“

They're trying to survive outside — to get housing, to get a job. We just don't have a system that's designed for people who have those kinds of issues. It's designed for well-educated, well-informed consumers in a market type system, it's the context of people's lives that is just so difficult that HIV is not their biggest problem. We haven't come up with any kind of magic bullet, but at the very least, we need to focus on these social barriers to a greater extent.