Fortunately HIV isn't communicable by sharing air. Despite that truvada costs $2000/month[] in the us. And, unless I'm mistaken, it needs to be taken for life, or until a proper cure is found and hopefully that doesn't cost $2,000,000. Truvada costs more than the median us salary. I'd rather risk covid19. Death would come much faster than an agonising death from untreated aids.
While your points about the obscene cost of Truvada are spot on, your point about US incomes is not.
For 2019 the median US income was $36,000 [1] (not ~$20,000). The median US full-time income was around $52,000 [2]. The median family income was $86,011 [3] and the median household income was $68,703 [4].