Big
Pharma
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Big
Pharma's Dangerous Drive To Push Meds On Little
Kids
Mortality, Life Expectancy, Healthcare
costs in the UK, the USA and Worldwide
New Trade Deal Would Benefit Big
Pharma At AIDS Programs' Expense
Related issues: Rispersal
and Gardasil
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Mortality, Life Expectancy, Healthcare
costs in the UK, the USA and Worldwide
Does paying for healthcare bring you better health and a
longer life? No. The following graphs show that in 1996,
average life expectancy in the US was 18th of all countries,
being 5 years less than Canada and behind the UK. But
Americans were paying per person US$1000 or over 1/3rd more
than Canadians and nearly 2/3rds more than the British. And
if you then take a look at the graphs of mortality, what
were Americans getting for their money? Mortality rates were
falling anyway, regardless and kept on falling. Life
expectancy increased as time went by, but again
substantially due to overall improved living conditions.
Source: childhealthsafety.wordpress.com/2011/04/25/chs-gorski-challenge/
Big
Pharma's Dangerous Drive To Push Meds On Little Kids
Drug giants spend billions a year
promoting their pills to children, ignoring FDA rules.
Johnson & Johnson even advertises its latest
anti-psychotic on Legos, ignoring evidence that the drug
leads to diabetes and wild weight gain and sprouts breast in
boths boys and girls.
In the past decade, America's
pharmaceutical industry has knowingly marketed dozens of
dangerous drugs to millions of children, a group that
executives apparently view as a lucrative, untapped market
for their products. Most kids have no one to look out for
their interests except anxious parents who put their trust
in doctors. But that trust is often misplaced. Big Pharma
spends massive amounts to entertain physicians, send them on
luxury vacations, and ply them with an endless supply of
free products. As a result, hundreds of thousands of
American kidssome as young as three years
oldhave become dependent on amphetamines like Adderall
and a pharmacopeia of other drugs that are meant to treat
depression, insomnia, aggression and other mental health
disorders.
The fact that none of these
powerful mood-altering medications have been approved by the
FDA to treat children under 10 has posed no obstacle to the
industry's marketing masterminds. They've waved off
objections by some doctors who wonder how these complex
drugs will affect the vulnerable brains and bodies of their
young patients. Other experts have warned that children
exposed to this multi-molecular barrage on their central
nervous systems could potentially be at much higher risk of
becoming adults who are addicted to chemicals, prescription
and otherwise. But thanks to a billion-dollar advertising
campaign, millions of kids across the nation are now taking
pills to control a long litany of "behavioral
problems."
Luckily, Johnson and Johnson is not
getting off scot-free. Last week, Massachusetts Attorney
General Martha Coakely announced that the state was suing
the world's biggest pharmaceutical firm, Johnson &
Johnson, for illegally promoting Risperdal, an "atypical
anti-psychotic", for off-label treatment of childhood
schizophrenia, bipolar disorder, autism, hyperactivity and
attention deficit disorder, depression and anxiety, sleep
disorders, anger management, mood enhancement or
stabilization. As BNet's Placebo Effect blog recently
reported, the list of maladies is grotesquely long. J&J,
which prides itself on its high-minded credo of "always
putting patients first," began moving its new drug into this
new market as soon as Risperdal won approval in
adultseven though the FDA explicitly forbid it from
doing so, for the simple reason that the firm had never done
a single test of the drug in children who suffered from
these or any other conditions.
Though Risperdal was marketed as a
less dangerousif not more effectivealternative
to older "typical" anti-psychotics, it quickly became
apparent that the drug had many worrisome side effects in
adults, including the rapid onset of diabetes and alarming
weight gains. But despite a growing weight of evidence about
the drugs, J&J only stepped up its promotion of the drug
for childrenaiming for more conditions and in
ever-younger kidsno doubt to squeeze as many profits
as possible out of this lemon before the FDA ordered them to
stamp a warning on the label or withdraw it from the market
altogether.
