Gilead's battle with Médecins Sans Frontières (MSF) and plans for limited access to #Lenacapavir raise disturbing questions about #ResearchEthics and who a corporation is responsible to. My latest: www.forbes.com/sites/judyst... #ClinicalResearch #AccessToMedicines #Bioethics

As a pharma company, you know your position is morally indefensible when even business publications like Forbes are scathing about your refusal to supply HIV drugs to MSF and much of the world, while charging the few you do sell to exorbitant prices. 1/4 www.forbes.com/sites/judyst...

Do I know anyone who has recently done a MSc Politics and International Relations at SOAS? Asking for a friend who is looking into the program and has some questions. thank you!

I'll be speaking on goods in transit issues at the Fordham University School of Law IP and Policy Conference this week. Glad to connect with others working on all things pharmaceutical - feel free to reach out.

Is the Philip Morris currently on an advertising blitz to 'free the science' the same one that DOJ described as having "suppressed research, destroyed documents... distorted the truth, and abused the legal system"? 🤔❓😠 See DOJ summary of U.S. v. Philip Morris www.justice.gov/osg/brief/ph... 1/5

This is concerning but the impact is hard to gauge without detailed guidance defining how 'ingredients' and 'onshore' will be implemented in practice. www.whitehouse.gov/fact-sheets/...

Gilead spends millions on PR to make 2 million doses sound like something other than the pittance it is. 2 million will have virtually no impact, see the green line below >>

20 million people need PrEP, and of those many would prefer lenacapavir to oral options. Unless Gilead makes more doses available, access will just remain cruel hype. Already in Eswatini, where HIV prevalence is 25%, clinics are stocked out of lenacapavir because demand is so great >>

Doctors Without Borders calls Gilead ‘unconscionable’ for refusing to sell HIV prevention drug to organization.. statnews.com/pharmalot/20... #pharma #HIV #AIDS #pharma #Gilead

I've walked thru the economic logic here, but Gilead obviously does not say this out loud. They don't really have a good reason not to sell to MSF, which is why they landed on negotiating supply contracts is "a lot of work" (actual thing they said). 13/ www.doctorswithoutborders.org/latest/preve...

Today, MSF is going public with something we've been fighting behind closed doors for months: Gilead will not sell us their new HIV drug, lenacapavir. The sticking point isn't even price, they just refuse to sell. Open letter linked + explainer 🧵1/ www.doctorswithoutborders.org/latest/gilea...

The State Department is considering withholding lifesaving assistance to people with HIV in Zambia as a negotiating tactic to force the government of the southern African country to sign a deal giving the United States more access to the country’s critical minerals. www.nytimes.com/2026/03/16/h...

PSA that the wildly useful Antibiotic Resistance Coalition Newsletter is now on substack. Especially relevant for folks working on AMR, but also for anyone interested in access to medicines, global health policy, or R&D reform. You can subscribe here: anthonydso1.substack.com/p/antibiotic...

IEEPA tariff ruling out: www.supremecourt.gov/opinions/25p...

"Brazil’s Chamber of Deputies approved an urgent procedure for a bill allowing the compulsory licensing of patents related to Mounjaro & Zepbound. The approval fast-tracks the proposal, bypassing committee review and moving directly to plenary vote." www.tavaresoffice.com.br/brazils-cong...

If you’re in London Wed 4 Feb (16:30–18:00), come to @kingscollegelondon.bsky.social to hear me and Courtney Davis discuss @susigeiger.bsky.social & @theobourgeron.bsky.social new book "Peak Pharma". Discussion + drinks after. Register here: www.kcl.ac.uk/events/book-...

Alarming: LLMs are vulnerable to ITI manipulation, compromising medical peer review integrity. ITI consistently inflated review scores & increased rates of acceptance recs from 0% to nearly 100%. Models obeyed malicious instructions despite detecting scientific flaws. jamanetwork.com/journals/jam...

I’ve turned the @mbarber.bsky.social starter pack into a dedicated list you can now add to your feeds, making it much easier to stay updated on #a2m content. #idsky #medsky #tbsky #EpiSky bsky.app/profile/did:...

I don't envy anyone trying to write a 1200 words précis of all pharma policy, but begging folks to stop asserting that drug shortages are caused by too-low prices when there is very little empirical evidence supporting this (and much supporting other mechanisms). jamanetwork.com/journals/jam...

Fresh, sharp work out this week from @treatmentactiongroup.org and @dgotham.bsky.social on the adjuvant access landscape. For years it’s been taken for granted that adjuvants would be a bottleneck for scaling up new TB and malaria vax. 1/4 💊🌐 www.treatmentactiongroup.org/publication/...

Protest art for the G20 in Johannesburg

A report by the community-led monitoring group Ritshidze has shown that among 326 public health facilities surveyed by the team, 48% reported reduced capacity after the Pepfar disruptions that took place in early 2025. It spotlighted worrying trends of staff shortages, increased waiting times and...

A sliver of good news: "In a huge development concerning risdiplam litigation saga, a division bench of the Delhi High Court has rejected the appeal against the order refusing to grant an interim injunction to Roche." Natco expected to launch affordable risdiplam today. spicyip.com/2025/10/brea...

I never saw starlings the entire time I lived in Geneva, but tonight the gift of an especially beautiful murmuration.

DID YOU KNOW? Medical devices aren’t regulated in SA. The country's regulator has however started down a road that should eventually lead to the regulation of all medical devices. www.spotlightnsp.co.za/2025/10/01/m...

