2. ABIA is a 30-year AIDS NGO
GTPI is a collective of NGOs and social movements fighting against the
power of pharmaceutical corporations and against monopolies to guarantee
the right to health
3. The war on flexibilities is not over
• 2000: Pretoria Case (South A.)
• 2006: Novartis Case (India)
• 2015: Caeme Case (Argentina)
• 2014/5: Interfarma Case (Brazil)
• ISD disputes: Colombia case (2016-
2017)
• The right to use flexibilities is not
respected
• Big pharma expand revenues by
using systems designed with this end
• Low quality examination leads to low
quality patents
4. Benefits being lost
Patents recently rejected
are trapped by the conflict
of interpretations and do
not translate into efffective
rejections
5. Resistance comes from Civil
Society alone
• “Drop the case” slogan
remains necessary
• Numerous political,
judicial and moral
victories ensured
treatment scale-up
• Reputational damage
played an important role,
but have companies
became immune?
6. Pharma’s strategy: Forum Shifting
Weakening of Anvisa’s
prior consent
COLLECTIVE
ACTION AT THE
COURT
ADMINISTRATIVE
OPINION
HIGH LEVEL
DECREE
JUDICIAL
CASES
JUDICIAL
CASESDECISIONS
7. Darunavir case: granular litigation
Civil society efforts
• Push for price reduction after patent expiry
through Inclusion in regional joint procurement
strategy
• Technical report analyzing all the patents and
evidencing there was no barrier
• Reaction in the press, clarifying the issues
• Policy dialogues to ensure the purchase of
generics
• Push for public consultation and submission
on it
Big pharma efforts
• Multiple patenting and pressure to
convince the government that the
monopoly remained
• Information war questioning the quality of
the generics and the purchase procedure
• Intimidation through litigation: threat to the
government
• Pressure for change in the legislation that
enables purchase modality applied
For Brazil: price reduction led USD 22 million on savings
For the world: 7.5% reduction of the lowest global price
Prince increase: from U$ 1,26
to U$ 2,50
8. Architecture of impunity
• Attacks on Anvisa must be deemed as violations of the right to health and there are
only possible and successful because of what we call the architecture of impunity, in
which transnational corporations are extremely powerful and are not accountable for
their human rights violation.
• Attacks on laws created to protects the right to health are not understood as
violations subject to punishment.
• There is no international framework to hold companies accountable for human rights
violations.
• On the other hand, we do have an international framework desingned by the
transnational pharmaceutical corporations to generate profits. It has little or not to do
with the right to health.
• A new innovation model, colaborative, driven by health needs and that generates
common goods requires the dismantlement of corporate power.
9. Reclaim people’s sovereignty
• HLP recommendation:
WTO country review
panel
• Competition Law could
be explored to reduce
abusive behavior
• UN binding treaty on
transnationals and
human rights to end
corporate impunity
• We need to dismantle corporate
power in order to have a more
systematic answer to the
attacks to laws that protect
human rights. What happened
to ANVISA’s prior consent
happens to environmental laws,
labor regulations and others
and it will not stop until the
corporations are hold
accountable for their human
rights violations.
Brazil and Argentina – big public health systems
Argentina: numbers:
Contradiction: HLP recomendation on patente examination and 2 aligned initiatives being the target of judicial cases.
We highlighted this contradiction during several HLP debates and also at the IHRC.
The right to use flexibilities is not respected (violation)
Big pharma expand revenues over umbalanced systems (inequality)
Bad quality patents need bad quality examination (“pollution”)
Industry needs previsibility for sales, but people cannot claim previsibility over treatment availability.
Playing David and Goliath
Senate investigation showed that Gilead was prepared for the negative reaction on its pricing decision.
In Argentina is PPH instead of the court.
We have been connecting the drop the case experience with the mobilization around binding norms for transnational ccorporations which dates back from the 70.