Mais les résultats doivent être attendus longtemps et il n'y a généralement pas de temps azithromycine prix L'autre cas, c'est que l'achat d'un ou d'un autre antibiotique dans une pharmacie classique nécessite des dépenses matérielles considérables et pas toutes les personnes ne peuvent acheter des produits pharmaceutiques aussi coûteux.
Microsoft word - ragavan - formatted.doc
INTRODUCTION . 274 I. THE EXISTENCE OF INEQUALS . 276 II. INTRODUCING A PATENT REGIME IN INDIA. 278 A. The Background
. 278 B. Towards an Indian Patent Policy
. 281 1. Patents and Underdeveloped Nations . 282 2. Inventions Relating to Chemicals, Food, and Pharmaceuticals. 283 3. Industrialization. 286
III. ESTABLISHING AN INDIAN PATENT REGIME . 289 A. Indian Patent Legislation
. 289 1. Process Patents . 289 2. Compulsory Licenses and Local Working of Patents . 290 B. Drug Policies and Drug Price Control Order
. 292 1. DPCO 1970 and Foreign Corporations . 294 2. Striving for Indigenous Advantage . 296 3. Liberalization of the Pharmaceutical Sector . 297 4. The Current Regime . 299 IV. FIRST AMONG THE INEQUALS. 302 CONCLUSION. 304
∗ Associate Professor of Law, University of Oklahoma Law Center. I would like to thank Professors Irene Calboli, Peter K. Yu, Jay Kesan, and Jay Krishnan for commenting on various drafts and for encouraging me to write this Article. The Article is a by-product of a discussion on the issue with Professors Jay Krishnan and Marc Galanter at the Law & Society Annual Meeting in Las Vegas in 2005.
274 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
Ten years ago, the Agreement on Trade-Related Aspects of
Intellectual Property Rights1 (TRIPs) took the high road to intellectual property harmonization to create equal trading partners among the World Trade Organization (WTO) Members. At that time, the TRIPs Agreement contemplated that all member countries would establish the agreed-upon minimum standards and prioritize international trade obligations as a means to achieve national goals.2 The TRIPs Agreement accounted for differing levels of national development by permitting no more than ten years of derogation from international obligations.3 Only five years later, at Doha, the AIDS crisis highlighted that compromising pressing national responsibilities—like a looming public health crisis—to fulfill international obligations may, in fact, detrimentally affect international trade.4 Thus, the separate Declaration on the TRIPs Agreement and Public Health adopted at Doha5 made concessions to balance international trade obligations with national welfare issues, focusing especially on creating accessibility to medication in the least developed nations.6 Despite the efforts, an acceptable framework of solutions allowing those least developed nations to benefit from Doha is yet forthcoming.7 Meanwhile, this year marks the
1. Agreement on Trade-Related Aspects of Intellectual Property Rights, Apr. 15, 1994,
Marrakesh Agreement Establishing the World Trade Organization, Annex 1C, Legal Instruments—Results of the Uruguay Round, 33 I.L.M. 1125, 1197 (1994) [hereinafter TRIPs Agreement]. See generally
J. H. Reichman, Compliance with the TRIPS Agreement: Introduction to a Scholarly Debate
29 VAND. J. TRANSNAT’L L. 363 (1996).
TRIPs Agreement, supra
note 1, art. 7. 3. Id.
arts. 65, 70(8)–(9). 4. See
World Trade Organization, Declaration on the TRIPs Agreement and Public
Health of 14 November 2001, WT/MIN(01)/DEC/2, 41 I.L.M. 755 (2002) [hereinafter Doha Declaration on TRIPs and Public Health].
6. See id.
Trade Negotiations Committee, Report by the Chairman of the Trade
Negotiations Committee to the General Council
, TN/C/5 (July 28, 2005), available at
http://www.wto.org/english/news_e/news05_e/gc_tnc5_e.pdf. The Director General of the WTO, Supachi Panchipakadi, has hoped to find a solution for the issues raised at Doha. Although the WTO has attempted to address the issue of implementation of paragraph 6, the results have been unsatisfactory. See
World Trade Organization General Council, Implementation of Paragraph 6 of the Doha Declaration on the TRIPS Agreement and Public Health
, WT/L/540 (Sept. 2, 2003), available at
http://docsonline.wto.org (follow “Simple Search” hyperlink; and enter document symbol in search field) [hereinafter Implementation of Paragraph 6
]; Frederick M. Abbott, The WTO Medicines Decision: World Pharmaceutical Trade and the Protection of Public Health
, 99 AM. J. INT’L L. 317 (2005) (discussing in detail
OF THE INEQUALS OF THE URUGUAY ROUND
tenth anniversary of TRIPs and the end of the transitional period.8 The future success of TRIPs increasingly depends on its ability to address national
responsibilities9 that may impede member countries from successfully fulfilling international obligations.
This Article suggests that policy options embraced by countries like
India, which prioritized national responsibilities in its quest to appear on the global trade map, should be revisited as possibilities for jump-starting ailing economies. After all, even the developed nations themselves embraced such options before occupying the moral high ground as promoters of intellectual property rights.10 This Article also suggests that although such policy options may be legally vulnerable to WTO challenges, they can be instrumental in achieving the objectives of the TRIPs Agreement.
Part I outlines the issues impeding access to medication in least
developed nations. Part II discusses the national issues that India faced, which led to the genesis of the Indian patent policy in the Ayyangar Committee Report. The Ayyangar Report remains significant even today for its analysis of patent regimes and conclusions on what each aspect of the patent regime represents in terms of national ambitions. Part III outlines how India used its patent statute and drug policy to achieve the national goal of developing an indigenous pharmaceutical industry. Part IV discusses how the Indian experience can be replicated in other nations. The conclusion asserts that to create accessibility to medication, the contemporary experiences of the developed nations alone will provide an inadequate menu of choices for the least developed nations to emulate. The objective of paragraph 6 of the Doha Declaration is not to create a theoretically perfect patent regime
the implementation of paragraph 6 and concluding that it is not capable of fully addressing the AIDS crisis).
8. TRIPs Agreement, supra
note 1, art. 65. This date also coincides with the Sixth
WTO Ministerial Conference held in Hong Kong in December 2005. See
World Trade Organization, The Sixth WTO Ministerial Conference, http://www.wto.org/english/thewto_e/ minist_e/min05_e/min05_e.htm (last visited Jan. 8, 2006). “The countries make their decisions through various councils and committees, whose membership consists of all WTO Members. Topmost is the ministerial conference which has to meet at least once every two years. The Ministerial Conference can take decisions on all matters under any of the multilateral trade agreements.” WORLD TRADE ORGANIZATION, UNDERSTANDING THE WTO 101 (3d ed. 2005), available at
9. National responsibilities are issues—like poverty, health care, and local economic
conditions affecting intellectual property implementation—that have a stake in development, democracy, and public order
10. See generally
Srividhya Ragavan, Can’t We All Get Along? The Case for a
Workable Patent Model
, 35 ARIZ. ST. L.J. 117 (2003).
276 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
in least developed nations, but to enable accessibility to affordable medication. Viewed from that perspective, the Indian experience can be a useful tool in the hands of the TRIPs Council.
The Doha Declaration on TRIPs and Public Health epitomizes the
failed attempt at Uruguay to create equality amongst inequals by signing the TRIPs Agreement. In granting concessions to the inequals, paragraph 6 of the Doha Declaration acknowledges the extent of that inequality by stating that “WTO members with insufficient or no manufacturing capacities in the pharmaceutical sector could face difficulties in making effective use of compulsory licensing under the TRIPs Agreement.”11 Paragraph 6 categorizes the less-equal Members of the WTO, that is, the non-developed nations, into two classes: (1) Members with insufficient
pharmaceutical sector that may be able
to benefit from compulsory licensing; and (2) Members with no
manufacturing capacities in the pharmaceutical sector and, thus, cannot
benefit from compulsory licensing.12 Paragraph 6 encourages the more fortunate of the less-equals, Members that fall into the former class (like India and Brazil), to manufacture generic drugs to tackle prevailing or potential public health needs and, thus, benefit from the concessions.13 Members belonging to the latter class, in which inadequate development impedes production of generic drugs, cannot benefit from the concessions.14 Development in these countries is so poor that not even generic drugs can be manufactured in these nations.
Unfortunately, the logical option of importing life-saving generic
medication to the countries lacking manufacturing capabilities is thwarted by the operation of Article 31(f) of TRIPs.15 By requiring Members to locally produce the compulsorily licensed patents, Article 31(f) prevents least-developed countries from importing generic drugs from nations, like India, that produce them.16 Thus, the high point of
11. Doha Declaration on TRIPs and Public Health, supra
note 4, ¶ 6. 12. Id.
13. See id.
15. TRIPs Agreement, supra
note 1, art. 31(f). 16. Id. See generally
Carlos M. Correa, Implications of the Doha Declaration on the
TRIPS Agreement and Public Health
(2002), available at
OF THE INEQUALS OF THE URUGUAY ROUND
the TRIPs tenure—the introduction in the Doha Declaration on TRIPs and Public Health of public interest safeguards in the form of the right to compulsorily license patented medication17—will remain useless where it is most needed.
