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It is now four years since the original HIV Futures report was released and we had for the first time a comprehensive picture of the complexity and diversity of the lives of HIV positive Australians. This survey, HIV Futures 3: Positive Australians on Services, Health and Well-Being, comes at a time when the complexities of viral resistance have begun to dominate the clinical discourse, when the management of HIV increasingly involves fraught decisions around interruptions to treatment and balancing the effects of treatments against quality of life, at a time when management of HIV identity plays a critical role in negotiating the workplace and the health system, at a time when AIDS appears to have dropped off the agenda and yet can dominate the lives of those whom it affects.