Supply of Sprattalin The company has estimated that the first two years of
production would yield enough Sprattalin to cure 6 percent of all asymptomatic
HIV-positive patients. Alternatively, the supply would be su<cient to treat 4
percent of all patients with full-blown AIDS. Children constitute 6 percent of all
people living with HIV/AIDS. See Figures 2-6 and 2-7 for statistics on the HIV/AIDS
epidemic.
Interested parties have argued that the solution to production problems is clear:
build larger facilities. However, even with production levels as low as they are,
the bottleneck in supply occurs elsewhere. The fungus on which the whole
process depends is incredibly rare, growing only in two small regions near Jatun
Presently there are no known methods of cultivating the fungus in the laboratory.
Apparently, the delicate ecology that allows it to exist in only one region of the
earth is somehow distressed enough by either transport or lab conditions to
render it unable to grow and produce the drug’s precursor. Scientists are
feverishly trying to discover those factors that will support successful culture.
However, with limited quantities of the starting material and most of that
pressured into production, the company has enjoyed no success in this
endeavor. Because of Sprattalin’s complexity, attempts to synthesize the drug
have failed completely, mainly because, like aspirin, it is not known how the drug
works; thus, Sprattalin’s e&ectiveness remains shrouded in mystery.
Allocation of Sprattalin In response to the insu<cient supply, a number of
powerful consumer groups have made public their suggestions regarding the
allocation of Sprattalin. One proposition advanced would use medical records to
Other groups propose an opposite approach, arguing that because supply is so
drastically short, Mykon should make Sprattalin available only to asymptomatic
HIV patients. They require the least concentrations of the drug to become well,
thus extending the drug’s supply. They also have the greatest likelihood of
returning to full life expectancies. Under this proposal, people who have
full-blown AIDS would be ineligible for treatment. Such patients have previously
come to terms with their impending mortality, have fewer psychological
adjustments to make, and represent, on a dosage basis, two to five healthier
patients. In meting the drug out in this manner, proponents argue, the drug can
more readily meet the highest public health objectives to eradicate the virus and
prevent further transmission.