Based Camp - July 26, 2024


Obamacare is Subsidizing Orgies (Yes Really)


Episode Stats


Length

42 minutes

Words per minute

182.37666

Word count

7,778

Sentence count

517

Harmful content

Misogyny

6

sentences flagged

Toxicity

44

sentences flagged

Hate speech

25

sentences flagged


Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

When you ever look at your health care bills, why is it so unaffordable to force everyone onto the same health care plan? And the answer might surprise you: gay orgies. Yes, that's right, you read that correctly.

Transcript

Transcript generated with Whisper (turbo).
Misogyny classifications generated with MilaNLProc/bert-base-uncased-ear-misogyny .
Toxicity classifications generated with s-nlp/roberta_toxicity_classifier .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Keep in mind, straight people can get HIV-A2 and straight people might need PrEP as well.
00:00:04.580 Straight people who wouldn't need PrEP are straight people who are in monogamous relationships
00:00:08.380 and trust their partner.
00:00:09.780 It is not the being gay that makes somebody need PrEP. 0.95
00:00:13.380 It's the orgies that make somebody need PrEP or the treating sex like a handshake among 1.00
00:00:18.160 friends that make somebody need PrEP. 0.92
00:00:20.040 If you are straight and you are doing that, you will need PrEP. 0.97
00:00:24.160 If you are gay and you are monogamous, you will not need PrEP.
00:00:27.700 When the act was passed, it was mandated that all insurance plans have to pay for this.
00:00:34.600 So if a person is sexually active, they have to pay for this.
00:00:39.200 Obamacare has made things insane because insurance companies can't say, well, we won't take you.
00:00:44.320 You need to go for a higher cost insurance if you're going to make these lifestyle choices.
00:00:48.600 Because at the end of the day, going to orgies is a lifestyle choice.
00:00:51.960 Again, it's not just that it's affecting insurance.
00:00:53.900 A number of states just offer this for free to people who want it.
00:00:56.400 People pretend like this stuff, money comes from nowhere.
00:01:00.440 But no, it's always from something.
00:01:02.520 If it's going to this, it's not going to sick kids.
00:01:05.980 And I actually want to point out the perversion of a society that sees it as a moral necessity
00:01:11.640 to pay for a drug that enables sex whenever you want, but that doesn't see it as a moral
00:01:16.440 necessity to pay for IVF, the creation of new human life. 1.00
00:01:19.860 Oh, shit. 0.99
00:01:21.140 Would you like to know more? 1.00
00:01:22.220 Hello, Simone. 0.69
00:01:23.500 I'm excited to be here with you today.
00:01:25.620 Today's episode was inspired by actually an episode that Short Fat Otaku had done that
00:01:32.420 opened my eyes to something I had no idea was going on.
00:01:36.800 And it means when you ever look at your health care bills and you're like, why is Obamacare
00:01:41.320 so unaffordable?
00:01:42.860 Why is it so unaffordable to force everyone onto the same health care plan? 0.99
00:01:48.920 And the answer, it turns out, is gay orgies. 1.00
00:01:52.120 Among other things, but definitely it seems gay orgies. 1.00
00:01:56.980 In part, gay orgies. 1.00
00:01:58.160 Yes. 1.00
00:01:58.720 So we're going to get to something.
00:02:00.760 And I don't think that there is actually that easy a moral solution to this.
00:02:05.480 Like at first, it's going to seem like, oh, obviously you should do X.
00:02:08.600 But then when you think about it for a second, you're like, oh, but that'll have some really
00:02:13.100 negative downstream effects.
00:02:14.840 I don't know.
00:02:15.380 I have maybe some moral equivalents.
00:02:17.740 So I'm excited to discuss this with you.
00:02:19.720 So what started was a Twitter fight.
00:02:23.500 So I will describe to you the first tweet in this chain that led to the Twitter fight.
00:02:28.040 Plant Mommy Positis said, realizing that sex doesn't have to be this sacred, all-important
00:02:36.040 thing and can instead just be an expression of affection between friends who are dear to
00:02:41.480 one another is honestly the most life-changing realization for me, surpassed only by realizing
00:02:47.580 that I'm a girl.
00:02:48.760 So this is obviously a trans person they're pointing out here and saying, well, because 0.64
00:02:53.280 you don't, most girls don't realize they're girls as a girl. 0.99
00:02:57.180 I don't know.
00:02:57.560 I feel like I realized I was a girl when your mom was like, did you know that you can dress
00:03:02.000 nicely and wear makeup?
00:03:03.220 And I'm like, oh, wow.
00:03:05.620 I want to reread what we're saying here, right?
00:03:08.900 Because I actually think this ends up being important to the conversation.
00:03:11.160 Yes.
00:03:11.640 That the huge realization for them that was the second biggest realization they've had in
00:03:16.200 their life, that sex can just be an expression of affection between friends.
00:03:21.820 Just a fun thing to do.
00:03:23.560 With your friends.
00:03:24.500 Like going out and getting drinks, going hiking.
00:03:26.260 Going out having drinks, going out having sex. 0.99
00:03:27.760 Have sex. 0.97
00:03:28.120 Yes. 0.96
00:03:28.660 Then a person responded to them, Mia, aren't we in another AIDS epidemic or something?
00:03:34.060 Y'all are seriously tripping.
00:03:36.460 And then the original poster replied, I literally take pills every day that make it so I can't
00:03:42.560 contract HIV.
00:03:43.500 And then Short Fatter Taku butted in here with the Spongebob fish meme looking like, and says,
00:03:51.200 you need to take pills to not contact, to not contract HIV. 0.65
00:03:56.080 You can't just not have sex with people who have HIV. 0.71
00:04:00.060 And this tweet blew up.
00:04:03.060 It's at 9.3 million views now.
00:04:05.220 It went super viral.
00:04:07.120 And with a lot of hatred as well.
00:04:10.560 This is considered just a completely out of line thing for him to say.
00:04:15.020 That they should be, from his cultural perspective, that he expects them to exercise any level of
00:04:20.440 sexual constraint.
00:04:22.100 But this just opened a new world for me.
00:04:24.260 I was like, wait, wait, wait, wait.
00:04:26.220 There's a pill that can keep you from getting HIV now?
00:04:28.980 I did not know about this.
00:04:29.980 But isn't it called PrEP?
00:04:30.960 I'd heard of people taking PrEP.
