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      Gilead Agrees to Allow Generic Version of Groundbreaking H.I.V. Shot in Poor Countries

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      Many middle-income countries are left out of the deal, widening a gulf in access to critical medicines.The drugmaker Gilead Sciences on Wednesday announced a plan to allow six generic pharmaceutical companies in Asia and North Africa to make and sell at a lower price its groundbreaking drug lenacapavir, a twice-yearly injection that provides near-total protection from infection with H.I.V.Those companies will be permitted to sell the drug in 120 countries, including all the countries with the highest rates of H.I.V., which are in sub-Saharan Africa. Gilead will not charge the generic drugmakers for the licenses.Gilead says the deal, made just weeks after clinical trial results showed how well the drug works, will provide rapid and broad access to a medication that has the potential to end the decades-long H.I.V. pandemic.But the deal leaves out most middle- and high-income countries — including Brazil, Colombia, Mexico, China and Russia — that together account for about 20 percent of new H.I.V. infections. Gilead will sell its version of the drug in those countries at higher prices. The omission reflects a widening gulf in health care access that is increasingly isolating the people in the middle.Gilead charges $42,250 per patient per year for lenacapavir in the United States, where it is approved as a treatment for H.I.V. The company has said nothing about what lenacapavir will cost when used to prevent H.I.V. infections, a process called pre-exposure prophylaxis, or PrEP.The generics makers — four companies in India, one in Pakistan and one in Egypt — are expected to sell it for much less. Researchers at Liverpool University found the drug could profitably be produced for as little as $40 per patient per year, if it were being purchased in large volumes.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Germany Accuses Woman of Spying for China on Arms Exports

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      The woman, who worked at an airport that is one of Europe’s largest cargo hubs, is accused of passing along “flights, freight and passengers” related to arms exports.A 38-year-old Chinese woman living in Germany has been arrested on accusations of supplying China’s intelligence services with sensitive information on Germany’s weapons exports. It is the latest spying-related arrest amid increasing worry in Germany about intelligence gathering by China and Russia.Germany’s federal prosecutor said in a statement on Tuesday that the woman, identified only as Yaqi X. in keeping with strict privacy rules, worked at Leipzig/Halle Airport in eastern Germany. She is accused of passing along information about “flights, freight and passengers” related to arms exports, as well as information on employees of a German weapons manufacturer, the statement said.The airport, roughly 90 miles southwest of Berlin, is one of Europe’s largest cargo hubs, handling over 1.5 million tons of freight each year. The authorities said that Ms. X. worked for a logistics company that operates out of the airport.The authorities said she also had close links to a Chinese man, identified as Jian G., who was arrested in Germany in April and accused of being a spy in Germany and Brussels.The police arrested Ms. X. on Monday and searched her apartment in Leipzig and her workplace at the airport.Berlin has become concerned with the number of active spies in Germany since Russia’s 2022 invasion of Ukraine as well as intelligence gathering by China, Germany’s largest trade partner.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Why the World’s Biggest Powers Can’t Stop a Middle East War