Not surprisingly, teens and kids
soon started developing the same symptoms of drug-induced
diabetes and weight gain that were experienced by their
adult counterparts. Several also developed a bizarre
condition called galactorrhea, in which milk flows
spontaneously from the nipples of your breastsgirls
and boys alikea happening that is likely to drive even
the most balanced teen around the bend. What may be even
more bizarre, when doctors alerted J&J sales reps to
this side effect, sales reps relayed the warning to their
managers, who advised the sales reps to tell the doctors (in
a frankly illegal reversal of medical protocol) that rather
than take the kids off Risperdal, they could be treated with
yet another drug.
The Massachusetts case is the third
of about 10 state lawsuits in which jurors will be asked to
pass judgment on whether J&J's Risperdal promotional
practices constitute medical fraud. Class-action suits by
patients (or parents) claiming injury are also in the works.
The Obama administration has shown some guts in not simply
allowing the giant drug makers to settle such lawsuits for
giant fees ($2 billion is not unusual, however ho-hum to
pharma) but in holding individual company executives
personally liable for the criminal activity.
In fact this code of misconduct is
what we have come to expect from the pharmaceutical
industry: Always put profits first, break the law now, pay
the fine years later. Given the high-risk nature of drug
developmenta novel compound costs close to $1 billion
and a decade to get to marketBig Pharma has tried all
manner of dark arts to increase its odds. Criminal activity,
once largely limited to the sales divisions, has overtaken
the entire endeavor. Clinical trials that produce negative
dataincluding health risksare hidden from the
FDA. Early signals of serious side effects are covered up,
as are promised follow-up studies upon which approval is
conditioned. Like other industries, pharma and its lobbyists
have regulators and Congress by the balls.
But it's the corruption of the
medical profession by the pharmaceutical industry that has
proved most insidious, and nothing illustrates the perilous
consequences better than J&J's illegal marketing of
Risperdal to kids. Making 100,000 sales calls on
psychiatrists and pediatricians, the company lined the
pockets of willing MDs employing familiar pharma ploys, from
the small-change items like lavishing free samples, free
lunches andthis may be a firsteven free colorful
plastic Lego blocks printed with the word RISPERDAL for
children to play with in the waiting room, to the big-ticket
items such as "educational" meetings at fancy resorts and
"advisory board" soirees at the Four Seasons. The company
even paid certain leading specialists hundreds of thousands
of dollars a year to conduct J&J-designed trials and
sign their name to J&J-written studies published in the
top medical journalsproviding a "scientific" spin to
the promotional materials. In this amorphous manner, a
professional consensus emerged that the atypical
anti-psychotics were effective in very young children for
attacks of rage, poor impulse control, defiant and
oppositional behaviorthe transient, irrational,
sometimes frightening "acting out" that sends overworked
adults around the bend.
By means of this closed circle or
deceit and kickbacks, J&J beat out the competition to
grab 50 percent of the pediatric market for anti-psychotics.
And although many other psychiatrists and pediatricians were
arguing that anti-psychotics should never be given to
children under 10 in the first place, the white wall of
silence in the medical profession generally prevents doctors
from becoming whistleblowers unless prodded by investigative
news reporting.
Everybody was profiting, it seemed,
except for the kids.
Consider Kyle Warren, who as an
18-month-old Louisiana toddler began taking Risperdal
prescribed by a pediatrician on the J&J payroll (plastic
RISPERDAL Legos and all). Kyle suffered from frequent temper
tantrums, and his mother, Brandy Warren, then 22, was a new
mother on Medicaid and, as she told the New York Times, "at
my wit's end." But like any good mother, Brandy kept on
searching for the right diagnosis and the right treatment,
going from doctor to doctor and amassing a contradictory set
of assessments, such as autism, psychosis, schizophrenia,
bipolar disorder, and attention deficit hyperactivity
disorder. By the time he was age three, Kyle's daily pill
regimen resembled that of someone very old or very sick,
including Risperdal, the antidepressant Prozac, uppers for
ADHD and downers for insomnia. He was sedated, he drooled,
and he was ballooning with fat from the side effects of the
Risperdalbut, look Ma, no more temper
tantrums!
