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It additionally pointed to limited transportation options to PrEP providers in low-income and rural communities, healthcare providers being unable to offer sliding-scale services to low-income people, and departments of health lacking funds to launch HIV-prevention efforts. This is what Savage described: increased risk behavior spurred by a perceived decrease in susceptibility to HIV. Put another way, potential PrEP users do not get a prescription because they are apprehensive of potential judgment, and healthcare providers are wary of prescribing it for fear of giving license to riskier sexual behavior.