Global Pharma Attacks Public Opinion

Canadians' access to affordable pharmaceuticals is an important aspect of affirming the right to health care. Working people do not agree that their well-being can be held hostage to the profiteering of global pharmaceutical cartels. Canada requires its own public self-reliant pharmaceutical industry to provide Canadians with the medications they require at minimal cost.

The need for public control over a self-reliant pharmaceutical industry in Canada is a longstanding concern that is again being brought to the fore by the COVID-19 pandemic and the requirement for tests, vaccines to prevent infection by the coronavirus, as well as other drugs to mitigate the infection and decrease long-term effects and mortality.

Under these circumstances, the Trudeau Liberal government is seemingly "placing bets" on various private pharmaceutical firms to come through with a working vaccine. An October 23 report from the Canadian Press states:

"Trudeau said his government signed a $173 million contract with Quebec's Medicago to secure the rights to buy 76 million doses of its vaccine, should it meet health and safety standards. The funding will also be used to establish a production facility in Quebec City, he said.

"Ottawa is also investing $18.2 million in a potential vaccine from British Columbia's Precision NanoSystems. Meanwhile, the National Research Council is spending $23 million to support other Canadian vaccine initiatives, Trudeau said.

"The prime minister said Canada has signed six agreements with a number of companies taking part in the global race to produce a safe and effective vaccine for COVID-19.

"Two more American vaccine makers, Moderna and Pfizer, have asked Health Canada to review their products, which are undergoing clinical trials.

"It's reasonable to expect that vaccines will start to roll out at some point in 2021, said Trudeau, but even then, supply will be limited, and high-risk populations will be prioritized for inoculation. [...]

"The prime minister also said Canada has acquired 'hundreds of thousands' of rapid test kits from medical company Abbott."

The report does not say what happens to any funds used to "secure the rights" to vaccines should they turn out not to be viable. Are these yet more pay-the-rich schemes being made under the high ideal of protecting Canadians against the COVID-19 pandemic?

The Need for Self-Reliance and Public Enterprise to
Guarantee the Right of All to Health Care

It is amidst this situation that the global pharmaceutical cartels are strengthening their fight against a public opinion that demands a new pro-social direction for the sector founded in self-reliance and public enterprise to guarantee the right of all to health care.

Global pharma is using well-funded neo-liberal think tanks and agencies to divert public opinion into fights over drug prices and availability, and away from a new direction of self-reliance and public enterprise. Its campaign denounces government regulations and price controls as unnecessary and damaging to global pharma and attempts to drag the people into this debate and away from discussing a new direction.

Global pharma uses people with rare diseases and conditions to demand the government fund their drug treatment at high prices. The campaign is tied in with its push for an expanded public-private national pharmacare system in which governments use public funds to buy greater amounts of drugs from the global pharma cartels.[1]

The proposed public-private pharmacare system is similar to the current health care system, which private interests mostly dominate with governments reduced to handing out public money for the construction and maintenance of hospitals and to pay for privately produced supplies and pharmaceuticals, and for the operation of private clinics and long-term care homes.

Within the present situation, global pharma makes predominant the issue whether governments should regulate the market price of drugs or leave pricing to the drug suppliers, and whether a public-private national pharmacare system should be introduced or not. Patients with rare diseases are brought forward to denounce any regulation of prices, arguing that all drugs global pharma distributes should be made available at the prices the companies demand. People are nudged to take positions for or against price controls and a public-private pharmacare system, with these issues the ones to be discussed, rather than assessing the situation of health care and pharmaceutical supply as it poses itself and discussing a new direction that guarantees the right of health for all.

Are Drug Prices the Issue?

The drug prices global pharma demands include private profit, which it says reflects the price of production, in particular the value of research and development of new drugs. This assertion raises the questions as to who decides the direction of the research, what should be produced, how drugs should be distributed and what happens to the new value pharmaceutical workers produce, which includes the added-value or profit. Should these important issues be left with global pharma whose aim is maximum profit and not to guarantee the right of all to health care at the highest level the productive forces and science have attained?

Global pharma says governments through regulation of prices often set market prices at or below the "cost of production," meaning the drug cartels cannot make private profit. Without prices they declare necessary, the cartels say they cannot continue their research thus restricting new treatments or even production of enough drugs, such as seasonal flu vaccines and other medicines, to meet demand.

