Dr. BrennanFan, I agree with you 1000 percent.
HIV should absolutely NOT take precedence over them. Most diabetics, as you correctly note, are Type II. The morbidity from this disease is almost entirely preventable, as it is for people who develop Cardiac disability from diseases like idiopathic hypertension which accounts for more than 90 percent of all people who have high blood pressure. It has been my and my colleagues very unfortunate experience that it is the rare rare pt who actually says, "Yes, doc, help me lose weight." Much more common, and this is the fault of the medical establishment in part, is the pt. for whom we just keep increasing the Lipitor or the Blood pressure med that they are on.
I agree, people who engage in unpprotected sex with unknown partners are doing themselves and society a disservice, but where I disagree is in the belief that they deserve to suffer. There are some people on this forum that seem overly enthusiastic at the prospect of certain people suffering, albeit indirectly. These people are not people who want to harm them or make their lives difficult, but strangers. There is something about that kind of disposition that I find very evil.
I agree that people must be encouraged through every means possible to prevent their acquisition of a disease. But if they get the disease, I dont then say, "well tough luck on you, you asked for it, you deserve it, I'm glad you got it anyway because you are a bad person and only bad people get what is coming to them." If we adapt that kind of attitude, I dont know where we will be as a civiliazation. This doesn't mean, "anything goes," far from it. You help someone develop a moral life, you don't try to destroy them for not having one.
Thank you for your question and the spirit in which it was asked.