The private sector may also be reluctant to invest in research into diseases that mainly affect poor countries, as the return on investment is perceived as low due to these countries’ low purchasing power. In addition, the financial risks are high.

Under the market system, there is demand for a product if a lot of people want it - but that demand counts for nothing if those people have no money. If they lack money, their demand essentially doesn't exist...This explains why the drug industry is not investing money to develop a cure for a disease known as sleeping sickness, which leaves its victims in a coma. The disease...killed 66,000 people last year and threatens to infect 60 million more - but the only people who are afflicted by it are poverty-stricken Africans with no clout in the marketplace. Interestingly, there is a drug called eflornithine that is effective in lifting victims out of their comas. But drug companies stopped producing eflornithine in 1995 because it was no longer profitable to continue. The drug was still desperately needed, but only by people without money. So, following modern market practices, these people were simply left in a coma.

If you think research is expensive, try disease.

Why would Dr. Fauci care to undermine any medicine that might compete with remdesivir? Might it have something to do with NIAID and CDC having just spent $79 million2 developing remdesivir for Gilead, a company in which the Bill & Melinda Gates Foundation owns a $6.5 million stake?

For each of the four hundred and four bodily ailments celebrated physicians have produced infallible remedies, but the malady which brings the greatest distress to mankind — to even the wisest and cleverest of us — is the plague of poverty.

The dynamism of research is assessed by indicators such as publications and patents. With regard to biomedical research, which is my field, the African continent bears the heaviest burden of disease in the world, but it is also the continent that invests the least in research, development and innovation.

Over half of WHO’s total budget now goes to vaccines. That narrow focus on inoculations is deepening Africa’s health crisis, according to global health experts and African officials.

Time to Deliver Zero Malaria; Invest, Innovate, Implement.

Medical research on all manner of diseases, which has made huge advances and is a blessing that promises longer life, receives barely a fifth of what is budgeted for the military. That process, from which we cannot escape, perpetuates hatred, fanaticism and distrust, fuels new wars and wastes fortunes.

For instance, the Hausa community said because government does not want their population to grow, they have brought these drugs. They are alienating themselves from taking it and it is free. It has cost American government money to make these drugs available but because of the belief and lack of understanding they are not accepting the use of those drugs.

One of the constants in my research is I don’t like doing projects that everybody is interested in. So I focused my research on neglected tropical diseases. Traveling, moving, and mixing with people have actually reinforced that idea, because there are all these diseases that affect so many people that don’t get the level of focus because nobody wants to study them, or there’s not enough funding.

In the US... because it has a very weak welfare state and weak , a lot of workers... couldn't take sick leave if they were ill, because if they don't work they don't get paid. ...[T]hese people had to go out... contributing to the spread of this disease... [W]hen something like this happens, it's not like... some fancy cancer drug... very expensive, and only rich people can buy and perhaps survive... [and] everyone else dies... Even if you are the most powerful, the richest people, you cannot avoid this thing, and... taking collective action to slow down the spread of disease... has made very important differences...

The biggest diease today is not leprosy or tuberculosis, but rather the feeling of being unwanted, uncared for, and deserted by everybody.

[I]n Houston (and elsewhere in Texas) is an area known as the Fifth Ward... Driving... deep into this neighborhood reminded me of the terrible poverty I had seen... in destitute areas of Honduras, Guatemala, Brazil, and China. I saw... images... just like the standard global disease movie typically shown to first-year public health or medical students. ...It was even more astonishing when we turned our global health lens inward to study diseases that were infecting impoverished areas... [W]e found widespread NTDs... in Texas and elsewhere in the southern United States. ...NTDs are first and foremost diseases of acute poverty. ...[W]e determined that 12 million Americans who live at such poverty levels suffer from at least one NTD. The diseases include neglected parasitic infections such as , , , and .