Dan Savage proposes a new way to curb self-destructive sex:
[M]y radical plan to curb unsafe sex among gay men is modeled on a successful program that encourages sexual responsibility among straight men: child-support payments. If the state can go after deadbeat dads and make them pay child support why can’t it go after deadbeat infectors and make them pay drug support? Now that would be radical. Infect someone with HIV out of malice or negligence and the state will come after you for half the cost of the meds the person you infected is going to need.