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this post was submitted on 06 May 2024
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Definitely wasn't bad faith and I do stand by it.
Vaccine does not mean cure. We did not have a Covid cure either. And much like the covid vaccine isn't 100% effective, neither is this. However, it is proving effective, especially in combination with other drugs and at certain stages of treatment.
Stage 4 clinical trials were concluded in Cuba in 2017. Stage 2 trials were concluded in the US in 2023. I believe, strongly, that the embargo has increased the amount of time the research has taken - cooperation is impossible during an embargo.
Even if they lift the embargo tomorrow the drug wouldn't come on the market, however it is because of the embargo that the use in treatment has taken far, far longer than it would have otherwise.
Edit: I admit I knew less about the vaccine than I thought I did (edited my comment to reflect what I have learnt)
I agree it may have presented barriers for coordination the FDA and access to US markets. I haven't been able to dig deep into the Cuban studies, but just because something is labeled a phase 3 or phase 4 by the investigators doesn't necessarily mean it was done to the standards necessary for fda approval or in the correct context of current standard of care treatments in the US or who knows how many other issues. If it was fully ready for all markets as is and required no further investigations, and it was only the US FDA causing problems, I would expect it to have already been widely available in many other countries that don't have embargos with Cuba, like all of Europe. Currently it's only available in Cuba, Colombia, Bosnia and Herzegovina, Peru, and Paraguay.
Mostly though I didn't want someone to accidentally misread this and think it meant cure. I realize you did not say that, but it's just a common misreading I've noticed people make of the term cancer vaccines when they've been mentioned in popular media. Didn't want someone to drag their poor dying relative off to Paraguay thinking they're getting cured.
I agree the Cuban embargo is ridiculous, should be stopped, and is hurting both countries with no benefit to anyone (other than keeping a certain segment of voters in Florida happy).
While Europe does not have an embargo, up until 2016 the EU and Cuba basically had 0 relationship. The EU created "The Common Position" in 1996 which was "to encourage a process of transition to a pluralist democracy" in Cuba which the Cuba government rejected as meddling in their internal affairs.
Then in the 2000s there was a bigger spat where Cuba even started rejecting EU aid.
But since 2017 they've actually really warmed relations so this is a super good point!
Thank you for kicking off these research dives with your comments.
"yes, it works, and has been independently verified" makes it seem like it is 100% ready for us markets but not available. That's not the case, and it seems you knew that.
How would that be possible during an embargo?
If a treatment is developed in the EMA, there's a level of cooperation that means drugs can come to market quickly if proven safe and even somewhat effective (Covid vaccine is an extreme example). This treatment would likely be US ready without the embargo in place.
My original comment was a glib link to a wikipedia page. I had not done the research and have edited my comment above.
Your last sentence here would change the sentiment of your original comment in a positive way. I encourage an edit.
Oh yeah, already edited.