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39 multinational drug companies want to stop the South African government buying cheap medicines. They are challenging the 1997 Medicines Act which Nelson Mandeia's Government introduced to ensure that South Africans have affordable medicines for treating HIV/AIDS and other illnesses. If the drug companies win the case, it will prevent the South African Government from importing and producing the cheap drugs its population desperately needs to treat HIV/AIDS-related illnesses.

People in developing countries are dying every day because they cannot afford basic medicines. During the time it has taken this case to come to court, 400,000 people in South Africa have died of HIV/AIDS, many because they cannot afford life saying medicines. This case is critical for the 30 million people infected with HIV/AIDS in developing countries, as what happens in South Africa will affect how other countries import medicines. Without drugs for HIV/AIDS, 1 in 200 of the world's population will be condemned to early deaths.