People with HIV live substantially fewer healthy years than people without HIV. Black and Brown men have lower life expectancy among those with HIV, in part due to the combined effects of starting antiretroviral therapy (ART) late and ending it too soon. On average, they die 3.3 years earlier than Whites living with HIV. HIV-positive Black men who start antiretroviral therapy (ART) promptly and have good access to medical care live as long as their HIV-negative peers.