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justify-center self-center px-4 pb-6"><div class="group text-center font-roboto-condensed text-xs uppercase text-time-gray-3 opacity-0 transition-opacity has-[iframe[data-load-complete="true"]]:opacity-100 mb-1.5 h-16"><span class="hidden group-has-[iframe[data-load-complete="true"]]:block ">Presented By</span><div id="sponsorshiplogo1" class="ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center overflow-hidden bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex " role="complementary" aria-label="Advertisement" data-native="false"></div></div><ul class="flex justify-center"><li class="font-roboto-condensed text-xs font-bold uppercase leading-4 tracking-wider after:mx-1.5 after:inline-block after:h-1 after:w-1 after:-translate-y-1/2 after:rounded-full after:bg-time-red"><a href="https://time.com/section/ideas" aria-label="Ideas">Ideas</a></li><li class="font-roboto-condensed text-xs font-bold uppercase leading-4 tracking-wider "><a href="https://time.com/tag/india" aria-label="India">India</a></li><li class="hidden">The Most Important Thing Rich Countries Can Do to Help India Fight COVID-19</li></ul><div class="mb-4 mt-2 lg:mb-[1.4625rem]"><h1 class="text-center text-[1.75rem] font-medium leading-[1.875rem] tracking-0.5px lg:text-[2.4375rem] lg:leading-[2.9375rem] font-zilla-slab self-baseline">The Most Important Thing Rich Countries Can Do to Help India Fight COVID-19</h1><div class="mt-2 text-center font-roboto-condensed text-sm font-bold uppercase tracking-[0.6px] text-time-gray-3 md:text-base ">6 minute read</div></div></header></div><div id="article-content" class="flex w-full justify-center lg:justify-between lg:gap-5"><div id="article-content-main" class="flex w-full max-w-article-featured-media flex-col items-center"><div class="featured-media w-full max-w-full" data-type="video"><div class="video-wrapper"><div class="w-full bg-time-black aspect-video"><div id="jwplayer-:Rb6fl5fnnnhja:"></div></div></div></div><article id="article-body" class="flex w-full max-w-article-body-centered flex-col lg:max-w-article-body"><div class="my-6 w-full px-4 lg:pl-[6.5rem] lg:pr-14"><div class="flex items-center"><div class="mr-3 flex h-[3.75rem] w-[3.75rem] shrink-0 items-center justify-center rounded-full bg-time-red font-roboto-condensed text-15px font-bold uppercase tracking-0.5px text-white">Ideas</div><div><div class="font-zilla-slab text-xs uppercase leading-6 tracking-[0.01563em] text-time-gray-4 "><div class="mr-3 inline-block">By <a href="/author/dr-monica-gandhi/" class="font-bold">Monica Gandhi</a></div><div class="inline-block"><time dateTime="2021-05-05T00:03:14.000Z">May 4, 2021 8:03 PM EDT</time></div></div><div class="font-zilla-slab text-sm italic leading-6 tracking-[0.018125em] text-time-black"><div>Dr. Gandhi MD, MPH is Professor of Medicine; Associate Division Chief of the Division of HIV, Infectious Diseases, and Global Medicine; Director of the Ward 86 HIV Clinic at San Francisco General Hospital; and Director of the Center for AIDS Research at UCSF</div></div></div></div></div><div id="article-body-main" class="flex w-full flex-col gap-7 [&>*:not(.inline-image)]:px-4 [&>*:not(.inline-image)]:lg:pl-[6.5rem] [&>*:not(.inline-image)]:lg:pr-14 [&>.inline-image]:sm:px-4 [&>.inline-image]:lg:pl-[6.5rem] [&>.inline-image]:lg:pr-14"><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px"><span class="leading-7 float-left border-t-2 border-l-2 border-solid border-time-red text-5xl py-2 pr-0.5 pl-[0.3125rem] my-0.5 mr-2.5 font-zilla-slab">T</span>he <a href="https://urldefense.com/v3/__https:/www.washingtonpost.com/health/2021/04/30/biden-administration-debates-waiving-vaccine-patents/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19UcMMv8$" target="_blank" rel="noopener">Biden Administration is debating</a> whether COVID-19 vaccine patents should be temporarily waived, given the devastating <a href="https://time.com/5964796/india-covid-19-failure/">humanitarian crisis</a> unfolding in India from the virus. There are two key factors that should drive the Biden team to agree to do so: first, there is strong <a href="https://urldefense.com/v3/__https:/www.wto.org/english/tratop_e/trips_e/trips_e.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15Uxlm0q$" target="_blank" rel="noopener">precedent on waiving patents in the context of public health emergencies</a>; second, the real-world effectiveness of most COVID-19 vaccines against <a href="https://urldefense.com/v3/__https:/www.cdc.gov/mmwr/volumes/70/wr/mm7013e3.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yMgpJxw$" target="_blank" rel="noopener">symptomatic disease</a> and <a href="https://urldefense.com/v3/__https:/www.nationalgeographic.com/science/article/yes-vaccines-block-most-transmission-of-covid-19__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_XVYdmt$" target="_blank" rel="noopener">transmission</a> can temper the disaster. The Biden Administration will be making its decision on lifting some patent restrictions <a href="https://urldefense.com/v3/__https:/www.washingtonpost.com/politics/2021/05/03/health-202-whether-waive-coronavirus-vaccine-patients-will-be-front-center-this-week/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl10IHolZv$" target="_blank" rel="noopener">as early as May 5</a>. </p><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">India faces a catastrophe, with over 350,000 new cases and 3,450 deaths (most certainly underestimated) from COVID-19 reported on May 3. Heartbreaking scenes in India of overflowing hospitals turning away dying patients and <a href="https://urldefense.com/v3/__https:/www.cnn.com/2021/04/29/india/india-covid-deaths-crematoriums-intl-hnk-dst/index.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl11DbWmPx$" target="_blank" rel="noopener">crematorium pyres burning all night</a> are playing out against news of how fast many wealthy countries with rapid vaccine roll-outs <a href="https://urldefense.com/v3/__https:/www.cnn.com/2021/04/28/health/us-coronavirus-wednesday/index.