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Nkem Azinge, a government project manager, in Abuja, Nigeria, on Dec. 5, 2023, who has been saving money to pay for a bone-marrow transplant in India. There is no clear path for African patients to get access to the treatments, which have multimillion-dollar price tags and are highly complex to manufacture and deliver. (Taiwo Aina/The New York Times/Fotoarena)
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