Вряд ли кто-либо знает, как лечить эту болезнь.

Questions & Answers about Вряд ли кто-либо знает, как лечить эту болезнь.

Why is кто-либо used here instead of кто-нибудь or кто-то?
The suffix -либо is used for 'anyone at all' in contexts of strong doubt, denial, or hypothetical situations. Because вряд ли (unlikely) introduces doubt, кто-либо emphasizes that probably no single person knows. You could use кто-нибудь in everyday speech, but кто-либо is slightly more formal and emphatic. You cannot use кто-то, because that means a specific 'someone' rather than 'anyone'.
Since the sentence implies almost nobody knows, why don't we use the negative pronoun никто?
The phrase вряд ли means 'it is unlikely' or 'hardly', but it is not a grammatical negative like не or нет. Because it isn't technically a negative sentence, it doesn't trigger Russian's double negative rule. If you used никто, you would have to change the structure entirely, for example: наверное, никто не знает (probably nobody knows).
Why is the verb знает in the singular form if 'anyone' could refer to multiple people?
In Russian, all pronouns based on кто (including кто-то, кто-нибудь, and кто-либо) are grammatically singular and masculine. The verb must always agree with this structure, so we use the third-person singular знает, regardless of how many people might actually know.
Could I use the perfective verb вылечить instead of лечить here?
It depends on your exact meaning. лечить is imperfective and focuses on the medical process of 'treating' the disease. If you use the perfective вылечить, the sentence changes meaning slightly to focus on the result: 'how to successfully cure this disease'.

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