On June 1, the G8 leaders will gather in Evian, France, where access to medicines is again at the top of the their agenda. (The G8 countries are: Canada, France, Germany, Italy, Japan, Russia, UK, USA.) That same day, according to far too familiar disease statistics, 19,000 people will die from AIDS, tuberculosis, malaria, African trypanosomiasis, and visceral leishmaniasis. These five diseases represent the failure of the pharmaceutical industry to deliver medicines for the developing world, and the non-response from governments to this market failure.