00:04:32.880 It is.
00:04:33.500 We're going to go into what this pill is, how it works, how well it works, etc.
00:04:38.740 Because that was one thing I didn't know.
00:04:40.260 I also didn't know that the drugs around HIV are so good now that generally, if you're on
00:04:44.300 them, you're non-contagious.
00:04:45.880 So this is needed more for people who aren't already on drugs or don't know that they have
00:04:50.540 HIV, i.e., this isn't really as relevant if you have a partner.
00:04:55.800 So somebody can be like, oh, well, you need this if you have a partner with HIV, but not
00:04:59.860 necessarily anymore because now you can be made non-contagious.
00:05:03.160 Well, so basically, as long as the partner is taking it, it's okay.
00:05:07.120 Right.
00:05:07.540 So this is really specifically mostly meant for orgies. 0.95
00:05:11.760 Or, yeah, well, basically, if you can't guarantee that the people with whom you're sexually
00:05:16.280 intimate are being very conscientious about taking this medication if they indeed are HIV
00:05:22.720 positive, right?
00:05:23.740 So if, one, you aren't being indiscriminated about having sex, or two, you're having sex,
00:05:30.260 but only with people where you know they're not HIV positive.
00:05:34.080 Or three, you do know they're HIV positive, but you can 100% trust that they're taking 1.00
00:05:38.600 this medication.
00:05:39.360 You wouldn't need this.
00:05:40.160 You wouldn't need PrEP.
00:05:41.440 Yes.
00:05:42.200 But if you are treating a, you know, sex is just something you do with your friends when 0.57
00:05:46.160 you feel like it, you know.
00:05:47.280 Then you're going to need this medicine.
00:05:48.580 Yeah.
00:05:48.680 You're definitely going to need it.
00:05:49.660 He is not, she is not being irresponsible in taking this medicine.
00:05:54.780 Yeah.
00:05:55.040 Safety first.
00:05:55.920 Safety first.
00:05:56.740 And she is not spreading HIV because she's taking this medicine. 1.00
00:06:00.340 So, you know, I support that she has chosen this lifestyle.
00:06:02.440 But then that got me thinking, okay, how much does this stuff cost?
00:06:06.480 And who's paying for it.
00:06:08.300 And who's paying for it.
00:06:09.360 Now, this gets interesting because this is where I was like, uh-oh.
00:06:13.820 Uh-oh.
00:06:14.640 This is a moral quandary.
00:06:16.860 Anyway, so I'm just going to read to you because I decided to ask perplexity about some of this
00:06:21.960 stuff.
00:06:22.880 So a month's supply of PrEP, pre-exposure prophylaxis medicine, specifically Trivetta,
00:06:29.300 cost nearly $2,000 without insurance.
00:06:32.340 While the generic version is approximately $60 per month, the total annual cost can exceed
00:06:38.080 $21,000 if purchased without any financial assistance or insurance coverage.
00:06:43.140 However, most private health insurance plans, as well as Medicare and Medicaid, are required
00:06:48.500 to cover the cost of PrEP without any out-of-pocket expenses due to provisions under the Affordable
00:06:53.340 Care Act.
00:06:54.260 However, patients may still incur costs related to lab tests and doctor visits, which are
00:06:59.360 necessary for monitoring while on PrEP.
00:07:01.660 That makes sense.
00:07:02.740 And that's because it's very hard on your liver.
00:07:04.400 If you consistently take this, you will probably die from it.
00:07:07.280 So I dug into this a bit more because I wanted to make sure I was correct in this statement.
00:07:11.140 And it turns out that most of the people who are on PrEP are regularly seeing doctors to
00:07:17.220 monitor for dangerous levels of things like lactate acetosis or liver cancer, which they
00:07:24.760 are at a much higher risk of.
00:07:27.160 So while it is almost certainly shortening your lifespan, it is not necessarily going to
00:07:34.640 kill you if you are seeing the doctor regularly for it.
00:07:37.420 It seems to be my understanding. 1.00
00:07:38.880 Oh, boy.
00:07:39.860 So they're also sacrificing their health and lifespan for these in-the-moment indulgences.
00:07:47.460 Okay.
00:07:48.200 And so-
00:07:49.140 So basically, if the government's supporting this, probably they're going for the generic
00:07:53.940 version.
00:07:55.000 You're being prescribed the generic version and the government or your insurance company
00:07:59.240 is paying-
00:08:00.540 No.
00:08:00.900 Oh, God, no.
00:08:01.580 Oh, no.
00:08:02.080 Sorry.
00:08:02.360 I've got to keep going here because we've got to go who pays for this, okay?
00:08:06.220 Yeah.
00:08:06.660 And which is being purchased, the generic or the brand?
00:08:10.620 To assist those who may not have insurance or whose insurance does not cover PrEP, several
00:08:15.500 programs are available.
00:08:17.140 Advanced Access Medication Assistance Program covers out-of-pocket costs for Trevidia up to
00:08:22.060 $7,200 per year.
00:08:24.300 This is a program that is run by Gilead Sciences, the manufacturer of Trevidia.
00:08:29.880 And it's likely really just a tiered pricing thing.
00:08:34.240 So people don't know when companies do this, where they will create another version of their
00:08:38.280 product that they can still be cash positive on, but that only poor people can buy so that
00:08:42.440 they can make money from those poor people and look like they're doing a nice thing,
00:08:45.900 or really they're just doing price discrimination.
00:08:47.980 Because, you know, they still want to sell the drug, right, to as many people as possible,
00:08:51.200 but they don't want to lower the price for the people who can pay more, right?
00:08:54.520 The next one is Ready, Set, PrEP, which provides pre-Trevidia to individuals without prescription
00:08:59.600 drug coverage.
00:09:00.640 This is a national program run by the U.S. Department of Health and Human Services.
00:09:04.060 It's available across the United States.
00:09:06.120 And then co-pay relief programs offer up to $7,500 a year for out-of-pocket expenses.
00:09:10.780 And this is offered by the Patient Advocate Foundation and is available nationwide.
00:09:17.160 Okay, so hold on.
00:09:18.560 They're not paying for the generic.
00:09:22.680 They're paying for the name brand.
00:09:24.400 I assume that this has to do with U.S. patents, because my understanding is that you just can't
00:09:28.520 get the generic in the U.S.
00:09:30.120 All right, so I dug into this more because it was very confusing to me as to why people
