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.. crawl, beg, ... scream, cry and beg for more.' Walk across the room and say it."Willow began her journey across the room in the unfamiliar heals, looking down and trying to remember the chant."I am going to learn to walk and talk..." Stop!" Willow pulled up near Page."Stay there." Page left the room and came back a few moment later with a small switch, cuffs and something else Willow had not seen.Page bound Willow's hands behind her with the cuffs. She then strapped the collar-like device she had brought around Willows neck. In the front were two sets of adjustable spikes, one set pointing up and another pointed down. Page lifted Willow's chin up into the correct position then adjusted the three upper spikes to lightly touch Willows chin and jaw. The others were adjusted to just above Willows collarbone."Slave, lower your head."When she did the spikes jabbed her jaw and drove the other spikes into the top of her chest. It was very painful and even gave Willow the sense of being. This is a troubling, persistent trend in medical systems: health professionals acting as gatekeepers, withholding information people need in order to make decisions about their lives and health. Racial and other biases compound these conditions. For example, research shows that Black clients of health systems are less likely to share in decision-making with their providers than their white counterparts.In 2013, PWN-USA conducted a sexual and reproductive health and rights survey of women living with HIV, most of whom were on successful treatment and highly engaged in care. Less than half of them had been told by a provider that having an undetectable viral load was a form of prevention. PWN-USA revisited the question in a 2016 community-based participatory research study; close to two in five of those women had not been made aware of TasP.“That discomfort is frequently grounded in this idea that people living with HIV can’t be trusted with this information,” commented Khanna. “At its.
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