In effect, the paragraph 6 problem vis-à-vis the least developed
nations is two-fold: (1) the lack of immediate access to low-cost medication; and (2) the absence of local industrialization, which impairs the countries’ abilities to fully benefit from the Doha Declaration on TRIPs and Public Health.18 Conscious of the problem, the framers of the Doha Declaration delegated the task of finding an expeditious solution to the TRIPs Council and instructed it to “report to the General Council before the end of 2002.”19
The ambitious agenda notwithstanding, the TRIPs Council continues to work towards finding an appropriate solution before the conclusion of the Sixth Ministerial Meeting.20 Meanwhile, out of an estimated three million people scheduled to receive treatment for HIV, the virus that causes AIDS, barely one million are being treated.21 To address this problem realistically, this Article suggests that the TRIPs Council should examine how nations like India succeeded in establishing an indigenous pharmaceutical industry.
The Indian experience is remarkable in its ability to address health
care issues with a keen appreciation of practical national impediments. 22 Notably, at the time of independence in 1947, Indians’ accessibility to medication was comparable to what currently exists in several least developed nations.23 By the end of the 1980s, India had developed its own indigenous pharmaceutical industry.24 During the South African
17. Doha Declaration on TRIPs and Public Health, supra
note 4, ¶ 6. 18. See generally id.
¶ 6. See generally
Gardiner Harris & Rachel Zimmerman, Drug Makers Say
WTO Setback Will Not Have Significant Impact
WALL ST. J., Nov. 15, 2001, at B5.
20. See Implementation of Paragraph 6
note 7; see also
(criticizing the August 2003 resolution of the General Council).
21. Leaders: Too Much Morality, Too Little Sense: AIDS
, ECONOMIST (London), July
22. See e.g.
Ramesh Govindaraj & Gnanaraj Chellaraj, The Indian Pharmaceutical
Sector: Issues and Options for Health Sector Reform
1 (World Bank, Discussion Paper No. 437, 2002) (“A detailed assessment of the pharmaceutical sector in developing countries, therefore, is an essential input into the formulation of viable policies to simultaneously promote pharmaceutical competitiveness, and mitigate the impact of rising drug prices while ensuring quality assurance.”).
23. See infra
notes 33–43 and accompanying text. 24. See
Govindaraj & Chellaraj, supra
note 22, at 6
(discussing the extent of
278 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
AIDS crisis, and even during the anthrax crisis in the United States, India emerged as a reliable supplier of generic drugs.25 Therefore, India’s experience in developing a working patent policy may be of significant help in determining solution options to create a manufacturing capacity in least developed nations.
II. INTRODUCING A PATENT REGIME IN INDIA
The East India Company introduced patent laws in India.26 The first
Indian Patents Act was enacted in 1856 as a result of the recommendations of the Lord Macaulay Law Commission.27 This Act was followed by a series of amendments, such as the 1859 amendment to introduce exclusive privileges for making, selling, licensing, and using inventions.28 The Patterns and Designs Protection Act of 187229 introduced legislation for the protection for industrial designs and was followed by the Protection of Inventions Act of 1883.30 The 1872 and 1883 legislations were combined into the Inventions and Designs Act in 1888.31 Finally, in 1911, the Indian Patents and Designs Act was enacted, repealing all these earlier enactments.32 The various
25. See generally
Manu Joseph, Indian Cipro Copies Don’t Pay Off
, WIRED NEWS,
Nov. 8, 2001, available at
http://www.wired.com/news/conflict/0,2100,48153,00.html; Andrew Tanzer, Pill Factory to the World
, FORBES, Dec. 10, 2001, at 70. Indian generic drug companies like Cipla Ltd. and Dr. Reddy’s Laboratories were willing to sell reverse-engineered copies of Bayer’s anthrax-fighting Cipro for less than twenty cents per pill. Id.
26. The first patent law in India, enacted in 1856, was assented to by the Governor
General on February 28, 1856. First Indian Patent Law
INTELLECTUAL PROPERTY RIGHTS (Tech. Info., Forecasting & Assessment Council (TIFAC)), Jan.–Feb. 2002, at 1, available at
27. The first Law Commission was established in 1834 under the Charter Act of 1833
and under the Chairmanship of Lord Macaulay. This Commission was responsible for the codification of the Penal Code, the Criminal Procedure Code, and other legislation. The second, third, and fourth Law Commissions were instituted in 1853, 1861, and 1879, respectively. During a span of fifty years, the various commissions recommended legislation on a variety of subjects, based mostly on the adaptation of English laws to Indian conditions. The Patents Act was one such piece of legislation. The first Indian patent legislation was modeled along the same lines as the British Patent Act of 1852. See
RAJIV JAIN & RAKHEE BISWAS, LAW OF PATENTS: PROCEDURE & PRACTICE V, at 1.1–.6 (1999).
at 1.2. 30. Id.
The Patents Act of 1911 introduced the concept of the Controller of Industrial
Patents and Designs. After the enactment of the Patents Act in 1970, Part I of the earlier
OF THE INEQUALS OF THE URUGUAY ROUND
intellectual property statutes lacked a clear policy to pave the way for industrial development through patents. During this period, India was fighting for independence; therefore, the laws accommodated the needs of the colonial British Empire.
After gaining independence in 1947, the Indian government set up
law commissions styled after the British system to recommend legal reforms to achieve national objectives. “[T]he Patents Enquiry Committee (1948–1950), also known as the Tek Chand committee, and the committee on the Revision of the Patents Law, also known as the Ayyangar committee (1957–1959), were appointed to review the adequacy of the Indian patent system and to adapt it to conform with national goals.”33 In reviewing the 1911 patent legislation, the Tek Chand Committee relied on the Report of the Swan Committee, appointed by the Board of Trade in the United Kingdom.34 The Tek Chand Committee concluded that India’s ill-defined patent provisions enabled multinational companies to gain patent rights beyond the scope of their inventions.35 The Tek Chand Committee recommended incorporating compulsory licensing provisions to minimize the potential for abuse of monopolies.36 Although the patent legislation in India was amended in 1950 to incorporate the recommendations regarding compulsory licensing, substantial changes did not result.37
Meanwhile, the first Planning Commission, sought to improve “the
standard of living of the people by efficient exploitation of the resources of the country” and to take stock of the state of the nation at that time in its First Five Year Plan.38 Statistics for the period revealed two
legislation was separated into the Designs Act of 1911. This Act protected industrial design until 2000 when it was repealed as a post-TRIPs measure in India.
33. Shondeep Banerji, The Indian Intellectual Property Regime and the TRIPs
INTELLECTUAL PROPERTY RIGHTS IN EMERGING MARKETS 63 (Clarissa Long ed., 2000).
34. N. RAJAGOPALA AYYANGAR, REPORT ON THE REVISION OF THE PATENTS LAW
¶ 8 (1959) [hereinafter AYYANGAR REPORT].
35. Banerji, supra
note 33, at 63–64. The Tek Chand Committee noted that under the
Patents Act of 1911, any invention that related to a “manner of manufacture” was patentable. Id.
at 63. The Ayyangar Committee recommended a clearer definition of “manner of manufacture,”
and the Patents Act of 1970 was written using more specific language. Id.
at 64–65; AYYANGAR REPORT, supra
note 34, ¶¶ 46–49.
36. AYYANGAR REPORT, supra
note 34, ¶¶ 175–189. 37. Banerji, supra
note 33, at 66. Several amendments were incorporated based on the
Tek Chand Committee’s recommendations. One of the results was the addition of a new section that vested in the Controller of Patents the power to grant a patent unless there were good reasons to refuse. Id.
38. The Planning Commission was set up in March 1950 by a resolution of the
280 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
startling realities. First, India recorded a very high poverty index.39 Income from industries accounted for a mere 6.6% of the gross annual national income.40 Only 8% of the total labor force worked in industrial establishments.41 Consequently, approximately 50% of India’s population lived in poverty.42 Second, India had the world’s highest rate of epidemic diseases.43 Of the total mortality, the rate from epidemic diseases was a high 5.1%.44 The poverty and disease conditions resulted in low life expectancy, much like what prevails in the least developed nations today.
India recognized that its woes were exaggerated by the lack of
indigenous production of bulk drugs.45 The cost of drugs was very high because the Central Government imported drugs.46 The heavy reliance on foreign manufacturers resulted in multinationals, which formed more than 90% of the Indian pharmaceutical industry, determining the availability and supply of drugs.47 Drug prices were so high that in 1961, Senator Estes Kefauver, Chairman of the U.S. Senate Committee, remarked that Indian drug prices ranked among the highest in the world.48 Today, the woes of the least developed countries are comparable to what India faced half a century ago—lack of local
Government of India. PLANNING COMM’N, 1ST FIVE YEAR PLAN intro., available at
http://planningcommission.nic.in/plans/planrel/fiveyr/default.html (last visited Jan. 8, 2006) [hereinafter 1ST FIVE YEAR PLAN].
39. See id.
ch. 29, ¶ 2. 41. Id.
42. Press Release, World Bank, India Shows Mixed Progress in the War Against
Poverty (Aug. 26, 1997), available at
http://worldbank.org (follow “News” hyperlink; then “Press Releases” hyperlink; then insert date of press release).
