RT Journal Article SR Electronic T1 Shadow of HIV exceptionalism 40 years later JF Journal of Medical Ethics JO J Med Ethics FD BMJ Publishing Group Ltd and Institute of Medical Ethics SP 727 OP 728 DO 10.1136/medethics-2020-106908 VO 47 IS 11 A1 Michela Blain A1 Stephaun E Wallace A1 Courtney Tuegel YR 2021 UL http://jme.bmj.com/content/47/11/727.abstract AB During the AIDS epidemic in the 1980s, it was crucial that providers take steps to protect patients by managing HIV with the perspective of ‘HIV exceptionalism’. However, in 2020, the social and historical barriers erected by this concept, as demonstrated in this patient’s case, are considerably impeding progress to end the epidemic. With significant medical advances in HIV treatment and prevention, the policies informed by HIV exceptionalism now paradoxically perpetuate stigma and inequities, particularly for people of colour. To improve overall HIV care, the medical community must move past HIV exceptionalism by liberalising diagnostics, instituting clinician implicit bias training and advocating to fully decriminalise HIV non-disclosure.There are no data in this work.