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zoerkAM$" target="_blank" rel="noopener">will be getting back to normal life</a>.</p><div class="component webflix-player-container block"><div class="webflix-reel" data-partner-key="1d483486-fd58-4aac-bfc2-d711b4ced387" data-property-key="68045ddd-9c78-4646-87d8-3858555b3f5f"></div></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">Pharmaceutical companies producing COVID-19 vaccines and holding patents are <a href="https://urldefense.com/v3/__https:/endpts.com/biontech-makes-a-splash-with-10b-projection-for-2021-covid-19-vaccine-sales/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yfzsU-x$" target="_blank" rel="noopener">reaping billions of dollars in profit</a> and are projecting <a href="https://urldefense.com/v3/__https:/qz.com/1997697/will-pfizer-and-moderna-profit-from-the-covid-19-booster-shot/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15SHfGAl$" target="_blank" rel="noopener">further profit from sales of booster shots</a> before scientists even know if <a href="https://urldefense.com/v3/__https:/www.wsj.com/articles/how-long-do-covid-19-vaccines-provide-immunity-11618258094__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17BK1It9$" target="_blank" rel="noopener">boosters will be necessary</a>. In October 2020 (prior to India’s current crisis), <a href="https://urldefense.com/v3/__https:/docs.wto.org/dol2fe/Pages/SS/directdoc.aspx?filename=q:*IP*C*W669.pdf&Open=True__;Ly8v!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zoLgflS$" target="_blank" rel="noopener">India and South Africa formally proposed</a> to the World Trade Organization (WTO) Council for Trade-Related Aspects of Intellectual Property (TRIP) that IP provisions for COVID-19 vaccines be temporarily waived for India and other countries to mass produce these vaccines for their populations. On March 5, 2021 (as <a href="https://urldefense.com/v3/__https:/www.indiatoday.in/coronavirus-outbreak/story/coronavirus-live-updates-march-5-covid-vaccine-india-world-daily-cases-deaths-1775790-2021-03-05__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15EPX2l_$" target="_blank" rel="noopener">COVID-19 cases were just ramping up in India</a>), CEOs from major pharmaceutical companies involved in COVID-19 vaccine production sent <a href="https://urldefense.com/v3/__https:/patentdocs.typepad.com/files/2021-03-05-phrma-letter.pdf__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl16wGeLPh$" target="_blank" rel="noopener">an open letter to President Biden</a> urging him to reject this “unfortunate” proposal.</p><div class="video-wrapper"><div class="w-full bg-time-black aspect-video"><div id="jwplayer-:R1cr6fl5fnnnhja:"></div></div></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px"> As an infectious diseases and HIV doctor, this debate sounds all too familiar, reminding me of how, despite the development of highly-effective antiretroviral therapies (ART), rigid adherence to patent laws <a href="https://urldefense.com/v3/__https:/journals.sagepub.com/doi/pdf/10.1177/0256090920040109__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13zN3kFx$" target="_blank" rel="noopener">directly led to millions of lives lost to HIV/AIDS in sub-Saharan Africa in the 1990s.</a>. I witnessed <a href="https://urldefense.com/v3/__https:/www.cdc.gov/mmwr/preview/mmwrhtml/mm5021a2.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl183e23yb$" target="_blank" rel="noopener">plummeting AIDS-related mortality</a> from the first half to the second half of my medical internship at a hospital in San Francisco that year, thanks to these new ARTs, a miracle afforded initially only to those with AIDS in wealthy countries. There are eerie parallels in 2021 where as a practicing infectious disease doctor I have seen, with the rapid distribution of highly active vaccines, the <a href="https://urldefense.com/v3/__https:/www.nytimes.com/interactive/2021/us/covid-cases.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17b2wh0y$" target="_blank" rel="noopener">marvel of COVID-19 cases receding in the U.S</a>., and <a href="https://urldefense.com/v3/__https:/abc7news.com/san-francisco-coronavirus-cases-covid-per-day-icu-capacity/10486023/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1z7Ow4wg$" target="_blank" rel="noopener">COVID-19 wards emptying</a>, a phenomenon being seen <a href="https://urldefense.com/v3/__https:/uk.finance.yahoo.com/news/queens-medical-centre-covid-icu-ward-empty-first-time-114302919.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19sCNrEj$" target="_blank" rel="noopener">across wealthy countries</a> with <a href="https://urldefense.com/v3/__https:/ourworldindata.org/covid-vaccinations__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_0B4LQ_$" target="_blank" rel="noopener">brisk roll-outs</a>.</p><figure class="block h-auto w-full inline-image self-center max-w-full" arial-label="media" data-block="gutenberg-custom-blocks/inline-image" data-media-size="portrait_small_2x" data-original-width="2400" data-original-height="1600" data-original-src="https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=85" data-caption="People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021." data-credit="Prakash Singh—AFP/Getty Images" data-sizes="(max-width: 768px) 90vw, (max-width: 1024px) 75vw, (max-width: 1280px) 55vw, 800px"><picture class="flex max-w-full flex-col items-center"><img alt="People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021." index="6" id="6046115" url="https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=85&w=560" title="INDIA-HEALTH-VIRUS-VACCINE" loading="lazy" width="560" height="373" decoding="async" data-nimg="1" class="h-auto w-full max-w-full" style="color:transparent" sizes="(max-width: 768px) 90vw, (max-width: 1024px) 75vw, (max-width: 1280px) 55vw, 800px" srcSet="https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=384 384w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=640 640w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=750 750w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=828 828w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=1080 1080w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=1200 1200w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=1440 1440w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=1690 1690w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=1920 1920w, https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=2400 2400w" src="https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=75&w=2400"/></picture><figcaption class="block max-w-full bg-white px-4 pt-2 font-roboto text-[.813rem] sm:px-0"><span aria-hidden="false" class="inline leading-tight text-time-black">People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021.