All I had was a medicated
little boy, Brandy Warren told the Times. I
didnt have my son. Its like, youd look
into his eyes and you would just see just blankness.
Brandy got word of a high-quality program affiliated with
Tulane University for low-income families with children with
mental health problems. Over the next two years, Kyle was
gradually weaned off the dangerous cocktail of drugs and
given an ongoing exhaustive evaluation. His current
diagnosisattention-deficit hyperactivity
disorderis very common among boys his age; he takes a
single long-acting stimulant to control it. At the time of
the Times profile, in fall 2010, he was in his fourth week
of first record and earning As in his first tests. There can
be little doubt that the original course of treatment was a
terrible medical error.
Says Brandy Warren: Once he
came off the medication, he was Kyle again. Hes an
intelligent person. Hes loud. Hes funny.
Hes smart. Hes bouncy. I mean, theres
never a dull moment. He has a few little behavior issues.
But hes like any other normal 6-year-old. Still,
she worries that the many months he spent taking those drugs
may have damaged his development. Will Kyle be more
susceptible to mental health problems and addiction as he
ages? No one knows. "I will never, ever let my children be
put on these drugs again, she told the Times, choking
back tears. I didnt realize what I was
doing.
Surely some adults and even some
children with behavioral problems have been helped by
Risperdal, though rounds of scientific studies suggest that
the wonder drug is no more beneficial to patients than less
hazardous anti-psychotics that came before it. Ultimately,
its Johnson & Johnson (and its billionaire competitors)
who may have real behavioral problems to deal with.
According to a 2009 report by the FDA, an estimated 500,000
adolescents and children are on anti-psychotics, despite the
fact that schizophreniathe original condition that was
supposed to be treated by these drugstypically
manifests only in the late teens. Despite all the bad
publicity and billions of fines levied against the company,
J&J continues to make a nifty profit off of Risperdal.
Even in 2010, when the company's patent on the drug had
expired, sales continued to climb. In fact, over the past
decade "atypical anti-psychotics" have emerged as one of the
drug industry's most lucrative products, averaging about $15
billion in annual sales. But is America really experiencing
an"epidemic" of psychosis among preschoolers? Far likelier
that we are witnessing an epidemic of unethical and illegal
collusion between Big Pharma and Big Medicinea
derangement of values, if you will. The pharmaceutical
industry's craving for endless profits has progressed so far
that executives feel free to prey on the most vulnerable
members of our society.
Source:
www.thefix.com/content/jj-sued-illegal-promotion-drugs-kids?page=all
In Texas, parents have been put in
jail and their child taken away by Child Protective Services
when the child has been perscribed Risperdal.
http://bit.ly/qYPXGq
and the parent refuses to administer the drug. Johnson
& Johnson
In California, in order to stay in
school, kids are required to get a whooping cough vacination
or they can't stay in school. If the vacination truely
protects a person for acquiring such a contagious disease, I
say parents who don't want their child to be vacinated
should be allowed to have their child educated. If the child
gets the disease, even if they give it to other children
whose parents have chosen not to vacinate their child,
that's a decision that the parents made. The children who
have gotten the vacination are safe. Only those who didn't
are at risk. And that's the risk their parents have taken.
Don't withdraw the educational opportunity.
Requiring young girls with the
HPV
(http://bit.ly/oKfTc1
)
vacine has proven to be an unwise decision because of all of
the damage that vaccine has done to many girls. The school
system that requires such vaccinations that prove harmful
should be held financially responsible in addition to the
vaccine maker. Merck's vaccine Gardasil
is detrimental to girls health and should not be given
females aged 11 and 12 years
Its essential to do your
homework before submitting yourself or your child to a
vaccination. As of August 2007, a review of the National
Vaccine Information Center revealed the following, quite
alarming, statistic about this unnecessary vaccine: 2,207
adverse reactions to Gardasil have been reported. Among
them: 5 girls died, 31 were considered life-threatening,
1,385 required a visit to the emergency room, 451 of the
girls have not recovered as of July 2007 and 51 of the girls
were disabled. This vaccine is also the most expensive
vaccine on the market, so you can follow the money trail to
find out why Merck is now trying to push this
cervical
cancer vaccine on boys!
