"But you know, if you live an affluent lifestyle, there are all types of trappings that are there that you have to be cognizant of, and you've got to try and communicate freely and gain understanding about and then keep moving on, because you know, sometimes lifestyles are chosen for us as opposed to us choosing them."

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You can think of the Health Impact Fund as a mechanism that would keep the benefits and burdens of pharmaceutical innovation for the affluent roughly as they are while massively reducing the burdens presently imposed upon the poor. This sounds like magic. But it really works because the current system is not Pareto efficient. It's a system that generates hundreds of billions of dollars in litigation costs and deadweight losses that HIF-registered medicines would sidestep. By avoiding these losses, the HIF reform can bring improvements all around - including for pharmaceutical innovators.

— Thomas Pogge