Cipla faces new challenges with India's adoption of pharmaceutical product patents. However, their business is not fundamentally threatened. Cipla can focus on increasing their portfolio of off-patent drugs, producing patented drugs through cross-licensing, increasing R&D spending, continuing to lobby the government, and keeping the option to reverse engineer drugs open. Collaboration between all stakeholders is needed to effectively address the AIDS crisis through open access to research, incentivizing discovery, and measuring impact. Analyzing "Big Pharma's" approach shows that maximizing revenue without regard for accessibility has exacerbated health crises. Governments must play a role in negotiating multi-lateral solutions that balance interests of low-cost producers,
Cipla faces new challenges with India's adoption of pharmaceutical product patents. However, their business is not fundamentally threatened. Cipla can focus on increasing their portfolio of off-patent drugs, producing patented drugs through cross-licensing, increasing R&D spending, continuing to lobby the government, and keeping the option to reverse engineer drugs open. Collaboration between all stakeholders is needed to effectively address the AIDS crisis through open access to research, incentivizing discovery, and measuring impact. Analyzing "Big Pharma's" approach shows that maximizing revenue without regard for accessibility has exacerbated health crises. Governments must play a role in negotiating multi-lateral solutions that balance interests of low-cost producers,
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Cipla faces new challenges with India's adoption of pharmaceutical product patents. However, their business is not fundamentally threatened. Cipla can focus on increasing their portfolio of off-patent drugs, producing patented drugs through cross-licensing, increasing R&D spending, continuing to lobby the government, and keeping the option to reverse engineer drugs open. Collaboration between all stakeholders is needed to effectively address the AIDS crisis through open access to research, incentivizing discovery, and measuring impact. Analyzing "Big Pharma's" approach shows that maximizing revenue without regard for accessibility has exacerbated health crises. Governments must play a role in negotiating multi-lateral solutions that balance interests of low-cost producers,
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online from Scribd
The challenge facing Cipla The adoption of the product patent regime in pharmaceutical in India, definitely changes the rules of the game as far as Cipla is concerned. However, the TRIPS really doesn’t threaten their existence altogether and might just be the impetus needed that spurs innovation. The business model will require a greater focus on the following: 1. Increased portfolio of off-patent drugs: Cipla, has a definite advantage over the west in terms of cost of production. The presence of an established industry and the skilled man-power can be leveraged to take advantage of this and gain a leadership in low-cost off-patent drugs 2. Produce patented drugs under cross licensing: Cipla’s strengths lie in production and drug delivery while the MNC’s advantage is in R&D, Cipla can look to cross license drugs and sell them in select markets. It can also collaborate with the MNCs in clinical trials, product development and marketing the patented drug 3. Increased spending in R&D: New drug discovery, which is a long and expensive process, is what gives pharma companies the big money. This increased focus on R&D can also spur innovation. Owning patents will enable Cipla to meet its humanitarian goal of making the drugs available to majority of the population 4. Continue lobbying with the Government: The TRIPS agreement can be voided if the MNC’s drugs are unaffordable to the average citizen. Considering India’s low per-capita income, there is a high likelihood of this. Thus lobbying with the government and proving to them the merits of this argument, can enable Cipla to continue to reverse engineer and manufacture crucial and expensive drugs 5. Keep reverse engineering: There is merit in a patent exception rule which allows countries to manufacture pharmaceuticals for export in order to supply countries that cannot manufacture themselves. Cipla should ensure that is should be prepared to take up this market if the argument is upheld by the WTO.
