With AIDS in America recently celebrating its 30 birthday, you could say that it has become quiet in its middle age. That would at least be true in the major population centers where it wreaked havoc as a youth. It has not receded in the Deep South where eight of the 10 states with the highest HIV infection rates reside. Even the HIV/AIDS strategy included in the Patient Protection and Affordable Care Act is thought to be a Sisyphean task for the region. So, why is that?