00:09:33.960 are not buying the generic.
00:09:35.440 So it appears that the primary reason people are not buying the generic is bureaucratic bloat.
00:09:39.820 So a lot of the insurance companies, remember how all the insurance companies had to cover
00:09:43.720 PrEP?
00:09:44.440 Well, a lot of them never added the generics to their sort of approved drugs list.
00:09:48.980 So they are paying for the much more expensive form.
00:09:52.620 So this cost is being passed on just because from the perspective of the customer, they don't
00:09:58.420 really notice a difference.
00:09:59.460 For them, it's free either way because, you know, the Obamacare plan forces insurance companies
00:10:04.560 to carry PrEP.
00:10:05.780 And because they don't carry the generic, people are just buying the more expensive one.
00:10:09.820 Because the cost isn't going to them.
00:10:11.080 That appears to be what's going on here.
00:10:13.460 But it is going to you.
00:10:14.880 It is going to your child's health insurance costs and stuff like that.
00:10:20.200 Another side here is that the generics only really came onto the market in 2021.
00:10:25.000 And because of that, a lot of the debate around should this be covered and how much it's impacted
00:10:30.580 our health care system happened before the price drop.
00:10:33.020 Okay, so one thing to note here is when the act was passed, it was mandated that all insurance
00:10:39.740 plans have to pay for this.
00:10:43.020 So if a person is sexually active, they have to pay for this and wants this drug.
00:10:50.160 So that means that, you know, outside of...
00:10:52.720 Well, first, also, let's talk about this program that I was talking about that pays
00:10:56.480 $7,500 a year for out-of-pocket costs for this.
00:11:00.040 I went to this program's website because this is a non-profit, right?
00:11:03.740 And I was like, okay, what do they tell people who are giving them money that the money is
00:11:07.000 going to, right?
00:11:08.480 They tell people that the money is going to food and nutritional expenses, utility bills,
00:11:13.680 rent or mortgage payment, temporary lodging, transportation costs, and child care expenses.
00:11:18.760 So the money that is...
00:11:20.960 And people are like, why is there a moral problem here?
00:11:24.800 Well, it's because of an opt-in lifestyle choice, this money, now $7,500 a year, is going
00:11:32.300 to allow for a lifestyle that I assume many of the people don't know that they are donating
00:11:37.340 to Enable instead of going to sick children.
00:11:40.780 Like, people pretend like this stuff, money comes from nowhere.
00:11:45.000 But no, it's always from something.
00:11:47.060 If it's going to this, it's not going to sick kids.
00:11:50.380 It's not going to utility expenses for somebody's house.
00:11:53.520 Well, I also think that the bigger issue is that we are now paying in the United States
00:11:59.420 very high insurance premiums, and our insurance covers very little.
00:12:06.540 And when insurance companies are, from a regulatory perspective, obligated to pay for services for
00:12:14.440 certain people, that means that they're going to charge more to everybody else to be able
00:12:20.160 to cover those costs.
00:12:21.620 Again, somebody has to foot the bill.
00:12:23.520 So this is also families who are not able to get insurance at all because they can't
00:12:29.700 pay for their premiums.
00:12:31.040 This is businesses offering crappier programs to their employees because their premiums are
00:12:37.460 so high.
00:12:38.620 This is people not having deductibles they can ever meet.
00:12:43.360 Like, we're on a deductible plan that I think for our families, something like $12,000 before
00:12:49.540 our insurance starts to cover anything we have to pay.
00:12:53.500 So like, we might as well not have insurance.
00:12:56.220 Yeah.
00:12:56.820 The Obamacare has made things insane because insurance companies can't say, well, we won't
00:13:02.400 take you.
00:13:02.880 You need to go for a higher cost insurance if you're going to make these lifestyle choices.
00:13:06.880 Because at the end of the day, going to orgies is a lifestyle choice.
00:13:10.520 And we'll get into how much of a lifestyle choice it is in a second.
00:13:13.620 But I want to finish it with the pre-prepared stuff before we get into any moral questionability
00:13:17.820 of this.
00:13:18.200 Let's do it.
00:13:18.560 Again, it's not just that it's affecting insurance.
00:13:20.460 A number of states just offer this for free to people who want it.
00:13:23.560 So several states have established a drug assistance program that can cover the cost
00:13:27.740 of PrEP, including lab tests and doctor's visits.
00:13:30.560 The states with such programs include California, Colorado, District of Columbia, Florida, Illinois,
00:13:34.980 Indiana, Iowa, Massachusetts, New Mexico, New York, Ohio, Oklahoma, Virginia, and Washington.
00:13:40.760 So a lot of states-
00:13:42.740 Quite a few states, yeah.
00:13:43.840 Totally.
00:13:44.460 And quite populous states, too.
00:13:47.140 Yeah.
00:13:47.560 So I want to, before we go into the discussion of this, talk about how it works and the current
00:13:52.520 sort of state of AIDS treatment, because I think that is important to talk about it.
00:13:56.480 It sounds also pretty cool.
00:13:58.400 Like, amazing that this is the case.
00:14:00.280 I'm glad that this exists, and I'm glad that it's becoming less expensive.
00:14:03.360 Yeah.
00:14:03.700 I do have questions about the morality of this being covered by Medicaid.
00:14:08.380 Right.
00:14:08.780 And being mandated by the government, because that means that you are mandating, you know,
00:14:14.180 people who might have pretty strong religious objections to this to essentially be subsidizing
00:14:18.700 lifestyles that they believe, not us, but I can totally understand how somebody would have
00:14:23.300 questions about this, even without having a problem with a person being gay or a person
00:14:27.360 being trans. 0.95
00:14:28.380 You know, you can be gay and trans and not go to orgies all the time. 0.63
00:14:33.560 You know, this is a subsection of these communities. 0.95
00:14:38.680 You know, not all gay people are degenerates, you know, and I'm not saying that everyone
00:14:42.600 who goes to orgies all the time is degenerates, but probably, you know, there's probably some 0.89