New
Trade Deal Would Benefit Big Pharma At AIDS Programs'
Expense
In 2003, with the AIDS pandemic developing into one of the
most severe humanitarian crises in modern history, President
George W. Bush pledged billions of dollars in relief funding
for citizens of the world's poorest countries. Seven years
in, the initiative, called the President's Emergency Plan
for AIDS Relief (PEPFAR), is widely regarded as an
outstanding success, responsible for saving millions of
lives in 15 developing nations.
Vietnam has received more than $320 million from the
program since 2004, giving thousands of people living with
HIV access to critical, life-saving medicine for the first
time. But a new trade deal the Obama administration is
pushing to complete with Vietnam and seven other Pacific
nations threatens to seriously hinder both U.S. and
international efforts to combat AIDS -- including the
government's own efforts in Vietnam.
According to leaked documents from the talks, U.S.
negotiators are seeking to impose a set of restrictive
intellectual property laws that would help American drug
companies secure long-term monopolies overseas. The result?
Higher prices for drugs. That's good for corporate profits,
but disastrous for relief programs like PEPFAR that depend
on cheaper generic medications to treat the global poor.
"This U.S. trade policy is going to undermine U.S. AIDS
policy by driving up medicine costs and keeping new HIV/AIDS
drugs monopolized for longer periods of time in Vietnam,"
says Peter Maybarduk, director of Public Citizen's Access to
Medicines project. "We're setting up U.S. taxpayers to pay
more for the same result or just accomplish less."
While the potential repercussions are most obvious in
Vietnam, the trade talks have broader implications. Trade
experts at Public Citizen, the Health Global Access Project
and other nonprofits view the current negotiations, dubbed
the Trans-Pacific Partnership, as part of the Obama
administration's "beachhead strategy" to establish a new
international trade standard on drug access -- just as the
North American Free Trade Agreement did for scores of trade
issues in 1993.
The Office of the U.S. Trade Representative, the federal
agency with formal responsibility for the negotiations, is
aware of the concerns. But a USTR spokesperson, who
requested anonymity, says the agency needs restrictive
patent standards in order to "incentivize" drug companies to
supply medicine.
The same view is frequently voiced by U.S. pharmaceutical
giants, many of which have close ties to USTR and the Obama
administration through key staffers who had careers at the
Big Pharma heavyweights before moving to their government
positions.
And plenty of economic data suggest that the American
patent regime does not foster useful medical innovation.
Pharmaceutical companies spend about twice as much money
marketing their drugs as they do on researching and
developing them, and a tremendous portion of drug research
is conducted by universities and the federal government's
National Institutes of Health. Much of the research
pharmaceutical companies do conduct is simply not relevant
to public health concerns, with money pouring into projects
for hair loss, for instance, while funding for diseases that
primarily afflict the poor, like tuberculosis, stays in
perpetual short supply.
"The drug companies would say it generates research, but
the evidence is very questionable, because much of the
research is not directed at important diseases," says Nobel
Prize-winning economist Joseph Stiglitz.
USTR's efforts have alarmed some congressional Democrats,
eight of whom wrote a letter to USTR head Ron Kirk
emphasizing that the Obama administration's trade proposals
are significantly more restrictive than the
access-to-medicine terms negotiated in trade deals with
Peru, Panama and Colombia under President Bush in 2007.
"The 2007 bipartisan 'May 10th agreement' was an
important step in moving U.S. trade policy back toward a
more balanced approach to promoting innovation and health in
trade agreements with developing countries," the Aug. 2
letter reads. "We are concerned about reports that the
balance is once again shifting away from the progress
achieved in those past efforts ... a move that would
jeopardize treatment goals and millions of lives."
Nevertheless, in several rounds of negotiations, the
Obama administration has continued to press for a hard-line
patent regime, claiming that stricter rules build on
existing requirements that encourage innovation.
