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Ethical issues surrounding intellectual property rights1
1. Introduction
The Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) negotiated in
the 1986 Uruguay Round under the auspices of the General Agreement on Tariffs and Trade
(GATT) incorporated substantial and uniform protections of Intellectual Property Rights (IPRs)
into the international trade system. A large body of contemporary philosophical and
interdisciplinary literature suggests that IPRs as implemented in the TRIPS agreement, and
various other trade agreements, give rise to a number of ethical problems. This review paper
seeks to i) give an overview of what these problems are, ii) offer an outline of proposals as to
how these problems might be alleviated and iii) briefly explain the two classical defences of the
ethical permissibility of IPRs.
The ethical problems raised by IPRs are most pertinent when it is socially valuable goods
such as life-saving medicines and genetically modified seeds that are given Intellectual Property
(IP) protection. The discussions in this paper will revolve around just one product type in order
to bring out the broader ethical issues caused by the implementation of IPRs. In line with much
contemporary literature on the ethical dimensions of IPRs, the product type in question is life-
saving medicines.
. rights to individual freedom and private property, is inconsistent with IPRs. What such rights do
is namely to enable individuals (innovators) to unilaterally place limits on the personal freedom
1 Cambridge University Press gives Jorn Sonderholm proper credit as the original author of this article. Cambridge
University Press also identifies that this article was originally published as “Ethical Issues Surrounding Intellectual
Property Rights”, in Philosophy Compass, Vol. 5, Issue 12, pp. 1107–1115 (2011). DOI: 10.1111/j.1747-
9991.2010.00358.x. Reproduced by kind permission of Blackwell Publishing. The version of the paper published in
this volume has,compared to the original version,one added paragraph in section three.
2
of others and on what they may do with property they have legitimately acquired. IPRs on a
particular medicine is, for example, a de facto legal limitation on what other people may do with
their legitimately acquired possessions (chemicals), and this is not something that libertarianism
can consistently sanction. At its best, what the libertarian argument can yield is only that medical
innovators have strong property rights on the concrete, physical tokens of their innovation (pills,
powders, liquids etc.). The argument cannot yield the conclusion that innovators also have
property rights on the innovation type (the idea/formula for the medicine) (Hollis and Pogge
2008:65).
Whether or not this objection against the libertarian defence for IPRs succeeds is a
complicated question. In my view, defenders of IPRs need not, however, preoccupy themselves
onerously with finding an answer to it. The reason for this is that such defenders are not best
advised to try to back up their view with the libertarian argument. To my mind, a better defence
for IPRs is likely to be found by exploring a consequentialist line of thought that appeals to the
social utility of IPRs. The general idea is here that IPRs are ethically justifiable because they
incentivize innovative R&D which in turn increases overall human welfare.
Alex Rosenberg has presented an argument that is based on this line of thought (2004).
Ian Maitland has also pushed this line of thought (2002). Let us here focus on Rosenberg’s
argument. The argument is broad in scope in the sense that it defends the ethical permissibility of
IPRs on all innovations. The argument does, however, entail that there are some very basic
scientific discoveries that should not be allowed to be IP protected. Two important premises of
Rosenberg's argument are that good ideas are the only factor of production that does not suffer
from diminishing marginal productivity (2004:79) and that welfarism should be employed as the
normative basis for institutional design (2004:78). Welfarism is a form of consequentialism that
3
states that the morally best course of action, policy or institution is the one that maximizes future
human welfare. One might think that welfarism has to be opposed to the ethical legitimacy of
IPRs due to the access problem caused by such rights. However, as Rosenberg observes,
welfarism only mandates an abrogation of IPRs if the time frame within which human welfare is
calculated is narrowed arbitrarily (2004:85). It is correct that in the immediate and near term,
human welfare is best served by abrogating IPRs, but once the horizon is lengthened, it is not at
all obvious that human welfare is best served by such a legislative step.
to the view that an author only has a property right to the physical token of the book she
is writing and not any copies of it. Such a view would, I suspect, be hard to accept for
libertarians. So, they have an obvious reason here to sharpen their pens and look for a refutation
of Pogge's argument.2
Bibliography
Amitava, Banerjee, Hollis Aidan, and Pogge Thomas. 2010. The Health Impact Fund: incentives
for improving access to medicines. LANCET 375 (9709):166-169.
