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Efficacy is not everything, access is The medical advances here are real and profound but Dr Kovil reminded, The same medicine can mean very different things to your wallet, depending on where you live. Clinical breakthroughs only translate into population health gains when systems including insurers, governments, manufacturers and regulators, make access practical and sustainable

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Disha Narang, an endocrinologist and director of obesity medicine at Endeavor Health in Chicago, who was not involved in the new research

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