I am certainly not one to make apologies for the Catholic Church, but the problem with the availability of HIV/AIDS testing and with actually getting people tested for HIV, is prevalent in non-Catholic countries as well. One only need look at many African countries. Privacy is a really big issue, and I am not sure how that issue can be effectively addressed. The people who need to be tested know full well that a positive result will be known in thier community, place of employment, etc., and that they are likely to suffer adverse consequences as a result. Sadly, those who need medical attention go without testing and treatment and they die horribly.