The Trans Pacific Partnership Agreement: Implications for public health regulation and access to medicines

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(Threats to access to essential medicines in developing countries)
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Proposed expropriation and investor-state dispute settlement (ISDS) provisions in the TPPA could enable foreign corporations to sue governments over legislation that is deemed to reduce the value of their investments. Big Tobacco is likely to take advantage of such provisions to sue the Australian government over tobacco plain packaging legislation.
 
Proposed expropriation and investor-state dispute settlement (ISDS) provisions in the TPPA could enable foreign corporations to sue governments over legislation that is deemed to reduce the value of their investments. Big Tobacco is likely to take advantage of such provisions to sue the Australian government over tobacco plain packaging legislation.
 
===Threats to access to essential medicines in developing countries===
 
 
The US, at the behest of pharmaceutical companies, is seeking highly restrictive intellectual property provisions that could compromise access to essential medicines such as HIV/AIDS drugs in developing countries involved in the TPPA.
 
 
Provisions sought by the US include: expanded patent protections, elimination of pre-grant opposition (opposition by third parties to unmerited patents) and greater rights for pharmaceutical companies in court. These provisions would result in limited generic competition and higher drug prices.
 
  
 
==The Australian Government's position==
 
==The Australian Government's position==

Revision as of 02:26, 20 January 2013

PHM Oz is concerned about proposed provisions in the Trans Pacific Partnership Agreement (TPPA) that could undermine public health policy and access to essential medicines.

The TPPA is a large regional trade and investment agreement currently being negotiated between eleven countries around the Pacific Rim: Australia, Brunei, Canada, Chile, Malaysia, Mexico, New Zealand, Peru, Singapore, the United States, and Vietnam. Japan and Thailand are considering joining.

The TPPA presents unprecedented threats to public health. It is an ambitious agreement which includes not just traditional trade issues such as removing tariffs and other barriers to trade, but also extends further beyond national borders than previous trade agreements into areas which have traditionally been the domain of domestic policy making – including health programs and policies. Public health issues are now being decided in a forum where there are limited opportunities for public input and where trade-offs are likely between economic and public health objectives. The implications are global – more countries are likely to join, and the TPP will set a template for future trade agreements.

As the trade negotiations gather momentum, so too does an international civil society movement seeking greater transparency in the negotiating process and the prioritizing of health and other public interest issues over corporate interests in the TPP.


Contents

Public health implications

Access to affordable medicines

The United States Trade Representative has put forward proposals for the TPPA that would compromise access to affordable medicines.

Strong intellectual property rights for pharmaceuticals have been proposed that would keep medicines under patent for longer, broaden the application of patenting and delay the introduction of cheaper generic medicines.

The US has also proposed provisions that would undermine schemes that subsidise medicines and medical devices.

Threats to public health regulation, including tobacco plain packaging

Proposed expropriation and investor-state dispute settlement (ISDS) provisions in the TPPA could enable foreign corporations to sue governments over legislation that is deemed to reduce the value of their investments. Big Tobacco is likely to take advantage of such provisions to sue the Australian government over tobacco plain packaging legislation.

The Australian Government's position

The Australian Government's Trade Policy Statement Trading our Way to More Jobs and Prosperity was released in April 2011. In this statement, the Government makes explicit commitments to rejecting provisions that might constrain the ability of Australian governments to make laws on 'social, environmental and economic matters'. The trade policy statement says: 'The Government has not and will not accept provisions that limit its capacity to put health warnings or plain packaging requirements on tobacco products or its ability to continue the Pharmaceutical Benefits Scheme' (p. 14). The statement also excludes investor-state dispute resolution procedures in trade agreements.

The Australian Government is likely to come under increasing pressure from the US to include TRIPS Plus intellectual property provisions and investment provisions in the TPPA. It is essential that the Australian Government stands firm and continues to reject these provisions.

Campaign activities

In February 2011, PHM Oz joined with many other civil society organisations in signing an open letter to Julia Gillard and Craig Emerson protesting the secrecy under which TPPA negotiations are being conducted, and calling for an open and transparent negotiation process. Read the AFTINET Press Release

In October 2011, PHM Oz again joined with AFTINET and many other organisations to ask for the release of a secret memorandum of understanding that reportedly binds the participating countries to keeping negotiating documents secret for four years.