</span><span aria-hidden="false" class="ml-2 inline text-xs text-time-gray-5">Prakash Singh—AFP/Getty Images</span></figcaption></figure><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px"> As the wealthy recipients of these extraordinary vaccines, we must demand more from the companies that make them and from our own government. The lessons of the fight against HIV clearly show us what happens when profits come before health for the neediest. For instance, Pfizer <a href="https://urldefense.com/v3/__https:/www.macrotrends.net/stocks/charts/PFE/pfizer/revenue__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_ijU9Mh$" target="_blank" rel="noopener">made $41.9 billion in 2000</a>, a year when HIV activists and doctors were aghast that the company’s patented anti-fungal, fluconazole (which could be made for pennies), <a href="https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12870451/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15uzmcr8$" target="_blank" rel="noopener">was priced so high</a> that it remained unaffordable for countries in sub-Saharan Africa. Fluconazole was the only treatment for cryptococcal meningitis, an AIDS-related opportunistic infection with a <a href="https://urldefense.com/v3/__https:/www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30909-9/fulltext__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yTiwczh$" target="_blank" rel="noopener">high mortality rate</a> if untreated. AIDS patients in Africa <a href="https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12870451/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15uzmcr8$" target="_blank" rel="noopener">needlessly died of cryptococcal meningitis</a> due to lack of access to this patented drug until South Africa <a href="https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12173556/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1y874QuU$" target="_blank" rel="noopener">openly defied patent laws in 2000</a>. </p><div class="native-ad flex w-full flex-col items-center justify-center"><div id="native-ad-inline-1" class="ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center overflow-hidden bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex " role="complementary" aria-label="Advertisement" data-native="false"></div></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">Meanwhile, in 2000, the <a href="https://urldefense.com/v3/__https:/journals.sagepub.com/doi/pdf/10.1177/0256090920040109__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13zN3kFx$" target="_blank" rel="noopener">pharmaceutical industry spent $167 million on lobbying</a> during the U.S. election campaign, in part to protect their patents. Those life-saving ART medications I mentioned earlier were not available for most poor countries for many years. In 2001, <a href="https://urldefense.com/v3/__https:/www.london.edu/think/when-the-price-isnt-right__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17JGSnhX$" target="_blank" rel="noopener">Kofi Annan, the UN Secretary General, said</a>, “Some may think that because better medicines have been found, the AIDS emergency is over. Alas, no. For most people living with HIV/AIDS today, the $10,000 to $60,000 annual price tag of an antiretroviral regime belongs, quite simply, in another galaxy.”</p><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px"><strong>Read More: <a href="https://time.com/5959242/india-covid-19-catastrophe-guilt/">The Survivor’s Guilt of Watching India’s COVID-19 Catastrophe From Afar</a></strong></p><div id="inline-ad-1" class="ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex " role="complementary" aria-label="Advertisement" data-native="false"></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px"><a href="https://urldefense.com/v3/__https:/data.unaids.org/pub/report/2000/2000_gr_en.pdf__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19BjWHIG$" target="_blank" rel="noopener">As millions continued to die of AIDS</a> in poor countries, the debate about waiving patents raged on during the early 2000s. The WTO’s TRIPS Agreement—<a href="https://urldefense.com/v3/__https:/www.wto.org/english/tratop_e/trips_e/intel2_e.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl12uJDJKM$" target="_blank" rel="noopener">ratified in 1995</a>—had allowed for patent waivers and domestic production off patent in the setting of medical emergencies, but ART regimens remained out of range for the majority of poor patients in sub-Saharan Africa throughout this period. <a href="https://urldefense.com/v3/__https:/onlinelibrary.wiley.com/doi/full/10.1186/1758-2652-14-15__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15ypTYUy$" target="_blank" rel="noopener">In early 2001</a>, an Indian pharmaceutical company named Cipla decided to <a href="https://www.nytimes.com/2001/02/07/world/indian-company-offers-to-supply-aids-drugs-at-low-cost-in-africa.html" target="_blank" rel="noopener">offer a triple-combination ART regimen</a> at $350 per patient per year. South Africa sought to change its Patents Act in order to import these inexpensive generic drugs from India and <a href="https://www.bmj.com/content/322/7284/447" target="_blank" rel="noopener">was sued by multinational pharmaceutical companies</a> fearing reduction in