Bill Gates was cautious about lifting patents on COVID for very good reason. When there are patents the company holding the patents will exercise control over their manufacture to make sure that the other people making the vaccine are making it properly, storing it safely and making sure that every vaccination is safe to use and effective.
Once you lift a patent, any Tom, Dick or Hari, who has a factory that says it can make a vaccine can do so, without any supervsion from the patentee, no quality checks. You are taking the risk that errors and sloppiness in producing these products could result in vaccines that are dangerous to the recipient or unable to protect them, so that someone thinks they have had the jab, which they have, but they are not protected.
A disinclination to lift patents has more to do with protecting recipients - and protecting Bill Gates from futher conspiracy accusations should patients receiving the unpatented jab become ill and die or catch COVID.
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