Sorry, I didn't see your other comment on the post when I responded earlier and I was only focused on the wealth disparity aspect. The point of your comment hadn't quite hit the mark for me yet.
I think what you are pointing out is a very important aspect of the discussion particularly for wealthier nations with easy access to drugs.
One of the particularly worrying trends in recent years has been the rise of multidrug-resistant TB. These drugs are one of the only reasons TB was driven out of wealthier countries to begin with and the BCG vaccine isn't particularly effective against pulmonary TB (there's no way people in the US would put up with getting it anyway, given the scarring).
Combine multidrug-resistant TB with immune dysregulation increasing the prevalence of active TB cases and lack of an effective vaccine...it paints a bleak picture. Potentially another big problem brewing.
Or join an instance they don't like and they curate themselves for you. :)