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      The United States’ ability to influence events in the Mideast has waned, and other major nations have essentially been onlookers.Over almost a year of war in the Middle East, major powers have proved incapable of stopping or even significantly influencing the fighting, a failure that reflects a turbulent world of decentralized authority that seems likely to endure.Stop-and-start negotiations between Israel and Hamas to end the fighting in Gaza, pushed by the United States, have repeatedly been described by the Biden administration as on the verge of a breakthrough, only to fail. The current Western-led attempt to avert a full-scale Israeli-Hezbollah war in Lebanon amounts to a scramble to avert disaster. Its chances of success seem deeply uncertain after the Israeli killing of Hassan Nasrallah, the longtime leader of Hezbollah on Friday.“There’s more capability in more hands in a world where centrifugal forces are far stronger than centralizing ones,” said Richard Haass, the president emeritus of the Council on Foreign Relations. “The Middle East is the primary case study of this dangerous fragmentation.”The killing of Mr. Nasrallah, the leader of Hezbollah over more than three decades and the man who built the Shiite organization into one of the most powerful nonstate armed forces in the world, leaves a vacuum that Hezbollah will most likely take a long time to fill. It is a major blow to Iran, the chief backer of Hezbollah, that may even destabilize the Islamic Republic. Whether full-scale war will come to Lebanon remains unclear.“Nasrallah represented everything for Hezbollah, and Hezbollah was the advance arm of Iran,” said Gilles Kepel, a leading French expert on the Middle East and the author of a book on the world’s upheaval since Oct. 7. “Now the Islamic Republic is weakened, perhaps mortally, and one wonders who can even give an order for Hezbollah today.”For many years, the United States was the only country that could bring constructive pressure to bear on both Israel and Arab states. It engineered the 1978 Camp David Accords that brought peace between Israel and Egypt, and the Israel-Jordan peace of 1994. Just over three decades ago, Prime Minister Yitzhak Rabin of Israel and Yasir Arafat, the chairman of the Palestine Liberation Organization, shook hands on the White House lawn in the name of peace, only for the fragile hope of that embrace to erode steadily.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Map: Tracking Tropical Storm Pulasan

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      Pulasan was a tropical storm in the Philippine Sea Tuesday morning Japan time, the Joint Typhoon Warning Center said in its latest advisory. The tropical storm had sustained wind speeds of 40 miles per hour.  All times on the map are Japan time. By The New York Times Where will it rain? Flash flooding can […] More

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      What Undecided Voters Might Be Thinking

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      Since the populist surge that gave us Brexit and the rise of Donald Trump, politics in the Western world has polarized into a distinctive stalemate — an inconclusive struggle between a credentialed elite that keeps failing at basic tasks of governing and a populist rebellion that’s too chaotic and paranoid to be trusted with authority instead.The 2024 campaign in its waning days is a grim illustration of this deadlock. We just watched Kamala Harris, the avatar of the liberal establishment, smoothly out-debate Trump by goading him into expressing populism at its worst — grievance-obsessed, demagogic, nakedly unfit.But her smoothness was itself an evasion of the actual record of the administration in which she serves. Harris offered herself as the turn-the-page candidate while sidestepping almost every question about what the supposed adults in the room have wrought across the last four years.A historic surge in migration that happened without any kind of legislation or debate. A historic surge in inflation that was caused by the pandemic, but almost certainly goosed by Biden administration deficits. A mismanaged withdrawal from Afghanistan. A stalemated proxy war in Eastern Europe with a looming threat of escalation. An elite lurch into woke radicalism that had real-world as well as ivory-tower consequences, in the form of bad progressive policymaking on crime and drugs and schools.All of this and more the Harris campaign hopes that voters forgive or just forget, while it claims the mantle of change and insists that “we’re not going back.”Undecided voters in a polarized America generate a lot of exasperated criticism from both sides of the partisan divide. And no doubt it will exasperate many readers when I suggest that the choices presented in this election make indecision entirely understandable.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Why House Republicans Are Targeting China Weeks Before the Election

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      The G.O.P. pushed through an array of legislation to get tough on China, seeking to persuade voters that they are the party that will protect Americans from economic and military threats from Beijing.The House this week tackled a long-promised package of bills to get tough on China, but few if any have a chance of becoming law after Republicans opted to prioritize a handful of politically divisive measures that Democrats oppose.For months, House leaders had promised a bipartisan show of force against the United States’ biggest economic and military adversary, including curtailing investments in sensitive Chinese industries, clamping down on data theft and espionage, and ensuring more Chinese imports were subject to taxes and forced labor standards.But only some of those proposals made it to the floor this week. Instead, Republican leaders added a handful of partisan measures that appear to be aimed at portraying their party as stronger on countering China and Democrats, including the Biden administration, as weak.It comes weeks before the elections in which the White House and control of Congress are up for grabs.“Because the White House has chosen not to confront China and protect America’s interests, House Republicans will,” Speaker Mike Johnson, Republican of Louisiana, told reporters on Tuesday.Here’s a look at what the House did, and why.Subjecting international pandemic agreements to Senate treaty approval.Republicans, who have castigated the World Health Organization for its response to the coronavirus pandemic, pushed through a bill that would require Senate ratification of any W.H.O. agreement on pandemic preparedness. The organization is exploring ways to streamline the international response to the next pandemic.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How Swing State Politics Are Sinking a Global Steel Deal