Collaboration to alleviate the AIDS Crisis
Working through the AIDS crisis would require collaboration among all the stakeholders involved. No single party can provide a lasting solution which would alleviate this crisis. A strict implementation of the present monopoly patent regime is socially harmful as it causes a deadweight loss since every buyer has to pay the extremely high monopoly price. The best way to tackle this crisis would be to treat the whole process of discovering drugs to cure AIDS as a public good. In order to ensure that this strategy works, three basic components need to be put in place: Ensuring free access : All intellectual results of successful research to develop AIDS related drugs should be provided as a public good that Pharma companies across the world can use free of charge. This will ensure that every company works efficiently to bring their costs down and then the general public has free access to choose between products of different competitors. However, in order to prevent arbitrage, there should be a global consensus to adopt this public good strategy instead of the current TRIPS regime. Incentivizing research: An open access to others efforts mandates the provision of alternative rewards which would incentivize organizations across the world to continue spending on research to develop newer forms of drugs. Individual governments can identify specific companies or universities and fund its research activities in order to ensure that their efforts are adequately rewarded. On the other hand, there could be a prize incorporated by bringing together funds from the government as well as from NGOs across the world. This prize money would be awarded to whoever is first to provide a significant breakthrough. However, it is important to ensure that the prize money is substantially larger than the estimated costs of such research. Measuring impact: Once incorporated, the prize money should also be awarded to those efforts which significantly reduce the overall burden of curing or eradicating the disease. Measuring the actual impact in terms of number of people having access to the medicine and the number of lives saved would incentivize firms across the globe to ensure that their medicines reach the poor. This could also imply that the inventor and the generic producers could work hand in hand to increase the affordability and availability in different parts of the world. An arrangement of this sort will be successful only if it is global in scope. If successfully implemented, such an agreement will go a long way in lowering the prices of advanced medicines. This would not only benefit the poor and the affluent alike but also help eradicate AIDS and prevent any such crisis in the future.
Analyzing The Big Pharma’s Approach
The operations in the “Big Pharma” companies are characterized by long investment cycles in the hope of discovering new blockbuster drugs followed by years of cashing in on these to recover the incurred costs. As a result the real productivity and profitability are never clear at any point of time. The entire organization is structured around the success of these blockbusters resulting in creation of large marketing and sales teams which further increase costs. These companies rely on scale to diversify the risks of uncertain investments in R&D and commercialization and hence believe in maximizing revenues as long as the patents provide protection from competitors and generics. This kind of approach to the market results in the profit making mode that has led to the AIDS crisis. With arbitrage opportunities ruling out differential pricing strategies to extract the surplus from buyers with different willingness to pay and with the Big Pharma companies’ emphasis on cost recovery, many of these life saving drugs have become inaccessible to the general public, and hence their approach to this market is unjustified.
The search for a multi-lateral solution
The concerned parties in the crisis are – the drug manufacturers from the developing nation such as Cipla who do not have patents but have the acumen to produce the drugs at a low cost, the MNC drug manufacturers who have spent a lot of money on drug discovery and now want to reap its benefit through patent protection, the customers who simply want access to life-saving drugs and the governments who have to protect the interests of all the above parties. The governments have a big role to play in the search of a multi-lateral solution that benefits the interests of all parties. While the TRIPS does prevent the MNC drug manufacturers from having their expensive ideas stolen, it does not really cater to any of the other segments. It is the duty of the governments and the WTO to step in and have a cap on the prices they charge to the end consumer. They can do it through the following means: 1. Audit the MNC pharmaceutical companies to find out the costs they have incurred in the R&D for the drug and ensure that they don’t overstate it and use it as an excuse to overprice their drugs 2. Provide a platform for cross-licensing or compulsory licensing if need be. This will ensure that while the Cipla’s of the world can leverage their low cost manufacturing and delivery capabilities, they will do so by appropriately compensating the MNC drug companies who have spent millions of dollars on the research 3. Drug discovery is an expensive process. At times, it might be impossible to produce a drug at affordable prices. The government must ensure that its citizens are not deprived of potentially lifesaving drugs due to the price. It can do so by giving funding a part of the research which will bring down the costs and therefore the price of the drug. 4. The funding of the research for lifesaving drugs can also come from charitable foundations such as Clinton foundation, Médecins Sans Frontières etc which receive huge donations 5. Negotiations with the MNC to have a system of ‘tiered’ pricing. Tiered pricing means that the price is calculated using formulas based on average income per head, leading to lower prices in poor countries