I gave up on PrEP when I retired. Virtually no side effects, and I was glad to be protected. But once retired and on Medicare we buy our drug coverage separately. And just adding PrEP puts me into a hugely expensive drug plan compared to zero cost right now for everything else. So no PrEP for me. I would have no issue with a $40 per month copay; but fixed income does not support much more.
Conversely, at least here in Wisconsin if I poz, I can get free medications through a variety of state programs.
Now from a public health perspective; I think PrEP is excellent; But until we do here what it appears other nations do and get the cost into a reasonable place; I can't see a case for PrEP.