both of you get a blood test and verify that you are both disease free then bare back! Oh wait you say you can't trust a John or a hooker to not fuck someone else between testing and BB action day thereby nullifying the safety of the test? You think hoes and hoser's lie about things to each other? Really well then that would make bare-backing a dangerous even deadly practice! But honestly - don't we all really ascribe to Darwin's theory of Natural Selection? The only problem is a few of these people may manage to father a bastard or two before Natural Selection takes its natural course.
The downside for us is that these are the same people that will run throughout the political system crying that WE need to pay for their money saving drugs to keep their fuck brained asses alive, so they can continue to make their dumb-ass choices ... fuck that shit you idiot! As a wise man once said, "you can't fix stupid! ... Here's your sign"