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So from my understanding, people with HIV who take treatment and have a low or undetectable level of the virus cannot spread it.
Add onto that safe sex practices such as using condoms.
So in theory it should be completely safe for them to engage in sex work.
Although I worry the US healthcare system is incapable of caring for its citizens effectively.
That's a lot of trust to put on something so deadly.
Here's an example. I work in a restaurant setting. If I have a virius that can kill people, and it can be transmitted by food that I touch, but I'm taking treatments and it's not transmittable, should I be hired to work in restaurants? If I am, should I inform every customer that what they eat may kill them? Or do we just take my word for it and hope that a) I'm honest, or if you don't trust that, that b) the doctors got it 100% correct and not 99.9999999%? Would you eat at that restaurant? Would you let your loved ones?
That’s a lot of nines. A failure rate of one in one billion? I’d definitely roll those dice for some Five Guys.
But the number is important, and the number in this case is probably close enough to 1 that the state should keep out.
If they want it to be safer they could hand out prep and condoms to the prostitutes and Johns.