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Statement A: Dr. Meadows is correct. We need to start with the least invasive approaches, such as awareness campaigns. Abstinence campaigns also present no cost to personal liberties, and should be part of that plan. There is no question that abstinence works; no sex means no sexually transmitted disease. The last thing we want to do is to encourage even more promiscuity than already exists.
Statement B: I agree with Dr. Meadows. We have to address this problem in terms of tackling the supply chain problem and getting more condoms out to more people. There is a real difficulty in getting people to change long-held beliefs that prevent them from seeing that condom distribution is ethical. HIV education, condom availability, and voluntary testing should lead the charge here. And we should always first consider testing programs that we can implement with the least possible harm to personal freedoms, such as using codes rather than names to identify patients in order to keep their health information private and protected.
Statement C: The likelihood that our recommendation will alter the Catholic Church’s position is close to nil. We can hope the church will embrace a more liberal policy with regard to condom distribution, but we can’t make “hope” an ethical position. We should start a campaign to support the use of condoms and make it known to the public and to those who donate a charities. People should not donate to charitable groups with religious dictates that serve as public health impediments.
Statement D: Dr. Williams is right. Testing is too important to ignore. Keeping testing voluntary will mean that the people who need to be tested the most will avoid being tested out of fear of the stigma associated with the disease. Some things come at a price, and mandatory testing is the price we must pay to ensure a healthier population moving forward.
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