By Michael M. Rosen
Saturday, May 22, 2021
When the Biden administration announced in early May that
it supported suspending global intellectual-property protections for COVID-19
vaccines, much of the world applauded. Advocates for the waiver of the
so-called Trade-Related Aspects of Intellectual Property Rights (TRIPS) argued
that relaxing patent rights for the medicines developed by Pfizer, BioNTech,
Moderna, AstraZeneca, and Johnson & Johnson would enable generic
manufacturers the world over to produce much cheaper yet equally effective vaccine
doses in mass quantities and swiftly distribute them to the neediest places on
the planet.
“This is a global health crisis,” U.S. Trade
Representative Katherine Tai said in a press release, “and the extraordinary
circumstances of the COVID-19 pandemic call for extraordinary measures.” While
the Biden administration “believes strongly in intellectual property
protections,” its “aim is to get as many safe and effective vaccines to as many
people as fast as possible.” And so, she said, America would support a pending
petition before the World Trade Organization (WTO) to waive TRIPS protections.
India—which, along with South Africa, presented the
petition to the WTO in October 2020 and which has been suffering this spring
through an unprecedented explosion of COVID infections and deaths—expressed its
“appreciation” for the Biden announcement. “We will continue to work with all
stakeholders in the U.S. to collectively fight the global pandemic,” its
ambassador to the U.S. said, “including through equitable distribution of
affordable vaccines for global public health at this critical juncture.”
Meanwhile, the director-general of the World Health
Organization (WHO) “commend[ed] the United States on its historic decision for
vaccine equity and prioritizing the well-being of all people everywhere at a
critical time,” declaring the decision “a powerful example of American
leadership to address global health challenges.”
Domestic praise for the Biden move was equally
extravagant. “I applaud President Biden and his administration for taking this
bold step in response to the world’s most urgent crisis,” Vermont’s Senator
Bernie Sanders proclaimed. “Our vaccination efforts here at home will only be
successful if vaccination efforts in the developing world happen
simultaneously. Supporting this waiver, and putting people over profits, will
help us to do that by speeding up the production and availability of vaccines.”
“A pandemic,” according to a group of nine Democratic
members of Congress, “is not the time to fuss over intellectual property
rights”; instead, the “TRIPS waiver will allow sharing of the intellectual
property required for vaccine manufacturing to get underway immediately.” Not
to be outdone, New York Representative Alexandria Ocasio-Cortez retweeted a
CNBC chart depicting a plunge in the stock prices of the COVID vaccine-makers
in the wake of the decision, gleefully adding, “Let’s do insulin next.” Texas
Democratic Representative Lloyd Doggett, chair of the House Ways and Means
health subcommittee, tweeted that “with this waiver, we can share vaccine
recipes, largely developed with taxpayer dollars, while assuring reasonable
royalties to American manufacturers.”
Enough. In point of fact, the decision will not
meaningfully accelerate vaccination where it’s most desperately needed.
Moreover, it weakens incentives to develop life-saving innovations, including
during the next pandemic. Note how it indulges the long-standing desire of
those motivated by profit or by disdain for the pharmaceutical industry to
undermine the global IP regime. And most telling, it distinctly disadvantages
the U.S. relative to China, which in recent years has assiduously enhanced its
commitment to intellectual-property-based innovation.
* * *
First, the proposed suspension of IP rights actually does
far too little. The glacially slow WTO process for authorizing generic
formulations of the various COVID vaccines will not come close to resolving or
even noticeably relieving the crisis engulfing India and other developing
countries at this moment. America’s accession to the Indian and
South African petition is not being echoed by other countries implicated in the
decision—notably Germany, where Pfizer’s partner in innovation, BioNTech, is
headquartered. More generally, the WTO’s TRIPS deliberations are carried out in
an endless parade of sclerotic committees, which means bureaucratic delays and
other holdups are guaranteed. Indeed, as even Tai recognized in
her statement, the “negotiations will take time given the
consensus-based nature of the institution and the complexity of the issues
involved.”
Then, too, once authorized, generic manufacturers will
have to begin minting copies of the pioneering shots that can satisfy myriad
health and safety regulations across dozens of countries. Exhibit A in the
inherent sluggishness of this process is Moderna, which announced in October it
would voluntarily forgo enforcement of its patents on the COVID vaccine. Even
so, as of this writing, no generic manufacturer has taken up its invitation.