Tariffs on pharmaceuticals are set to go into effect in 4 days. MSF submitted a response to the Department of Commerce's request for comment on the Section 232 investigation that is the underlying justification for the tariffs. Full comment here: bit.ly/MSFpharmatar...

Our work on the mental health of health workers in Gaza is now out in @plosglobalpublichealth.org. The findings are not surprising - health workers were being terrorized from the beginning of the genocide (data from December 2023- Jan 2024 peer review is slow). journals.plos.org/globalpublic...

Final guidance on switching studies for biosimilars out today. www.fda.gov/regulatory-i...

Very niche tweet but if you've been banging your head on the wall trying to understand the current status of the FDA/PEPFAR tentative approval program, a sliver of good news - 6 drugs have gone through this pathway in 2025, so I guess at least one person wasn't fired in that office?

On my reading list: "Affirming pharmaceutical sovereignty – Technology transfer agreements and vaccine geopolitics during a global health emergency." Out this week from Koichi Kameda de Figueiredo Carvalho, Denise Pimenta and Gustavo Matta. www.matteringpress.org/books/techno...

This week, USTR held a hearing concerning the Special 301 Investigation being pursued against Brazil. MSF is deeply concerned that the US is pressuring Brazil to adopt IP measures that will make medicines even more inaccessible. Full submission here: comments.ustr.gov/sfc/servlet.... 1/4

Friday is going to be a very 2015 day. (ifykyk)

The first week I don't have to re-read Project 2025 to divine what is happening will be a good week.

“What’s happening at CDC should frighten every American Regardless of whether you are MAGA, MAHA, neither or don’t give a damn abt labels or politics. It’s unclear whether the CDC director has been fired or not. Absolute shitshow,” said @craigspencer.bsky.social. www.theguardian.com/us-news/2025...

Full resignation letter from Demetre C. Daskalakis, a CDC leader, does not hold back. "The recent shooting at CDC is not why I am resigning. My grandfather, who I am named after, stood up to fascist forces in Greece and lost his life doing so. I am resigning to make him and his legacy proud."

This is a nice study showing that out-of-pocket costs for diabetes technologies are associated with worse HbA1c levels. I wish there were more granular data on actual costs and affordability instead of just bucketing 'reimbursed' vs 'not reimbursed.' jamanetwork.com/journals/jam...

Today, join us in thanking and wishing farewell to our tireless leader over these past several years: the one and only @corinneblalock.bsky.social. 🥳🤗🥲😢😭 Wishing you the best in your next chapter, and we look forward to harassing you to write blog posts about all of your incredible scholarship 😬

Four Al Jazeera journalists have been killed in an Israeli strike near Gaza City's Al-Shifa Hospital. Correspondents A al-Sharif and M Qreiqeh and cameramen I Zaher and M Noufal were in a tent for journalists at the hospital's main gate when it was targeted. www.bbc.co.uk/news/article...

So so so pleased that my piece on social atrophy is out in the Open Society Foundation’s The Ideas Letter. I explore ideas in the last book but take them further. I bring in a bit more Marx, and think about how alienation and neuroplasticity are related. www.theideasletter.org/essay/the-pe...

@doctorswithoutborders.org released a report this morning documenting the targeted, orchestrated killing of civilians at Gaza Humanitarian Foundation (GHF) aid distribution sites. Please read and do everything in your power to stop this. www.msf.org/not-aid-orch... 1/7

“On July 30, as people approached trucks distributing aid near Zikim, in north #Gaza, Israeli forces opened fire on them,” says Caroline Willemen, MSF Project Coordinator in Gaza. “People were wounded in the gunfire and in the crush as crowds panicked and ran.”

Deeply moving piece by ‪@stephanienolen.bsky.social on Tatiana Andia's final year. Dr Andia was a titan in access to medicines advocacy. www.nytimes.com/2025/08/03/h...

Dr Mohammed Abu Mughaisib, MSF deputy medical coordinator in Gaza: "Those who go to the Gaza Humanitarian Foundation's food distributions know that they have the same chance of receiving a sack of flour as they do of leaving with a bullet in their head." www.msf.org/msf-finds-1-...

“These food distributions are not humanitarian aid, they are war crimes committed in broad daylight and presented to the world with compassionate language,” says Dr Mohammed Abu Mughaisib, MSF deputy medical coordinator in Gaza. www.msf.org/msf-finds-1-...

this morning I have been thinking about Orlando Letelier, the Chiliean economist assassinated by Pinochet's junta a month after he wrote the famous The Nation critique of the Chicago boys funding by the CIA, and Milton Friedman's overt support for their shock therapy.

I don’t like “preferred vibes” in a trade agreement but the language could be worse.

Out today - IP chapter from the UK-India Free Trade Agreement. assets.publishing.service.gov.uk/media/687fb2...

"PEPFAR would cease to exist as an initiative to provide medicines and services for HIV. It would be replaced by “bilateral relationships” focused on the detection of outbreaks that could threaten the US and the creation of new markets for American drugs and tech." www.nytimes.com/2025/07/23/h...

Deep sigh Pepfar would focus on “creation of new markets for American drugs and technologies” @stephanienolen.bsky.social www.nytimes.com/2025/07/23/h...

New blog post from me in @lpeblog.bsky.social! Quick thread below! lpeproject.org/blog/whats-v... 1/