{"id":10251,"date":"2015-11-13T11:59:28","date_gmt":"2015-11-13T16:59:28","guid":{"rendered":"http:\/\/www.aidslaw.ca\/site\/?p=10251"},"modified":"2022-10-04T22:57:31","modified_gmt":"2022-10-05T02:57:31","slug":"fears-confirmed-access-to-medicines-and-the-trans-pacific-partnership","status":"publish","type":"blog22","link":"https:\/\/www.hivlegalnetwork.ca\/site\/fears-confirmed-access-to-medicines-and-the-trans-pacific-partnership\/","title":{"rendered":"Fears Confirmed: Access to medicines and the Trans-Pacific Partnership"},"content":{"rendered":"<p style=\"text-align: right;\">November 13, 2015<\/p>\n<p>Last week, the text of the <a href=\"http:\/\/www.mfat.govt.nz\/Treaties-and-International-Law\/01-Treaties-for-which-NZ-is-Depositary\/0-Trans-Pacific-Partnership-Text.php\" target=\"_blank\" rel=\"noopener\">Trans-Pacific Partnership<\/a> (TPP) Agreement was finally made public. Running to more than 6000 pages, it raises a host of grave concerns about its impact on everything from environmental protection to labour and other human rights, from internet privacy to food safety\u2026 and much more, including access to affordable medicines.<\/p>\n<p>Before the final text was released, alarm bells were already ringing: M\u00e9decins Sans Fronti\u00e8res <a href=\"http:\/\/campaigns.msf.ca\/tpp\/#bg\" target=\"_blank\" rel=\"noopener\">has called<\/a> the TPP \u201cthe most harmful trade pact ever for access to medicines\u201d \u2014\u00a0and not just for those in the negotiating countries, but for many more, since the TPP is being billed as a model for future trade agreements across the globe.<\/p>\n<h3><strong>What\u2019s the threat?<\/strong><\/h3>\n<p>As we outlined in our\u00a0<a href=\"..\/letter-to-pm-and-mps-re-access-to-meds-tpp\/\">open letter<\/a> to the federal government, various aspects of the TPP are cause for concern when it comes to access to medicines:<\/p>\n<ul>\n<li>New intellectual property (IP) rules on patents, as well as rules on \u201cdata exclusivity\u201d over information submitted to get marketing approval of drugs, would be even more restrictive than what already exist at the World Trade Organization (WTO). These would further impede and delay the competition from generic drugs that is key to pushing down prices and therefore making medicines available to many more people. In addition, new, harsher provisions on enforcement of private IP rights would be available to big pharma to try to undermine competition \u2013 including injunctions, higher damages for patent infringement, and various border measures that could interfere with transit of legitimate generic medicines based on mere suspicion of infringing intellectual property rights claimed by big pharma.<\/li>\n<li>So-called \u201ctransparency\u201d provisions would create more opportunities for drug companies to challenge governments\u2019 decisions about reimbursing medicines under public health insurance programs, while also allowing more direct marketing to consumers by drug companies.<\/li>\n<li>Finally, the TPP would expand so-called \u201cinvestor-state dispute settlement\u201d rules to cover IP rights. This would allow drug companies to sue governments if they interfere with companies \u201cexpectations of profit\u201d through public interest laws or regulations on things such as patents, the use of data submitted in getting marketing approval for drugs, and setting prices of pharmaceuticals, including the prices at which drugs are covered under public health insurance plans.<\/li>\n<\/ul>\n<h3><strong>Time for action<\/strong><\/h3>\n<p>But there\u2019s still time to head off this disaster for public health and human rights.<\/p>\n<p>The TPP has to be ratified and implemented by the 12 negotiating countries before it takes effect.This makes it all the more critical that governments hear from the public, whose rights, health and lives will be affected by the TPP\u2019s provisions.<\/p>\n<p>This includes the new government in Ottawa. While PM Trudeau and the Liberal Party have stated support for the TPP in principle during the election, the party also <a href=\"..\/wp-content\/uploads\/2015\/10\/LPC-Response-Election-2015.pdf\">declared<\/a> that \u201cit must keep its word and defend Canadian interests during these negotiations.\u201d<\/p>\n<p>Those interests clearly include access to affordable medicines. Canadians already pay <a href=\"https:\/\/www.policyalternatives.ca\/sites\/default\/files\/uploads\/publications\/National Office\/2014\/12\/Affordable_Access_to_Medicines.pdf\">some of the highest drug prices in the world<\/a> and spending on pharmaceutical products is one of the three largest elements of our overall health care spending, year after year. No wonder, then, that Canadians have repeatedly expressed their <a href=\"http:\/\/www.cmaj.ca\/content\/186\/2\/E69.full.pdf+html\" target=\"_blank\" rel=\"noopener\">opposition to longer patents for drug companies<\/a>.<\/p>\n<p>\u201cCanadian interests\u201d also include a commitment to ending the tragic global gap in access to medicines, particularly burdensome for developing countries facing multiple major public health challenges \u2013 including, but not limited to, HIV. This commitment was reflected in the widespread support \u2014\u00a0including from 80% of Canadians polled \u2014\u00a0for <a href=\"..