The drug monopolies' licence to print money
Anna Pha Who had heard of "evergreening" before last week when Labor leader Mark Latham made Labor's vote for legislation on the US- Australia Free Trade Agreement (FTA) conditional on the acceptance of two amendments? These amendments related to local content rules on free-to-air TV and the Pharmaceutical Benefits Scheme (PBS). Howard did not hesitate to accept the amendment on local content rules. But on the question of the PBS there was a strong rebuttal and for a period a political stand-off between Howard and Latham — each daring the other to hold up implementation of the FTA. Latham swore that all he was doing was protecting the PBS and preventing higher prices for medicines. He said he was going to prevent "evergreening" by the US pharmaceutical corporations — some of the most profitable and powerful transnational corporations in the world. He was not amending the FTA. The Bill before Parliament has nothing to do with changing the contents of the FTA. It is "enabling" legislation so that Australian laws comply with the terms of the FTA. So why did Howard see red when Latham raised the question of pharmaceutical prices and evergreening? Evergreening refers to the various practices used by the pharmaceutical corporations to block or delay the introduction of generic competition i.e. ensuring their drug patents "do not fall from the trees". This is because patenting laws give the big brand names exclusive rights to sell their products for 20 years without competition. These monopoly rights enable the corporations to charge sky-high monopoly prices. They spend millions of dollars on promoting their latest products, including lavish gifts to specialists and doctors — many times more than was spent on the original research and testing of the medication. Meanwhile many patients go without the medication they need because of the high prices. Patents are a licence to print money. When the patent expires and competitors can enter the market, prices literally plummet. "The first generic competitor usually drops prices by 30 percent, and full-fledged generic competition with five or six competitors typically brings down the charge to the consumer by 70 to 80 percent", writes Robert Weissman (Multinational Monitor, June 2002). Twenty years of protected super-profits still do not satisfy the greed of these corporate monsters. Public Citizen estimated that AstraZeneca would earn more than US$1.4 billion (A$1.9b) additional revenue from just a six-month patent extension on Prilosec, a gastric ulcer and anti-acid medication. They pay generic makers to stay off the market; they take over generic companies; they stall the introduction of competition through prolonged court cases they know they cannot win — there is no end to the underhanded practices these corporations use to maintain their exclusive patents. The PBS and the priority it gives to generic drugs curbs the monopoly prices and forces the big corporations to charge less. The FTA will considerably weaken the PBS, giving US corporations greater powers and involvement in the process of listing and pricing and manoeuvring to keep generic competition out. This affects both the listing of medications on the Therapeutic Goods Register (indicating they are beneficial and can be prescription drugs) and on the PBS list. A PBS listing involves government negotiated lower prices and subsidies. The PBS is anathema to the big corporations — medicine prices in Australia are a fraction of those in the US. Other countries use Australian prices as a guide. Under Latham's amendment, which the government is considering at the time of going to press, a pharmaceutical corporation taking a generic competitor to court over a patent dispute would have to certify that it was taking the legal action "in good faith", that it had reasonable prospects of success and would conduct the proceedings "without unreasonable delay". It provides for fines of up to $10 million for false or misleading certificates. The provisions are a joke and the $10 million fine — if ever a corporation were convicted — is a farce. Compare a $10 million fine with the $1.9 billion profit! Stronger amendments would be no more effective as the FTA would override them. Labor's amendments amount to nothing more than political posturing to give the appearance that they are providing a "safety net" and protecting Australian culture (which involves much more than TV) and the PBS. They do neither of these things. The FTA is more far-reaching than is being portrayed by both major parties or in the mass media. The FTA will affect virtually every aspect of our lives. It hands over Australian sovereignty to US transnational corporations. It is the economic arm of the US-Australia alliance, complementing and strengthening the military and political integration and subservience of Australia to US plans for global domination. In sharp contrast to the betrayal of Australia's interests by the two major parties, the Australian Greens have taken a strong stand in opposition to the FTA. They have moved several amendments to the legislation, but regardless of whether these have been carried, intend voting against the deal anyway.