Biologic medicines have revolutionised the management of many serious diseases over the last three decades. Unfortunately, the potential of biologic medicines has not been fully realised, as many who would benefit from these state-of-the-art treatments cannot effectively access them. A key driver of this limited availability is the increasing struggle to finance new medicines within healthcare systems. I have talked with so many passionate people – patients, physicians, experts – who face this reality every day. We have to work together to overcome this hurdle, and ensure patients have access to the treatments they need.