Barder, O., M. Kremer, R. Levine, A. Albright, Development Center for Global, and Group
Advance Market Commitment Working. 2005. Making Markets for Vaccines: From
Ideas to Action. Washington, DC: Center for Global Development.
Bird, R. C. 2009. Developing nations and the compulsory license: maximizing access to essential
medicines while minimizing investment side effects. The Journal of law, medicine &
ethics: a journal of the American Society of Law, Medicine & Ethics 37 (2):209.
Crager, S. E., and M. Price. 2009. Prizes and Parasites: Incentive Models for Addressing Chagas
Disease. The Journal of Law, Medicine & Ethics 37 (2):292-304.
Hollis, A., and T. Pogge. 2008. The Health Impact Fund: Making New Medicines Accessible to
All: Incentives for Global Health.
Kremer, M., and R. Glennerster. 2004. Strong Medicine: Creating Incentives for Pharmaceutical
Research on Neglected Diseases. Princeton: Princeton University Press.
2 I would like to thank Anthony Laden and an anonymous referee from Philosophy Compass for helpful comments
on an earlier version of this paper.
4
Lanjouw, Jean. 2005. Patents, Price Controls, and Access to New Drugs: How Policy Affects
Global Market Entry. SSRN eLibrary 6.
Locke, J. 1690. Two Treatises of Government: New York: Cambridge University Press.
Love, J., and T. Hubbard. 2007. The big idea: prizes to stimulate R&D for new medicines.
Chicago-Kent law review 82 (3):1519-1554.
Maitland, I. 2002. Priceless goods: how should life-saving drugs be priced? Bus Ethics Q 12
(4):451-80.
Narveson, J. 2005a. Welfare and Wealth, Poverty and Justice in Today’s World. The Journal of
Ethics 8 (4):305-348.
Nozick, R. 1974. Anarchy, state, and utopia. New York: Basic Books.
Peterson, Matt, Aidan Hollis, and Thomas Pogge. 2010. A Critique in Need of Critique. Public
Health Ethics 3 (2):178-185.
Pogge, T. 2005. Human rights and global health: a research program. Metaphilosophy 36 (1-
2):182-209.
———. 2008a. World poverty and human rights: Cosmopolitan responsibilities and reforms.
2nd ed. Cambridge: Polity Press.
———. 2010. The Health Impact Fund: Better Pharmaceutical Innovations at Much Lower
Prices. In INCENTIVES FOR GLOBAL PUBLIC HEALTH: PATENT LAW AND
ACCESS TO MEDICINES, Thomas Pogge, Matthew Rimmer, and Kim Rubenstein,
(eds.). Cambridge: Cambridge University Press.
Ravvin, M. 2008. Incentivizing Access and Innovation for Essential Medicines: A Survey of the
Problem and Proposed Solutions. Public Health Ethics 1 (2):110-123.
Ridley, D. B., H. G. Grabowski, and J. L. Moe. 2006. Developing Drugs For Developing
Countries. Health Affairs 25 (2):313-324.
Rosenberg, A. 2004. On the Priority of Intellectual Property Rights, Especially in Biotechnology.
Politics, Philosophy & Economics 3 (1):77.
Selgelid, M. J. 2008. A Full-Pull Program for the Provision of Pharmaceuticals: Practical Issues.
Public Health Ethics 1 (2):134-145.
Sonderholm, J. 2009. Paying a high price for low costs: why there should be no legal constraints
on the profits that can be made on drugs for tropical diseases. Journal of Medical Ethics
35 (5):309-313.
———. 2010. A Reform Proposal in Need of Reform: A Critique of Thomas Pogge's Proposal
for How to Incentivize Research and Development of Essential Drugs. Public Health
Ethics 3 (2):167-177.
Spellberg, B., L. G. Miller, M. N. Kuo, J. Bradley, W. M. Scheld, and J. E. Edwards. 2007.
Societal Costs Versus Savings from Wild-Card Patent Extension Legislation to Spur
Critically Needed Antibiotic Development. Infection 35 (3):167-174.
Stiglitz, J. E. 2006. Scrooge and intellectual property rights. BMJ: British Medical Journal 333
(7582):1279.