But is the price of drugs the problem and issue at hand? In fact, this problem of market prices would not exist if the pharmaceutical sector were organized in a self-reliant way as a public enterprise and service with a public authority in command that the people could trust and hold to account. The sector would exist to serve the people and the health needs of the entire population and guarantee the right of all to health care. The value created in a self-reliant publicly controlled and owned industry, as well as the social product itself, would go towards enhancing the health of the people and guaranteeing the right of all to health care at the highest level. The public realization of drug value would allow that value to flow back into the sector and economy to improve health care outcomes and to enhance the scientific capabilities and capacity to work of all those involved, thus benefitting the entire people and society. In the present conditions, the value that global pharma seizes from the sale of drugs mostly leaves the economy and country.

With a public pharmaceutical sector, no need would exist for a public-private pharmacare system and market and the payment of huge funds from the public treasury to the private interests in control of global pharma. Research and development of drugs would exist and be developed within the public health care system by its workers. The growing knowledge, competence, expertise and scientific advances could be exchanged with others around the world in a spirit of mutual benefit and cooperation and not competition for private gain. Human medical knowledge and advances would become universal and for the benefit of all in the spirit that we are one humanity.

The added-value workers produce in a public pharmaceutical sector when realized would be poured back into the research and development and production of pharmaceuticals in Canada for the good of the people and their health, not for the narrow competing private interests of global pharma. How pharmaceutical value is realized would become an issue for the people to decide within the overall principle that health care is a right held by all equally. The value workers create from a completely public health care system would be realized and stay in Canada and result in a growing value of the capacity to work of everyone and an increased general health of the people and their social consciousness and ability physically to combat and overcome crises such as the COVID-19 pandemic.

Who Controls? What Is the Aim?

The issue, as throughout the socialized economy and all its sectors, is who controls and with what aim: the working people themselves with the broad aim to serve the people and society, or global investment cartels that have the narrow aim of making maximum profit to serve their private interests.

Global pharma wants to destroy public opinion for a new direction towards self-reliance and public enterprise in the pharmaceutical sector and throughout the health care industry. Global pharma is desperate to save its private control over the pharmaceutical sector. It wants public opinion diverted into a dead-end debate over the prices it charges for drugs and the availability of those drugs rather than delving into the root of the matter as it presents itself: the necessity to guarantee the fundamental right to health care for all and how this can be accomplished in the modern socialized world.

Matters involving the common good and the health of people and society need public solutions and an aim to serve the people and society. The health care industry generally requires a new direction and aim to guarantee the right of all to health care. The outmoded direction and aim of global pharma for maximum profit and the private control generally of the health care industry are not consistent with the modern direction and aim to serve the people and society.

The time is now for self-reliance and public enterprise throughout the health care industry, including importantly the pharmaceutical sector, to guarantee the right of all to health care throughout their lives.

Note

1. In June 2019, the Trudeau Liberal government issued the 172-page Final Report of the Advisory Council on the Implementation of National Pharmacare, entitled A Prescription for Canada: Achieving Pharmacare for All.

In the introduction to the report that presents the Advisory Council's mandate, any mention of the pharmaceutical industry is conspicuously absent. The report merely says:

"Prescription drugs are an essential part of health care. However, unlike hospital and physician services, prescription drugs are not covered by medicare except when they're used in hospitals. That's left a crucial part of effective health care inconsistently funded and unevenly available, and means too many patients are at risk of not getting the medication they need. The situation has only gotten worse with the emergence of a growing number of high-cost specialty drugs used to treat chronic, complex conditions such as severe rheumatoid arthritis, multiple sclerosis and cancer. These new treatments, along with a growing number of ultra-specialized and expensive drugs for rare conditions, are threatening to overwhelm both public and private insurance programs.

"In its 2018 budget, the federal government announced the creation of the Advisory Council on the Implementation of National Pharmacare (the council). The council's terms of reference are included in Annex 2. Its task was to advise the government on introducing a national insurance program for prescription drugs -- known as pharmacare -- which would be affordable for Canadians, their employers and governments. The government asked the council to undertake a dialogue with Canadians and issued a discussion paper that outlined a range of possible options on how to move forward with national pharmacare and highlighted the key issues the council should address in its work."

The term "pharmaceutical industry" comes up a handful of times in the report, only insofar as the Advisory Council recommends better regulation of the industry and limiting industry funding of the health care system to avoid undue influence.

The pharmaceutical industry -- how it operates, who controls it and whose interests it serves -- is left completely out of the discussion and is not to be questioned. In this way, such arrangements can only be to facilitate pay-the-rich schemes in which public funds are used to pay private interests in the name of a "national pharmacare program."

(Photos: TML)


This article was published in

Volume 50 Number 41 - October 31, 2020

Article Link:
Global Pharma Attacks Public Opinion - K.C. Adams


    

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