\/wp-content\/uploads\/2013\/04\/CAMR_QA_Oct2012-ENG.pdf\">fixing the flaws in Canada\u2019s Access to Medicines Regime<\/a> (CAMR). Such fixes were, and are, needed so that the regime could deliver on Parliament\u2019s previous unanimous pledge (a decade ago!) to support developing countries in getting more affordable, generic medicines.<\/p>\n<p>Sadly, a bill to fix CAMR was <a href=\"..\/wp-content\/uploads\/2013\/04\/Nov28Statement-2ndReading-ENG.pdf\">narrowly defeated<\/a> by the previous government in the last Parliament \u2014\u00a0and while the new government has not yet specifically committed to supporting those reforms again in the new Parliament (as it did previously), it did <a href=\"..\/wp-content\/uploads\/2015\/10\/LPC-Response-Election-2015.pdf\">declare during the election<\/a> that \u201cthere is no question that we need to get more low-cost medicines and other essential medical supplies and equipment to people in developing countries.\u201d<\/p>\n<p>Canada\u2019s new government should not only fix the existing flawed CAMR, but also reject the TPP in its current form. The agreement\u2019s provisions stand in direct contradiction to the goals of improving access to medicines, for Canadians and for people in developing countries. <strong>Canada should:<\/strong><\/p>\n<ul>\n<li><strong><strong>commit to a full public consultation on the TPP, including an independent assessment of its impact on human rights (including access to medicines), among other concerns;<\/strong><\/strong><\/li>\n<li><strong><strong>refuse to ratify the TPP as long as it contains any \u201cTRIPS-plus\u201d provisions that exceed the already-restrictive rules on intellectual property that have been adopted at the WTO; and<\/strong><\/strong><\/li>\n<li><strong>reject any deal that extends the discredited, damaging \u201cinvestor-state dispute settlement\u201d system to cover intellectual property or other laws and regulations affecting pharmaceuticals, as this would enable pharmaceutical companies to impede regulation of this sector in the public interest.<\/strong><\/li>\n<\/ul>\n<h3><strong>What action can you take?<\/strong><\/h3>\n<ul>\n<li><strong>Learn more<\/strong> by reading our <a href=\"..\/letter-to-pm-and-mps-re-access-to-meds-tpp\/\">open letter<\/a> to the federal government.<\/li>\n<li><strong>Email<\/strong> the federal government, calling on them to live up to the pledge to defend \u201cCanadian interests\u201d by rejecting the TPP as it stands:\n<ul style=\"list-style-type: circle;\">\n<li>Prime Minister Justin Trudeau: <a href=\"http:\/\/www.primeminister.gc.ca\/eng\/contactpm\" target=\"_blank\" rel=\"noopener\">click here<\/a> to send a message online or write to <a href=\"mailto:justin.trudeau@parl.gc.ca\" target=\"_blank\" rel=\"noopener\">justin.trudeau@parl.gc.ca<\/a><\/li>\n<li>International Trade Minister Chrystia Freeland at <a href=\"mailto:Chrystia.Freeland@parl.gc.ca\" target=\"_blank\" rel=\"noopener\">Chrystia.Freeland@parl.gc.ca<\/a><\/li>\n<li>Health Minister Jane Philpott at <a href=\"mailto:Jane.Philpott@parl.gc.ca\" target=\"_blank\" rel=\"noopener\">Jane.Philpott@parl.gc.ca<\/a><\/li>\n<li>International Development Minister Marie-Claude Bibeau at <a href=\"mailto:Marie-Claude.Bibeau@parl.gc.ca\" target=\"_blank\" rel=\"noopener\">Marie-Claude.Bibeau@parl.gc.ca<\/a><\/li>\n<\/ul>\n<\/li>\n<li><strong>Share<\/strong> this post on social media. Use these hashtags #cdnpoli #TPP #StopTPP #accesstomedicines and tweet to <a href=\"https:\/\/twitter.com\/CanadaTrade\" target=\"_blank\" rel=\"noopener\">@CanadaTrade<\/a> <a href=\"https:\/\/twitter.com\/JustinTrudeau\" target=\"_blank\" rel=\"noopener\">@JustinTrudeau<\/a> <a href=\"https:\/\/twitter.com\/janephilpott\" target=\"_blank\" rel=\"noopener\">@JanePhilpott<\/a> <a href=\"https:\/\/twitter.com\/cafreeland\" target=\"_blank\" rel=\"noopener\">@cafreeland<\/a> <a href=\"https:\/\/twitter.com\/mclaudebibeau\" target=\"_blank\" rel=\"noopener\">@mclaudebibeau<\/a><a href=\"https:\/\/twitter.com\/AIDSLAW\" target=\"_blank\" rel=\"noopener\"><br \/>\n<\/a><\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"","publication_topics":[145],"publication_language":[184,185],"class_list":["post-10251","blog22","type-blog22","status-publish","hentry","publication_topics-access-to-medicines","publication_language-english","publication_language-french"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/blog22\/10251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/blog22"}],"about":[{"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/types\/blog22"}],"wp:attachment":[{"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/media?parent=10251"}],"wp:term":[{"taxonomy":"publication_topics","embeddable":true,"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/publication_topics?post=10251"},{"taxonomy":"publication_language","embeddable":true,"href":"https:\/\/www.hivlegalnetwork.ca\/site\/wp-json\/wp\/v2\/publication_language?post=10251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}