00:14:47.260 correlation there.
00:14:48.880 But anyway, I mean, it's not for me to judge other people's lifestyles.
00:14:51.600 And when I say it's not for me to judge, you know, who is it to judge?
00:14:54.640 It's God to judge.
00:14:55.920 Not me, God.
00:14:57.120 You know, I let people make their own choices and deal with the consequences of those choices.
00:15:02.220 It's not for me to dole out those consequences.
00:15:06.360 However, in our Discord, somebody was asking, you know, do we really want, because a number,
00:15:11.260 especially of gay men, like of the real gay community, not the opt-in LGBTQI plus, oh,
00:15:16.460 I'm non-binary today community, but the real OG gay community has been moving increasingly 1.00
00:15:22.180 Republican over time.
00:15:23.640 And some people on our Discord were wondering, is it actually good to bring these types of
00:15:29.420 people into the Republican coalition?
00:15:31.700 And one of the things that I have noticed with this community, and a gay person within
00:15:36.660 our Discord was also saying, yeah, this observation that you had is very accurate of the community,
00:15:41.020 is it's sort of split into two groups which kind of hate each other.
00:15:45.820 One is sort of wholesome, mostly monogamous, gay people who are looking for long-term partners
00:15:52.380 and looking to raise families.
00:15:54.820 And even, you know, as a Christian, if I believe that they live a life of sin, yes, but I don't
00:16:01.000 see it as a particularly higher life of sin than a couple that is childless by choice.
00:16:06.440 You know, that they both are engaging in non-reproductive sex for pleasure, like that is bad from my
00:16:13.040 perspective. But again, so I don't, you know, should we let, should I, you know, as a state,
00:16:18.320 be breaking up couples who don't want to have kids? Like, no, so I don't see a problem with the other 0.98
00:16:22.840 type of couple. And I should note here that I think they're living significantly less lives of sin
00:16:28.420 than somebody who is out there having, you know, straight sex with a different girl every other week
00:16:34.760 and going to nightclubs and partying all the time. 0.99
00:16:37.140 But then the other community has just gone full on like degenerate, degenerate, degenerate mode.
00:16:42.440 And it is, and you'll see this in another episode that we actually recorded alongside this episode,
00:16:46.940 but that's going to go live on different days, is just how fully degenerate the stuff they're
00:16:51.240 fighting for is these days. It will shock you.
00:16:54.620 Believing Americans have essentially a constitutional right to orgies is low scale on the degeneracy.
00:17:01.780 So I will read about how it works and what it is. PrEP is a preventative medication for individuals
00:17:08.680 at high risk of contracting HIV. It is designed for those who do not have HIV, but may be exposed to
00:17:14.340 it through sexual activity or injection drug use. And keep in mind, straight people can get HIV too,
00:17:20.980 and straight people might need PrEP as well. Straight people who wouldn't need PrEP are straight people
00:17:25.540 who are in monogamous relationships and trust their partner. So really the thing here,
00:17:29.600 and I think a lot of people will say like you're being homophobic or you're being transphobic,
00:17:32.320 but the truth is, is that it is not the being gay that makes somebody need PrEP. It's the orgies 0.99
00:17:38.740 that make somebody need PrEP or the treating sex like a handshake among friends that makes somebody 0.86
00:17:43.540 need PrEP. If you are straight and you are doing that, you will need PrEP. If you are gay and you are 1.00
00:17:50.600 doing that, you will need PrEP. If you are gay and you are monogamous, you will not need PrEP. 0.98
00:17:56.640 And the vast majority of cases. Now there are minor cases that we'll get to in a second.
00:18:00.560 And if you are straight and you are monogamous, you will not need PrEP. So this is about a lifestyle
00:18:04.000 choice, not like an inborn difference between individuals or maybe is it. We'll get to that
00:18:08.020 in a second. Okay. PrEP involves taking medications that can significantly reduce the risk of HIV
00:18:12.480 infection when taken consistently. It can lower the risk of getting HIV from sexual intercourse
00:18:16.920 by 99% and from sharing needles by at least 75%. So that's the important thing that that exists.
00:18:23.620 There are two main forms of PrEP. Daily oral medication. This is a pill taken once a day,
00:18:30.640 an injection that is administered every two months, which may be more convenient for some
00:18:34.280 individuals. Who should consider PrEP? PrEP is recommended for individuals who meet the
00:18:38.620 following criteria. Having a sexual partner who is HIV positive, no consistent use of condoms during sex,
00:18:44.640 having been diagnosed with a sexually transmitted STI in the past six months, which basically means
00:18:49.620 they're sleeping around a lot. Injecting drugs and sharing needles are having an injection partner
00:18:54.640 with HIV. An injection partner? You just use a different needle, you fucking nut job. Hold on.
00:19:02.180 I doubt, I doubt that those are common cases. They're just, they're just outlining all the
00:19:08.340 scenarios. No one wants to share, Malcolm, trust me, no one wants to share a needle. They just get
00:19:12.680 more blunt. You know, it's not fun. So yeah, this is not, I don't think it's a common scenario,
00:19:17.360 especially because there are so many needle distribution programs now, not an issue.
00:19:22.440 Yeah. I was asking about what's the probability that somebody who's on normal HIV medication today
00:19:27.420 is contagious to their partner. Based on recent research, people with low HIV viral loads have
00:19:33.420 extremely low risk of transmitting HIV through sex. A systematic review of eight studies involving 7,762
00:19:40.420 couples found that the risk of sexual transmission of HIV is almost zero when the HIV positive partner,
00:19:47.360 has a viral load of less than 1,000 copies per milliliter. Three studies showed no HIV transmission
00:19:53.800 when the HIV positive partner had a viral load of less than 200 copies per milliliter,
00:19:59.340 considered undetectable. Across all studies analyzed, there were only two cases of transmission
00:20:04.160 when the HIV positive partner's most recent viral load was less than 1,000 copies. However,
