Pay for radiotherapy machine uptime, not for the machine
Governments and donors should buy guaranteed working hours from radiotherapy vendors, with remote monitoring and regional spare-parts depots, instead of buying machines that then sit broken.
Radiotherapy machines in low- and middle-income countries are frequently non-operational for months awaiting a part or a visiting engineer. A regional shared-service model would bundle continuous remote diagnostics, an in-region spare-parts depot, and locally trained engineers into a multi-country service contract with penalties for downtime. Vendors already run remote monitoring in high-income markets; the change is contractual, not technical.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
- Surgery and radiotherapy cure most, get least · Surgery and radiotherapy cure more people than drugs do, but attract a fraction of the research investment.
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