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Indeed, in the thread on Bluesky the OP (not Bouie) brings AIDS into the picture, and claims that he can't imagine only having "safe sex".

What he actually can't imagine is watching all of his friends die in a 10-year period of a disease that causes their bodies and brains to collapse in real time.

But with COVID, he may soon be able to imagine it, because it will be all around him.

We don't know what COVID does to a body at 7, 10, and 15 years.