43. 1ST FIVE YEAR PLAN, supra
note 38, ch. 32, ¶ 3. The various epidemic diseases
included cholera, smallpox, plague, tuberculosis, and malaria. Id.
ch. 32, ¶¶ 84, 91. “‘Bulk drug’ means any pharmaceutical, chemical, biological
or plant product including its salts, esters, stereo-isomers and derivatives . . . used as such or as an ingredient in any formulation.” Nat’l Pharm. Pricing Auth., Drug (Prices Control) Order 1995, available at
http://nppaindia.nic.in/drug_price95/txt1.html (last visited Jan. 8, 2006).
Abhijit Dey et al., Pharmaceutical Marketing in India: A Macroscopic View
(Small Bus. Advancement Nat’l Ctr., Soc’y for Marketing Advances, 1999), available at
http://www.sbaer.uca.edu/research/sma/1999/30.pdf; The Drugs and Cosmetics Act, No. 23 of 1940, available at
http://www.indialawinfo.com/bareacts/mainbare.html (follow “Acts” hyperlink; then follow “Pharma Laws” hyperlink; and then “Drugs and Cosmetics Act, 1940” hyperlink).
1ST FIVE YEAR PLAN, supra
note 38, chs. 1, 32.
48. Banerji, supra
note 33, at 79.
OF THE INEQUALS OF THE URUGUAY ROUND
manufacturing leading to a high cost of imported drugs for which supply and availability are determined by foreign manufacturers.
The Indian government took two significant steps to promote
indigenous manufacturing of medication as a means to control the expenditure on public health. First, the government signed an agreement with UNICEF to locally manufacture penicillin and other antibiotics.49 The collaboration resulted in the establishment of the Hindustan Antibiotics Limited in 1954 to manufacture low-cost generic drugs.50 Second, conscious of India’s poverty issues, the government appointed Justice N. Rajagopala Ayyangar to the Ayyangar Committee in 195751 to promote law reforms to improve local industrialization in critical areas like food and drugs.52
B. Towards an Indian Patent Policy
India’s patent policy heavily relied on the Ayyangar Committee
recommendations until joining the WTO in 1994.53 The Committee’s 1959 Ayyangar Report laid the basis for the Indian patent regime.54 The Ayyangar Report is significant for its analyses of the adaptability of foreign patent regimes and policy options to address national issues. Notably, when the Ayyangar Committee was established, India was an underdeveloped country with economic conditions comparable to
1ST FIVE YEAR PLAN, supra
note 38, ch. 32.
50. See id.
51. Justice N. Rajaopala Ayyangar’s work on the Committee resulted in the Ayyangar
AYYANGAR REPORT, supra
AYYANGAR REPORT, supra
note 34; Banerji, supra
note 33, at 63–69. Under
Article 21 of the Indian Constitution, the right to life is a fundamental right: “No person shall be deprived of his life or personal liberty except according to procedure established by law.” INDIA CONST. art. 21, available at
http://lawmin.nic.in/coi.htm. The Supreme Court of India enunciated that the right to life implies the right to a healthy life as part of the “basic structure” of the Constitution. See
Kesavananda Bharati v. State of Kerala, (1973) 4 SSC 225, (1973) A.I.R. SC 1461.
53. The Ayyangar Report, as modified by the Report of the Joint Committee of
Parliament in 1966, forms the backbone of the Indian patent system. See generally
AYYANGAR REPORT, supra
note 34, ¶ 8.
54. V.R. Krishna Iyer, Opinion, GATT, TRIPs and Patent Law—II
HINDU, Sept. 11,
2000, at 5, available at
http://www.hinduonnet.com/thehindu/2000/09/11/stories/05112524.htm. Justice Krishna Iyer, a renowned Supreme Court Justice in India, expresses his admiration for the Ayyangar Report: “A well-debated, development-oriented and patriotically processed statute of 1970, with a progressive perspective and successful sequel, passed after a thorough study (based on the Justice Rajagopala Ayyangar Commission report) proved a tremendous national triumph for the consumer and the manufacturer alike. This finest and most just parliamentary achievement . . . .” Id.
282 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
today’s least developed nations.55 The Ayyangar Committee specifically examined issues that continue to be debated in the WTO, including (1) whether patenting food, chemical, and pharmaceutical inventions can affect the underprivileged section’s accessibility to these products; and (2) whether compulsory licensing can enable accessibility while at the same time promoting innovation.56 Thus, the Ayyangar Report is significant for least developed nations because it highlighted the best practices in foreign patent regimes and examined their suitability to address public health and economic concerns of underdeveloped economies.
Like the committees that preceded it, the Ayyangar Committee
studied the Swan Committee recommendations.57 In the Ayyangar Report, the Committee outlined how the Australians rejected the Swan Committee recommendations that were unsuitable for their local conditions.58 Hence, the Ayyangar Committee championed the adoption of a patent regime with a keen sense of achieving national goals. The Committee theorized that local realities in underdeveloped nations cause patent regimes to operate differently than in developed nations.59 India, the Committee suggested, should deviate from unsuitable patent policies of industrialized nations.60
55. See generally
AYYANGAR REPORT, supra
note 34 (repeatedly referring to India as
56. See id.
¶ 8. 58. Id.
¶ 9; see also
JAIN & BISWAS, supra
note 27, at 1.2. 59. Id.
For developing countries, however, the economic calculus is different for two
reasons. First, as net users rather than net exporters of R&D-intensive products, they do not benefit from the monopoly profits that are created by patent protection. On the contrary, their consumers suffer from the higher prices that result. Second, because their markets are small in relation to global demand—at least for pharmaceutical products to treat a number of diseases such as cancer, hypertension, and ulcers—actions taken by developing countries to strengthen patent protection have little impact on the incentive to undertake additional R&D. Thus, a combination of higher costs in the short run and the likely absence of dynamic gains over time means that raising levels of protection would not benefit developing countries.
Arvind Subramanian, Medicines, Patents and TRIPS: Has the Intellectual Property Pact Opened a Pandora’s Box for the Pharmaceuticals Industry?
, FIN. & DEV. (Int’l Monetary Fund), Mar. 2004, at 23, available at
60. AYYANGAR REPORT, supra
note 34, ¶¶ 24–25.
OF THE INEQUALS OF THE URUGUAY ROUND
While the Ayyangar Committee suggested deviations from the
patent regimes of industrialized nations, it also adds that it is unwise to shun a patent system completely. “With all the handicaps which the system involves in its applications to under-developed countries, there are no alternative methods for achieving better results.”61 The Committee added that a patent system is the “most desirable method of encouraging inventors and rewarding them.”62 Without a patent regime, the Ayyangar Committee argued that “[m]anufacturers would not be prepared to develop and produce important machinery if others could get the results of their work with impunity.”63 The security and immunity from competition that patents provide are necessary inducements to work an invention.64 The Ayyangar Committee pointed out that even the erstwhile Soviet Union, which followed a socialist economic structure, provided for patents.65 A patent regime, the Committee asserted, is an absolute necessity to enable or improve industrialization, provided it is designed “with special reference to the economic conditions of the country, the state of its scientific and technological advance, its future needs[,] and other relevant factors.”66 The fine balance between vesting monopoly rights and balancing welfare issues suggested in the Ayyangar Report would greatly benefit least developed nations that must embrace patents to encourage innovation while achieving national objectives.
2. Inventions Relating to Chemicals, Food, and Pharmaceuticals
The Ayyangar Committee treated issues relating to patentability of
chemicals, food, and pharmaceuticals as critical for national development. Regarding chemical patents, the Committee traced the history of the law relating to chemical products in Europe. A rule prohibiting product patents for chemicals was first introduced in the German Patent Law of 1877 to stimulate research in alternative methods of producing a product.67 Within the next thirty years, Germany’s process patent regime enabled the growth of the chemical
¶ 39. 62. Id
. ¶ 43. 63. Id.
¶ 17 (quoting the Swan Committee); see also
V.R. Krishna Iyer, Human Health
and Patent Law
, FRONTLINE, Oct. 14, 2000, at 21, available at
64. AYYANGAR REPORT, supra
note 34, ¶ 43. 65. Id
. ¶ 40. 66. Id.
284 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
industry.68 At the end of World War I, a British Law Amendment Committee chaired by Lord Parker pointed to the German patent system and favored process protection for chemicals, food, and medicine.69 Consequently, the U.K. Patent Amendment Act of 1919 passed with the amendments recommended by Lord Parker to bring England on par with Germany.70 Taking the German and British experience into consideration, the Ayyangar Committee favored process rather than product protection for chemicals in India.71
With respect to patenting food, the Ayyangar Committee noted that,
except for the United States, most other countries imposed additional restrictions on patents relating to food and medications.72 Even countries that allowed product claims for chemicals limited patent protection relating to food and medicines to processes:
The French law of 1844 which permitted the patenting of chemical products . . . confined patents for articles of food and medicine to process claims. Belgium in it Patents law of 1854 adopted the French model. The German law of 1877 denied patents to articles of food, medicinal products, though processes for their preparations were patentable. The Swiss law . . . amended in 1954 [excludes inventions relating to medicines, medicinal mixtures and food products from patentability], but the processes for manufacturing medicine or food are patentable.73 Similarly, Sweden, Spain, and Japan do not allow product claims for
articles of food or medicine, and Demark does not allow any patents on food.74 The Italian Patent Act of 1957 prohibits patenting medicinal products.75 The Ayyangar Committee also quoted the Sargant Committee’s recommendation to make food affordable in England:
During the War it became apparent that Great Britain was
Prior to 1877, Germany followed the French model. Id.
