Through his hallowed foundation, the world’s de facto public health czar has been a stalwart defender of monopoly medicine. by Alexander Zaitchik Part 1 - Advocates for pooling and open science confronted the possibility they’d been outmatched and outmaneuvered by the most powerful man in global public health On February 11, 2020, public health and infectious disease experts gathered by the hundreds at the World Health Organization’s Geneva mothership. The official pronouncement of a pandemic was still a month out, but the agency’s international brain trust knew enough to be worried. Burdened by a sense of borrowed time, they spent two days furiously sketching an “R&D Blueprint” in preparation for a world upended by the virus then known as 2019-nCoV. The resulting document summarized the state of coronavirus research and proposed ways to accelerate the development of diagnostics, treatments, and vaccines. The underlying premise was that the world would unite against the virus. The