Exhibit B: India’s regulators have yet to authorize the Pfizer vaccine for
domestic use, rendering any generic version of that jab useless.
While a pharmaceutical patent often provides the ingredients for
a vaccine, it doesn’t always provide the instructions needed
to assemble it, and generic drugmakers will require additional time to obtain,
perfect, and execute those instructions. Getting rid of patent protection
removes none of these formidable obstacles; indeed, the CEO of the Serum
Institute of India flatly rejected any suggestion that patents have impeded the
rollout of vaccines in developing countries. By the time effective generic
production comes online, many months from now, the crisis will have passed, and
hundreds of thousands more people will have died.
Far more effective than permitting the fabrication of
generic vaccine doses, then, would be ramping up existing vaccine production,
distribution, and export by the creators of the vaccines themselves—along
with providing deep-freezers, refrigerated storage and transportation, and
other logistical support to supply vaccines to those regions requiring them
most urgently. In March, the WHO’s India unit candidly acknowledged “the need
for a consistent and seamless cold chain transportation and storage logistics
capability, which is the infrastructure we are lacking in the country, and
especially in the hinterlands.”
To this end, the various vaccine-makers have already
contributed tens of millions of doses to the WHO’s COVAX program, which
has been laboring to vaccinate the developing world. AstraZeneca, which
developed the jab used most frequently in the United Kingdom, forged a
technology-transfer partnership with the Serum Institute in order to fulfill
their “long-held commitment to broad and equitable access around the world.”
All these voluntary efforts should be applauded and redoubled, but we hear no
praise for the pharmaceutical makers from Washington’s liberal policy elite at
all.
How about, instead of vitiating intellectual property
rights, the U.S. government simply foots the bill for doses all around the
world at a relatively modest cost, which some experts estimate at $50–$75
billion? This expenditure isn’t trivial, of course—but it pales in comparison
with the trillions in new spending that the administration has recently
championed. And would far more effectively promote American interests as an
expression of our “soft power” while adding necessary protection to Americans
from the spread of global variants that could bring new iterations of the virus
back to American shores.
Second, the waiver proposal does too much. It effectively
erases intellectual-property protection for the truly miraculous formulations
developed by pharmaceutical companies, in astoundingly short order, that
succeeded in throttling the severest pandemic to rage in over a century. These
extraordinary technological advances owe a substantial debt to the patent
system, which transforms risk and creativity into success.
Patents the world over constitute solemn contracts
between innovators and the public. To borrow from Thomas Edison, in exchange
for inspiration and perspiration, as well as open disclosure of the results of
both, inventors are entitled to the exclusive use of their invention for a
limited period of time. In the U.S. and other Western countries, the patent
system has ignited the most spectacular efflorescence of ingenuity in the
history of humanity, perhaps most blazingly in the life sciences. The TRIPS
regime in particular was established by the 164 member-nations of the WTO to
“facilitat[e] trade in knowledge and creativity” and to reflect the “legal recognition
of the significance of links between IP and trade.”
In this instance, the vaccine pioneers invested billions
of research-and-development dollars to create a product that isn’t, in fact,
wildly profitable. Even Pfizer’s critics concede that its profit margin likely
doesn’t exceed 20 percent, which is far less than consumer-electronics makers
or software developers net. What’s more, that margin reflects Pfizer’s sales at
relatively high cost to Western countries thus far; it will surely decline going
forward as the company provides shots to less prosperous locales.
For the much smaller Moderna, now the darling of the
biotech world, its innovative mRNA mechanism was literally a bet-the-company
affair, and it deserves at least to be repaid for its substantial investment.
In February, its CEO told Yahoo News that, had the vaccine failed its clinical
testing, the company would have faced bankruptcy. And while Moderna has relaxed
enforcement of its vaccine patents, the TRIPS waiver could force its entire mRNA
mechanism into the public domain for all applications, including for use in
vaccines against future diseases.
To be sure, the Warp Speed program adopted by the Trump
administration pumped taxpayer cash into the coffers of these companies to
supplement their own capital that they put at risk, but they have repaid that
investment handsomely by providing hundreds of millions of vaccine doses in
record time—an assembly-line triumph that is leading the United States out of
its COVID-induced torpor. But without the promise of a reasonable payout for an
immense investment, it would be foolish to expect the pharmaceutical geniuses
that pulled this off to meet the next such global challenge with comparable
alacrity. Violating the fundamental patent bargain between the public and
industry will wind up severely harming both.