Under the French
Patent Act of 1844, patents were granted to chemical products per se. Id.
German scientists and research workers attributed the failure of the French chemical industry to the French product patent system. Id.
The Ayyangar Committee favorably cited the German belief that the grant of a product patent to chemical products per se precluded alternative processes of production. Id.
¶¶ 72, 75. 70. Id.
¶¶ 72–75. 71. Id.
¶ 56. 72. Id.
¶ 94. 73. Id.
¶ 95. 74. Id.
OF THE INEQUALS OF THE URUGUAY ROUND
suffering from a lack of medicine and drugs, many of which were the subject of patent rights in this country. On the other hand, it was found that in many European countries (e.g.
, France, Germany, Switzerland) such substances were not capable of protection under the patent laws of those countries. In this state of things it was considered expedient to modify to some extent the monopoly consequent on the existence of patent rights in regard to such substances.76 The Ayyangar Committee noted that “such important articles of
daily use as medicine or food which are vital to the health of the community should be made available to every one at reasonable prices.”77 The Ayyangar Committee, therefore, suggested that product patents should not be granted in critical areas like food and medicines.78 Vesting product patents in food and pharmaceuticals could deny vast sections of the population access to these critical products and violate the constitutional right that Indians have to life and good health.79 In the Report, the Committee resonated the words of Justice Krishna Iyer, former Justice of the Supreme Court of India, who stated that the state risks affecting the constitutional right to life if by oblique policy it fails to make medicines (or food) available or accessible to people.80 The Ayyangar Committee, however, specified that leaving food and pharmaceuticals completely unpatentable would deny India the benefits from new technology and, thus, would not be in the public interest.81 Exclusive rights to the process of production would accelerate research in developing alternative processes.82 It was expected that process protection could lead to increased diversity of products at competitive prices,83 and that consumers would benefit from the increased competition in a process patent regime. Hence, the Ayyangar Committee recommended limiting protection on food and medication,
¶ 98 (citations omitted). The Ayyangar Committee discusses the Sargant
Report and § 38A of England’s Patents and Designs Amendment Act of 1919, which marked an introduction to restrictions on patent protection for food and to process patenting. Section 38B(2) introduced compulsory licensing of patents relating to food substances. See id.
¶ 101. 78. Id.
note 33, at 64;
note 63. 80. See
note 63. 81. AYYANGAR REPORT, supra
note 34, ¶ 101. 82. Id.
286 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
like chemicals, to the method or the process of making the invention.84
The Ayyangar Committee noted that one of the woes affecting
underdeveloped nations is that foreign patent owners do not work the invention locally, thus depriving the country of competition.85 Foreigners own patents in underdeveloped export markets to protect the market from rival competitors.86 Such patents do not necessarily benefit the underdeveloped economies.87 Thus, in underdeveloped economies, foreign manufacturers become the beneficiaries of the patent system, much to the detriment of national interests.88
The solution identified by Ayyangar Committee is meant to
encourage national industrialization. The Committee, however, argued that patents should be worked locally to enable national industrialization.89 Otherwise, “the social cost involved in the grant of the patent [will not be] offset by any benefit to the community.”90 Hence, the Committee suggested that patent regimes in underdeveloped nations should enable the local working of the inventions.91 The Ayyangar Committee outlined examples from developed nations.
When the British wanted to compete with the United States and Germany in large-scale industrial production, the Sir Edward Fry Commission of 1901 recommended the local working requirement to industrialize Britain.92 The Committee recommended that India, like Britain, should ensure that inventions are worked locally to facilitate industrialization.93 Locally working the inventions would minimize importation of foreign goods.94 The resulting industrialization would offset the disadvantage to local manufacturers who may be unable to capitalize on economies of scale in other jurisdictions.
The Ayyangar Committee outlined compulsory licensing as the
remedy to redress the handicap of foreigners not working the invention
¶ 30. 86. Id.
¶ 29. 87. Id.
¶ 30. 88. Id.
¶¶ 29–30. 89. Id.
¶ 38. 90. Id.
¶¶ 126–27. 93. Id.
OF THE INEQUALS OF THE URUGUAY ROUND
locally.95 The Committee suggested that the government should retain the right to compulsorily revoke patents when they are not worked locally and compulsorily license patents when the owners refuse to license them.96 The Committee canvassed compulsory licensing precedents from developed nations.97 After the compulsory licensing mechanism originated in the French Patent Act of 1791, many European countries adopted the provisions to encourage local working of inventions.98 The Ayyangar Report is supported by works of Sir Walterscheid, which detailed how patents were granted to lure foreign industries into England.99 Sir Walterscheid further asserted that Queen Elizabeth I made an effort “to stimulate domestic production of both raw materials and a wide variety of manufactured goods previously imported from abroad” by granting patents.100
The Ayyangar Committee further noted that during the period when
England benefited from foreign investments, England argued that compulsory licensing was inconsistent with the purpose of the international conventions at the Conference on Industrial Property at Paris in 1878.101 Later, when England suffered the consequences of foreign-owned British patents, the government appointed the Sir Edward Fry Committee in 1901 to analyze the link between compulsory licensing and industrial production.102 In 1907, Lloyd George, President of the Board of Trade, successfully introduced a bill incorporating compulsory licensing provisions in the House of Commons by highlighting that foreigners owned 6500 out of 14,700 patents issued in 1906 and worked them outside of England.103 Consequently, compulsory licensing provisions were introduced in the British patents legislation.104 The Ayyangar Committee specified that although the threat and competition from German industries deteriorated after World War I,
pt. V. 96. Id.
¶ 125. Impartial arbitrators will decide what royalties are payable for such
pt. V. 98. Id.
¶ 125. 99. Adam Mossoff, Rethinking the Development of Patents: An Intellectual History,
, 52 HASTINGS L.J. 1255, 1261–62 (2001).
. at 1261 (quoting Edward C. Walterscheid, The Early Evolution of the United
States Patent Law: Antecedents (Part 2)
, 76 J. PAT. & TRADEMARK OFF. SOC’Y 849, 855 (1994)).
101. AYYANGAR REPORT, supra
note 34, ¶ 126. 102. Id.
288 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
the United Kingdom continued to enlarge the scope of compulsory licensing provisions.105 “Though the U.K. has been one of the major industrial countries of the post-war world, she clings with tenacity to the provisions regarding compulsory working . . . .”106 The Committee noted that, compared to the United Kingdom in 1907 to 1919, India remained underdeveloped even in 1947, thus justifying the need to include compulsory licensing provisions.107
The Ayyangar Committee cited the United States as the only
country in the world that did not impose compulsory licensing requirements.108 The Committee, however, attributed this to the immense wealth and abundance of resources that provided ideal conditions for establishing new industries.109 Therefore, the proportion of patents that were granted in the United States compared to those that were not worked locally remained very small.110 The Committee rationalized that the United States could afford not to adopt compulsory licensing in a manner that other countries could not.111 Hence, the Committee advocated compulsory licensing as the base carrier for the local working requirement.112
Today’s least developed nations are plagued by the lack of local
innovation. In African countries, even the generic drugs are imported from countries like India.113 As early as the 1950s, the Ayyangar Committee not only identified the importance, but also suggested the means to achieve local industrialization. The Ayyangar Report will be a useful tool for the TRIPs Council, whose sole task under paragraph 6 of the Doha Declaration on TRIPs and Public Health is to enable local
¶ 132. 106. Id.
¶ 133. 107. Id.
¶ 135. 108. Id.
. The Ayyangar Committee cites to § 3 of the 1902 British Patent Act, which
introduced the principle of “revocation of patent for abuse of the monopoly by non-working” on the ground that the “reasonable requirements of the public with reference to the patented inventions have not been satisfied.” Id.
¶ 127. To this date, the expression “reasonable requirements of the public” is found in § 84 of the Indian patent legislation. See
Patents Act of 1970, 27 INDIA A.I.R. MANUAL 450, § 84 (1979), available at
Anne-christine d’Adesky, India’s Generics Play a High Stakes Game
, 3 AM.
FOUND. FOR AIDS RESEARCH (AMFAR) TREATMENT INSIDER 1 (2002), available at
http://web.amfar.org/treatment/TI/June2002.pdf. “Cambodia, Indonesia, China and South Korea are importing or plan to import Indian medicines.” Id.
OF THE INEQUALS OF THE URUGUAY ROUND
industrialization in least developed nations.
III. ESTABLISHING AN INDIAN PATENT REGIME
The following Part discusses how India prioritized its national
obligations and used legal reforms as a means to achieve international trading status. The Indian Patents Act of 1970,114 along with other mechanisms like drug and industrial policies, was used as a tool by India to achieve its national priorities. The establishment of an indigenous pharmaceutical industry caused the Indian government to introduce more trade facilitating measures. Further, the Indian experience demonstrates that tackling national priorities by providing adequate concessions may, in fact, help least developed nations to become trading partners and, thus, benefit from international trade.