PHM Oz has also endorsed an AFTINET sign-on letter to the trade ministers of the TPPA negotiating countries. This letter urges the parties to consider excluding intellectual property and pharmaceuticals provisions from the TPPA or at least to table alternatives to the TRIPS-plus model.

Further information

Visit the AFTINET (Australian Fair Trade and Investment Network) website

Read the AFTINET TPPA Campain Leaflet

Summaries of the health issues

AFTINET Leaflet: Don't Trade Away Health

Gleeson, D. & Legge, D. Public health at risk in trade talks. The National Times, 14 September 2011.

Ranald, P. New trade agreement threatens Australia’s laws on medicines and tobacco. Croakey, 1 September 2011.

Gleeson, D. Trade agreement threatens health in Australia and Pacific. The Canberra Times, 3 August 2011.

Intellectual property provisions and access to medicines

Faunce, T. A., & Townsend, R. (2011). The Trans-Pacific Partnership Agreement: challenges for Australian health and medical policies. MJA, 194(2), 83-86.

Public Citizen (2011) Briefing memo: Vietnam and the Trans Pacific Partnership Agreement

Bilaterals.org (2011) US breaks UN AIDS summit commitment on access to treatment

The Bangkok Declaration on Free Trade Agreements & Access to Medicines

Leaked US paper on eliminating pre-grant opposition

Public Citizen analysis of the US paper on eliminating pre-grant opposition

Leaked US Draft Trans Pacific Partnership Intellectual Property Rights Chapter

Public Citizen Analysis of the U.S. Intellectual Property Proposal and Australian Law

Faunce, T. & Townsend, R. (2010) Potential Impact of the TPPA on Public Health and Medicine Policies Submission to the Department of Foreign Affairs and Trade.

Gleeson, D. (2011) Trade talks set to undermine access to medicines for the world's poor. The Conversation, 16 September.

Investment provisions and tobacco plain packaging

Tienhaara, K. & Faunce, T. (2011) Gillard must repel big tobacco’s latest attack. Canberra Times.

Gleeson, D. & Legge, D. (2011) Big Tobacco v Australia: dangers looming in the Trans Pacific Partnership Agreement. The Conversation, 7 July.

Tienhaara, K. (2010) Investor-State Dispute Settlement in the Trans-Pacific Partnership Agreement. Submission to the Department of Foreign Affairs and Trade, 19 May 2010.

Ranald, P. (2011) Investor-state dispute settlement (ISDS): The threat to health, environmental and other social regulation. Paper presented at the Stakeholders Forum, eighth round of Trans-Pacific Partnership negotiations, September 10, 2011, Chicago, USA.

Media releases and related media coverage

Joint PHAA & AFTINET media release, 1 September 2011 Trans-Pacific Partnership Agreement proposals increase corporate rights, reduce access to affordable medicines, say public health and fair trade groups.

Cook, H. Patent talks lift fear of drugs price rise. The Canberra Times, 2 September 2011

Other useful references

Ranald, P. (2011) The experience of the Australia-US Free Trade Agreement: lessons for the Trans-Pacific Partnership Agreement negotiations. Paper presented at the Stakeholders Forum, seventh round of Trans-Pacific Partnership negotiations, June 19, 2011, Ho Chi Minh City, Vietnam.

Order the book 'No Ordinary Deal: Unmasking the Trans-Pacific Partnership Free Trade Agreement, edited by Jane Kelsey (2010). About the book: At a time when the global financial crisis has exposed deep flaws in the global free market, the US, Australia, New Zealand, Brunei, Chile, Peru and Vietnam are negotiating a free-trade agreement initiated by the US which resurrects the issues raised by the US-Australia Free Trade Agreement in 2004, including higher prices for Australian medicines, less local media content and deregulation of GE food. Jane Kelsey and her international team of expert commentators, including Dr Patricia Ranald, expose the myths of yet another neo-liberal adventure.

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