Thank you for sharing your ideas. From my point of view, one important question is how medicines are really used. Part of the efforts to facilitate access to medicines are wasted efforts simplu because medicines are not appropriately prescribed and/or are not appropriately used. Weekly or monthly, a number ofscientific publications are showing us that medicines are not used following the therapeutic guidelines, that adherence to treatments is far from the ideal, that some medicines are prescribed to patients that probably need anotherdrug, and so on. And this happen among patients that have real access to medicines, but the result of the collective (or individual) effort to have access is not an efficient one. So, efforts to ensure the appropriate use of medicines would probably revert in a real increase of access. Local educative actions can help to improve how medicines are prescribed and/or used.