Trading with lives

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EU and India Free Trade Agreement

The EU and India are currently negotiating the terms of their Free Trade Agreement (FTA). It is vital that access to affordable medicines is not blocked as a result of this FTA. India is one of the biggest producers of life-saving affordable generic medicines. These are vital for the poorest people around the world who cannot afford branded expensive drugs.

EU FTA's sometimes contain conditions that can block access to these life-saving medicines. We must ensure that this does not happen.

Write to the EU and Indian officials involved in negotiating this FTA now!

Find out more about these issues and read our latest briefing on access to affordable medicines, here.


The problem

Many of the poorest people around the world are unable to purchase expensive, genuine branded drugs and unwittingly buy cheaper fake drugs that have infiltrated markets worldwide. This reality costs lives. Why is this happening?

The cost of medicines is too high

Many poor people around the world cannot afford to pay for high-priced, branded drugs that could save their lives. A huge demand for cheaper drugs therefore exists. Intellectual property issues, explained below, block cheaper generic (unbranded) drugs from entering the market, so cheap fake drugs, disguised as real drugs, have filled this gap in the market. Unaware the drugs are fake, many poor people in desperate need of help will purchase them.

In an environment where real drugs are too expensive for many and access to generic drugs is blocked, the cheaper fake drug market flourishes and the health of many of the poorest people in the world is put in jeopardy. 

Trade agreements block access to cheaper real drugs

The Trade-Related Intellectual Property Rights (TRIPS) Agreement and some Free Trade Agreements (FTAs) have also blocked poor countries from accessing cheaper generic (non-branded) drugs.  These deals include longer-lasting patents for branded drugs, which pharmaceutical companies can then charge high prices for.

If poor countries had access to affordable, quality generic drugs, the fake drug trade would become less profitable and would shrink.


Current definitions of ‘counterfeit’ drugs could block access to cheaper real drugs

Unfortunately some attempted solutions to the fake drugs problem can actually make things worse. The international community is discussing the definition of ‘counterfeit’ medicines at the World Health Assembly in May, to help countries legislate against them. We believe ‘counterfeit’ drugs should mean fake drugs. But the current definition is too broad and there is a real danger that generic drugs, which are perfectly safe, effective and much cheaper than branded drugs, could be defined as counterfeit or fake under current definitions. Using broad definitions could block access to cheaper generic drugs which are vital to saving the lives of the poorest people around the world.

Blocking cheap generic drugs leaves a gap in the market for cheap fake drugs.


Affordable Medicines Facility-Malaria (AMFm)

The AMFm is a finance mechanism managed by the Global Fund to Fight AIDS, TB and Malaria and financially supported by UNITAID, the UK Government, and the Gates Foundation. Its aim is to provide cheaper anti-malarial drugs for the poorest people around the world.

This intervention has the potential to provide life-saving drugs to those that cannot afford expensive, branded drugs. However it is not an intervention that can be sustained in the longer term. It also faces the same limitations of other vertical funds. Most importantly, some critics argue that it has not been trialled enough and may actually cause more harm than good. This is because the drugs will be distributed through unregulated shops, potentially leading to wrong prescriptions. Also there will still be a charge, this means the poorest may not be able to afford a whole course of treatment. Both these factors could lead to increased drug resistance. It is vital that action is taken now to decrease the cost of all branded drugs and make free treatment available to the poor.

Find out more about the AMFm.






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