Lack of money to buy the medicine they need to stay healthy. Look at Africa there are some third world countries where sanitation and health care is poor so of course they die young of AIDs or a myriad of other illnesses. On the other hand there's Magic Johnson that has had AIDs forever n is probably healthier than most people. He has the money to buy meds see the best docs and go to other countries to try experimental treatments. BTW not only poor die people with money die too. You just don't hear about it bc it's not en mass like whole populations in third world countries.
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Did you know that Rock Hudson and Liberace were very rich people who died of AIDS? No one is immune from AIDS/HIV and unless they get educated in preventive measures, it will continue to claim more victims, whether rich or poor.
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They say the rich ones have died from something else.