There is no easy news. The Commonwealth is having several issues that are not easily solved. There is always blame, but who to blame and more important, will it get us anywhere to begin with? I also believe that the Commonwealth has its share of solutions, but in that regard we will have to make some drastic changes. Some will be good, many will not be good and a lot of them will have to be different.
It is the last one that is likely the strongest salvation we might hope for, but we can no longer think the way we are, as we currently end up planning to go nowhere.
First of all, one member will need to step up to the plate and the others must protect this part. They started being regarded as a simple land, this land became a colony and later part of what would be known as the British Empire. It became independent and it is now a Commonwealth nation. Now, India must step up to the plate and become a Commonwealth leader. We (Australia, Canada, New Zealand and United Kingdom) must stand firmly and strongly next to India.
India has basically become the world leader in generic pharmacy and many are so eager to take up the Trans Pacific Partnership that we ignore the part that this US and Japanese conclave is not just about ‘trade‘ or ‘fairness‘, the indications are that it will give even more power to the US companies. A level of power they should not have to this degree.
They were complacent; they were lazy and became the facilitator for flaccid economists (yes, that was a Viagra joke).
If we accept a Canadian source, we see the following: “One proposed TPP provision would require governments to grant new 20-year patents for modifications of existing medicines, such as a new forms, uses or methods, even without improvement of therapeutic efficacy for patients. Another provision would make it more expensive and cumbersome to challenge undeserved or invalid patents; and yet another would add additional years to a patent term to compensate for administrative processes. Taken together, these and other provisions will add up to more years of high-priced medicines at the expense of people needing treatment, who then must wait longer for access to affordable generics. Meanwhile, provisions in the proposed investment chapter would give pharmaceutical companies the right to sue governments for instituting any regulation that reduces their expected profits, using private tribunals that circumvent a country’s judicial process.” (at http://www.msf.ca/en/article/negotiators-must-fix-most-harmful-trade-pact-ever-access-medicines).
This is not what we signed up for in any way shape or form (nor should we ever). It had been stated in several sources that Australia was one of the least objecting partners. The fact that this would be done and through this ensure the consequence that a large part of the Commonwealth will then have another decade of expensive medication to look forward to is just too absurd. when we read the additional quote “U.S. pharmaceutical company Eli Lilly is using similar provisions in NAFTA to demand $100 million from the Canadian government for invalidating one of its patents, claiming, among other things, that the company’s expected profits were “expropriated” when the patent was overturned“, we see a pattern where the use of such a partnership is not a partnership at all, it feels more that America is applying republican dictatorship, through arranged courts in order to thwart almost two decades of laziness and stupidity. Them overspending their treasury by well over 17 trillion is not helping them either and is at the centre of the current push we see.
India is proving slowly to be the leading authority on generic medication, even now in the last two years we see players like Kroger, Axium, Pfizer and Wyeth in multi-billion dollar mergers. They are setting up shop to have their own corners, which will grant them stability and income for the next decade. Guess what! We cannot afford that. The UK NHS is in shambles, healthcare all over Europe is unaffordable and the other Commonwealth nations see the cost of medication go up and up and up. These costs forced upon governments are the new way to get the maximum revenue, whilst in the end not being taxed on it (or for the ultimate minimum). India as a Commonwealth leader in generic medication can step up to the plate. We will not go to India, no, it seems that under these conditions India comes to the UK, Australia and Canada to build their places for generic medication to be produced. India would become a leader here. I wonder if President Pranab Mukherjee had ever envisioned that, to visit the other nations, including the UK as a leader, paving the way for a solution to the other heads of states of the Commonwealth.
If you think that this is ludicrous, then think again. In the Independent we see at http://www.independent.co.uk/news/uk/politics/government-accused-of-losing-grip-on-nhs-as-58-failing-trusts-now-have-241m-debt-9544181.html the following headline “Government accused of ‘losing grip on NHS’ as 58 failing trusts now have £241m debt“. Australia is feeling the pinch of healthcare hard and Canadian healthcare will soon be a sizeable chunk of a 2.2 trillion dollar debt. This must change!
