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The NHS must show it cares about gay men’s lives – and roll out PrEP HIV drugs | Owen Jones

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However, most also seemed aware of the risks involved. Some escorts said that leaving the industry or the prospect of doing so and finding other employment can be daunting for this same reason. In , adult entertainment lawyer Michael Fattorosi told Salon. The fears of social alienation and judgment also weigh heavily on the minds of some in the industry. Leo Forte, who served in the military before getting into porn and escorting, said he waffled for years before deciding to pursue sex work.

Several escorts said the lifestyle has strained relationships with family members, and many expressed that dating can be extremely difficult. Despite the drawbacks that come with the job, many escorts maintain the sacrifices have been well worth it. You have to be almost like a healer -- sexually. The struggle to overcome common misconceptions about working in the business is a different hurdle altogether, however.

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Yet, the stereotype lingers. He said few show signs of mental illness or depression. Additionally, some escorts may need help with money management or body image issues, while others need support figuring out an exit plan. Grov and other experts say that to protect the lives and rights of escorts and other sex workers, there needs to be more discussions about the industry -- both in the community and outside it. Murder is obviously bad, but the exchange of sex for money? That's a little blurrier, at least to me. For now, change seems to be slow-moving: Sex work remains stigmatized, and decriminalization is a long way off.

But some escorts and former escorts are taking matters into their own hands by challenging the stereotypes that dog the industry and fighting to create safe spaces for escorts to find the resources and support they may need. Former escort Hawk Kinkaid has long been leading this grassroots effort with his website, Hook Online. Founded by Kinkaid in and run completely by volunteers, Hook Online is a platform where male escorts can share their stories and find resources and information that are useful in their line of work.

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Visitors can read blog posts about safe sex and filing taxes, as well as guides to marketing and dealing with police. For them, we hope [the site] will help lessen that learning curve, help them make fewer mistakes. Some in the industry say Hook Online has been an invaluable tool for escorts, as the site has both disseminated crucial information and fostered a sense of community.

Escort Eli Lewis says he hopes other safe spaces -- both online and off -- will emerge in the coming years to promote even greater unity and change. For now, Lewis, whose day job is social media director at Rentboy. He regularly offers advice to others in the industry and talks to people who have questions about his life as a rent boy. But if a conversation starts, he said, perhaps perceptions will start to change. Tap here to turn on desktop notifications to get the news sent straight to you.

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Mark Henderson. But unlike porn, escorting is much more than just, as Lewis put it, a "whack and go. And yes, the NHS cannot afford certain cancer treatments, but it does pay for anti-smoking therapies, gastric bands for overeaters and the contraceptive pill for straight people.

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Most people agree with the principle of preventative medicine, so why should PrEP be the exception? Surely it makes better economic sense to offer them PrEP? But what I am not prepared for is the strength of my own reaction to PrEP — when I start to have condom-less sex.

I monitor the number of approaches I receive and the kind of things people say. I am not and there is no major difference at all. The first time I do have condom-less sex while on PrEP is a one-night stand. I tell the man I am negative and on PrEP; he tells me he is negative but not taking it.

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He does not seem to care whether we use a condom or not but, telling myself I am protected, I go through with it. Afterwards, I burst into tears. I feel dirty and guilty, as if I have let myself down.

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But I carry on and, over the next six weeks, date a couple of men. By the time I can make my second PrEP monitoring appointment I have been taking the drug for six weeks. Is PrEP contributing to that? I receive a phone call from the Mortimer Market Centre. I am told there has been an anomaly in my test results. I panic. I have to discontinue taking PrEP immediately and go back to the clinic for an emergency blood test.

When the results come through a few days later, it seems my kidney function is back to normal. But it strikes me how easily I could come close to kidney failure — and this makes me realise how important it is for people self-sourcing PrEP online to be monitored by the NHS, just like women taking the contraceptive pill have to have their blood pressure checked regularly. After a few days break, I restart my course of PrEP with a vow to avoid ibuprofen. Shortly afterwards, I fly to the US.


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In fact, the first thing that happens when I switch on the app is that I receive an advert for PrEP on sale at the high-street pharmacy chain Walgreens.

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