00:20:10.020 these cases had long intervals between the viral load testing and transmission,
00:20:13.680 complicating the interpretation. So basically, it's never been confirmed that somebody with a low
00:20:18.760 load has transmitted HIV. The CDC stated that people who take antiviral therapy ART daily as
00:20:26.220 prescribed and maintain an undetectable viral load have a quote-unquote effectively no risk
00:20:31.740 of sexually transmitting HIV to an HIV negative partner. This concept is known as quote-unquote
00:20:38.620 undetectable or untransmissible or U equals U. And it's actually so low now that there is a sperm
00:20:47.160 bank for HIV positive individuals that's inclusive of them. So I'll talk a little bit about this sperm
00:20:53.220 bank because that means this shows you how low it's perceived as within the community. Based on the
00:20:57.000 latest scientific evidence and updated regulations, sperm and egg donation from HIV positive individuals
00:21:02.040 with undetectable viral loads can be safely done without transmitting HIV to the recipient or the
00:21:07.760 resulting child under certain circumstances. The donor must have sustained undetectable viral load
00:21:13.260 less than 200 copies for at least six months prior to the donation. The donor must be on an effective
00:21:19.100 antiretroviral treatment for at least six months and the recipient must be informed about the donor's
00:21:24.320 HIV positive status. And this is, and I'll post it on screen here, called sperm positive.
00:21:29.580 I, and the two women on it are two fat women, of course, with a baby, a lesbian, fat, interracial 1.00
00:21:37.800 couple with a baby. It doesn't think there's anything wrong with it. They just look very 1.00
00:21:40.880 stereotypically like SJW, which is fine. I mean, I guess that's the type of person who would want
00:21:45.260 this, right? You know, I don't, I don't, I actually think people expect me to be like more
00:21:49.020 against this. If a couple is informed that that's what they're doing, when they're doing this, I don't know,
00:21:54.280 for them. Well, Malcolm, you know, if in the end you are, you know, someone who through things that
00:22:00.680 happened in your past, I mean, listen, people, I don't think consensually choose to have unprotected
00:22:07.140 sex with someone who's HIV positive, you know, it happens once, whatever. And then, you know,
00:22:12.940 that's something you have to live with for the rest of your life. I think it's great that these
00:22:16.820 people are still able to have kids if they want them. That's fantastic. So yes, I think we can all
00:22:22.160 agree that this is a fantastic medical treatment and that I'm really glad that this exists and that
00:22:27.840 it's available as an option. This is great. Yeah. But the question is, is it ethical to force
00:22:34.500 families to subsidize this? And this is where I feel like it's, it's less of a gray area than you are.
00:22:40.060 Now I understand from a governmental and policy perspective that it's, you know, you, here's a
00:22:46.080 chance for a government to, to quash the spread of a very dangerous disease where there is collateral
00:22:54.100 damage, you know, when you don't openly control it in this way. Yeah. And I, and I want to highlight
00:22:59.340 the collateral damage that he's talking about here, you know, during the AIDS epidemic, little kids
00:23:03.920 died from like blood transfusions or like, you know, you step on a needle in a park as the rates.
00:23:09.860 It's not just the people who have consciously chosen a behavior that you disagree with who end
00:23:15.900 up suffering because drugs like this are not widely available. Anyway, continue. Yeah. At the same time,
00:23:22.160 I do have some doubts about this because as you point out, this is a lifestyle choice. You do not
00:23:28.860 have to have sex with people in a way that would require you to take this medication. And when I think
00:23:37.600 about the, like trying to find an equivalent, it's not charged, you know, this might be like, okay,
00:23:45.020 well maybe, you know, my life is better. You know, this is part of my identity, right? My identity
00:23:48.800 is that I am, you know, gay and I have sex in this way. And it's just like part of my expression. It's 0.89
00:23:55.440 part of what I do to have fun. But I think a lot of people, you know, identify as, you know, social
00:24:02.100 butterflies who like to go out and, you know, have a nice brunch once a month, right? Let's just say,
00:24:08.120 let's say that the actual cost to governments and insurance companies like marginal is $60 per person
00:24:13.040 to be like $65 per person, bare minimum, right? So what if also, you know, for some people to live
00:24:20.100 a happy, fulfilled life, they, you know, went out to brunch with their friends once a month because
00:24:26.160 that made them happy. And that costs, you know, for them, you know, a good boozy brunch, $65 per
00:24:31.280 person. Should the government also subsidize that? Because it's part of their life. It makes them
00:24:37.240 happy. They wouldn't be as happy if they didn't do it. I thought the thing that you said to me
00:24:42.780 really moved my mind on this is you're like, yeah, what, what if somebody wants like a nicer
00:24:46.500 apartment, right? Like, does the government have to subsidize that nicer apartment? Because it would,
00:24:51.960 you know, it's part of their life. It would make their lives better. They'd be much more
00:24:54.280 comfortable. Yeah. You know, they're in a long distance relationship with someone, right? Does
00:24:59.160 the government have to subsidize their plane flights? Or they like to travel to Europe once
00:25:04.000 a year? You know, that's part of who they are, you know, does the government have to subsidize that?
00:25:08.880 Is it moral to have families that are struggling to get by that are struggling to, you know, keep
00:25:14.900 whether whose kids have diseases and stuff like that to be taking from like kids cancer funds to fund
00:25:21.160 this? Is that moral? Yeah. And that's where I really question it. I think you're right here.
00:25:29.060 But here's the question I would have, because this is where I do support it. I do support it in
00:25:35.420 instances where somebody has a committed monogamous marriage and their partner is HIV positive.