their profits. The Treatment Action Campaign (TAC, a long-standing HIV advocacy organization in South Africa) took the dispute to the world stage, claiming this lawsuit “<a href="https://urldefense.com/v3/__https:/onlinelibrary.wiley.com/doi/full/10.1186/1758-2652-14-15__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15ypTYUy$" target="_blank" rel="noopener">hammered the message home that many of the multinational drug companies were abusing their market monopoly in the face of a catastrophic human disaster</a>.” Under increasing international pressure, the lawsuit was dropped. Over the next decade, ART access to sub-Saharan Africa, often through waiving of patents and <a href="https://urldefense.com/v3/__https:/www.bbc.com/news/business-56598612__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1-f73yaV$" target="_blank" rel="noopener">voluntary licensing</a>, increased. In 2020, 26 million of 38 million people living with HIV worldwide <a href="https://urldefense.com/v3/__https:/www.unaids.org/en/resources/fact-sheet__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13XspssQ$" target="_blank" rel="noopener">have access to life-saving ART</a> (although 690,000 deaths from AIDS were still recorded in 2019). </p><div id="inline-ad-2" class="ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex " role="complementary" aria-label="Advertisement" data-native="false"></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">The decision on waiving patents for COVID-19 vaccines cannot take years, as it did with ART regimes—the decision needs to be made within days given the extent of the public health crisis in India. India supplied ART to a large part of the world; it is our duty to help India now. Indeed, if the decision had been made in October 2020, when India appealed for this temporary waiver on patents, India might have been in a very different position with COVID-19 today. </p><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">To date, only <a href="https://urldefense.com/v3/__https:/www.nytimes.com/interactive/2021/world/covid-vaccinations-tracker.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19Dgr52K$" target="_blank" rel="noopener">9.4% of Indians</a> have received their first dose of COVID-19 vaccine. Beyond public health measures, increasing the capacity for India to vaccinate its large population will make an immediate impact. In other countries where cases were rising as vaccination campaigns began (like Israel and the U.S.) cases started plummeting at a ~40% <a href="https://urldefense.com/v3/__https:/www.salon.com/2021/04/28/were-about-to-hit-an-inflection-point-in-covid-19-cases-heres-why/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zofLVZQ$" target="_blank" rel="noopener">first-dose-vaccination “inflection point</a>.” The U.S. has purchased <a href="https://urldefense.com/v3/__https:/www.salon.com/2021/05/02/us-hoarding-covid-19-vaccine-covax/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl18Eg-MpG$" target="_blank" rel="noopener">over 1 billion doses</a> combined of the two mRNA vaccines (Pfizer-BioNTech and Moderna) and the Johnson & Johnson adenovirus/DNA vaccine, many more than needed for its adult population. The country is now <a href="https://urldefense.com/v3/__https:/www.washingtonpost.com/health/2021/04/30/biden-administration-debates-waiving-vaccine-patents/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19UcMMv8$" target="_blank" rel="noopener">contemplating donation of excess vaccine</a> to India (via the COVAX initiative, led by the World Health Organization) beyond the <a href="https://urldefense.com/v3/__https:/www.telegraph.co.uk/global-health/science-and-disease/coronavirus-news-covid-vaccine-india-deaths-cases-anti-lockdown/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19MoMIed$" target="_blank" rel="noopener">60 million doses of AztraZeneca vaccine</a> released recently. </p><div id="inline-ad-3" class="ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex " role="complementary" aria-label="Advertisement" data-native="false"></div><p class="self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px">Donation will be the fastest way to get vaccines to India and other countries in need. But waiving of pharmaceutical company patents seems like an obvious and urgent next step for India and other countries. As the United Nations Secretary General <a href="https://urldefense.com/v3/__https:/www.un.org/press/en/2021/sc14438.doc.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1xF0gzc6$" target="_blank" rel="noopener">said in February</a>, “vaccine equity is the biggest moral test before the global community” at this time. Let’s not fail it.</p></div></article><div class="mt-11 flex w-full max-w-article-body-centered flex-col gap-8 px-4 lg:max-w-article-body lg:pl-[6.5rem] lg:pr-14"><div class="inline-article-recirc md:relative"><h2 class="left-0 top-[-0.813rem] bg-white pb-1 text-center font-roboto-condensed text-xl font-bold uppercase md:absolute md:pr-2.5">More Must-Reads from TIME</h2><ul class="list-outside list-disc border-t border-t-time-gray-7 pl-5 pt-2 font-pt-serif text-17px leading-relaxed tracking-0.5px md:pt-6"><li><span>Inside </span><a href="https://time.com/7213409/elon-musk-us-government-trump/?utm_source=roundup&utm_campaign=20230202" class="font-bold">Elon Musk’s War </a><span>on Washington</span></li><li><span>Why Do More </span><a href="https://time.com/7213490/why-are-young-people-getting-cancer/?utm_source=roundup&utm_campaign=20230202" class="font-bold">Young Adults Have Cancer? </a></li><li><a href="https://time.com/7210621/actor-colman-domingo-radical-love/?utm_source=roundup&utm_campaign=20230202" class="font-bold">Colman Domingo </a><span>Leads With Radical Love</span></li><li><a href="https://time.com/7210557/best-books-february-2025/?utm_source=roundup&utm_campaign=20230202" class="font-bold">11 New Books </a><span>to Read in February</span></li><li><span>How to Get Better at </span><a