Cervical cancer is a disease of social inequality. 1 Women with access to effective screening and treatment rarely die from cervical cancer. The burden of cervical cancer mortality falls most heavily among the poorer women of the world. 2 Cervical cancer starkly illustrates global inequality across race, sex and class. Cervical cancer disproportionately kills poor women of color.The HPV vaccine is a triumph of science. Current formulations may well prevent infection from the HPV subtypes responsible for approximately 70 percent of cervical cancers, and multi-valiant vaccines are under development to expand the scope of coverage. 3 Nobel Prizes are won for such path breaking science.And yet, the HPV vaccine is the most expensive vaccine in human history, priced at approximately $360 wholesale for the currently recommended regime of three doses. 4 Through an accident of patent litigation, we have two brand name manufacturers (Merck and GlaxoSmithKline), but no apparent competition on price.More troubling, the vaccine is being initially sold to the very people who need it least: the well-insured daughters of the middle class in the US and †