00:25:43.280 In that case, do you still not support it? Now, remember, they can be basically non-transmissible,
00:25:52.080 but it's still recommended they take it. I guess, I guess I wouldn't even support it there. And I'll
00:25:57.560 explain why. It is not that we are saying this drug should not be accessible to anyone who can afford
00:26:03.880 it. There are tons of things involved with a monogamous marriage that people choose to afford
00:26:09.920 to have sex, for example, right? Like if you're in a monogamous marriage, but you don't want to have
00:26:16.140 kids yet. So the government be forced to pay for your condoms. Or birth control. Yeah. And like,
00:26:22.380 there are plenty of religious groups that are not really in favor of insurance companies by default
00:26:26.560 covering the cost of birth control pills, for example, or. Yeah. I mean, even between a husband and
00:26:33.200 wife, I, I, I, I even still think, so keep in mind, we're not talking about gay couples here. I'm
00:26:37.440 talking about a husband and wife where one of them is HIV positive. I unfortunately think it is not the
00:26:43.640 government's responsibility to cover this. I would like to see the price continue to drop and for it
00:26:48.340 to be more affordable. But I think at the end of the day, sex is a recreational activity.
00:26:55.480 It's an option. Yeah. Like, well, and if we're, if we're going to, if we're going to subsidize
00:26:59.900 recreational activities, then the question is, well, why aren't we subsidizing all of these other
00:27:06.280 things? You know, you know, what, you know, what if, what if this person is, you know, anxious and
00:27:10.820 they really hate taking public transportation because, you know, they're autistic. Like I'm
00:27:15.220 autistic. I had a huge fear of public transportation for a very long time. Like, should the government
00:27:19.380 pay for my Ubers? Like, you know, there, there are all these questions that this, this opens up and it
00:27:25.360 just, yeah, I don't, I don't know really, unless we're capable financially of subsidizing a whole bunch
00:27:34.900 of other things, which we're not, how can this be justified? I guess. So there's, you know, we have
00:27:40.960 to come back to the public health question of what about, you know, the children who may be born, who
00:27:44.940 may have HIV because this wouldn't be subsidized. That's, I, you know, I, that's where I start to get
00:27:49.940 like, you know, and kids get hurt. I draw a line, you know, I can't deal with it anymore. So that's,
00:27:55.000 that's one potential issue. You know, I also think about the fact that like a lot of people from a,
00:28:00.000 this is my identity and lifestyle perspective, make a lot of financial decisions that are
00:28:05.140 unsustainable for them. You know, like, let's say like, I'm the person who identifies with,
00:28:08.400 you know, having a boozy brunch once, you know, every month. And then they put that on credit card
00:28:12.300 debt and then their debt sort of spirals out of control. And then they can't retire and their
00:28:17.580 children are forced to take care of them in old age or, you know, worse, they become, you know,
00:28:21.880 burden on the state and all these sort of bad things happen. So I would also argue that it's not
00:28:27.780 just with, you know, HIV risk where people can cause a lot of damage to others, like collateral
00:28:34.960 damage by being irresponsible and pursuing their hedonic pursuits, such as eating out or taking an
00:28:42.040 Uber instead of public transportation or walking, for example. So we can't even say that like,
00:28:47.780 oh, this is different. You know, this is the other interesting thing that's come down from this
00:28:53.400 is that this went viral. That short fat otaku saying, you need to take pills to not contract
00:29:02.000 HIV. You can just not have sex with people who have HIV was such an offensive thing within this 0.96
00:29:09.940 modern cultural context that we're in. Advocating any form of restraint is seen as a sin. I think that
00:29:20.640 that's one element of it. But I also think because keep in mind, this isn't a gay versus straight
00:29:26.740 thing. This is a orgies, sex with strangers versus non sex with strangers. Is that now a culturally 0.99
00:29:34.860 sacred practice to the urban monoculture? Is the orgy now something that they consider almost like a
00:29:44.680 sacred religious tradition which must be subsidized by the state? Well, so was the reaction mostly
00:29:52.160 negative or was it a lot of people? Mostly negative. Mostly negative and horrified negative.
00:29:57.740 Like this guy needs to be off the internet. They said that he was trying to commit genocide.
00:30:01.600 They said that he was, you know, it was extremely, extremely negative. And, you know, here I want to
00:30:08.300 put the South Park clip of them all having gay sex in the human race because that's sort of where I feel 1.00
00:30:14.060 the urban monoculture is going these days. It's like they don't have a reason to keep going. And so 0.98
00:30:19.080 they've invented this strange orgy ritual. And now it's become a sacred cow for them. 0.76
00:30:26.260 These unemployed men have been having sex for several days. Joining me now is their spokesperson. 0.95
00:30:31.360 What exactly are you trying to accomplish? We're doing the only thing we can do. We have to take
00:30:36.600 matters into our own hands. We're trying to turn everyone gay so that there are no future humans. 1.00
00:30:41.280 Present day America, number one. 0.96
00:30:43.540 And I think that people outside the urban monoculture, because there's some things with
00:30:47.440 the urban monoculture where you just don't realize that there's like this new sacred line
00:30:51.580 that's been created. And that if you cross it, you get like beaten down. And the factor of
00:30:57.160 saintness of being able to have sex whenever you want with whoever you want without any consequences
00:31:03.980 is now like a sacred thing.
00:31:08.240 Yeah, I'm noticing that it's it's something that as a candidate for state rep, I'm also
00:31:14.340 coming across like I, I get a lot of candidate questionnaires from groups that may or may not
00:31:19.420 endorse me as a candidate, right? That may or may not donate to me to like they sort of want to say
00:31:24.260 like, these are our, you know, official candidates that are approved because they are with us on policy.