Third, the White House’s accession to the TRIPS waiver
unwisely vindicates the long-held goals of an unholy alliance of India and
South Africa specifically, along with a coalition of assorted Western
progressive lawmakers and policy analysts, all intent on eroding IP rights.
While the Trump administration and its predecessors resisted the siren song of
loosening IP protection, the Biden team has succumbed.
Indeed, from the very founding of the WTO, India and
South Africa have lobbied to weaken IP protection on pharmaceuticals
specifically, owing at least in part to their position at the forefront of the
generic-drug-manufacturing industry. While the COVID crisis is indeed dire in
India (if less so in South Africa), it also dovetails with the long standing
desire of both countries to chip away at patent enforcement in favor of local
industry.
This is where the bizarre enthusiasms of leftist
legislators become highly contradictory. Senators Sanders and Elizabeth Warren
cheered the waiver proposal on the ground of “vaccine equity”—global vaccine
equity—despite the unlikelihood it will deliver significant relief anytime
soon. These lawmakers disdain “fussing” over patent rights because they
believe, mistakenly, that innovators and those who invest in them will continue
to satisfy their end of the IP bargain even when politicians violate theirs.
Other progressive groups have followed suit by using the
occasion to launch familiar attacks against the companies. “Tai’s ability to
face down the well-funded and powerful pharmaceutical interests fighting
against this waiver without fear shows that she was a perfect choice for this
crucial job,” thundered a press release from the left-wing Revolving Door
Project. The Biden administration’s TRIPS decision has empowered this sort of
rhetoric, with entirely foreseeable negative consequences.
Fourth, and perhaps most important, American acquiescence
in weakening the global patent regime stands in stark contrast to the aggressive
pro-IP stance adopted recently by China, America’s chief economic competitor.
Long considered a scourge by those who valued intellectual property, and
thought by many for decades to be a shameless copyist of Western technology,
China has recently and decisively moved up the innovation food chain.
Chinese courts now offer fast, reliable, and effective
justice, cracking down hard on IP violations. In 2019, some 22,000
patent-infringement cases were filed in Chinese courts, up from 5,000 in 2010.
Patent holders win their disputes more than 60 percent of the time, and cases
are typically decided within a year—statistics far more favorable to IP holders
there than in American courts. New administrative rules entering into force
this month provide for higher damages awards and shift the burden of proof to
defendants.
Furthermore, late last year, Chinese Premier Xi
Jinping announced a renewed focus on enforcing IP as a critical
source of enhancing national economic strength. “Intellectual property is the core
factor of global competitiveness,” Xi told the Politburo last November. “[It]
has become a focus of many international disputes. We should dare to fight and
fight well. We shall never give up our legitimate rights and national core
interests.” Emphasizing the importance of intellectual property to securing
Chinese national-security technology, Xi declared, “We can only improve our
business environment and elevate the opening up of our country to a higher
level and quality if we strictly enforce IP protection.”
In April, the Chinese Supreme People’s Court released a
Five-Year Intellectual Property Protection Plan focused on strengthening IP
protections by making courts more efficient and enhancing their enforcement
capacities. There is, of course, much Communist Party bluster contained in
these pronouncements, but also little doubt that China means business. Thus, at
precisely the moment when the Biden administration is signaling weakness on IP
enforcement, China is redoubling its commitment to protecting patents, trade
secrets, and the like as a means of advancing its global position. Compounding
the problem, at the same time, China has engaged in a vigorous campaign of
vaccine diplomacy while the U.S. has remained essentially inert.
Given the increasingly high stakes of American
competition with China, the waiver threatens to set back U.S. innovation and
economic strength in an utterly gratuitous and pernicious manner. The move is a
double whammy: It means we are squandering a golden opportunity to maintain
competitiveness and build alliances around the world for empty rhetorical
benefit.
For economic, security, diplomatic, and humanitarian
reasons, the Biden administration should intensify, not loosen, the American
dedication to intellectual-property rights, even if it must countermand
interest groups it seems intent on trying to satisfy. Moreover, the White House
should couple that commitment to a robust and systematic effort to export
vaccines, necessary equipment, and logistical know-how to the rest of the world
at low or no cost. Only in this way can the United States build global
goodwill, end the current pandemic, and position itself and its innovators to
prevail when the next one arrives.
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