href="https://time.com/7205297/how-to-do-things-alone-mental-health/?utm_source=roundup&utm_campaign=20230202" class="font-bold">Doing Things Alone</a></li><li><a href="https://time.com/7213879/cecily-strong-snl-50th-anniversary/?utm_source=roundup&utm_campaign=20230202" class="font-bold">Cecily Strong </a><span>on Goober the Clown</span></li><li><span>Column: The Rise of </span><a href="https://time.com/7221154/rise-of-americas-broligarchy/?utm_source=roundup&utm_campaign=20230202" class="font-bold">America’s Broligarchy</a></li><li><span>Introducing the </span><a href="https://time.com/collection/closers-2025/?utm_source=roundup&utm_campaign=20230202" class="font-bold">2025 Closers</a></li></ul></div><div><p class="mx-auto w-full self-baseline text-center font-roboto-condensed text-sm font-bold uppercase leading-7 tracking-[0.25px] pb-3">Contact us at <a href="mailto:letters@time.com" class="font-normal">letters@time.com</a></p><div class="mx-auto w-full pb-4 pt-0"><div class="mx-auto max-w-[500px] pl-0 text-center font-zilla-slab text-base italic leading-5 text-time-gray-4"><a href="https://www.time.com/ideas">TIME Ideas</a> hosts the world's leading voices, providing commentary on events in news, society, and culture. 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class=\"leading-7 float-left border-t-2 border-l-2 border-solid border-time-red text-5xl py-2 pr-0.5 pl-[0.3125rem] my-0.5 mr-2.5 font-zilla-slab\"\u003eT\u003c/span\u003ehe \u003ca href=\"https://urldefense.com/v3/__https:/www.washingtonpost.com/health/2021/04/3"])</script><script>self.__next_f.push([1,"0/biden-administration-debates-waiving-vaccine-patents/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19UcMMv8$\" target=\"_blank\" rel=\"noopener\"\u003eBiden Administration is debating\u003c/a\u003e whether COVID-19 vaccine patents should be temporarily waived, given the devastating \u003ca href=\"https://time.com/5964796/india-covid-19-failure/\"\u003ehumanitarian crisis\u003c/a\u003e unfolding in India from the virus. There are two key factors that should drive the Biden team to agree to do so: first, there is strong \u003ca href=\"https://urldefense.com/v3/__https:/www.wto.org/english/tratop_e/trips_e/trips_e.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15Uxlm0q$\" target=\"_blank\" rel=\"noopener\"\u003eprecedent on waiving patents in the context of public health emergencies\u003c/a\u003e; second, the real-world effectiveness of most COVID-19 vaccines against \u003ca href=\"https://urldefense.com/v3/__https:/www.cdc.gov/mmwr/volumes/70/wr/mm7013e3.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yMgpJxw$\" target=\"_blank\" rel=\"noopener\"\u003esymptomatic disease\u003c/a\u003e and \u003ca href=\"https://urldefense.com/v3/__https:/www.nationalgeographic.com/science/article/yes-vaccines-block-most-transmission-of-covid-19__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_XVYdmt$\" target=\"_blank\" rel=\"noopener\"\u003etransmission\u003c/a\u003e can temper the disaster. The Biden Administration will be making its decision on lifting some patent restrictions \u003ca href=\"https://urldefense.com/v3/__https:/www.washingtonpost.com/politics/2021/05/03/health-202-whether-waive-coronavirus-vaccine-patients-will-be-front-center-this-week/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl10IHolZv$\" target=\"_blank\" rel=\"noopener\"\u003eas early as May 5\u003c/a\u003e. 44:T929,"])</script><script>self.__next_f.push([1,"Pharmaceutical companies producing COVID-19 vaccines and holding patents are \u003ca href=\"https://urldefense.com/v3/__https:/endpts.com/biontech-makes-a-splash-with-10b-projection-for-2021-covid-19-vaccine-sales/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yfzsU-x$\" target=\"_blank\" rel=\"noopener\"\u003ereaping billions of dollars in profit\u003c/a\u003e and are projecting \u003ca href=\"https://urldefense.com/v3/__https:/qz.com/1997697/will-pfizer-and-moderna-profit-from-the-covid-19-booster-shot/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15SHfGAl$\" target=\"_blank\" rel=\"noopener\"\u003efurther profit from sales of booster shots\u003c/a\u003e before scientists even know if \u003ca href=\"https://urldefense.com/v3/__https:/www.wsj.com/articles/how-long-do-covid-19-vaccines-provide-immunity-11618258094__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17BK1It9$\" target=\"_blank\" rel=\"noopener\"\u003eboosters will be necessary\u003c/a\u003e. In October 2020 (prior to India\u0026rsquo;s current crisis), \u003ca href=\"https://urldefense.com/v3/__https:/docs.wto.org/dol2fe/Pages/SS/directdoc.aspx?filename=q:*IP*C*W669.pdf\u0026amp;Open=True__;Ly8v!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zoLgflS$\" target=\"_blank\" rel=\"noopener\"\u003eIndia and South Africa formally proposed\u003c/a\u003e to the World Trade Organization (WTO) Council for Trade-Related Aspects of Intellectual Property (TRIP) that IP provisions for COVID-19 vaccines be temporarily waived for India and other countries to mass produce these vaccines for their populations. On March 5, 2021 (as \u003ca href=\"https://urldefense.com/v3/__https:/www.indiatoday.in/coronavirus-outbreak/story/coronavirus-live-updates-march-5-covid-vaccine-india-world-daily-cases-deaths-1775790-2021-03-05__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15EPX2l_$\" target=\"_blank\" rel=\"noopener\"\u003eCOVID-19 cases were just ramping up in India\u003c/a\u003e), CEOs from major pharmaceutical companies involved in COVID-19 vaccine production sent \u003ca href=\"https://urldefense.com/v3/__https:/patentdocs.typepad.com/files/2021-03-05-phrma-letter.pdf__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl16wGeLPh$\" target=\"_blank\" rel=\"noopener\"\u003ean open letter to President Biden\u003c/a\u003e urging him to reject this \u0026ldquo;unfortunate\u0026rdquo; proposal."])</script><script>self.__next_f.push([1,"45:T894,"])</script><script>self.