00:31:29.480 And just today, I received an email from a big LGBT Q plus group in Pennsylvania. And I was like,
00:31:37.900 Oh, this is awesome. Like I can fill this out. And they'll see that I you know, like we're we're super
00:31:43.100 supportive of, you know, basically LGBT rights. Oh, and then I start going through the questionnaire.
00:31:50.180 And it's not really about about rights or freedom. It's about making people with who choose to classify
00:32:02.740 in certain LGBTQ plus categories, a protected class. It's about regulating protections and privileges
00:32:10.740 for them that go above and beyond standards to which normal people are held. And I got really
00:32:17.440 uncomfortable, like looking at the questions. And I'm just not going to fill it out. I think
00:32:21.840 because I actually think maybe we should do an episode on the questionnaire. Oh, yeah, maybe we
00:32:26.320 should. Because it was, you know, I went in and I was like, Oh, this is gonna, you know, like slam dunk,
00:32:31.080 this is gonna be great. You know, I can show to centrists and and Democrats in our district that like,
00:32:37.240 Oh, you know, actually, you know, we're pretty socially progressive. And then I'm going in and I'm like,
00:32:42.100 we are not. Are you realizing that we're not socially progressive? Apparently not. Apparently
00:32:48.660 I'm a, an evil bigot. Like socially progressive means now is that you believe that class, like,
00:32:57.060 like human, our society should be divided into different caste groups that have different levels 1.00
00:33:02.880 of rights to human dignity. Ethnicity is one divider here. But gender is another opt in divider,
00:33:08.560 you can opt into this, like non binary identity, and be treated as suddenly get all these, well,
00:33:14.580 per per their preference, suddenly get all these additional protections and privileges,
00:33:18.640 but again, that are not afforded to other people. So I have a thought experiment for you,
00:33:25.440 about sort of, you know, where are we going to end up on prep, right? Because we've kind of already
00:33:28.780 said the state shouldn't subsidize people's lifestyle choices, you know, especially if they're
00:33:34.060 culturally based, and you know, kind of like, well, you don't have to, you don't have to pursue this,
00:33:38.560 or you can pay for it yourself if you really need to, right? It's a nice to have, not a necessity.
00:33:43.920 We've known young people who definitely use like government healthcare, and who definitely use
00:33:51.440 PrEP, and who we really like. And, you know, if there was a world where like the government stopped
00:33:59.300 paying for PrEP, like, what if we were sitting across from them, like having drinks, you know,
00:34:04.640 and we're having this conversation, and they're like, yeah, well, but I use PrEP, you know, and I
00:34:09.120 can't afford it, you know, if suddenly the state's not paying for it anymore. Like, do you want me to
00:34:14.560 get AIDS? You know, what do we say to our young friends?
00:34:17.860 I want you to exercise. And I think that this is a really interesting thing that was in the urban
00:34:22.600 monoculture, explaining to someone that there are consequences for their actions, and that they need
00:34:27.580 to exercise a degree of personal austerity for their own financial or health safety is seen as
00:34:34.520 sinful. And so within their cultural framework, I'd be like, I understand that there's no way that you
00:34:39.120 can really understand what I'm saying to you. But from any sane cultural perspective, you are sometimes
00:34:44.600 asked to exercise some degree of discretion and austerity. And an episode that we're going to do
00:34:51.760 after this, we actually go into an organization that is campaigning to try to have it be that gay 0.86
00:34:59.420 individuals cannot be persecuted for lying to another gay individual about them not having HIV.
00:35:05.400 So I can understand why people are freaking out out there if that's what their culture is fighting for,
00:35:10.680 is that people can just go out there and do whatever they want, and there should never be any
00:35:14.140 consequences for any of their actions. But I'd say, do I feel bad that I'm saying that your culture 0.73
00:35:21.500 actually does need to learn to sometimes exercise austerity, and sometimes to change cultural norms
00:35:28.540 around risks? Yeah. I mean, I think actually, here's where I would probably come down. I'm like,
00:35:35.080 I'm actually trying to model a conversation with this young person who I quite like.
00:35:38.580 Okay.
00:35:38.880 Because I don't have a problem with him sleeping around and having fun. Like, it's actually kind of
00:35:42.180 cute. Cause you know, we, we used to like, kind of talk about like people that he was dating and
00:35:46.600 stuff and like, whatever, you know, like I would feel the same. It was a young woman, you know,
00:35:50.300 this is fun stuff, you know, love, young love. Um, I would say, listen, okay. Like we can look for
00:35:57.900 some of these programs. The generic version can be as low as 65 a month. Let's find a program where
00:36:02.520 you can get it 65 a month. Okay. What do you have to do to get an incremental income of $65 a month?
00:36:08.260 Okay. You can probably, you know, create an account on task rabbit or, you know, create in a task or an
00:36:13.780 account on any like gig worker platform. And for like one weekend a month, spend five to six hours
00:36:21.620 doing some gig work to get the $65 to pay for the medication that will make sure that you can do this
00:36:27.720 all safely. I guess that's what I would say. Like what if it turns out it's not $65 a month and it's
00:36:33.280 actually $2,000 a month, like the first estimate said. Oh, then we're going to have to work out
00:36:39.480 how you can make, honestly, like I'm super okay with just being like, if you want to have that
00:36:43.380 lifestyle, like let's get that lifestyle. Or how do you cut $2,000 a month in expenses?
00:36:48.920 Yeah. And like, and life is about trade-offs. Like, you know, we, we didn't make the government
00:36:53.840 pay for our IVF. And actually more and more people keep reaching out to us being like, Hey,
00:36:57.540 how can I get my IVF paid for? Like, you're going to have to find a way to pay for it.
00:37:02.440 We gave up travel. We gave up fun. We gave up every luxury in life. We lived on a mattress in
