HEALTH: Pathogens May Change, But Fear Is The Same. “Angry, vocal Americans led by people like Mr. Kramer get $15,000-a-year drugs at government expense. Silent, fatalistic Africans do not, even when the price is a mere $100. . . . And what coughing did for smallpox, lying does for AIDS. A 2007 study by Columbia University scientists found that almost 60 percent of gay American men who knew they were infected and were still having unprotected anal sex did not mention it to all their casual partners. One can only imagine what a survey of prison rapists would find, or one of prison rape victims returning home.”