__next_f.push([1," As an infectious diseases and HIV doctor, this debate sounds all too familiar, reminding me of how, despite the development of highly-effective antiretroviral therapies (ART), rigid adherence to patent laws \u003ca href=\"https://urldefense.com/v3/__https:/journals.sagepub.com/doi/pdf/10.1177/0256090920040109__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13zN3kFx$\" target=\"_blank\" rel=\"noopener\"\u003edirectly led to millions of lives lost to HIV/AIDS in sub-Saharan Africa in the 1990s.\u003c/a\u003e. I witnessed \u003ca href=\"https://urldefense.com/v3/__https:/www.cdc.gov/mmwr/preview/mmwrhtml/mm5021a2.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl183e23yb$\" target=\"_blank\" rel=\"noopener\"\u003eplummeting AIDS-related mortality\u003c/a\u003e from the first half to the second half of my medical internship at a hospital in San Francisco that year, thanks to these new ARTs, a miracle afforded initially only to those with AIDS in wealthy countries. There are eerie parallels in 2021 where as a practicing infectious disease doctor I have seen, with the rapid distribution of highly active vaccines, the \u003ca href=\"https://urldefense.com/v3/__https:/www.nytimes.com/interactive/2021/us/covid-cases.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17b2wh0y$\" target=\"_blank\" rel=\"noopener\"\u003emarvel of COVID-19 cases receding in the U.S\u003c/a\u003e., and \u003ca href=\"https://urldefense.com/v3/__https:/abc7news.com/san-francisco-coronavirus-cases-covid-per-day-icu-capacity/10486023/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1z7Ow4wg$\" target=\"_blank\" rel=\"noopener\"\u003eCOVID-19 wards emptying\u003c/a\u003e, a phenomenon being seen \u003ca href=\"https://urldefense.com/v3/__https:/uk.finance.yahoo.com/news/queens-medical-centre-covid-icu-ward-empty-first-time-114302919.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19sCNrEj$\" target=\"_blank\" rel=\"noopener\"\u003eacross wealthy countries\u003c/a\u003e with \u003ca href=\"https://urldefense.com/v3/__https:/ourworldindata.org/covid-vaccinations__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_0B4LQ_$\" target=\"_blank\" rel=\"noopener\"\u003ebrisk roll-outs\u003c/a\u003e."])</script><script>self.__next_f.push([1,"48:T766, As the wealthy recipients of these extraordinary vaccines, we must demand more from the companies that make them and from our own government. The lessons of the fight against HIV clearly show us what happens when profits come before health for the neediest. For instance, Pfizer \u003ca href=\"https://urldefense.com/v3/__https:/www.macrotrends.net/stocks/charts/PFE/pfizer/revenue__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1_ijU9Mh$\" target=\"_blank\" rel=\"noopener\"\u003emade $41.9 billion in 2000\u003c/a\u003e, a year when HIV activists and doctors were aghast that the company\u0026rsquo;s patented anti-fungal, fluconazole (which could be made for pennies), \u003ca href=\"https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12870451/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15uzmcr8$\" target=\"_blank\" rel=\"noopener\"\u003ewas priced so high\u003c/a\u003e that it remained unaffordable for countries in sub-Saharan Africa. Fluconazole was the only treatment for cryptococcal meningitis, an AIDS-related opportunistic infection with a \u003ca href=\"https://urldefense.com/v3/__https:/www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30909-9/fulltext__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1yTiwczh$\" target=\"_blank\" rel=\"noopener\"\u003ehigh mortality rate\u003c/a\u003e if untreated. AIDS patients in Africa \u003ca href=\"https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12870451/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15uzmcr8$\" target=\"_blank\" rel=\"noopener\"\u003eneedlessly died of cryptococcal meningitis\u003c/a\u003e due to lack of access to this patented drug until South Africa \u003ca href=\"https://urldefense.com/v3/__https:/pubmed.ncbi.nlm.nih.gov/12173556/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1y874QuU$\" target=\"_blank\" rel=\"noopener\"\u003eopenly defied patent laws in 2000\u003c/a\u003e. 49:Tb6e,"])</script><script>self.__next_f.push([1,"\u003ca href=\"https://urldefense.com/v3/__https:/data.unaids.org/pub/report/2000/2000_gr_en.pdf__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19BjWHIG$\" target=\"_blank\" rel=\"noopener\"\u003eAs millions continued to die of AIDS\u003c/a\u003e in poor countries, the debate about waiving patents raged on during the early 2000s. The WTO\u0026rsquo;s TRIPS Agreement\u0026mdash;\u003ca href=\"https://urldefense.com/v3/__https:/www.wto.org/english/tratop_e/trips_e/intel2_e.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl12uJDJKM$\" target=\"_blank\" rel=\"noopener\"\u003eratified in 1995\u003c/a\u003e\u0026mdash;had allowed for patent waivers and domestic production off patent in the setting of medical emergencies, but ART regimens remained out of range for the majority of poor patients in sub-Saharan Africa throughout this period. \u003ca href=\"https://urldefense.com/v3/__https:/onlinelibrary.wiley.com/doi/full/10.1186/1758-2652-14-15__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15ypTYUy$\" target=\"_blank\" rel=\"noopener\"\u003eIn early 2001\u003c/a\u003e, an Indian pharmaceutical company named Cipla decided to \u003ca href=\"https://www.nytimes.com/2001/02/07/world/indian-company-offers-to-supply-aids-drugs-at-low-cost-in-africa.html\" target=\"_blank\" rel=\"noopener\"\u003eoffer a triple-combination ART regimen\u003c/a\u003e at $350 per patient per year. South Africa sought to change its Patents Act in order to import these inexpensive generic drugs from India and \u003ca href=\"https://www.bmj.com/content/322/7284/447\" target=\"_blank\" rel=\"noopener\"\u003ewas sued by multinational pharmaceutical companies\u003c/a\u003e fearing reduction in their profits. The Treatment Action Campaign (TAC, a long-standing HIV advocacy organization in South Africa) took the dispute to the world stage, claiming this lawsuit \u0026ldquo;\u003ca href=\"https://urldefense.com/v3/__https:/onlinelibrary.wiley.com/doi/full/10.1186/1758-2652-14-15__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl15ypTYUy$\" target=\"_blank\" rel=\"noopener\"\u003ehammered the message home that many of the multinational drug companies were abusing their market monopoly in the face of a catastrophic human disaster\u003c/a\u003e.