Things like antibiotics are plenty accessible - 3rd world countries are literally overusing and misusing antibiotics to the point of causing drug resistance in TB. "Effectively we do not have [thing] because we have not made that [thing] accessible to enough humans" is an exercise in goal-post moving.

About 15% of people over the age of 15 are illiterate, but it'd be silly to say "effectively we don't have literacy", even in a global context. Depending on the stat, 1 in 10 don't have access to electricity, but electricity has been in 50% of American homes for over 100 years.

The reality is that the future is unevenly distributed. AI and more broadly technology as a whole, will only exacerbate that uneven distribution. That's just the reality of progress: we didn't stall electrifying homes in NYC because they didn't get electricity in Papua New Guinea.

If AI discovers a cure for cancer, it may be incredibly unevenly distributed. Imagine it's some amp'd-up form of CAR-T, requiring huge resources and expenses, but offering an actual cure for that individual. It'd be absurd to say we couldn't consider cancer cured just because the approach doesn't scale to a $1 pill.

> As an example, in the UK in 2013 the cost of standard TB treatment was estimated at £5,000 while the cost of treating MDR-TB was estimated to be more than 10 times greater, ranging from £50,000 to £70,000 per case.

I pulled this from Wikipedia. It does not look like TB treatment is “plenty affordable”.

If the issue is with the semantics of the word “cure” that’s not a hill I’ll die on, but can you see how knowing how to cure something and actually curing something are two vastly different things?

So let’s flip things: how widespread or how cheap does something have to be for you to consider it to exist? Everyone on earth, available for $1?

To say something is “effectively nonexistent” because it’s not got literal 100% availability for the world’s populace is just weird.

If you told someone a cure for cancer existed but there’s literally no way they could afford it, that sounds a lot like the cure effectively doesn’t exist for that person.

So I’ll posit that the weirdness of such a statement depends entirely on your audience.

If you’re one of the people likely to be able to afford such a cure, it might sound nonsensical.

I’ll also note that I intentionally selected a term with a more narrow definition “effective existence” vs a more general term “existence”. E.g. something can be true in general but effectively false in practice.