The second wave of Covid 19
has spread quickly creating a public health catastrophe in India. This put
nation and individuals at great risk for want proper medical care and health facilities. Therefore, the challenge we face at present is different in
its nature and scope than we faced last
year. There is on ongoing debate about vaccine nationalism and government’s failure to bolster its crumbling health care
system. However, there are less discussions over state sponsored research and
innovation in drug development in India.
India has a fast-growing presence in global
pharmaceuticals. Hyderabad and Bengaluru are known for pharmaceuticals with
high R& D capabilities and manufacturing. But during the second wave, many
condemned the state for not intervening successfully to provide lifesaving
drugs to people though we claim India is the pharmacy of the world. And the
state failed miserably to adopt the role of a risk taker at the time of a crisis.
Often, the role played by the centre and the various
state governments are questioned in the current public health crisis. The
subtle reaction of the centre suggests that the private players can accumulate
their profit through vaccine production. The existing debates over accessibility
and affordability of vaccines do not bring a relief to the suffering Indians.
How can poor people be expected to vaccinate themselves, as they just do not
have bare minimum a day?
Government is a
risk taker when it boosts state sponsored research for drug development. Unfortunately, the role of a losing state was evident when it
obsessed with the deadweight loss
of the producers like Poonawalla. Even though there was ample time to develop herd immunity from
the first wave to the current period, it was not dealt effectively. In the meantime,
countries in the Europe and USA could manage
the crisis.
USA is always in the forefront in extending state
support to sponsor innovation in the
private sector for a common good. USA proved
state could take a massive scale risk to spur innovation. State played a
significant role in the fields of
science and technology, small businesses etc. the invisible hand of the state
was there in all radical areas including pharmaceuticals. The Orphan Drug Act (2013) made it possible to develop drugs for
rare diseases.
Orphan drugs
The drug which is used for a rare disease that affects
less than 20000 people in a potential market cannot expand production without
financial incentives is known as orphan drugs. The above-mentioned act supports
the small firms to scale up production and allowing them to become a potential
player in pharmaceutical industry. It is not only the small firms benefitted ,
but also the giant firms such as Johnson
& Johnson, Pfizer and many others was encouraged to use the same.
Statistics shows 59 percent of total revenues of biopharmaceutical firms comes
from sale of orphan drugs. In critical times, the government of our country can
take a deliberate effort of being a subsidizer of drug development and the
protector of the people of the state.
Is India really a global pharmacy hub?
Recent announcement of the prime minister of India had
created discussions on India’s ability as a global factory of drug
manufacturing. India is by now accounting for 16000 plus pharmaceutical firms
including small and large ones. In terms of volume of production India’s
pharmaceutical industry is the fourth largest globally but notably in terms of
value, India rank at the 13th position globally. One reason for this dispersion between volume
and value of production are embedded in certain specific characteristics of the
pharma firms in India. An interesting observation in this regard is that by and
large (though there are exceptions), Indian pharmaceutical firms are generic
drug producers where the role of patents in capability accumulation is less
compared to the other segments of the industry. In the last years, more than 76 percent of the
patent applications filed in the Indian
patent office are by foreign firms with USA, Japan and Germany accounting for
45 percent. This trend raises doubts over the technological capability of the
Indian pharmaceutical sector in fostering the emerging needs.
Public funded innovations with fair risk-reward
sharing are essential to boost capability-based drug development. The
government has played an active role in the development of pharmaceutical
industry in India especially through two remarkable Patent Acts. The Patent Act
of 1970 permit pharma companies only for process patents but not product
patents. This has encouraged firms especially generic drug producers in
manufacture drug molecules cost effectively and efficiently. The Patent
(Amendment) Act 2005 re-established the product patent regime after three
decades. Now the need of industry lies in increased R&D capability with
adequate support via public funding. University/research institutions - firm
based collaborations as prevalent in developed countries can be a feasible
business model in fostering the future need of the industry.
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