The USTR spokesperson tells HuffPost that Vietnam, in
particular, already has some patent requirements in place
and that those standards have not hampered the U.S. AIDS
relief effort.
That claim directly conflicts with PEPFAR's official 2010
report (PDF) on its operations in Vietnam. Generic HIV
drugs, which cost around $100 a year per patient, constitute
98 percent of the medicines that the U.S. buys for the
Vietnam relief program, according to the report.
But the remaining 2 percent of drugs that are patented --
and thus far more expensive -- are a significant financial
burden. Many of these patented medicines are "second-line"
drugs, which patients need to combat HIV once the infection
develops resistance to standard treatments. PEPFAR has
expressed particular concern about Kaletra, a key
second-line drug produced by Abbott Laboratories, one of a
handful of multinational pharmaceutical companies with
influence over the Trans-Pacific talks thanks to its
position on a USTR advisory board.
"A key driver is the cost of Abbott products," reads the
2010 report on AIDS relief in Vietnam. "Expectations that
the cost ... would fall by 50% in 2009 due to the
introduction of generic versions were dashed when it was
discovered that Abbott has patents pending in Vietnam and
that Abbott intended to use the patents to prevent the
procurement of generic alternatives."
"Work is continuing with intellectual property experts
... to determine if there are any legal grounds to enable
the procurement of generic [Kaletra]," the report
continues. That suggests patented medicine is a big
financial hurdle for the program, contrary to USTR's claim.
PEPFAR declined to comment for this article.
The framework proposed in a leaked draft of the
Trans-Pacific pact builds off the U.S. patent regime, long
maligned by public health advocates for fueling the highest
drug prices of any nation. In Vietnam, such policies could
end up extending already long-held monopolies on life-saving
drugs, including Kaletra.
The World Trade Organization requires all countries to
grant 20-year patents on medicine, but gives nations
substantial leeway over which specific drugs actually
receive patents. Less-developed countries with pressing
epidemics often do not permit patent protections for drugs
that receive monopoly rights in the U.S. Further, medicines
that governments purchase for state-run health care programs
are currently exempt under WTO patent rules.
According to leaked documents from the Trans-Pacific
talks, the U.S. wants to require the eight other Pacific
countries in the negotiations to grant patents on a wider
swath of drugs and bestow a host of secondary patents that
go beyond the simple chemical compound for the drug. These
secondary patents can cover almost any characteristic of a
particular medicine, from the color of a pill to a capsule's
ability to resist heat.
Public health advocates refer to these types of patents
as "evergreening patents" -- or even "junk patents" --
because they allow companies to extend their monopolies
beyond the 20-year WTO window without actually creating a
new medicine. The World Health Organization frowns on these
secondary patents and has said they should be rejected.
But USTR is expressly seeking to require countries to
issue patents on "any new form, use, or method of using a
known product ... even if such invention does not result in
the enhancement of the known efficacy of that product,"
according to the leaked draft of the trade agreement.
"It's an invitation to the pharmaceutical industry to
extend drug monopolies and charge unaffordable prices for
medicines," says Rohit Malpani, director of Oxfam's Access
to Medicines campaign. "Not only do these restrictions deny
affordable medicines to poor people in developing countries;
they also encourage drug companies to focus on extending
monopolies for existing medicines, instead of investing in
research and development to develop the new medicines needed
to improve treatment outcomes around the world."
The USTR spokesperson tells HuffPost that these secondary
patents encourage companies to develop new uses for drugs
and improve on existing drugs in ways that benefit
developing nations. The agency also argues that even if a
company obtained such secondary patents, the original
compound would be available for generic competition.
But public health advocates say that, in practice, drug
companies do extend their monopolies for years with these
patents, by filing for protection on secondary aspects of
existing drugs -- sometimes repackaged under a new brand --
that are essential for use in a certain regions. The
heat-stable version of Kaletra, for instance, is prized by
doctors in Africa and hot Asian nations such as Vietnam, but
under secondary patent regulations could remain
cost-prohibitive for decades to come.