Based on the Ayyangar Report, the Indian Patents Act of 1970
allowed differential treatment for food, medicine, and chemical inventions. Rights to inventions relating to food, medicine, and chemicals were limited to process patent protection.115 The process patent regime excluded protection of the end-product, but protected the method or the process of making the product.116 Hence, identical products could be produced by several manufacturers who could each hold a process patent. The process patent regime encouraged innovation in the methods of making known products. The patent legislation enabled India to produce patented products, particularly pharmaceuticals, using different processes.117
114. See supra
note 112. 115. The Patents Act of 1970 reads as follows:
a. claiming substances intended for use, or capable of being used, as food or as
b. relating to substances prepared or produced by chemical processes
(including alloys, optical glass, semi-conductors and inter-metallic compounds),
no patent shall be granted in respect of claims for the substance them selves, but claims for the methods or processes of manufacture shall be patentable.
117. The process patent provisions contravene the product patent regime envisioned
under TRIPs, which stipulates that Members shall ensure patent protection “for any
290 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
Further, the term of process patent protection over food, drug, and
medical inventions was limited to five years.118 Inventions in food, medicine, drug, and chemical processes were deemed, under § 87 of the Patents Act, to be automatically endorsed with a license of right after three years of the grant of a patent.119 A license of right authorizes any person to manufacture a patented product, notwithstanding the patentee’s approval.120 Thus, patent exclusivity was effectively enjoyed for only three years in these critical areas. In introducing limited protection to these critical areas, India sought to encourage more competition. The limited rights and protection, India envisaged, would balance innovation with accessibility.
2. Compulsory Licenses and Local Working of Patents
Compulsory licensing provisions provided the vehicle to encourage
local working of inventions. The government could, in the public interest, interfere with patent rights and compulsorily license the patent.121 Patented inventions that were either not reasonably priced or not worked to satisfy the reasonable requirements of the public could be subject to compulsory licensing.122 The reasonable requirements of the public were deemed unsatisfied if the invention was not worked in India.123 Similarly, the reasonable requirements of the public were deemed unsatisfied if the existing or proposed trade was prejudiced, the demand for the product was not adequately met, or the local working of the invention was prejudiced due to importation.124 The compulsory license provision and the government’s ability to issue licenses of right were meant to facilitate local manufacturing of inventions.125
The Indian patent legislation served as an important tool to establish
and to maintain generic manufacturing capacity. Only in 1994, after the
inventions, whether product or processes, in all fields of technology.” TRIPs Agreement, supra
note 1, art. 27(1). Article 27 of TRIPs requires member countries to establish a product patent regime. Hence, the process patent provisions contravene Article 27.
118. Patents Act of 1970 § 53(1)(a). The term is limited to five years from the date of
sealing of the patent, or seven years from the date of the patent, whichever is shorter. Id.
§ 87(1). 120. Id.
§ 88. 121. Id.
§ 84. The Controller of Patents compulsorily licenses the patent by
considering the nature of the invention and the applicant’s ability to work the invention to the public’s advantage.
§ 90(a). 124. Id.
125. This is true even if the government never exercised that power.
OF THE INEQUALS OF THE URUGUAY ROUND
indigenous pharmaceutical industry was well-established, the Indian patent legislation underwent significant amendments. The amendments to the Indian patent legislation flowed as a consequence of India’s membership in the WTO. The first significant amendment to the 1970 legislation was in 1999 when the Patents (Amendment) Act of 1999126 introduced exclusive marketing rights. The Amendment provided for a mechanism to accept product patent applications and grant exclusive marketing rights until India moved to a product patent regime.127 The subsequent Patents (Second Amendment) Act of 1999128 retained the process patent regime. The beginning of 2005 marked the end of the transitional period for developing nations outlined in Article 70(8) of TRIPs,129 signifying that developing nations like India had to fulfill their obligations under Article 70(8).130 On April 5, 2005, India’s Parliament enacted the third amendment to the Patents Act of 1970, the Patents (Amendment) Act of 2005.131 This most recent Amendment modified the scope of patentability for pharmaceutical inventions in order to move away from the process patent regime.132 Currently, the Indian patent legislation is fully compliant with TRIPs.
The amended legislation certainly creates a milestone for India as
far as establishing a TRIPs-compliant patent regime. Notwithstanding the legislation itself, the larger question is the effectiveness of transplanting a TRIPs-compliant patent regime as a mechanism to achieve national or international goals.133 Generally, a sophisticated patent mechanism can indeed serve as an effective tool to achieve targeted objectives of industrialization. The sophistication of a patent regime is reflected by the ability of the system to accommodate both the
126. The Patents (Amendment) Act, 1999, No. 17, Acts of Parliament, 1999, available
§ 24B. Under the amended legislation, an exclusive marketing right will be
granted if the claimed substance is patentable from the date of approval by the Controller of Patents either until the earlier of five years or until patent protection is provided.
128. The Patents (Second Amendment) Act, 1999, No. 49, Acts of Parliament, 1999
(introduced in the Rajya Sabha on Dec. 20, 1999), available at
129. TRIPs Agreement, supra
note 1, art. 70(8). 130. For detailed views of the Patents (Amendment) Ordinance from India, see
Narayan Kulkarni et al., India Enters Product Patent Regime
, BIOSPECTRUM INDIA, Jan. 6, 2005, available at
http://www.biospectrumindia.com (follow “Archive” hyperlink; and search by month and year).
131. The Patents (Amendment) Act, 2005, No. 15, Acts of Parliament, 2005. 132. Id.
§ 3(d). 133. See generally
J.H. Reichman, From Free Riders to Fair Followers: Global
Competition Under the TRIPS Agreement
29 N.Y.U. J. INT’L L. & POL. 11, 27–40 (1997).
292 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
original invention as well as the process or follow-on inventions. Adequate and appropriate procedural tools that support the patent system form the hallmark of such sophistication. Developed nations facilitate industrial growth by using procedural tools to provide innovative status to follow-on inventions. Unfortunately, developing nations like India lack exposure to the role procedures, especially patent procedures, play in implementing patent policies. In the past, the lack of proper procedures in India resulted in the denial of patent protection for inventions distinguished through functional structural additions or even process innovations.134 I have argued previously that some innovations within India, currently labeled as “copies” of Western patents, may be eligible in the United States for patents using appropriate patent techniques.135 The same malady could result in the TRIPs-compliant patent regime of India.136 Thus, the amended legislation’s effectiveness in facilitating the Indian government’s ability to generate the maximum potential from India’s generic drug industry, which is required to maintain public health conditions, remains moot.
B. Drug Policies and Drug Price Control Order
Previous discussions highlighted how the Planning Commission’s
First Five Year Plan took stock of the state of the country at the time of India’s independence. By the time India was at the Third Five Year Plan in 1960, the government envisaged “a large increase in the production of drugs in the country and replacement of imported drugs and raw materials by indigenous manufactures.”137 In essence, the government noted that although the prices of many essential drugs were reasonable, prices of proprietary brands remained high.138 Hence, the emphasis of the third planning period, 1960 to 1965, was on availability of quality, affordable medication. Due to high poverty levels, the government felt that accessibility would be meaningless unless medication was also affordable.139
134. See, e.g.
, Farbwerke Hoechst & Bruning Corp. v. Unichem Lab., 1969 A.I.R. 56
(Bom.) 255. See Srividhya Ragavan, A “Patent” Restriction on Research & Development: Infringers or Innovators?
, 2004 U. ILL. J.L. TECH. & POL’Y 73, 87–88 (2004), for a discussion of the Hoechst
135. Ragavan, supra
note 134, at 74. 136. Id.
137. PLANNING COMM’N, 3RD FIVE YEAR PLAN ch. 32, ¶ 45, available at
http://planningcommission.nic.in/plans/planrel/fiveyr/default.html (last visited Jan. 8, 2006).
139. The Indian Constitution emphasizes balancing social and economic rights. See
OF THE INEQUALS OF THE URUGUAY ROUND
The government’s amendment of the Drugs and Cosmetics Act of
1940 to give the Central Government concurrent powers with states over the manufacture of drugs was the first step to achieving planning objectives. Further, the patent statute was complemented with two mechanisms to help achieve the pharmaceutical objectives over the years. The patent legislation was supplemented with a Drug Policy and Foreign Exchange Regulations Act140 (FERA) made under the Industrial Policy.141 To make pharmaceuticals more affordable, FERA allowed governmental interference with the market using drug price control orders.142 To facilitate the indigenous industry, FERA limited the multinational corporations’ dominance in the local markets.
Notwithstanding the objectives of the Third Five Year Plan and the
carefully crafted Ayyangar Report, the first Drug Policy was actually a direct by-product of the 1962 Chinese aggression toward India.143 Fearing the effect of war on public health, the government amended the Defense of India Act of 1915 to allow statutory control over drug prices.144 Using the statutory authority, the government passed the Drugs (Display of Prices) Order of 1962, which was later revised as the Drugs (Control of Prices) Order of 1963, and the Drugs Prices (Display and Control) Order of 1966.145 Each of the Orders regulated the drug industry. Meanwhile, faced with the failure of the objectives of the Third Five Year Plan, the government requested that the Tariff
INDIA CONST. pmbl. Article 21 of the Constitution guarantees the right to life, which includes the right to good health. Id.
art. 21; see also
Kesavananda Bharati v. State of Kerala, (1973) 4 SSC 225, (1973) A.I.R. SC 1461.
140. Foreign Exchange Regulation Act, No. 46 of 1973, available at
Ministry of Commerce and Indus., Dep’t of Indus. Pol’y & Promotion,
http://dipp.nic.in/policy_dipp.htm (last visited Jan. 8, 2006) (listing a sample of all the policies that the Department handles, including industrial development and drug policies).
