Very manageable. Even in larger cities it is quite rare to see patients with full-blown AIDS - and the few times that happens, it comes down to: - Severe drug

Very manageable. Even in larger cities it is quite rare to see patients with full-blown AIDS - and the few times that happens, it comes down to: - Severe drug addiction and (often combined with) mental illness that results in the patient not being able to follow the drug regiment. This is the main reason. - Religious reasons, homeopathy, etc. The patient believes they can prey the illness away, use alternative medicine, or similar. - Extreme denial. The patient simply doesn't believe they have HIV, and thus refuse to take medication. Most places in the western world HIV medication is free, for obvious reasons.