The recent free-for-all witnessed in trade policymaking on medical goods has had an unintended consequence—paradoxically, it may have laid the foundations for a bargain between importing and exporting nations. In this paper, Simon Evenett and Alan Winters describe the underlying commercial logic of this bargain, its elements, and their WTO compatibility. Critically, the bargain does not require global participation or endless trade talks. Done right there would be a market penalty for manufacturers in exporting nations whose governments choose to free ride on this arrangement. The paper also discusses this proposal in relation to other recent joint trade policy initiatives in this critical area of world trade.