Since the mid 90s, when protease inhibitors came out, HIV became a manageable disease. I have many friends who have been positive for 25+ years doing well today. And everyone in the US has equal access to the HIV meds. If you don't have insurance, and make less than around $50k (differs by state), you qualify for the ADAP program.
With rare exceptions, the only people having problems with HIV are drug addicts. Hard to take your meds consistently when tweaking for 5 days