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Should pharmaceutical companies be required to give up patents necessary to developing a vaccine against pandemic flu?

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Results so far:

Yes
70% 48 votes Total: 69 votes
No
30% 21 votes

Yes

by Alicia M Prater PhD

Created on: January 23, 2008

The needs of the public health should usurp profit motivation. Pharmaceutical companies are allowed to make money off of medical advances as a way of insuring their upfront funding for drug and treatment developments. However, the greater good and the needs of public health should be an exception to this arrangement.

The pharmaceutical companies are not the only endeavors allowed to profit from medicine. In 1980, the United States congress passed the Bayh-Dole Act, a piece of legislation allowing for federally funded advancements to be patented and for the researchers responsible to be the beneficiaries of monetary gains from the discovery. The federal government signed away their rights to the institutions and research departments because of the concept of profit motivation, the idea that researchers and companies would be more productive if they have a personal financial incentive. Under the Bayh-Dole Act, researchers must decide if they will retain rights. For pharmaceutical companies, this would be unheard of. They are businesses and profit motivation is the thread that holds them together. For federally funded programs the government also retains "march-in rights". The government can take back their rights when necessary.

The World Health Organization lists nearly 30 manufacturers of influenza vaccine, only three of which are in the United States and half are based in Asia, mainly China. The patents are held by major companies that most likely did not receive federal funding, but most are international companies that have different standards for vaccine production than the U.S. Today's global economy and the extent of global traveling require a universal standard in public health and disease prevention. With the spreading fear of bird flu becoming the next human pandemic and the susceptibility of the chronically ill, including HIV patients, diabetics, and heart disease patients, as well as children in highly sanitized households and the elderly, it is necessary to have the influenza vaccine available to those who need or want it.

According to the Centers for Disease Control, nearly 20,000 children under the age of 5 are hospitalized for influenza and approximately 36,000 people die from the flu each year. Though not everyone is in need of vaccination it is important to public health to have it available in appropriate numbers to vaccinate everyone in the case of an emerging health risk. The past couple of years have seen shortages in the vaccine supply, based on predictions of required vaccinations by high-risk groups, due to suppliers being shut down and the time required to prepare the vaccine. It is estimated that it takes 6 months to prepare the vaccine, which is still done in poultry eggs, and there are those who can not receive it due to allergies to the preparation process. Making the patents available for others to research methods of preparation as well as making larger volumes of vaccine would make for a more secure public health position should a pandemic arise.

Despite being the right thing to do, the good faith measure by the pharmaceutical companies would benefit medical science, presenting a greater range of minds the ability to enhance the current influenza vaccines. The companies would also benefit by enhancing their images with such a positive public relations decision. The world would benefit from a deviation away from profit motivation in the cases of public health necessity.

Learn more about this author, Alicia M Prater PhD.
Click here to send this author comments or questions.

No

by P. H. Campbell

Created on: March 26, 2008

Inasmuch as the profit motive in the medical field raises the hackles of those who believe it should be motivated purely by altruism - especially in times of emergency as would be the case in an epidemic - a patent protects not only the intellectual rights of a product, but the investment in creating that product or process. Vaccinations are not developed for free. As is evidenced by the recent cessation of two promising AIDS vaccine trials due to an increased risk of acquiring the disease if 'vaccinated', there is a lengthy and expensive process needed to get a product from the idea stage to the market. Not all products (medications, vaccines, etc.) intended for human use make it through this process. The time, effort and investment in that line is wasted, but something can be gleaned from that waste in the form of proprietary processes that are, in fact, unique and patentable. Drug industry statistics report it takes anywhere from three to ten years to get a drug from idea to market. Three to ten years during which that drug, medication, vaccine, etc. is not earning an income through sales or use.

Nor are these medicines developed in isolation. The processes for creating a Bird Flu vaccine for example are basically the same as for producing any vaccine involving a viral vector - the regular flu, viral meningitis, Ebola, etc. Many rival companies are attempting to develop vaccines and medications for similar problems, creating a rivalry which, once the medicine IS taken to market, may turn out to be less effective than a competitor's similar drug. Further, once a medication is released for public use, other effects not seen or documented in the trial phase can result in a recall, limiting sales and earnings. Patents, either for processes or for the drugs themselves, ensure that a medication can be made at least somewhat profitable even if the drug itself is never approved for public use.