\u0026rdquo; Under increasing international pressure, the lawsuit was dropped. Over the next decade, ART access to sub-Saharan Africa, often through waiving of patents and \u003ca href=\"https://urldefense.com/v3/__https:/www.bbc.com/news/business-56598612__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1-f73yaV$\" target=\"_blank\" rel=\"noopener\"\u003evoluntary licensing\u003c/a\u003e, increased. In 2020, 26 million of 38 million people living with HIV worldwide \u003ca href=\"https://urldefense.com/v3/__https:/www.unaids.org/en/resources/fact-sheet__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13XspssQ$\" target=\"_blank\" rel=\"noopener\"\u003ehave access to life-saving ART\u003c/a\u003e (although 690,000 deaths from AIDS were still recorded in 2019). "])</script><script>self.__next_f.push([1,"4a:T816,"])</script><script>self.__next_f.push([1,"To date, only \u003ca href=\"https://urldefense.com/v3/__https:/www.nytimes.com/interactive/2021/world/covid-vaccinations-tracker.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19Dgr52K$\" target=\"_blank\" rel=\"noopener\"\u003e9.4% of Indians\u003c/a\u003e have received their first dose of COVID-19 vaccine. Beyond public health measures, increasing the capacity for India to vaccinate its large population will make an immediate impact. In other countries where cases were rising as vaccination campaigns began (like Israel and the U.S.) cases started plummeting at a ~40% \u003ca href=\"https://urldefense.com/v3/__https:/www.salon.com/2021/04/28/were-about-to-hit-an-inflection-point-in-covid-19-cases-heres-why/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zofLVZQ$\" target=\"_blank\" rel=\"noopener\"\u003efirst-dose-vaccination \u0026ldquo;inflection point\u003c/a\u003e.\u0026rdquo; The U.S. has purchased \u003ca href=\"https://urldefense.com/v3/__https:/www.salon.com/2021/05/02/us-hoarding-covid-19-vaccine-covax/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl18Eg-MpG$\" target=\"_blank\" rel=\"noopener\"\u003eover 1 billion doses\u003c/a\u003e combined of the two mRNA vaccines (Pfizer-BioNTech and Moderna) and the Johnson \u0026amp; Johnson adenovirus/DNA vaccine, many more than needed for its adult population. The country is now \u003ca href=\"https://urldefense.com/v3/__https:/www.washingtonpost.com/health/2021/04/30/biden-administration-debates-waiving-vaccine-patents/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19UcMMv8$\" target=\"_blank\" rel=\"noopener\"\u003econtemplating donation of excess vaccine\u003c/a\u003e to India (via the COVAX initiative, led by the World Health Organization) beyond the \u003ca href=\"https://urldefense.com/v3/__https:/www.telegraph.co.uk/global-health/science-and-disease/coronavirus-news-covid-vaccine-india-deaths-cases-anti-lockdown/__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl19MoMIed$\" target=\"_blank\" rel=\"noopener\"\u003e60 million doses of AztraZeneca vaccine\u003c/a\u003e released recently. "])</script><script>self.__next_f.push([1,"4b:T577,\n // A *global* property for queuing *all* Taboola commands on this page:\n window._taboola = window._taboola || [];\n\n // Fill in the page type, as provided by Taboola:\n window._taboola.push({ article: 'auto' });\n\n // Add the placement tags\n window._taboola.push(\n {\n mode: 'thumbnails-a',\n container: 'taboola-below-article-thumbnails',\n placement: 'Below Article Thumbnails',\n target_type: 'mix',\n },\n );\n\n // The flush flag instructs Taboola to fetch recommendations (and not wait for additional data)\n window._taboola.push({ flush: true });\n\n !function (e, f, u, i) {\n if (!document.getElementById(i)) {\n e.async = 1;\n e.src = u;\n e.id = i;\n f.parentNode.insertBefore(e, f);\n }\n // Fill in your Publisher ID (an alphabetic string, as provided by Taboola):\n }(document.createElement('script'), document.getElementsByTagName('script')[0], '//cdn.taboola.com/libtrc/timecom-timecom/loader.js', 'tb_loader_script');\n\n if 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Gandhi\",{\"children\":[[\"$\",\"a\",null,{\"href\":\"/author/dr-monica-gandhi/\",\"className\":\"font-bold\",\"children\":\"Monica Gandhi\"}],\"\",\"\"]}]]]}],[\"$\",\"div\",null,{\"className\":\"inline-block\",\"children\":[\"$\",\"time\",null,{\"dateTime\":\"2021-05-05T00:03:14.000Z\",\"children\":\"May 4, 2021 8:03 PM EDT\"}]}]]}],[\"$\",\"div\",null,{\"className\":\"font-zilla-slab text-sm italic leading-6 tracking-[0.018125em] text-time-black\",\"children\":[[\"$\",\"div\",\"Monica Gandhi\",{\"dangerouslySetInnerHTML\":{\"__html\":\"Dr. Gandhi MD, MPH is Professor of Medicine; Associate Division Chief of the Division of HIV, Infectious Diseases, and Global Medicine; Director of the Ward 86 HIV Clinic at San Francisco General Hospital; and Director of the Center for AIDS Research at UCSF\"}}]]}]]}]]}]]}],[\"$\",\"div\",null,{\"id\":\"article-body-main\",\"className\":\"flex w-full flex-col gap-7 [\u0026\u003e*:not(.inline-image)]:px-4 [\u0026\u003e*:not(.inline-image)]:lg:pl-[6.5rem] [\u0026\u003e*:not(.inline-image)]:lg:pr-14 [\u0026\u003e.inline-image]:sm:px-4 [\u0026\u003e.inline-image]:lg:pl-[6.5rem] [\u0026\u003e.inline-image]:lg:pr-14\",\"children\":[[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"$42\"}}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"India faces a catastrophe, with over 350,000 new cases and 3,450 deaths (most certainly underestimated) from COVID-19 reported on May 3. Heartbreaking scenes in India of overflowing hospitals turning away dying patients and \u003ca href=\\\"https://urldefense.com/v3/__https:/www.cnn.com/2021/04/29/india/india-covid-deaths-crematoriums-intl-hnk-dst/index.