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Ethical Issues of Intellectual Property Rights and Access to Medicines

  • 1. 1 Ethical issues surrounding intellectual property rights1 1. Introduction The Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) negotiated in the 1986 Uruguay Round under the auspices of the General Agreement on Tariffs and Trade (GATT) incorporated substantial and uniform protections of Intellectual Property Rights (IPRs) into the international trade system. A large body of contemporary philosophical and interdisciplinary literature suggests that IPRs as implemented in the TRIPS agreement, and various other trade agreements, give rise to a number of ethical problems. This review paper seeks to i) give an overview of what these problems are, ii) offer an outline of proposals as to how these problems might be alleviated and iii) briefly explain the two classical defences of the ethical permissibility of IPRs. The ethical problems raised by IPRs are most pertinent when it is socially valuable goods such as life-saving medicines and genetically modified seeds that are given Intellectual Property (IP) protection. The discussions in this paper will revolve around just one product type in order to bring out the broader ethical issues caused by the implementation of IPRs. In line with much contemporary literature on the ethical dimensions of IPRs, the product type in question is life- saving medicines. . rights to individual freedom and private property, is inconsistent with IPRs. What such rights do is namely to enable individuals (innovators) to unilaterally place limits on the personal freedom 1 Cambridge University Press gives Jorn Sonderholm proper credit as the original author of this article. Cambridge University Press also identifies that this article was originally published as “Ethical Issues Surrounding Intellectual Property Rights”, in Philosophy Compass, Vol. 5, Issue 12, pp. 1107–1115 (2011). DOI: 10.1111/j.1747- 9991.2010.00358.x. Reproduced by kind permission of Blackwell Publishing. The version of the paper published in this volume has,compared to the original version,one added paragraph in section three.
  • 2. 2 of others and on what they may do with property they have legitimately acquired. IPRs on a particular medicine is, for example, a de facto legal limitation on what other people may do with their legitimately acquired possessions (chemicals), and this is not something that libertarianism can consistently sanction. At its best, what the libertarian argument can yield is only that medical innovators have strong property rights on the concrete, physical tokens of their innovation (pills, powders, liquids etc.). The argument cannot yield the conclusion that innovators also have property rights on the innovation type (the idea/formula for the medicine) (Hollis and Pogge 2008:65). Whether or not this objection against the libertarian defence for IPRs succeeds is a complicated question. In my view, defenders of IPRs need not, however, preoccupy themselves onerously with finding an answer to it. The reason for this is that such defenders are not best advised to try to back up their view with the libertarian argument. To my mind, a better defence for IPRs is likely to be found by exploring a consequentialist line of thought that appeals to the social utility of IPRs. The general idea is here that IPRs are ethically justifiable because they incentivize innovative R&D which in turn increases overall human welfare. Alex Rosenberg has presented an argument that is based on this line of thought (2004). Ian Maitland has also pushed this line of thought (2002). Let us here focus on Rosenberg’s argument. The argument is broad in scope in the sense that it defends the ethical permissibility of IPRs on all innovations. The argument does, however, entail that there are some very basic scientific discoveries that should not be allowed to be IP protected. Two important premises of Rosenberg's argument are that good ideas are the only factor of production that does not suffer from diminishing marginal productivity (2004:79) and that welfarism should be employed as the normative basis for institutional design (2004:78). Welfarism is a form of consequentialism that
  • 3. 3 states that the morally best course of action, policy or institution is the one that maximizes future human welfare. One might think that welfarism has to be opposed to the ethical legitimacy of IPRs due to the access problem caused by such rights. However, as Rosenberg observes, welfarism only mandates an abrogation of IPRs if the time frame within which human welfare is calculated is narrowed arbitrarily (2004:85). It is correct that in the immediate and near term, human welfare is best served by abrogating IPRs, but once the horizon is lengthened, it is not at all obvious that human welfare is best served by such a legislative step. to the view that an author only has a property right to the physical token of the book she is writing and not any copies of it. Such a view would, I suspect, be hard to accept for libertarians. So, they have an obvious reason here to sharpen their pens and look for a refutation of Pogge's argument.2 Bibliography Amitava, Banerjee, Hollis Aidan, and Pogge Thomas. 2010. The Health Impact Fund: incentives for improving access to medicines. LANCET 375 (9709):166-169. Barder, O., M. Kremer, R. Levine, A. Albright, Development Center for Global, and Group Advance Market Commitment Working. 2005. Making Markets for Vaccines: From Ideas to Action. Washington, DC: Center for Global Development. Bird, R. C. 2009. Developing nations and the compulsory license: maximizing access to essential medicines while minimizing investment side effects. The Journal of law, medicine & ethics: a journal of the American Society of Law, Medicine & Ethics 37 (2):209. Crager, S. E., and M. Price. 2009. Prizes and Parasites: Incentive Models for Addressing Chagas Disease. The Journal of Law, Medicine & Ethics 37 (2):292-304. Hollis, A., and T. Pogge. 2008. The Health Impact Fund: Making New Medicines Accessible to All: Incentives for Global Health. Kremer, M., and R. Glennerster. 2004. Strong Medicine: Creating Incentives for Pharmaceutical Research on Neglected Diseases. Princeton: Princeton University Press. 2 I would like to thank Anthony Laden and an anonymous referee from Philosophy Compass for helpful comments on an earlier version of this paper.
