HUMANSCAPE 01 JUN 2005 Legal weapon of the drug lords The new patent law passed by Parliament this year is a killer-it's going to put a lot ofmedicines out of the reach of the common man and take many lives
The new patent law passed by Parliament in March monopoly rights for a number of years, to produce, import
2005, in the face of protests by several people's
and market the product. Under the process patent regime,
health organisations, is goingto have a catastrophic
others are allowed to manufacture the same product by a
effect on the people, pushing up costs of medicines
different process. The resultant competition depresses the
manifold. Before enacting the law, the government did
cost of the product to the consumer.
not inform the people about its effects. Unfortunately,
From 1911 to 1970, when India allowed product
most people including doctors, are not aware of its
patents, 85 per cent of the medicines available here were
produced and distributed by the Multi National
The government pleaded helplessness in view of
Corporations (MNCs). The prices of drugs were among
India's obligation under the World Trade Organization
the highest in the world. With the 1970 Patent Law, India
(WTO) Agreement on Trade-Related Aspects of
switched to the process patent regime. Many
Intellectual Property Rights (TRIPS). The fact is that the
pharmaceutical companies were nurtured in this
new law goes much beyond what is essential under TRIPS,
environment and India had the lowest drug prices in the
to the great detriment of our people.
Lok Raj Sangathan (LRS), the Centre for Enquiry into
However, this doesn't mean that Indians could afford
Health and Allied Themes (CEHAT) and the Lawyers'
new drugs. Innumerable people in our country die every
Collective jointly organized a seminar on April 30, 2005,
year because they cannot afford medical treatment.
in Mumbai. Narendra Zaveri, a lawyer who is an authority
Nevertheless, with the fall in drug prices after the 1970
on patent law, described the manner in which a number
law, India became the source of cheap drugs for poor
of suggestions to safeguard the rights of people were
countries—our drugs for HIV/AIDS were sold in Africa
at l/20th the price of multi-nationals.
The new patent law was literally pushed through at
•What happens when countries switch to product
the last moment without discussion. Curiously, the present
patents?
law overturned several suggestions by parliamentary
Wherever product patents have been introduced in the
committees on the issue. Earlier, at least 70 amendments
world, the prices of medicines have multiplied. For
had been incorporated in the Indian Patent Law 1995 and
instance, Italy was once one of the largest and cheapest
1999 to make it compliant with WTO/TRIPS stipulations.
drug manufacturers in the world, but when it introduced
The only one remaining was the change from process to
product patents, it became the largest importer of drugs
product patents for pharmaceuticals. Instead of doing this,
and the prices of drugs climbed up. Pakistan, a country
72 clauses were changed, out of which 40 to 45 clauses
comparable to India, follows a product patent
regime and the cost of all medicines including
Zaveri raised a number of important issues. What was
the urgency in passing this bill? Why this secrecy? Who
life-saving drugs is several times
drafted the bill? How come there are so many clauses
that facilitate and favor only MNCs (multi national
corporations)? How come the UPA government took it
upon itself to see through a bill that was a verbatim copy
of the bill piloted by NDA in March 2004? From April
till December 2004, there was no talk about the bill. Why
was it then pushed through hastily without any discussion
or debate, even with reference to the parliament
Here's a ready reckoner: •From process to product patents regime - what's the difference? in Indonesia, 48 times more in England and 103 times
billion. About six multi-nationals dominate it in most
more in USA, where product patents are permitted. Any
parts of the world. The pharmaceutical companies use
product patents to protect their monopoly and profits. What happens to research for better drugs?
The prices of drugs have no correlation with their cost
Monopolies created by patent rights lead to enormous
of production. Pharmaceutical companies claim that
centralisation of R&D among a few global players. When
they require protection of product patent and high
a few MNCs in the US and Europe are going to determine
prices to support their large expenditure on R&D to
the research priorities for the whole world, it is drugs
like Viagra that will continue to be researched and
Actually, the marketing and administration
propagated. The MNCs are not interested in producing
expenditure of pharmaceutical companies is many times
drugs needed by poor people—like drugs for Malaria,
more than what they spend on R&D. Glaxo-Wellcome
T.B., Kala Azar, Cholera, Typhoid, etc. Hence, they would
spent 14.6% of sales on R&D but its marketing
not be interested in doing research on such drugs. New
expenditure was 35.2% of sales. Pfizer (one of the largest
drugs and pesticides are constantly needed as the germs
pharmaceutical companies worldwide) spent 17.1% of
and pests rapidly develop immunity against the old ones.
sales on R&D while its marketing expenditure was 39.2%
Currently, half a million Indian people die of
of sales turnover. A World Bank study estimated the total
tuberculosis—a disease that can be treated by over a dozen
R&D expenditure of the drug industry at US$ 70-90
drugs—-because drugs are unaffordable. Now, they will
billion. Taxpayers fund nearly half of the R&D
be deprived of the benefits of advances in research as
expenditure as a large part of the research is done in
new, better drugs with fewer side-effects will go further
universities and national labs. In pharmaceutical
out of their reach. The same will be true of other new
companies, research is conducted more to create
monopoly to charge exorbitant prices.
The ill-effects of the new patent regime are already
Irrespective of the conditionalities of WTO or any
evident. Based on exclusive marketing rights (EMR)
other international forum, the government must take the
granted under the last amendments to the patent act in
responsibility of ensuring the availability of medicines at
2000, Novartis, a drug MNC, brought a stay on the
affordable prices for the people of the country. If the Patent
generic manufacturers in India producing the equivalent
Law just enacted has to be scrapped only to achieve this
of Gleevec, the most effective drug for a type of
leukemia. Earlier, a course of one month cost Rs. 8,000-
10,000. Now Novartis charges Rs. 1,20,000 per month
Sunita Singh works for CEHAT as research officer
for Gleevec. As a result, many leukemia patients in
and Sanjeewani Jain (9821139348) is an activist of
the country are dying today because they can no longer
Lok Raj Sangathan (LRS). Contact them if you are interested in the campaign for affordable medicines How do product patents help the MNCs? (Sunita Singh:9821701569;
The pharmaceutical industry is one of the most
sunita _singh@rediffmaiLcom, Sanjeewani Jain
profitable with a global turnover of over US$ 350
(9821139348); [email protected])
The health 'industry": some important facts
The health industry is the largest industry in
Public sector companies, who subsidized the
the world; drugs are only a part of this business.
private sector, dominated the Indian drug industry at
Allopathic drugs business is of the order of
one point. Bulk drugs as well as drug intermediates
Rs.25, 000 crores - Rs.26, 000 crores, (1.5 % of GDP)
produced by them were supplied to private players at
• Rs 10,000 crores are additionally spent on non-
With the privatization policy, the public sector
drug companies have, for all practical purposes, been
s Overall Rs. 1,50, 000 crores (5% to 6 % of GDP)
wiped out, and today, private companies, who are
is spent by people on health in India.
global players, control 98 per cent of the drug
Indian companies like Dr. Reddy's, Ranbaxy,
and CIPLA etc. are MNCs in their own right - 50 % of
Under these conditions it is important that public
Indian drug production is for the export market.
sector production is revived and it is used to keep the
Indian drug production is 8 % by volume of the
(presented by Ravi Duggal of CEHAT)
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