August 28, 2003

ROBERT B. ZOELLICK, SUPERSTAR

In Reversal, U.S. Nears Deal on Drugs for Poor Countries (ELIZABETH BECKER, 8/28/03, NY Times)
Poor countries already have the right to manufacture copycat versions of brand-name medicines in the event of a health emergency by issuing what is called a compulsory license. But the poorest nations have no factories to produce such medicine. The pending trade agreement solves that problem by allowing these countries to import the generic drugs from developing nations like Brazil or India under the compulsory license.

Jeff Trewhitt, a spokesman for the Pharmaceutical Research and Manufacturers of America, the industry group for research-based American pharmaceutical companies, said there would be no comment until a final deal was reached. But officials who have met with American pharmaceutical executives said that the companies would not lobby against the agreement.

Ambassador Robert B. Zoellick, the United States trade representative, was credited today by several officials with persuading the American pharmaceutical industry, as well as the White House, that a compromise had to be reached before the trade talks start on Sept. 10.

In the last few days, the United States struck an accord with a crucial group of developing countries--including Brazil and India, which are large producers of generic drugs, and South Africa and Kenya--raising the odds for a full agreement by the 146 members of the trade organization.

In exchange for these new assurances sought by the pharmaceutical industry, the United States dropped its demand that the agreement cover only a few diseases and that it limit the number of countries eligible to import the generic drugs, several diplomats said.

Instead, the United States has successfully lobbied more than 20 developed nations to agree to voluntarily opt out of using this agreement to import generic medicines, several officials said.

"This is better than what the United States originally wanted and doesn't limit the scope of diseases," said Nelson Ndirangu, a member of the Kenya delegation to the World Trade Organization.

But several nongovernmental organizations said the compromise did not go far enough to ensure that generic versions of medicine could be produced and exported wherever they were needed.

The opposition of the NGOs is reassuring. Posted by Orrin Judd at August 28, 2003 8:50 AM
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