  • 4. 4 Lanjouw, Jean. 2005. Patents, Price Controls, and Access to New Drugs: How Policy Affects Global Market Entry. SSRN eLibrary 6. Locke, J. 1690. Two Treatises of Government: New York: Cambridge University Press. Love, J., and T. Hubbard. 2007. The big idea: prizes to stimulate R&D for new medicines. Chicago-Kent law review 82 (3):1519-1554. Maitland, I. 2002. Priceless goods: how should life-saving drugs be priced? Bus Ethics Q 12 (4):451-80. Narveson, J. 2005a. Welfare and Wealth, Poverty and Justice in Today’s World. The Journal of Ethics 8 (4):305-348. Nozick, R. 1974. Anarchy, state, and utopia. New York: Basic Books. Peterson, Matt, Aidan Hollis, and Thomas Pogge. 2010. A Critique in Need of Critique. Public Health Ethics 3 (2):178-185. Pogge, T. 2005. Human rights and global health: a research program. Metaphilosophy 36 (1- 2):182-209. ———. 2008a. World poverty and human rights: Cosmopolitan responsibilities and reforms. 2nd ed. Cambridge: Polity Press. ———. 2010. The Health Impact Fund: Better Pharmaceutical Innovations at Much Lower Prices. In INCENTIVES FOR GLOBAL PUBLIC HEALTH: PATENT LAW AND ACCESS TO MEDICINES, Thomas Pogge, Matthew Rimmer, and Kim Rubenstein, (eds.). Cambridge: Cambridge University Press. Ravvin, M. 2008. Incentivizing Access and Innovation for Essential Medicines: A Survey of the Problem and Proposed Solutions. Public Health Ethics 1 (2):110-123. Ridley, D. B., H. G. Grabowski, and J. L. Moe. 2006. Developing Drugs For Developing Countries. Health Affairs 25 (2):313-324. Rosenberg, A. 2004. On the Priority of Intellectual Property Rights, Especially in Biotechnology. Politics, Philosophy & Economics 3 (1):77. Selgelid, M. J. 2008. A Full-Pull Program for the Provision of Pharmaceuticals: Practical Issues. Public Health Ethics 1 (2):134-145. Sonderholm, J. 2009. Paying a high price for low costs: why there should be no legal constraints on the profits that can be made on drugs for tropical diseases. Journal of Medical Ethics 35 (5):309-313. ———. 2010. A Reform Proposal in Need of Reform: A Critique of Thomas Pogge's Proposal for How to Incentivize Research and Development of Essential Drugs. Public Health Ethics 3 (2):167-177. Spellberg, B., L. G. Miller, M. N. Kuo, J. Bradley, W. M. Scheld, and J. E. Edwards. 2007. Societal Costs Versus Savings from Wild-Card Patent Extension Legislation to Spur Critically Needed Antibiotic Development. Infection 35 (3):167-174. Stiglitz, J. E. 2006. Scrooge and intellectual property rights. BMJ: British Medical Journal 333 (7582):1279.