In the AJOB target article, Rosoff (2012) presents ethics frameworks to ration drugs and outlines an allocation policy for drug shortages in the United States. While the proposed policy has internal validity it requires an additional global health dimension to accommodate the reality of in-terdependencies between developed and developing countries in the supply and demand of medicines. The aim of our article is to address this facet by examining the ethical, legal, and social issues (ELSIs) on medicines in a globally framed, context-emergent, and anticipatory manner.
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