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Why are life-saving treatments still out of reach for millions? In this episode, we dig into how global health inequalities are entrenched by the pharmaceutical industry's pricing models, patent regimes, and profit-first decisions. From COVID-19 vaccines to HIV drugs and insulin, we expose the structural barriers blocking access -especially in low- and middle-income countries. Through real-world cases and bold solutions like price transparency and patent pooling, we ask a pressing question: Can innovation and access finally move in the same direction?