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• Reduced carbon footprints in a climate-
constrained era.
• And most importantly, healthcare that belongs to
the people it serves.
This is not a detour from scientific rigor.
It is a return to public accountability.
Instead of waiting for access, communities grow it.
Redefining “Do No Harm”
In a world of edible biologics, “harm” must be understood
broadly:
• Harm is a price tag that denies a child with
Crohn’s disease the medicine they need.
• Harm is a patent that blocks a low-cost biosimilar
from entering a regional market.
• Harm is a cold chain that breaks in a border
crossing, rendering life-saving therapy inert.
So the new Hippocratic test must ask not only:
• Is this safe for the body?
But also:
• Is this sustainable for the system?
• Is this reachable by the patient?
• Is this therapy built for equity, not just for efficacy?
If the answer to those questions is no—then the therapy
may be scientifically sound, but it is ethically unsound.
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