"USTR wants to create brand-new monopolies on older
drugs, for formulations that are developed with the U.S. and
European market in mind," says James Love, director of
Knowledge Ecology International, a nonprofit focusing on how
intellectual property rules affect the poor. "The fact that
these formulations are more valuable in a country with poor
cold storage isn't a reason to block generic competition in
places where people live in shacks and depressing
poverty."
The strict patent protections in the leaked draft of the
Trans-Pacific negotiations come as no surprise to many
public health advocates, who point to tight connections
between the Obama administration, including USTR, and the
pharmaceutical industry.
While doctors and nonprofits have been denied access to
key documents and details of the negotiations, corporate
executives and lobbyists -- including the top lobbyist at
Abbott -- have been permitted to review key texts in the
trade pact thanks to their positions on U.S. trade advisory
boards.
The Industry Trade Advisory Committee on Chemicals,
Pharmaceuticals, Health/Science Products and Services ,
which provides USTR with input on medical issues, features
representatives from three Big Pharma companies, as well as
two chemical firms and seven medical technology companies.
Another consultative group, the Industry Trade Advisory
Committee on Intellectual Property Rights, includes
representatives from drug giant Johnson & Johnson, as
well as the drug industry lobbying groups PhrMA and BIO. A
representative from the U.S.-China Business Council, an
umbrella group that includes Abbott and heavyweights Merck
and Pfizer, is also on the board.
"The issues under consideration could have dramatic
impacts on public health systems across the developing
world," says Malpani of Oxfam. "The lack of transparency has
prevented public health and public interest groups from
ensuring that the United States adopts a balanced approach
towards intellectual property and access-to-medicines
issues."
But public health groups don't point just to those
advisory boards. Stanford McCoy, USTR's top trade negotiator
for intellectual property, lobbied on intellectual property
at the influential D.C. law firm Covington & Burling
before moving to USTR in 2006. His top deputy, Kira Alvarez,
was a lobbyist for the drug company Eli Lilly before joining
the agency.
Then there's William Daley, President Barack Obama's
chief of staff, who was on Abbott's board until he took his
current role at the beginning of this year and who has, as
The Huffington Post reported, a long history of supporting
corporate patent rights on critical AIDS medicines.
Daley served on Abbott's board in 2007 when Thailand
decided to import a generic version of Kaletra after its
government declared AIDS a public health emergency. Though
Thailand was acting within its rights under WTO treaties,
Abbott withdrew applications for other life-saving
medications in the country -- including the heat-stabilized
version of Kaletra coveted by public health advocates -- in
an effort to pressure Thailand into reversing its decision,
a move that drew international criticism.
Abbott spokesman Dirk Van Eeden declined to comment on
the Abbott board's activities surrounding the Thailand
event, but says, "The patent system allowed the development
of the medicines doctors and patients rely on today and
makes it possible for scientists to develop the medicines
people will need in the future."
An Obama administration spokesperson, who would only
speak on the condition of anonymity, says Daley is not
involved in official Trans-Pacific negotiations. But Daley
has been lobbied on the trade pact by both the U.S. Chamber
of Commerce and Senate Majority Leader Harry Reid (D-Nev.),
suggesting he is playing at least an informal role in the
negotiations.
The USTR spokesperson tells HuffPost that "the
transparency and inclusiveness of these negotiations are
unprecedented" and says the agency has reached out to
several public health advocates for comment on the
agreement.
The trouble is, USTR has asked for comment on documents
that it bans public health professionals from actually
viewing.
"It's pretty insulting for USTR to claim these
negotiations are transparent," says Love, who notes that
USTR has reached out to his group for comment. "As a
practical matter, we can't offer much input unless we see
the text or have someone at least explain what it says."
The USTR spokesperson declined to comment on the leaked
proposal when asked by HuffPost. But the agency's secrecy is
bewildering to public health advocates.
"The other countries can see the documents. The drug
lobbyists can see the documents. Why can't we?" says Judit
Rius Sanjuan, manager of Doctors Without Borders' Access to
Essential Medicines campaign.
