| As the U.S. government rushes to bring a coronavirus vaccine to more than 300 million Americans in record time, it has given money to drugmakers with promising candidates: Johnson & Johnson, Moderna and Sanofi. One of these things is not like the others. Unlike American bellwether J&J and Cambridge, Massachusetts-based biotech Moderna, Sanofi's headquarters sit in Paris. The company has long been a gem in the crown of the French economy. But now, should Sanofi be successful in delivering a vaccine against the novel coronavirus, the U.S. will likely be first in line to get it. "The U.S. government has the right to the largest pre-order because it's invested in taking the risk," Chief Executive Officer Paul Hudson told Bloomberg reporters during a video interview from his home in Paris. The U.S., which expanded a vaccine partnership with Sanofi in February, expects "that if we've helped you manufacture the doses at risk, we expect to get the doses first." The European Union has been less coordinated, Hudson noted, though he's encouraged by recent efforts led by France and Germany.  Photographer: Ulrich Baumgarten/via Gerry Images The debate over a coronavirus vaccine is shifting from biology to borders. Public-health advocates are concerned about the potential for vaccine nationalism, where wealthier countries aiding industry research, development and production could monopolize the global supply of forthcoming shots. While funding from the Biomedical Advanced Research and Development Authority means the U.S. likely will get Sanofi's vaccine before the rest of the world, the country may only be days or weeks ahead of everyone else, Hudson said.
Still, no one company has the production capabilities to meet global demand. That means more than one vaccine needs to prove effective against the virus, Hudson said. Whether universal access is a feasible goal or an impossible dream remains to be seen.—Riley Griffin | 
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