The international meeting on AIDS in Montreal, like those that have preceded it, has served as a useful reminder of the realities of the pandemic:
--No cure is likely for many years.
--There is no substitute for monogamous relationships or safer sex practices, including the use of condoms and abstinence from anal sex, if risk is to be reduced.
--The cost of care is going to increase enormously for two reasons: The lives of infected persons can be significantly prolonged only with the use of costly new medicines, and the number of AIDS cases worldwide will increase at least nine-fold in the decade ahead.
--In the United States there is an urgent need for broader anti-discrimination legislation at the federal level to ease the fear of exposure that now discourages some high-risk persons from seeking the very tests for the human immunodeficiency virus (HIV). The tests make possible life-extending therapy for infected persons and reduced risk for others with whom they are in contact.