With India's role as 'pharmacy to the developing world' seriously threatened by a free trade agreement to be signed with the European Union in December, the fate of cheap or free antiretroviral treatment for people living with HIV and AIDS hangs in balance. At the next EU-India free trade agreement (FTA) negotiations, due to be held 6 -8 October in the Indian capital, Europe is expected to push for TRIPS-plus provisions that major non-government organisations such as Medicins Sans Frontieres (MSF) have warned will put the lives of those on antiretrovirals at risk.