and is typically used in populations that can't be expected to take a pill every day (drug addicts, etc.).
That is a pretty bold parenthetical statement. Not only is it not true that "drug addicts" can't be expected to take a pill every day, but neither cabotegravir nor lenacapavir are tested or approved for HIV acquired through non-sexual means, which makes them a poor choice for PrEP for "drug addicts" compared to oral forms, which are effective against all forms of HIV transmission.
Source: former counselor and educator for HIV and substance use
> The general population can't be expected to take a pill every day, what would make anyone believe people with SUD are able to?
The general population does take PrEP regularly enough to be protected. You seem think that people with substance use disorders are excluded from that, and that belief is grounded in stereotype and bias, not science.
People with substance abuse disorders are not binarily excluded or included from adherence to taking a daily regimen. However, it is not an unreasonable expectation that someone shooting heroin every week in a flop house is less likely to take a daily medicine than the average population.
The belief that drug addicts can't be expected to take a daily pill is not grounded in stereotype and bias, it's a realistic and down to earth perspective that for some of them, their addiction is crippling their ability to function.
This kind of unrealistic thinking from up on a high horse is exactly what I'd expect from a former HIV counselor/educator, hence our historic inability to get this virus under control.
That is a pretty bold parenthetical statement. Not only is it not true that "drug addicts" can't be expected to take a pill every day, but neither cabotegravir nor lenacapavir are tested or approved for HIV acquired through non-sexual means, which makes them a poor choice for PrEP for "drug addicts" compared to oral forms, which are effective against all forms of HIV transmission.
Source: former counselor and educator for HIV and substance use