David Scondras, A Visit to India: Drug Prices, Research & Global Access
AIDS TREATMENT NEWS #311, Jan. 22, 1999, available at
http://www.thebody.com/atn/311. html#india (arguing that drug prices in India are between 1000% to 4000% cheaper than drug prices in the United States). For example, the price of the antibacterial drug Norfloxacin is $.06 in India compared to $12.26 in America. See
note 33, at 83. The anti-inflammatory drug Piroxicam costs less than $.05 in India as compared to the American price of $.115. Id.
Zidovudine (AZT), a drug retailed for $5.82 per 300 milligrams in the United States, is sold in India in capsule form for $1.42 per 300 milligram. Id.
143. Piyush Kunnapallil, Drudgery of Drug Price Controls: Who Benefits? 1 (2002)
(unpublished manuscript, on file with the Ctr. for Civil Soc’y), available at
http://www.ccsindia.org/Intern2002_11_drug_controls.pdf (last visited Jan. 8, 2006).
294 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
Commission examine prices of certain drugs in 1966.146 Following the Tariff Commission’s Report of 1968, the government introduced the Drug Price Control Order (DPCO) of 1970.147
The DPCO 1970 was passed using the Central Government’s power
under the Essential Commodities Act of 1955148 to control the essential commodities for streamlining supply, distribution, and availability at fair prices.149 The DPCO 1970 allowed for governmental control over drug prices, thus complementing the compulsory license provisions.150 The DPCO 1970 addressed concerns relating to the high cost of health care.151 “The legislation had a threefold purpose:  to enable public access to essential drugs,  to provide a reasonable rate of return to companies, and  to ensure quality.”152
The DPCO 1970 restricted pre-tax profit from pharmaceutical
business to fifteen percent of sales.153 Profits exceeding the fifteen percent margin were appropriated by the government.154 The price control regime per se
did not detrimentally affect the dominance of the multinational companies, which continued their presence in India.155
146. Aradhna Aggarwal, Strategic Approach to Strengthening the International
Competitiveness in Knowledge Based Industries: The Indian Pharmaceutical Industry
6 (Research & Info. Sys. for Dev. Countries, Discussion Paper No. 80, 2004), available at
http://www.ris.org.in (follow “Publications” hyperlink; then “Discussion Papers” hyperlink). The Commission examined the prices of eighteen bulk drugs and their single ingredient formulation. Id.
The Tariff Commission was established under the Tariff Commission Act of 1951, which
functioned under the Ministry of Commerce. Ministry of Commerce & Indus., Tariff Comm’n, http://tc.nic.in/ (follow “History” hyperlink) (last visited Jan. 8, 2006). The Commission’s objectives are to promote industrialization by making recommendations to the Central Government based on tariff studies. Id.
147. Aggarwal, supra
note 146, at 6. 148. The Essential Commodities Act, No. 10 of 1955, available at
note 146, at 62. 150. After the DPCO 1970 was passed, the Government of India placed most drugs
note 143, at 1–2 (discussing the DPCO). The categories
were meant to separate drugs most essential for the national health care programs from the other drugs. The degree of price control exercised varied with the category of the drug.
152. Rishi Gupta, TRIPS Compliance: Dealing with the Consequences of Drug Patents
, 26 HOUS. J. INT’L L. 599, 608 (2004).
153. Kunnapallil, supra
note 143, at 2. 154. Id.
OF THE INEQUALS OF THE URUGUAY ROUND
However, multinational companies curtailed launches of new products because they were forced to sell products at lower prices.156
In 1973, the government introduced FERA to impose restrictions on
foreign equity participation.157 Although the pharmaceutical industry was given priority status, foreign multinationals could only retain a maximum of 74% ownership against a general limit of 40%.158 The operation of FERA, along with the price control regime, resulted in decreasing participation of multinational companies in the Indian pharmaceutical sector.159 Several foreign manufacturers chose to consolidate their position and limit their equity holdings in India or assume an Indian identity.160 For instance, Reckitt & Colman, a multinational, was first established in India in 1934 as Atlantic (East) Ltd.161 In 1951, Reckitt & Colman India Ltd. took over the manufacturing operations of Atlantic (East) Ltd.162 The Indian company operated as a wholly-owned subsidiary of Reckitt & Coleman U.K. until 1970.163 FERA regulations forced it to offer shares to the Indian public in 1970 to reduce its foreign holdings to 70%.164 The parent company’s holdings were further reduced to 40% in 1977 to comply with FERA regulations.165 Similarly, Dorr-Oliver (India) Ltd., established a presence in India in 1912 as a subsidiary of Dorr-Oliver Inc. U.S.A.166 Under FERA regulations, in 1977, Dorr-Oliver (India) Ltd. became Hindustan Dorr-Oliver Limited.167
156. Ajidth Sankar, The Indian Pharma Industry under the Product Patent Regime
ICFAI CTR. FOR MGMT. RESEARCH, ICMR CASE COLLECTION (BSTR/169) 5 (2005).
157. Aggarwal, supra
note 146, at 6–7. The pharmaceutical industry was included in
Appendix I of the Industrial Licensing Policy of 1993. Id.
These companies’ “products were not being produced in India or where the local sector was being dominated by a single (usually foreign) company.” Id.
at 6; see also
Foreign Exchange Regulation Act, No. 46 of 1973, ¶ 29 (discussing restrictions on establishment of place of business).
158. Aggarwal, supra
note 146, at 6–7 (discussing Appendix I of the Industrial
at 17; Kunnapallil, supra
note 143, at 2. 160. Aggarwal, supra
note 146, at 18–19. 161. Indiainfonline, Global Database, Reckitt & Colman, http://www.indiainfoline.com
/fmcg/glob/reck.html (last visited Jan. 8, 2006).
166. Dorr-Oliver (India) Ltd., About Us, http://www.hind-dorroliver.com/aboutus.htm
296 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
In 1975, the government appointed a parliamentary committee
generally known as the Hathi Committee to analyze the issues relating to the drug industry.168 The Hathi Committee emphasized “achieving self-sufficiency in medicines and ensuring abundant availability of essential medicines at reasonable prices.”169 It observed that foreign companies “thwarted attempts by indigenous units to produce bulk drugs by means of import-dumping and filing patent suits.”170 Hence, the Hathi Committee recommended the development of the indigenous industry by strengthening public sector pharmaceutical companies.171
Consequently, the DPCO 1970 underwent more revisions in 1979.172
The revised DPCO 1979 compartmentalized drugs into three categories—life-saving, essential, and less-essential—for exercising price control over 370 bulk drugs and over 4000 formulations.173 The retail prices of controlled formulations were decided by applying the concept of Maximum Allowable Post-Manufacturing Expenses174 (MAPE). The most important life-saving drugs were put in Category I and carried the least MAPE.175 The life-saving drugs in Category I had maximum price control, and the less-essential drugs in Category III had the least price
168. Aggarwal, supra
note 146, at 7; Bejon Misra, A Study on Availability and Prices of
Medicines in India
, Voluntary Organisation in Interest of Consumer Education (VOICE) ch. 1, § 2 (2002), available at
169. Misra, supra
note 168, ¶ 1.2. 170. Aggarwal, supra
note 146, at 7. 171. Id.
note 143, at 2–3. 173. Kunnapallil, supra
note 143, at 2–3; Nat’l Pharm. Pricing Auth., Drug Policy 1986,
http://www.nppaindia.nic.in/drug_pol86/txt1.html (discussing the 1979 Drug Policy and why it is being revised). A “formulation” is a “medicine processed out of . . . bulk drug or drugs . . . for internal or external use for or in the diagnosis, treatment, mitigation or prevention of disease in human beings.” Drug (Prices Control) Order 1995 § 2; see also
note 143, at 1 n.3.
174. “‘MAPE’ . . . means all costs incurred by a manufacturer from the stage of ex-
factory cost to retailing and includes trade margin and margin for the manufacturer and it shall not exceed one hundred per cent for indigenously manufactured Scheduled formulations.” Drug (Prices Control) Order 1995 § 7. The DPCO 1995 uses the following formula: R.P. = (M.C. + C.C. + P.M. + P.C.) x (1 + MAPE/100) + ED. Id.
The pricing formula used in the 1979 Drug Policy was the following: retail price = (MC+CC+PM+PC) x (1+MAPE/100) + excise duty. In this formula, “MC” represented the material cost including cost of bulk drugs/excipients, “CC” represented the conversion
cost as per the dosage form, “PM” represented the cost of packing material suitable to dosage form,
and PC represented the packaging charge worked out in accordance with established costing procedures. Sankar, supra
note 156, at 6 n.14.
175. Kunnapallil, supra
note 143, at 2.
