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    S

    Patent Drugs andHealthcare

    Cass, Clarissa, Charlene, Hui Fen

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    Patent Drugs

    Patent

    The right to ownership, whereby a person / organizationdiscovers a lesser known concept or invents something new

    and holds sole intellectual ownership rights to that particularidea.

    Pharmaceutical Patents:

    protect manufacturers of prescription drugs, prohibitingothers from producing a drug during the length of its patent

    protection

    length: 15-20 years (US: 20)

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    Background of the Pharmaceutical

    Industry

    Develops produces and markets drugs licensed for use as

    medication.

    Subject to variety of laws and regulations surrounding patents,

    testing and safety of drugs.

    However, ultimately, they are profit making companies. (in other

    words, they are commercialized)

    Multi million dollar industry

    In 2006, global spending on drugs topped US$643billion

    Pharmaceutical industry is the most profitable industry in USA,

    with returns of 17%.

    Top names include Abbott, Pfizer and GlaxoSmithKline.

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    Commercialisation of the

    Pharmaceutical Industry

    Commercialization

    o Money first, not patients.

    Unique nature of drugs- they are essential for health.

    o Companies can afford to price their drugs at significantlyhigher prices.

    Prices are artificially high.

    o The poor have no access to affordable drugs.

    Drug companies also link up with doctors to promote their drugs inan effort to sell more drugs.

    o Doctors get an incentive to prescribe drugs from said company.

    Over prescription of drugs when not necessary.

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    Commercialization of the

    Pharmaceutical Industry

    Firms tend to fund research into modification of exiting drugs , instead ofinnovataion of new low-cost drugs

    E.g. Abbott Labs produced a supposedly supposed drug Zemplar as

    they were about to lose a patent for Calcijex. However, FDA reported

    that the differences between these drugs were not enough to prove

    its superiorityo Cost of modifying/imitating existing drugs cost less than developing

    new drugs (R&D)

    o "New" drugs are priced even higher than original, rendering them

    unaffordable by the poor

    o Potentially life-saving drugs are not produced due to the low profit

    in 2004, John Hopkins researchers discovered that an off-the-

    shelf compound could arrest liver cancer growth in rats, and

    would only cost 70 cents a day, but no pharmaceutical company

    showed interest in developing it for human use

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    Commercialization of

    Pharmaceutical Industry

    Drug research motivated by potential profits, rather than

    provision of accessible healthcare for all

    o Results that do not favour firm's product are not

    publishedo Industry-supported research favours company's product

    over generic products, even if latter is more effective,

    safer, or cheaper

    o Patients pay unnecessarily exorbitant prices for drugswhen there are potential cheaper, equally effective

    alternatives

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    Advantages of Pharmaceutical

    Patents

    Prospect of earning huge profits provides incentive for

    pharmaceutical companies to invest large amounts of resources

    into scientific research to develop new drugs.

    Initial investment in pharmaceutical research amd development(R&D) is costly --> strong patent protection is an important step to

    provide the opportunity to recoup investments and make good profits

    According to the 2006 Economic Report of the US President,

    Intellectual property protection helps create an incentive structurethat encourages research and development, which in turn leads to

    increased innovation. Increased innovation generates greater rates of

    economic growth.

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    Disadvantages of Pharmaceutical

    Patents

    Patents results in high prices.

    Those in need of the drug may not get it as it is too costly for

    them to afford

    o Companies producing patented drug are likely to set high prices to makeprofits

    Companies do not like to produce cheap effective and safe

    drugs because it does not bring high profits

    o In 2004 for example Johns Hopkins researchers discovered that an off-the-

    shelf compound could arrest liver cancer growth in rats. It would cost 70

    cents a day, but no drug company showed interest in developing the drug for

    human use.

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    Healthcare Insurance

    A form of risk management primarily used

    to hedge against the risk of a contingent,

    uncertain loss

    - pools resources of a large group to pay

    for losses of a small group- needs a large base number of members

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    Is it justified for big insurancecompanies to deny individuals

    insurance or demand heftypremiums based on an

    individuals background

    history?

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    Healthcare Insurance Companies

    Medical check-up before application

    Pre-existing medical conditions: deny insurance, exclude

    certain sections or charge higher premiums

    Prevent "free-ridership" Drives up cost for everyone

    Collapse of the system

    Insurance companies ultimately profit-making companies

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    Human Rights

    Health care as a basic right

    View of human life as "sacred"

    Not merely to those who can afford it

    12.6 million non-elderly adults (36 %) discriminated against in

    the past three years: ineligible for coverage because of a pre-

    existing condition, charged them a higher premium, or

    refused to cover their condition

    37 million Americans carry no health insurance

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    Unethical gaming by insurance

    companies

    Insurers game the system in unethical ways by going

    beyond preventing free ridership

    Make use of technicalities to avoid payouts

    Blue cross of California - asks physicians to look out

    for conditions to cancel new patients medical

    coverage

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    US Health Reform

    Individual mandate

    2014 onwards, people with pre existing

    medical conditions cannot be turned down forhealth insurance coverage, charged a higher

    premium or sold a policy that limits health

    services because of a pre-existing condition

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    Conclusion

    While it may not be fully justified, it is the only

    possible way for insurance to work

    Regulations to prevent insurance companiesfrom using technicalities to game the

    system

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    References

    http://www.bbc.co.uk/news/business-16913816

    http://www.nytimes.com/2012/03/07/business/global/indias-supreme-court-to-hear-long-simmering-dispute-on-drug-patents.html?pagewanted=all

    http://www.innovation.org/documents/File/Pharmaceutical_Patents.pdf

    http://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.

    pdf

    http://dinorcia.net/pdfs/DiNorciaCommercializationUSPharmaceuticalBusiness2011W

    d.pdf

    http://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8

    CDC23

    http://www.innovation.org/documents/File/Pharmaceutical_Patents.pdfhttp://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.pdfhttp://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.pdfhttp://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8CDC23http://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8CDC23http://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8CDC23http://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8CDC23http://www.youtube.com/watch?v=bmqB7JzZePQ&feature=BFa&list=PL99815CB46F8CDC23http://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.pdfhttp://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.pdfhttp://www.law.umaryland.edu/marshall/crsreports/crsdocuments/rl3075601102005.pdfhttp://www.innovation.org/documents/File/Pharmaceutical_Patents.pdfhttp://www.innovation.org/documents/File/Pharmaceutical_Patents.pdf