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      As the Biden administration nears a decision to block the proposed acquisition of U.S. Steel, the debate over national and economic security is being dwarfed by presidential politics.The Biden administration has spent the past three years promoting a policy of “friend-shoring,” which aims to contain China and Russia by forging closer ties with U.S. allies like Europe and Japan.That policy appears to stop at the state lines of Pennsylvania.As the administration nears a decision to block the proposed acquisition of the Pittsburgh-based U.S. Steel by Japan’s Nippon Steel, the traditional debate over national security and economic security is being dwarfed by a more powerful force: presidential politics.Legal experts, Wall Street analysts and economists expressed concern about the precedent that would be set if President Biden uses executive power to block a company from an allied nation from buying an American business. They warn that scuttling the $15 billion transaction would be an extraordinary departure from the nation’s culture of open investment — one that could lead international corporations to reconsider their U.S. investments.“This was a purely political decision, and one that stomps on the Biden administration’s stated focus on building alliances among like-minded countries to advance the economic competition with China,” said Christopher B. Johnstone, a senior adviser and the Japan chair at the Center for Strategic and International Studies. “At the end of the day, it represents pure protectionism that draws no apparent distinction between our friends and our adversaries.”Administration officials such as Treasury Secretary Janet L. Yellen, who leads a government panel that is reviewing the steel deal, have espoused the benefits of deepening economic ties with U.S. allies to make supply chains more resilient. Those sentiments are being disregarded in the heat of an election year, where domestic political dynamics take priority.The Biden administration has been under pressure to find a way to justify blocking the Nippon acquisition amid backlash against the deal from the powerful steelworkers’ union. The labor organization believes that Nippon, which has pledged to invest in Pennsylvania factories and preserve jobs, could jeopardize pension agreements and lay off employees.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      China Woos Africa, Casting Itself as Global South’s Defender

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      More than 50 African leaders have gathered in Beijing for a summit aimed at projecting the influence of China’s leader, Xi Jinping, in the developing world.African flags have been flown over Tiananmen Square. Leaders of African nations have been greeted by dancers, honor guards and children waving flags. They have been escorted in extensive motorcades past banners celebrating “A Shared Future for China and Africa” and giant, elaborate flower arrangements.China has pulled out all the stops for a gathering of leaders and top officials from more than 50 African nations this week in Beijing, welcoming them with pomp and pageantry. “After nearly 70 years of hard work, China-Africa relations are at the best period in history,” China’s leader, Xi Jinping, told the gathering on Thursday. Mr. Xi has cast his country as a defender of the developing world, one that can push the West to listen to the voices of poorer countries. He hosted a banquet for the leaders at the start of the event on Wednesday, after three straight days of back-to-back bilateral talks with nearly two dozen leaders of nations ranging from impoverished Chad to the continental economic powerhouse of Nigeria. The three-day forum is meant to demonstrate Beijing’s global clout despite rising tensions with the West. Mr. Xi’s courtship of African countries is part of a great geopolitical competition with the United States that has intensified in recent years over Russia’s war in Ukraine and China’s aggressive posture toward Taiwan.China is “trying to take advantage of the space left by the U.S. and Europe, which are increasingly disengaged with Africa,” said Eric Olander, the editor in chief of the China-Global South Project website. “China sees an opportunity to really step up its engagement, and not necessarily just with money.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More