Sickle cell patient Poonam Gond, 19, walks out of her house in Haripur village in Ambikapur district, Chhattisgarh state, India, Monday, March 20, 2023. Gond has crippling pain as a result of poor access to treatment for her disease. Health inequities aren't unique to India, but the sheer scale of its population means that fragile systems are severely stretched. For the poor, this can have devastating consequences. (AP Photo/Rafiq Maqbool)