Once he had checked into his hotel, Frank unpacked, got housekeeping to pick up his laundry and went up to the rooftop cocktail bar by himself for the first time.He ordered a Dry Martini and sat there slowly sipping as he reviewed the options and considered what decision he should make.Frank knew it was a difficult decision in many ways. Although he ruled out Helen because she was too young and could foresee too many problems spending so much time with her in many foreign countries, she was, nevertheless a sort of benchmark.So how did he rate the other three contenders, for that is how he saw them, even though he hadn't yet, and didn't know if he should or would, spend a week with Beth?Clearly Sandy was the most beautiful; physically she was tall, athletic and statuesque, although Beth was very close behind, albeit tiny.Beth was the sexiest, with the hottest body and he was sure would consistently be the best in bed, with Sharon coming in second.Conversationally it was between Sandy. This is a troubling, persistent trend in medical systems: health professionals acting as gatekeepers, withholding information people need in order to make decisions about their lives and health. Racial and other biases compound these conditions. For example, research shows that Black clients of health systems are less likely to share in decision-making with their providers than their white counterparts.In 2013, PWN-USA conducted a sexual and reproductive health and rights survey of women living with HIV, most of whom were on successful treatment and highly engaged in care. Less than half of them had been told by a provider that having an undetectable viral load was a form of prevention. PWN-USA revisited the question in a 2016 community-based participatory research study; close to two in five of those women had not been made aware of TasP.“That discomfort is frequently grounded in this idea that people living with HIV can’t be trusted with this information,” commented Khanna. “At its.
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