OF THE INEQUALS OF THE URUGUAY ROUND
control.176 Drugs that did not fall within any of the three categories—the non-essential drugs—had no price control.177 Government regulations favorable to public sector enterprises were encouraged, while stringent guidelines in the form of approval procedures were introduced to deter foreign companies.178 Foreign equity participation was limited to 40% and later to a minimal 26%.179 “[F]oreign companies had to indigenously manufacture bulk drugs and intermediates required for their formulations within a stipulated time frame.”180 It was also mandatory for foreign companies to set up research and development facilities in the country and spend at least 4% of their turnover annually as recurring expenditure on research and development.181 Commenting on the effect of the DPCO 1979, Piyush Kunnapallil wrote the following:
Through this DPCO, around 80% of the Indian pharma industry (in value terms) was brought under strict price control. The [multinational companies] were the worst hit. With profitability falling steeply, they discontinued many products, especially the life saving products in Category I. In addition, the industrial licensing requirements made it impossible for [multinational companies] to introduce new products. The local players were, nonetheless, in a better position. They could obtain licenses much easily [sic] than [multinational companies] could. They were also able to speedily introduce new drugs. The local players, as a result, were able to keep the coverage of DPCO low and fight the might of established [multinational companies]. However, profitability wise, the Indian pharma sector went through its worst phase from 1979 to 1987.182
3. Liberalization of the Pharmaceutical Sector
Further amendments to India’s drug policy were influenced by the
Kelkar Committee Report in 1984.183 The Drug Policy of 1986184
176. See id.
at 2–3; Aggarwal, supra
note 146, at 7–8. 177. See
sources cited supra
note 176. 178. Aggarwal, supra
note 146, at 7; see also
Foreign Exchange Regulation Act, No. 46
179. Aggarwal, supra
note 146, at 7. 180. Id.
182. Kunnapallil, supra
note 143, at 3. 183. See
, MINISTRY OF FIN., FINAL REPORT ON INDIRECT TAXES ch. 2 (2002),
298 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
established a new price control regime that resulted in another amendment to the DPCO 1979 in 1987.185 The Drug Policy of 1986 was meant to liberalize the pharmaceutical sector to promote growth.186 A minimum turnover of $1,300,000 per annum (Rs. 400 lakhs) was required to enforce price control.187 Pharmaceuticals having sufficient market competition (at least five active ingredient producers, at least ten formulators, and no more than forty percent of the market share) were exempt from price controls.188 Consequently, the revised DPCO 1987189 reduced the number of categories for exercising price control to two: Category I encompassed drugs required for the National Health Program,190 and Category II encompassed drugs excluded from Category I but considered essential for health needs.191 The MAPE in Category I was 75% (from 40% in the previous DPCO), and the MAPE in Category II was 100% (from 55% in the previous DPCO).192 The number of drugs under price control was reduced to 142.193 The Drug Policy of 1986 encouraged competition for the first time, while ensuring “abundant availability . . . of essential, life saving and prophylactic medicines of good quality” at reasonable prices.194
By the beginning of 1991, India had begun the process of
liberalization. The Industrial Policy of 1991 outlined a reduction of governmental control over industries and private participation in industrial development.195 In line with the industrial policy, the Drug
185. See generally
Nat’l Pharm. Pricing Auth., Modifications in Drug Policy 1986 ¶ 8,
Drug Policy 1986; Aggarwal, supra
note 146, at 9. 187. Modifications in Drug Policy 1986 ¶ 22.7.2; Suresh Koshy, The Effect of TRIPS
On Indian Patent Law: A Pharmaceutical Industry Perspective
, 1 B.U. J. SCI. & TECH. L. 4, 27 (1995).
sources cited supra
note 187. 189. Patentmatics, Why India cannot have a clear Drug pricing policy after 57 years of
Independence? (Sept. 2004), http://www.patentmatics.org/pub2004/pub9f.htm (discussing Drug (Prices Control) Order 1987).
190. Drug Policy 1986 ¶ 5.2,; see also
CONFEDERATION OF INDIAN INDUS., REPORT
ON THE PHARM. SECTOR IN INDIA 32 (2000), available at
http://www.intracen.org/sstp/Survey /pharma00/India-pharmacafe00-sds.pdf [hereinafter REPORT ON THE PHARM. SECTOR IN INDIA]; Aggarwal, supra
note 146, at 9.
191. Drug Policy 1986 ¶ 5.2; see also
REPORT ON THE PHARM. SECTOR IN INDIA,
note 190, at 32; Aggarwal, supra
note 146, at 9.
note 143, at 3; Aggarwal, supra
note 146, at 7–9. 193. Kunnapallil, supra
note 143, at 3. 194. Drug Policy 1986 ¶ 1.5. 195. MINISTRY OF INDUS., STATEMENT ON INDUS. POL’Y (1991), available at
OF THE INEQUALS OF THE URUGUAY ROUND
Policy of 1986 was revised in 1994 to accommodate this renewed vigor and to encourage competition, liberalization, and innovation.196 Moreover, in 1994, India became a Member of the WTO.
Consequently, a new price control regime was established in the form of the DPCO 1995.197 Under the DPCO 1995, a uniform MAPE was introduced for formulations under price control.198 The DPCO 1995 reduced the price-controlled pharmaceuticals to seventy-six.199 Research and development initiatives were encouraged by exempting active ingredient manufacturers from price control for ten years, provided that inventive processes were developed through research and development.200 Foreign investment was allowed up to fifty-one percent, and industrial licensing was abolished for most bulk drugs and their formulations.201 In 1997, the National Pharmaceutical Pricing Authority (NPPA) was created to review and revise existing price controls, monitor the prices of controlled and decontrolled drugs, and enforce the DPCO 1995.202 The NPPA was also given the authority to recover excess amounts when manufacturers charge excessive prices for drugs falling within the price control.203
Further liberalization ensued when FERA was replaced with the
Foreign Exchange Management Act of 2000204 (FEMA),which allowed 100% foreign investment in a new or existing Indian company in the pharmaceutical manufacturing business. Such approval was permitted under the automatic route, which meant that the bureaucracy involving
Govindaraj & Chellaraj, supra
note 22, at 7;
note 143, at 4. 197. Kunnapallil, supra
note 143, at 4.
198. Drug (Prices Control) Order 1995 § 7. The possibility of allowing a uniform
MAPE was first discussed in the Modifications in Drug Policy 1986. See
Modifications in Drug Policy 1986 ¶¶ 9–10.
Drug (Prices Control) Order 1995 first sched.; Kunnapallil, supra
note 143, at
200. Aggarwal, supra
note 146, at 13. 201. See also
OFFICE OF THE MINISTRY OF INDUS. & COMMERCE, HANDBOOK OF
INDUS. POL’Y & STATISTICS 2001, MODIFIED POL’Y FOR DRUGS & PHARMS. INDUS. ch. 1, Ex. No. 47, Press Note No. 4 (1994 Series), available at
http://eaindustry.nic.in/handout.htm (follow “Press Note No. 1 (1993) to 1 (1995 Series)” hyperlink).
202. Misra, supra
note 168, ¶ 1.4; Gazette of India, O. No. 43 (E) (1970). The Order
was issued by the Government of India pursuant to the Modifications in Drug Policy 1996. The NPPA was established as an independent body of experts. REPORT ON THE PHARM. SECTOR IN INDIA, supra
note 190, at 29, 36; Misra, supra
note 168, ¶ 1.4.
203. Misra, supra
note 168, ¶ 1.4.
204. Foreign Exchange Management Act, No. 42 of 1999.
300 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
prior foreign approval was done away with.205 Similarly, the Pharmaceutical Policy of 2002 was made with the dual objectives of reducing price control and improving indigenous research and development.206 Price control now can be exercised in two circumstances: (1) if a particular bulk drug has an annual turnover of Rs. 2500 lakhs (Rs. 25 Crore) and a single firm has 50% or more of the market share; or (2) if a bulk drug had a turnover between Rs. 1000 lakhs (Rs. 10 Crore) and Rs. 2500 lakhs (Rs. 25 Crore) and a single firm has 90% or more of the market share.207 The number of drugs under price control was reduced to twenty-eight.208 Price control was generally abolished in all other cases, although the government retained the right to intervene in the market should prices increase abnormally.209 The Pharmaceutical Policy of 2002 also allowed 100% foreign investments for most categories of drugs, and foreign companies were allowed to import medication into India.210 The Policy has increased the MAPE to 100% for all indigenously manufactured drugs and imposed a margin on
205. Ames Gross & Sunil Patel, Indian Pharmaceutical Industry: Market, Regulatory,
Import and Investment Regime
, PACIFIC BRIDGE MED. § 10.4 (2002), available at
Automatic approval is not allowed in cases where industrial licensing is mandatory. Further, [the] “automatic approval” route is not available to foreign companies which either have or have had in the past a joint venture/technical collaboration/ trademark agreement for the same or allied product. In such a case the foreign investor will have to apply to the FIPB [Foreign Investment Promotion Board]. A foreign investor may also acquire the whole or part of an existing company by buying out existing shareholders. For this, prior permission will be needed from the FIPB and thereafter the RBI.
206. Nat’l Pricing Auth., Pharmaceutical Policy 2002 ¶ 3, available at
§ VI(a); Sankar, supra
note 156, at 6. 208. Sankar, supra
note 156, at 6; see
Foreign Exchange Regulation Act, No. 46 of
Foreign Exchange Management Act, No. 42 of 1999.
209. Pharmaceutical Policy 2002 § VI(a). The government will exercise price control
based on the Moving Annual Total (MAT) if:
(a) The total MAT value, arrived at as in sub-para (iv) above, in respect of any
particular bulk drug is more than Rs.2500 lakhs (Rs.25 Crore) and the percentage share, as defined in sub-para (v) above, of any of the formulators is 50% or more[, or]
(b) The total MAT value, arrived at as in sub-para (iv) above, in respect of any
particular bulk drug is less than Rs.2500 lakhs (Rs.25 Crore) but more than Rs.1000 lakhs (Rs.10 Crore) and the percentage share, as defined in sub-para (v) above, of any of the formulators is 90% or more.
