A Gavi-style pooled purchaser for radiotherapy equipment and service
Countries buying radiotherapy machines one at a time pay high prices and get poor service. A single global buyer negotiating for dozens of machines a year could cut prices and demand long-term support.
Gavi and the Global Fund demonstrated that aggregated demand and multi-year volume guarantees lower prices, stabilise supply, and shape products. Radiotherapy has no equivalent: each ministry negotiates alone, with limited technical capacity, and often receives a machine without a bunker, staff, or service plan. A pooled purchaser (hosted, for instance, alongside the IAEA's Rays of Hope) would set standard specifications, bundle service and training, and publish prices.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
- Prices and value · New cancer drugs routinely cost over $150,000 a year, often for months of benefit. Systems cannot afford them and patients go bankrupt.
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