00:37:07.600 the warehouse district outside Miami for a year in a studio apartment, in a studio apartment.
00:37:13.380 So just mattress on the ground. Like I think we shared one chair between the two of us. Maybe
00:37:17.680 there were two, there were two chairs. Well, because we don't sleep in the same bed. I had a tent in the
00:37:21.520 room and you had the mattress right next to me, which I absolutely love.
00:37:25.740 It was nice. But no, but we sacrificed. And I think the thing is in the end, it wasn't that bad
00:37:30.880 because when you know what you care about and what you don't care about, it's actually easy
00:37:35.040 to make those sacrifices. And a lot of people pay for things they don't really need. So then we
00:37:38.720 probably talk with this friend and be like, okay, well, like, what do you really care about? Like,
00:37:42.720 what can we cut out that is not as important as you having sex with like fun people?
00:37:47.620 And I actually want to point out a, how, how the perversion of a society that sees it as a moral
00:37:54.440 necessity to pay for a drug that enables sex whenever you want, but that doesn't see it as
00:37:59.460 a moral necessity to pay for IVF, the creation of new human life. 1.00
00:38:03.160 Oh shit. Yeah. I didn't even think about that. I think, you know, where we fall is people should 0.99
00:38:08.620 not be granted privilege status based on group membership to pursue their cultural values that
00:38:15.940 we believe in cultural sovereignty. And the way that we support that is by saying, you do you,
00:38:21.460 don't force you on us and don't make us pay for your lifestyle. And that's, that's fine. And I,
00:38:26.680 you know, I think that's a pretty fair stance. So yeah, but unfortunately it will be seen as
00:38:32.540 transphobic because I don't know, like, I don't know, like it's actually homophobic and transphobic
00:38:38.140 to try to try this issue to gays or trans people because yes, because straight people are at almost 0.98
00:38:45.680 as much risk if they are out having orgies. Well, a little less because transmission rates are less, 0.63
00:38:50.260 but they're still at risk too. This is, this is not an, a gay straight issue.
00:38:54.560 This is an orgy, not orgy issue. I mean, you know, it depends. 0.97
00:38:59.640 All right. I'll get the mic for Octavian and I'm going to go get the other kids.
00:39:02.540 Okay. I love you. Bye-bye. Hey, Octavian. 1.00
00:39:05.900 Yeah. I got the toys right here at the box. Like Stacy doesn't need any more toys. Only just a teddy.
00:39:16.160 Yes. Because we don't like having a lot of clutter everywhere. Right, buddy?
00:39:21.280 Right. Right. Can you tell everyone to like and subscribe, please?
00:39:25.480 Oh, yes.
00:39:27.240 Go ahead.
00:39:29.080 Um, do I got to describe on here?
00:39:32.820 No, ask them. Say, please like and subscribe.
00:39:36.740 Please, please, life and describe.
00:39:39.540 Describe.
00:39:40.740 Okay. Life and describe, people. Life and describe.
00:39:48.440 I love you, buddy.
00:39:50.120 I love you, too.
00:39:52.360 Carrie, do you want a blackberry?
00:39:53.680 Oh, yeah. Thank you.
00:39:55.460 You want to go out and get a blackberry with me?
00:39:57.320 I just want it.
00:39:58.300 Here, have the fans seen you, Tosti?
00:39:59.940 I want to get it by myself.
00:40:01.160 Especially.
00:40:01.660 Okay, you go get it by yourself. You love me so much.
00:40:03.660 Especially. We are great.
00:40:05.680 What were you talking, what were you talking to mama about?
00:40:07.500 He told everyone to life and describe.
00:40:12.020 To like and subscribe?
00:40:13.980 To life and describe.
00:40:15.520 To life and subscribe.
00:40:17.200 I did not do it on here.
00:40:18.220 No, no, no. To life and describe.
00:40:20.520 I did not do it on here.
00:40:22.220 Octavian, sometimes, are you not able to do a fun thing that you want to do?
00:40:27.180 Well, I do like doing a fun thing.
00:40:30.380 I just like toy trains.
00:40:32.400 Should the government, Octavian, should the government pay for your toy trains?
00:40:36.940 If there's food, not on train, dad, I cannot eat it.
00:40:41.680 Oh, you can only eat food on trains now?
00:40:43.860 Yeah.
00:40:44.560 This is in relation to the sushi train we got there.
00:40:46.740 Oh, daddy?
00:40:47.520 Yeah.
00:40:48.140 I find a sock theory.
00:40:50.560 Good job, Toasty. 0.87
00:40:52.680 Octavian, should the government pay you trains?
00:40:57.200 Yes.
00:40:57.880 I really like food on trains.
00:41:00.300 So you like it, and therefore the government should give it to you?
00:41:03.620 Yeah.
00:41:04.100 We're going to have to watch out for you, buddy.
00:41:07.120 Hi, Tom.
00:41:13.680 Hey, remember, he likes communism.
00:41:17.400 Oh, hold on.
00:41:18.280 I'm going to lift Titan up so they can see her because they haven't really seen her talking.
00:41:21.100 And remember, Octavian, real communism has not been tried.
00:41:25.280 Hi, Titan.
00:41:26.520 What do you want to tell mommy?
00:41:27.500 Hi, Titan.
00:41:27.840 What do you want to say?
00:41:28.420 I want to take a walk.
00:41:31.420 Oh, you just took a walk.
00:41:33.480 Titan wants the mic, too.
00:41:35.060 Can you ask Titan a question, Octavian?
00:41:37.280 Sharon is Karen.
00:41:40.000 Sharon is Karen.
00:41:41.080 You know, they just, what they do now, and I call it Sharon Karen, as in like bad woman 0.99
00:41:46.160 Karen.
00:41:47.040 They go up to one of their siblings.
00:41:49.420 They immediately like snatch something. 1.00
00:41:51.400 Like they do something asshole-ish. 0.99
00:41:52.740 And then they say, Sharon Karen, which is just so appropriate. 0.99
00:41:56.720 It's the Sharon Karen.
00:41:58.380 What do you think of that, Titan?
00:42:03.520 I love you, Titan.
00:42:08.080 All right.
00:42:08.560 You can come down.
00:42:09.140 I'm sorry for holding you.
00:42:11.280 I love it when the news is like, you hit your child?
00:42:14.300 How could you, how could you ever, ever lightly hit your child?
00:42:20.000 And then you see our children, and you're like, oh.
00:42:23.600 They're clearly terrified of you, Malcolm.
00:42:25.820 They're clearly terrified.
00:42:27.300 Oh, yes, it is.
00:42:29.220 Oh, yeah.
00:42:32.220 All right, Malcolm.
00:42:33.380 I love you.
00:42:33.740 You hit and record it.
00:42:34.620 Bye.
00:42:35.740 I love you.
00:42:36.940 I love you, mom.
00:42:37.880 You told mommy you love.