We need to pull our resources. We need to think of other ways. Medication from India is only a first step. How about the option for healthcare graduates to work off their debts in a few years overseas in the UK or Canada? They’ll have a place to live, some income and over a period of 5-10 years (depending on the degree) their debt is settled. These are but a few of the options we can resort to. The old ways are not working and the few that do are drowned into costs of a faltering IT system. We need to group ourselves together and build a new system on different scopes. The old way has not worked and the more we delay the deeper the debt becomes and the less solvable the problem becomes.
This is no longer Labour versus Conservatives; this is now finding a way to avoid deaths through inaction. I agree that simply starting something new is not the way to go, the Labour IT systems of the NHS have proven that ten billion pound invoice, and yet doing nothing is another non-option. The heads of the Commonwealth must come together and find surpluses on one side to stop drainage in other sides. We are one commonwealth and we must save us! From there we will have the stability to come to the European aide, especially with affordable medication.
This side was ignored by the USA as the cash was flowing so nicely. Guess what, we are all broke and we need to find WORKABLE alternatives. The ones we claim to have at present do not work!
Let me also take a step back. This is not an anti-American thing, they are welcome to be part of this (even as a non-Commonwealth nation) and the issue is that they have been blocking affordable solutions through the FDA for a long time. What was good for Canadian was apparently not good enough for Americans and cheaper medication. The information from RxRights.org stated: “Threats to Economic Creativity and Theft of Intellectual Property Act of 2011 (PROTECT IP Act). This new act moves far beyond COICA’s blacklist of pharmacy websites. It would categorize all non-U.S. based online pharmacies as a risk to public health. It would require that Internet service providers and search engines block these sites that credit card companies stop their payments. Even worse, under this new law, Canadian and international pharmacies would be prohibited from defending themselves against those who shut them down“. This situation is even more ridiculous as this is instigated by a president claiming to bring ‘affordable‘ healthcare. If that were true, then why not let people find the cheapest option? Is a Canadian less than an American? No, it is all about a Democratic party with minus 17 trillion and they are firmly in the pockets of big pharmacy! That is the part and the Commonwealth cannot afford this shallow minded greed based approach. We must entertain the best option for the Commonwealth. As General Motors left Australia for cheaper options in China, so we must find our cheaper options in India and the TPP will not help us here. Signing it would be a massive mistake. By the way, all them Americans spamming my email for cheap Viagra was legal? Interesting double standard the FDA has.
We can see more in regards to Indian patents (at http://timesofindia.indiatimes.com/home/stoi/all-that-matters/Changes-to-Indias-patent-law-will-impact-prices-of-life-saving-drugs/articleshow/32519848.cms), of course, as it is the Indian Times, it would be all in favour of India, but are the facts incorrect? That part is in debate on several issues. One question that has not been answered over a term of at least two years is “Access to Medicines – Will the Trans-Pacific Partnership FTA allow governments to produce and/or obtain affordable, generic medications for sick people?”
That is not just the question which is not answered; it is one if the questions that seem to be actively avoided whilst the TPP is continued behind closed doors. The response from Doctors without borders is “Governments have a responsibility to ensure that public health interests are not trampled by commercial interests, and must resist pressures to erode hard-fought legal safeguards for public health that represent a lifeline for people in developing countries.”
This is at the heart of the issues for the Commonwealth, because if these steps stop affordable medication, then there will be no healthcare at all, the Commonwealth nations will be broke as they are decimated through age and sickness, after that what will be left of Western Europe?
It is only a first step; if we look at the NHS, then staffing and expertise are also a worry, which is by the way a worry in many Commonwealth Nations. Most of these nations have well over 5% unemployed; can some not be re-schooled in the healthcare sector? In the UK many IT trained staff are without a job, can they not help rebuild the NHS IT systems? Too many issues that are overlapping and someone threw away 10 billion. It is time to rewrite the tactical guide and start building a solution that will work. Sitting at home will not help anyone, not even one’s self.
Lawrence van Rijn - Law Lord to be 