Legal Amendments Likely to Increase Medicine Costs without Improving Quality

  • 22 Apr 2024

Why is it in the News?

The amended rules will prolong the life of drugs on account of frivolous patenting, increase their prices, and make lives difficult for patients.

Context:

  • India's healthcare system depends largely on accessible medications, with the generic pharmaceutical sector crucial for delivering quality drugs at affordable rates.
  • The expense of medicines represents a substantial part of healthcare spending, with almost half of individuals' medical costs dedicated to purchasing prescriptions.
  • Yet, the considerable expenses associated with medications, largely influenced by patenting, create significant hurdles for obtaining vital treatments.

What is the Role of Generic Pharmaceutical Companies?

  • Generic pharmaceutical companies are pivotal in addressing the challenge of affordability by offering cost-effective alternatives to patented drugs.
  • India's generic industry has earned global recognition for its role in providing essential medications at accessible prices.
  • The development of India's patent laws has significantly influenced its pharmaceutical sector and its capacity to produce generic drugs.
    • Initially, the Indian Patent Act of the early 1970s limited patent protection to the manufacturing processes rather than the products themselves.
    • This approach facilitated the growth of the generic industry, positioning India as a major exporter of generic drugs by the late 1980s.
  • However, recent revisions to the Indian Patent Law pose a threat to this ecosystem and jeopardize access to affordable healthcare.

What is the Impact of the TRIPS Agreement on India's Pharmaceutical Industry?

  • The Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement, introduced in 1995, had a significant impact on India's pharmaceutical sector, shaping its development and global position. Key aspects of this impact include:
  • Transition to Product Patents: A critical change brought by TRIPS was the requirement for member countries to grant patents for both products and processes, including pharmaceuticals.
    • This shift from process to product patents posed challenges for India's thriving generic pharmaceutical industry, which had previously capitalized on producing affordable versions of patented drugs.
  • Challenges for India's Generic Industry: The introduction of product patents threatened India's generic pharmaceutical sector, renowned for its capacity to manufacture low-cost essential medicines.
    • These patents granted exclusive rights to inventors, restricting generic manufacturers' ability to produce and distribute affordable alternatives.
  • Pressure to Comply with International Standards: The TRIPS Agreement pressured India to align its intellectual property laws with international standards, encompassing pharmaceutical patent protection.
    • This necessitated amendments to India's Patent Act to comply with TRIPS obligations while preserving the interests of its generic pharmaceutical industry and public health priorities.
  • Preserving Access to Medicines: Despite TRIPS challenges, India implemented measures to safeguard access to affordable medicines.
    • Provisions like Section 3(d) of the Indian Patent Act, introduced in 2005, aimed to prevent granting frivolous patents for incremental innovations lacking significant therapeutic benefits.
    • This ensured compliance with TRIPS requirements while maintaining access to affordable medicines.
  • Balancing Innovation and Access: The TRIPS Agreement presented India with the challenge of balancing innovation and access to essential medicines.
    • While patents incentivize innovation and investment in research and development, they can restrict access to life-saving treatments, particularly in developing countries with limited healthcare resources.
  • Global Leadership in Generic Manufacturing: Despite the challenges posed by TRIPS, India emerged as a global leader in generic drug manufacturing.
    • Leveraging its manufacturing capabilities and adherence to TRIPS flexibilities, the country's generic pharmaceutical industry continued to thrive, supplying affordable medicines domestically and globally.

What is Section 3(d) of India's Patent Act?

  • Section 3(d) is a crucial provision in India's Patent Act that exemplifies the flexibilities embedded within the country's patent laws.
    • It tackles concerns related to "evergreening"—a practice used by pharmaceutical companies to extend patent life through minor modifications or incremental innovations.
  • The primary objective of Section 3(d) is to prevent the granting of patents for incremental innovations that lack significant therapeutic efficacy or novelty.
    • By doing so, it aims to protect access to generic versions of essential medicines and promote affordability.
  • Under Section 3(d), pharmaceuticals and chemical substances are eligible for patent protection only if they demonstrate enhanced efficacy compared to existing formulations.
    • This requirement ensures that patents are granted for inventions representing genuine advancements in therapeutic efficacy rather than minor modifications or variations of existing drugs.
  • Through Section 3(d), India's patent laws strike a balance between innovation and public health priorities, contributing to the overall well-being and access to medicines for its citizens.

What are the Contemporary Challenges in India's Patent Regime?

  • India's patent regime currently faces several challenges, including issues related to pre-grant opposition, competition, international trade agreements, and flexibilities in patent law. These challenges have implications for access to affordable medicines, the financial burden on patent opponents, and drug availability.
  • Threats to Pre-Grant Opposition: Amendments to the Indian Patent Rules have made filing opposition to patents at the pre-grant stage more challenging.
    • This change could lead to granting patents for inventions lacking genuine novelty or therapeutic efficacy.
  • Impact on Competition and Drug Prices: Limitations to the pre-grant opposition process may stifle competition in the pharmaceutical market and contribute to higher drug prices.
    • By hindering generic manufacturers and civil society organizations from challenging frivolous patents, the amendments impede the availability of affordable generic drugs.
  • Pressure from Pharma Majors and International Trade Agreements: These amendments reflect pressure from multinational pharmaceutical corporations, particularly Western and Japanese companies, seeking to align India's patent rules with their interests.
    • Their lobbying efforts aim to weaken India's patent regime, facilitating patent grants for incremental innovations and extending market exclusivity for their products.
  • Threats to Flexibilities in Patent Law: Amendments to India's patent rules threaten the flexibilities inherent in its patent law, including provisions such as Section 3(d) that set stringent patentability criteria based on enhanced efficacy.
    • Weakening these provisions undermines India's capacity to protect public health priorities and promote access to affordable medicines.
  • Financial Burden on Opponents of Patents: Imposing fees on patent opponents could deter patients, civil society organizations, and generic manufacturers from filing pre-grant oppositions.
    • This financial burden limits stakeholders' ability to safeguard public health interests and promote affordable medicines.
  • Impact on Compulsory Licensing and Drug Availability: The amendments also affect the issuance of compulsory licenses, crucial for ensuring access to medicines when patents hinder availability.
    • By weakening provisions that enable compulsory licensing and limit evergreening, the amendments impede efforts to address healthcare disparities and promote equitable access to essential medicines.

Conclusion

Access to affordable medicines is vital for public health and universal healthcare. Policymakers must preserve patent law flexibilities, promote competition, and protect patient interests to ensure healthcare systems uphold affordability, accessibility, and quality. Amendments to India's Patent Rules should balance innovation, intellectual property rights, and societal well-being, mitigating negative impacts on essential medicines and public health outcomes.