The cynic in me says that it's a great way to publicly claim to be helping a whole nation while simultaneously getting research data for not too many $$$ and no significant impact on Gilead's commercial markets.
Yes, see the Glossary definition of "Compassionate Access"
But still, if you take away the well deserved cynicism that should be 1150 off the 185,000,000 need to treat, so now it's only:
And the total treated with Gilead medications will jump from 613,000 to 615,000 in the last 2 years.
At this rate the job should be done by the year 2618