210. Pharmaceutical Policy 2002 ¶ 2.
OF THE INEQUALS OF THE URUGUAY ROUND
importers’ profitability at 50%.211 Finally, the Policy outlines that it will encourage the “generation of intellectual property” by indigenous companies.212
The various drug price control orders present an interesting trend.
When India became independent, the pharmaceutical sector was dominated by multinational companies. In the mid-1970s, foreign equity participation was limited to 74%, further reduced to 40%, and then reduced to 26% by 1986.213 With the development of the pharmaceutical industry, foreign participation was again encouraged up to a maximum of 51% in 1994.214 By 2002, a country confident of its pharmaceutical abilities was willing to allow 100% foreign participation and importation of pharmaceuticals.215 Similarly, a country that was struggling in the 1970s to properly copy drugs for local requirements filed 33% of the global filings of drug master files and abbreviated new drug applications with the United States Food and Drug Administration in 2004.216 That same year, Ranbaxy, an Indian drug company, was featured among the top ten generic drug companies in the world.217 Wockhart, another Indian company, does business in over ninety countries.218 Also, in 2004, Nicholas Piramal India Limited acquired the global inhalation anesthetics business of Rhodia Organique Fine Limited (Rhodia), U.K.219 The same company, in 2005, invested 17% equity in BioSyntech Inc., a Canadian biotech research company.220 The Indian pharmaceutical industry itself is ranked fourth in the world in terms of volume and thirteenth in terms of value.221 In creating the generic drug industry, the Indian policy has emphasized the availability of reasonably priced high quality drugs since 1947.222 The emphasis on
§§ VI(b), VI(c). 212. Id.
§ V(b). 213. Aggarwal, supra
note 146, at 6–7. 214. Id.
at 8. 215. Id.
at 24. 216. Sankar, supra
note 156, at 8. 217. Id.
at 9. 218. Id.
at 10. 219. Press Release, Nicholas Piramal India Ltd., Nicholas Piramal Acquires Rhodia’s
global Inhalation Anaesthetics Business (Dec. 17, 2004), http://www.nicholaspiramal.com/ docs/NPIL-RhodiaIA.pdf.
220. Press Release, Nicholas Pirmal India Ltd., Nicholas Piramal India Limited Invests
17% equity in Canadian Biotech Research Company—Biosyntech, Inc. (July 7, 2005), http://www.nicholaspiramal.com/media_pr20.htm.
221. Sankar, supra
note 156, at 12.
222. See generally
1ST FIVE YEAR PLAN, supra
302 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
reasonable price of pharmaceuticals has helped the development of the generic drug industry. The development of a generic drug industry has helped India tackle its public health woes. The low cost of medicines resulted in public health becoming accessible. The Indian government gained the ability to deal with several public health conditions or a threat to public health independently without having to account for foreign imports. This scenario should be contrasted with South Africa, which was forced to repeatedly ask the United States to reduce the cost of drugs in 1996 to handle a public health crisis.223 Similarly, increased private production of generic drugs allowed the government to ensure that infrastructural constraints impeding accessibility to medication were simultaneously tackled.224
The important question is whether the Indian experience can be
replicated in other nations to deal with the current health pandemics, given the various constraints imposed by the WTO. The attempt to resolve this issue necessitates that we re-examine the objectives of becoming a TRIPs signatory. The TRIPs Agreement meant to harmonize intellectual property while achieving the specific objectives of social and economic welfare outlined in Articles 7 and 8. From this perspective, solutions to the paragraph 6 issue should be based on the notion that public health is an important component for achieving national and global objectives. Unstable public health conditions can potentially upset national productivity, cause international disruption to trade, and destabilize more economies.225 The Indian experience is
Helene Cooper et al., AIDS Epidemic Traps Drug Firms in a Vise: Treatment
WALL ST. J., Mar. 2, 2001, at A1 (discussing the 1996 meeting between Jones Popovich, the American trade representative, and AIDS activists on the South Africa issue).
224. The various plans show that the development of the indigenous pharmaceutical
industry forced the government to increasingly look at infrastructural issues that were required to facilitate the industry. See supra
note 38. This included improving the infrastructure to access the drugs, hospitals, health care education, and dissemination of information. All of which are vital for improving the national public health systems.
225. See generally
Rebecca Buckman, Outbreak Crimps Toy Industry’s Buying Season
WALL ST. J., Apr. 30, 2003, at B1 (discussing how the outbreak of Severe Acute Respiratory Syndrome (SARS) in China has affected sales in even smaller industries, like the toy industry, and impacted sales of several American retailers); Lori Bollinger & John Stover, Country Report
, The Economic Impact of AIDS in South Africa
, POL’Y (Futures Group Int’l Bath, Eng.), Sept. 1999, available at
http://www.policyproject.com/pubs/SEImpact/southafr.pdf (discussing how the epidemic outbreaks potentially affect several sectors of the international economy and stunt international markets); Peter Yu, SARS and the Patent Race: An Introduction to the “Patent Law, Social Policy, and Public Interest” Symposium (unpublished
OF THE INEQUALS OF THE URUGUAY ROUND
useful for demonstrating that the TRIPs Council must appreciate that governments need to devise solutions by prioritizing national
needs before catering to international
trade. Such understanding requires that countries are allowed (1) to use patent policies to achieve national ambitions but pursue their own levels of development and (2) to emphasize indigenous industrialization without disrupting the markets of other WTO Members.
Both of the above are supported by the historical experiences of
developed nations. Historically, every developed nation used patent mechanisms to protect indigenous industries.226 Even now, the developed countries have been unable to open the agriculture sector to promote fair trade by reducing subsidies, which harms the local farming sector but benefits international trade. Similarly, the patent development curve in developed nations, particularly the United States and the United Kingdom, moved steadily upwards from the early 1800s until the mid-1900s before a sustainable patent system was crystallized. Thus, developed nations took about one hundred and fifty years to establish a sophisticated patent regime. Forcing developing countries to “catch up” and ease into the current patent regime within a matter of only ten years may be unwise, because it pressures developing nations to make inappropriate choices from an incomplete understanding of patent mechanisms.
Future solutions should prioritize local rather than global needs by
increasing the term of exemption for pharmaceutical patents or discriminatorily pricing pharmaceuticals in a manner consistent with economic conditions in developing and least developed nations.
Likewise, exceptions can be created by further extending the transitional periods for pharmaceutical patents.227 Alternatively, under the Doha Declaration, governments may be allowed to compulsorily license or duplicate drugs, provided that they impose adequate restrictions on parallel importation of generic drugs into the developed nations.228 Similarly, exceptions should allow the manufacturers of
manuscript), available at
226. See generally
note 10 (providing a comparative study on historical
227. E-mail from Professor Peter K. Yu, Assistant Professor of Law, Michigan State
University College of Law, to Srividhya Ragavan, Associate Professor of Law, University of Oklahoma Law Center (Sept. 25, 2005, 15:36 CST) (on file with author).
Srividhya Ragavan, The Jekyll and Hyde Story of International Trade: The
Supreme Court in
PhRMA v. Walsh and the TRIPS Agreement
, 38 U. RICH. L. REV. 777, 796 (2004).
304 MARQUETTE INTELLECTUAL PROPERTY LAW REVIEW
generic drugs, like India, to export drugs to African countries without the impediments of Article 31(f).229 The dispute settlement body of the WTO should take account of national responsibilities when deciding on derogation from international obligations. Thus, several solution alternatives are available to prioritize local rather than global needs and must be fully explored. Solutions prioritizing global trade ahead of domestic needs may potentially harm the globe itself by destabilizing the economies of the world.
Something had to be right for the industry to be where it is today.
While the Indian patent system lacked a western sense of sophistication, it certainly achieved its national objectives. At the tenth anniversary of TRIPs, we should go back to the drawing board to determine the cost and benefits of having placed international obligations above national needs. With bird-flu threatening to become an epidemic, it is important to appreciate that some national issues may actually become a barrier to international trade if left unsolved. At the very minimum, such a cost-benefit analysis would sensitize Members to the unique national impediments of other Members to embracing the international trade regime.
TRIPs Agreement, supra
note 1, art. 31(f).
HOSPITAL MUNICIPAL DR. MÁRIO GATTI ÁREA DE LICITAÇÕES AUTARQUIA MUNICIPAL CRIADA PELA LEI 4.426/74 – CNPJ: 47.018.676/0001-76 Av. Prefeito Faria Lima, n° 340 - Parque Itália - C ampinas, SP CEP: 13036-902 - Telefone/fax: (19) 3772-5714 / 5821 / 5827 EDITAL - PREGÃO PRESENCIAL N°: 89/2010 PROCESSO N° . 691/2010 OBJETO: Aquisição de medicamentos (metoprolol, micro
TOM TOUR 2004 NOTES Abbreviations AK – Andrew Keites CH – Chris Huelin DO – David Oliver GG – Guy Gothard HJ – Hugo Jacques IM – Iain McInnes JB – James Birch JJ – Justin Jouan JK – Julian Kett MV – Matthew Vincent RL – Rob Leader SB – Steven Bowen Pre Tour Odds – (Jof the bookie) 6/4 Guy “I look over 50 (waist)” Gothard Chris “I’ll take on the r