First, you have posted this many times asserting Merck is causing the shortage, so no need to play coy on that subject,
As far as Direct, they are free to go anywhere. As I said, the approval is for the drug, NWBO needs an API so can go ex-US. As far as bladder cancer patients, they are prioritized over vaccinations so are not short.
Frankly, I find your spin on this pathetic.
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