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl11DbWmPx$\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003ecrematorium pyres burning all night\u003c/a\u003e are playing out against news of how fast many wealthy countries with rapid vaccine roll-outs \u003ca href=\\\"https://urldefense.com/v3/__https:/www.cnn.com/2021/04/28/health/us-coronavirus-wednesday/index.html__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1zoerkAM$\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003ewill be getting back to normal life\u003c/a\u003e.\"}}],[\"$\",\"$L43\",\"block-webflix-player-2\",{\"block\":{\"name\":\"webflix-player\"},\"index\":2}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"$44\"}}],[\"$\",\"$L40\",\"block-gutenberg-custom-blocks/video-jw-4\",{\"block\":{\"__typename\":\"ContentBlock\",\"innerBlocks\":[],\"attributes\":[{\"__typename\":\"ContentBlockAttribute\",\"name\":\"mediaId\",\"value\":\"dbXR0Tw4\"},{\"__typename\":\"ContentBlockAttribute\",\"name\":\"autostart\",\"value\":\"false\"}],\"innerHTML\":\"[video id=dbXR0Tw4]\",\"name\":\"gutenberg-custom-blocks/video-jw\",\"tagName\":\"div\"},\"index\":4,\"mediaId\":\"dbXR0Tw4\",\"autostart\":false}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"$45\"}}],[\"$\",\"figure\",null,{\"className\":\"block h-auto w-full inline-image self-center max-w-full\",\"style\":{},\"arial-label\":\"media\",\"data-size-slug\":\"$undefined\",\"data-block\":\"gutenberg-custom-blocks/inline-image\",\"data-link-destination\":\"$undefined\",\"data-srcset\":\"$undefined\",\"data-media-size\":\"portrait_small_2x\",\"data-original-width\":\"2400\",\"data-original-height\":\"1600\",\"data-original-src\":\"https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=85\",\"data-caption\":\"People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021.\",\"data-credit\":\"Prakash Singh—AFP/Getty Images\",\"data-copyright\":\"$undefined\",\"data-sizes\":\"(max-width: 768px) 90vw, (max-width: 1024px) 75vw, (max-width: 1280px) 55vw, 800px\",\"children\":[[\"$\",\"picture\",null,{\"className\":\"flex max-w-full flex-col items-center\",\"children\":[[],[\"$\",\"$L46\",null,{\"src\":\"https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=85\",\"alt\":\"People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021.\",\"width\":560,\"height\":373,\"loading\":\"lazy\",\"quality\":75,\"sizes\":\"(max-width: 768px) 90vw, (max-width: 1024px) 75vw, (max-width: 1280px) 55vw, 800px\",\"loader\":\"$47\",\"className\":\"h-auto w-full max-w-full\",\"index\":6,\"id\":\"6046115\",\"url\":\"https://api.time.com/wp-content/uploads/2021/05/india-coronavirus-vaccine-equity-2.jpg?quality=85\u0026w=560\",\"title\":\"INDIA-HEALTH-VIRUS-VACCINE\"}]]}],[\"$\",\"figcaption\",null,{\"className\":\"block max-w-full bg-white px-4 pt-2 font-roboto text-[.813rem] sm:px-0\",\"children\":[[\"$\",\"span\",null,{\"aria-hidden\":\"false\",\"className\":\"inline leading-tight text-time-black\",\"dangerouslySetInnerHTML\":{\"__html\":\"People wait to get a dose of the Covishield vaccine in New Delhi on May 4, 2021.\"}}],[\"$\",\"span\",null,{\"aria-hidden\":\"false\",\"className\":\"ml-2 inline text-xs text-time-gray-5\",\"dangerouslySetInnerHTML\":{\"__html\":\"Prakash Singh—AFP/Getty Images\"}}]]}]]}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"$48\"}}],[\"$\",\"div\",null,{\"className\":\"native-ad flex w-full flex-col items-center justify-center\",\"children\":[\"$\",\"div\",null,{\"id\":\"native-ad-inline-1\",\"className\":\"ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center overflow-hidden bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex \",\"role\":\"complementary\",\"aria-label\":\"Advertisement\",\"data-native\":false}]}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"Meanwhile, in 2000, the \u003ca href=\\\"https://urldefense.com/v3/__https:/journals.sagepub.com/doi/pdf/10.1177/0256090920040109__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl13zN3kFx$\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003epharmaceutical industry spent $167 million on lobbying\u003c/a\u003e during the U.S. election campaign, in part to protect their patents. Those life-saving ART medications I mentioned earlier were not available for most poor countries for many years. In 2001, \u003ca href=\\\"https://urldefense.com/v3/__https:/www.london.edu/think/when-the-price-isnt-right__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl17JGSnhX$\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eKofi Annan, the UN Secretary General, said\u003c/a\u003e, \u0026ldquo;Some may think that because better medicines have been found, the AIDS emergency is over. Alas, no. 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India supplied ART to a large part of the world; it is our duty to help India now. Indeed, if the decision had been made in October 2020, when India appealed for this temporary waiver on patents, India might have been in a very different position with COVID-19 today. \"}}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"$4a\"}}],[\"$\",\"div\",null,{\"id\":\"inline-ad-3\",\"className\":\"ad flex min-h-[1px] w-full min-w-[1px] max-w-[100vw] items-center justify-center bg-transparent text-center group-[.disable-ads]:hidden print:hidden flex \",\"role\":\"complementary\",\"aria-label\":\"Advertisement\",\"data-native\":false}],[\"$\",\"p\",null,{\"className\":\"self-baseline px-0 font-pt-serif text-17px leading-7 tracking-0.5px\",\"dangerouslySetInnerHTML\":{\"__html\":\"Donation will be the fastest way to get vaccines to India and other countries in need. But waiving of pharmaceutical company patents seems like an obvious and urgent next step for India and other countries. As the United Nations Secretary General \u003ca href=\\\"https://urldefense.com/v3/__https:/www.un.org/press/en/2021/sc14438.doc.htm__;!!LQC6Cpwp!8oOLCbqyMISzunMliWhCpgbm2Ji4k0ReB_iOay13uWXN-MjwnPFDfabSNYwl1xF0gzc6$\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003esaid in February\u003c/a\u003e, \u0026ldquo;vaccine equity is the biggest moral test before the global community\u0026rdquo; at this time. 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