Left in the dark by the official channels of trade pact
negotiations, public health groups must rely on documents
illegally sent to them to stay informed. Much of the concern
among Oxfam, Doctors Without Borders, Public Citizen and KEI
stems from a leaked version of the trade pact's intellectual
property chapter, posted online at KEI. The nonprofit groups
would not disclose who leaked the draft, citing the need to
protect their source, and USTR would not comment on the
validity of the document.
* * * * *
If the draft's proposals pan out, the final deal would
tighten patent laws, stymieing AIDS efforts in Vietnam and
other Pacific nations. Over the past 10 years, as patents
have expired on early HIV medications, market competition
from generic drugs has driven prices down by roughly 99
percent, according to data compiled by Doctors Without
Borders. Those lower prices have allowed more than 6 million
people worldwide to access life-saving medication that would
have been otherwise unaffordable.
Still, the high prices of new, patent-protected
second-line HIV drugs remain a problem. Over time, most
people infected with HIV will develop resistance to standard
treatments and need the second-line drugs, according to the
WHO, meaning demand for these drugs will only increase over
time.
Further, older medications often come with severe side
effects -- the federal government's report on Vietnam AIDS
relief cites "severe anemia" as a common one. These older
drugs are also less effective in developing nations,
according to experts, because they need refrigeration, which
is often not readily available, or have highly complex
treatment schedules that either require regular laboratory
access or prove hard to follow for people living on a few
dollars a day without a consistent routine. Newer drugs,
such as the heat-stabilized version of Kaletra prized by
PEPFAR for its Vietnam efforts, could address many of these
issues -- if they were affordable.
"We need the newer medicines, which are massively more
expensive and more likely to be patented," says Matthew
Kavanaugh, director of U.S. advocacy for the Health Global
Access Project, a nonprofit dedicated to expanding HIV
treatment. "As these new classes of medicines come onto the
market, they could revolutionize HIV care. But if we change
patent laws in places like Vietnam, they will never be
affordable there."
Public health advocates say patent restrictions have also
caused AIDS treatment gaps in the U.S. As prices fell
dramatically for AIDS medicine globally over the last 10
years, prices for new HIV/AIDS drugs in the United States
have jumped by 60 percent, according to data from Doctors
Without Borders -- in large part because of the restrictive
patent system in the U.S.
Newer medications are more effective and come with fewer
side effects, making them far preferable to older generic
drugs. But the high prices on these critical new medications
have sparked a funding shortage in the federal government's
domestic AIDS relief program, forcing more than 9,000
low-income Americans onto waiting lists for HIV drugs. "The
waiting lists are a national disgrace," says James Driscoll,
a consultant to the AIDS Healthcare Foundation, a nonprofit
dedicated to eradicating HIV.
Driscoll and other public health advocates emphasize that
this waiting list exists in the world's richest country -- a
sign that applying the same patent standards in developing
countries could prove disastrous.
The Obama administration's efforts to restrict the
ability of developing countries to access medication goes
beyond HIV treatment: The standards currently being pushed
by USTR in the trade deal would apply to all drugs,
including vaccines and treatments for heart disease, cancer
and other life-threatening illnesses.
But the effect the Trans-Pacific deal could have on AIDS
treatment is particularly poignant, with the government
spending millions on PEPFAR programs in Vietnam. Of the
roughly 300,000 people estimated to be living with HIV in
Vietnam, only 31,000 are receiving life-saving medication
through PEPFAR. Just 30 percent of adults with "advanced
HIV" in Vietnam are receiving drugs through all existing
relief efforts, according to the most recent U.N.
estimate.
Over the last 10 years, millions of people have received
live-saving AIDS drugs because patents have expired. But if
USTR succeeds in establishing new, more restrictive patent
standards, that trend could stop, hindering efforts to close
the still formidable global HIV treatment gap.
"This is about the White House protecting these
companies, like Pfizer, Merck, Abbott and Bristol-Myers
Squibb," says KEI's Love. "It's going to mean that either
the U.S. pays more foreign aid, or we just let people
die."
Source: www.huffingtonpost.com/2011/10/05/aids-trade-regulations-patent-law_n_994940.html
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