But to just give up the patents on developing a vaccine, even one as needed as one in a pandemic (such as the much-touted but yet to materialize H5N1 'Bird Flu') means a company gives up all rights to recouping any and all investment made in creating that process. While few drug companies are in danger of insolvency, patents ensure that a drug company retains the RIGHT to license that process. It doesn't necessarily mean they're going to withhold it until their price is met. In fact, doing so could cause a huge reversal in the company's fortunes through bad publicity or the possibility of their company being nationalized or the patent seized due to the urgency of the situation.

Many people believe that drug companies would rather make a profit than actually help the people who use their products. Hollywood reinforces these misconceptions with conspiracy theory kinds of movies portraying drug manufacturers as heartless behemoths only interested in making a buck at the expense of an ignorant public. Some past actions on the part of some drug companies who have had their released products removed from the market due to discrepancies in the safety of the product between the trial and the release tend to reinforce these misconceptions. But while a drug company is in the business of making money, inasmuch as it needs to keep the shareholders happy, the fact is any negative publicity impacts the bottom line.

From a more practical point of view, what happens if a drug company withholds its efficient, vaccine-making process in the event of a pandemic in order to make more money? People die. If people die, who buys the drugs? Businesses are often accused of being short-sighted in profit projections, but removing thousands or millions of potential customers from the market is hardly the way to maintain company solvency, let alone earn profits. Patents only ensure that once the emergency is over, the company will be reasonably recompensed for its efforts or methods.

A patent also allows the company to quickly license its processes to be used by other companies, thus increasing the rate of production. Giving up the patents means that all other drug companies - the competition - will be able to use these processes without compensation for the time, effort and cost of developing them in the first place. Further, releasing the patents means a government entity would be in charge of assigning who does what, creating a bureaucracy outside of the normal business practice channels, which could easily result in delays and deaths.

Businesses are in the business to make money. This much is evident. But businesses are also in the business of STAYING in business. Giving up patents for processes they developed, and knowing this will happen, is a huge disincentive for a company to create those processes in the first place. The profit motive makes companies try to minimizing costs in creating the products they have a chance to develop into a money-making product. The profit motive also ensures that patentable processes will help defray the costs in developing new drugs and vaccines, spurring innovation and efficiency. Processes in creating drugs are trade secrets and part of the investment in creating these drugs.

But drug companies knowing they have no chance to reap any profits means fewer resources will be devoted to the effort of developing the patentable, efficient, proprietary processes necessary to make a bigger profit, resulting in less product being made available. Innovation will be stifled and less efficient, but well known, processes to develop vaccines will be used instead. In the end, vaccines desperately needed may not be available because no one developed a more efficient method of doing it.

Drug companies need a to make profits. They do this, in part, by patenting and licensing their production processes to help defray the huge costs of getting that product to market. They are interested in selling their product, not killing people. Withholding processes that can increase the efficiency of vaccine production in the face of a global pandemic is a huge PR black-eye for any drug company. Governments would intervene and the company may not survive the crisis.

They understand the need to move fast in an emergency and leaving the normal business channels intact means fewer hassles in ramping up production since licenses, permissions, fees and costs can be negotiated quicker through established business practices and means. It maintains solvency for companies that may otherwise be forced out of business by heavy-handed government practices and allows them to be solvent after the emergency to continue to produce the drugs upon which we've come to depend. It strictly limits the licenses involved in allowing other companies to use previously patented methods to develop vaccines for their own gain and profit. It keeps everyone honest and doesn't give an unfair advantage to other, less innovative companies by giving them a windfall in learning secret, more efficient processes upon which they could potentially reap an undeserved profit once the emergency has passed.

If any legislation is needed, it is to put in place an efficient means of quickly determining how licenses for vaccine-making process patents will be assigned, used and paid for in the event of an emergency so that multiple companies can begin churning out vaccines as quickly as possible. If the plan is set in advance, letting the companies know in advance of who will do what, who gets paid what and what happens after the emergency has passed, then at least the emergency can be met without by existing businesses and organizations without the need to be overseen by wasteful government bureaucracies or threatening the post-emergency solvency of drug companies who actually developed the life-saving processes in the first place.

Learn more about this author, P. H. Campbell.
Click here to send this author comments or questions.


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