Ambition to Eliminate HIV - Thoughts?

During the State of the Union speech on February 5, 2019, President Donald Trump called for a bipartisan commitment to end the HIV epidemic in the United States within a decade. Despite not having an appropriated budget for this initiative , the Health and Human Services Secretary added that the this initiative could reduce new HIV infections by 75 percent in the next five years and 90 percent in the next 10 years.

Major work is needed to be done to accomplish this goal as government statistics show that about 38,000 people were infected with HIV in the United States in 2017.

A consensus exists among experts that eliminating HIV involves increasing prevention methods and efforts in the most at-risk communities: gay men, blacks and Latinos and, intravenous drug users; and in 48 counties, Washington, and San Juan.

Some of the major HIV prevention methods include increasing access for infected individuals to antiretroviral medications in order to stop infected individuals from infecting non-infected persons and increasing access for at-risk communities to Pre-Exposure Prophylaxis treatments (PrEP), which is revolutionary HIV prevention drugs that have proven to be almost 100 percent effective against infection, but severely underused. However, ensuring access can be a major challenge in the United States where health care and the health insurance system is constantly changing, or being threatened, with bureaucracy. Additionally, access is very difficult for many groups, especially low income.

Another major prevention method that has fell to the side, is to focus on promoting safe sex through the use of condoms. Reports show that approximately two-thirds of infections occur among men having sex with men.

What do you think about this new initiative? Do you think it is attainable?

Have you heard of, or had any experience with, these prevention methods? 

Any other advice, opinions, experiences?