Matthew Kavanagh Profile picture
May 6, 2021 14 tweets 6 min read Read on X
The #TRIPSWaiver: lots of misunderstanding & mis-information on WTO & law.
A thread on why it's:
-not going to harm innovation
-not radical
- harmful to pretend it is
-not going to touch US pharma patents
-(as we all said) just 1 piece of #CovidVaccine access puzzle
🧵1/14
1)Those arguing TRIPS waiver will undermine the innovation that got us #COVIDVaccines are asking us to believe start-ups (Moderna, BioNTech) and universities (Oxford, UPenn) are going to stop taking public money to develop & trial breakthrough vaccines (!?) or 2/12 Image
or that major pharma companies are going to refuse to commercialize technologies with huge potential rewards ($billions from massive orders) that have largely been de-risked by public + philanthropic efforts if they are only promised monopolies in US, EU and other HICs… 3/14 Image
These truly strain credulity. What folks are actually worried about is that the #CovidVaccine effort is evidence of how effectively direct public funding can drive pharmaceutical innovation and could be used far more widely. IP was not the key in this pandemic context...4/14 Image
2) The TRIPS waiver is not radical. If enacted it would simply give countries back the power to allow companies within their borders to make COVID vaccines (& treatments & diagnostics) without violating WTO rules, even if originator companies dont agree to share their tech 5/14
Waiver simply means if companies figure out how to make vaccines, they can invest in new production lines without threat of being sued or prosecuted. Countries can coordinate to produce and export. When they do, they wont face threats and sanctions from other WTO members. 6/12 Image
That’s it. No company has patents canceled, no country compelled to not grant COVID-19 patents if they want to. It’s actually very conservative idea sovereign countries should not be constrained to enforce intl rules when they threaten health of populations in a pandemic. 7/14
3) But IP maximalists are being very smart—by framing this ultimately conservative idea as radical they seek to keep the Overton window closed. But this is dangerous…. 8/12 Image
COVID-19 should be teaching us that our global governance and trading rules are not helping us get out of this pandemic, incentivizing practices like vaccine nationalism that are prolonging it and costing many lives, and therefore need major reform. But instead 9/12
too much political energy goes to push for temporary waiver that should be no-brainer. Dangerous where it has distracted from these big-picture shifts we need—like asking why TRIPS doesn’t automatically exempt pandemic-related health products like HIV drugs & #COVIDVaccines 10/14
4) In US little changes w/TRIPS waiver. Moderna, Pfizer, J&J, AZ all keep US patents. Bidn admin made zero moves on this. Same in Europe. No country is compelled to waive patents, its an option if waiver agreed. Companies just dont want India or SAfrica to have the option. 11/14
5)Argument against seem to be "But the TRIPS waiver wont solve all the problems." Of course, this is ONE piece of the puzzle as @MadhaviSunder and I wrote
washingtonpost.com/opinions/2021/…
SO YES #TRIPS waiver is start not end. Democratizing production is still key. @POTUS can lead, push companies to share publicly-funded tech and fund rapid expansion of production in Africa, Asia & LatAm.
It’s good diplomacy and good public health.
foreignpolicy.com/2021/03/01/to-…
/fin
+1: YES TRIPS waiver matters. Lots of smart LMIC companies & scientists around the world that can act even without tech transfer--how long will it take? Nobody is saying publicly how far they've progressed, but Pfizer, Moderna, J&J don't have the lock on knowledge on these tech

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More from @MMKavanagh

Jul 6, 2023
Interesting on ethics in #PandemicTreaty. But I'm baffled by @G_Owen_Schaefer @ZekeEmanuel et al take on Intellectual Property. Seems to misunderstand what’s happened in actual pandemics; if dont open monopolies, their other (good) countermasure ideas won't work... a thread. 1/12
They suggest IP is needed for “sustainability” principle & waiving IP = ethical problm b/c “policy makers would then face a tension between short-term human wellbeing, equity, and solidarity, & the long-term sustainability of incentives to respond to future pandemics"True? 2/12
It does not hold up. Why?
First big issue: their reasoning relies on the idea we need to solve problem of vaccine, drug, diagnostic makers lack of incentives. But in real life, these companies had plenty during COVID-19 in the form of 1)direct public investment and 2) profit
3/12
Read 12 tweets
Apr 3, 2023
Our NEW @Global_Policy article out as #PandemicAccord negotiators meet: "Vaccine Politics: law & inequality in COVID" shows COVAX failed b/c of a model misaligned with politics.Not $.Not tech.
Same approach,better funded ≠ equity next pandemic
🧵thread onlinelibrary.wiley.com/share/author/S… Image
I write w/@Renu_Singh_ about why the dominant law&policy paradigm proved incapable of securing equity.
Political analysis necessary to design effective pandemic response.
Greater use of law, inter-state negot, and intl agreements can engage intl & domestic political forces 2/16 Image
Well before a vaccine had been developed there was an unprecedented moment where heads of state and global leaders pledged they would ensure equitable access to a not-yet-created medical countermeasure. But of course... 3/16 Image
Read 16 tweets
Nov 10, 2022
HIV treatment as cautionary tale for economists.
1. no excuse. By 2005-7 Oster speaking/writing against treatment, antiretrovirals avail for 8 years.Finally reaching 1 mill ppl in Africa. Deaths long ago dropped in US/Europe (L) finally falling in E/SAfrica. She argues to stop... ImageImage
2. Entire basis for cost-effectiveness calculations based on 2 false ideas. The first was confusing price for cost and not understanding it was subject to govt action. Price=a choice. Generics reverse-engineered & govts used power to import. Cost fell 99% to >$200. Image
3. Second false idea: Treatment and prevention are either/or choice. Its just wrong. a)ARVS stop HIV transmission b)Treatment brings hope, encourages testing, opens a key gate for prevention. The "do education instead" idea was not viable, and that had been well shown by 2005...
Read 9 tweets
Jan 22, 2022
Is it “not clear that 'coloniality' is the cause” of COVID19 vaccine inequality? Maybe not for many (helpful article in that sense), let's discuss.
THREAD🧵#decolonizing starting w political economy: $trillions for North's corporate, R&D, university "capacity" has an origin.../1
First: colonialism was a system of resource extraction, slave trade, and global commerce that enriched the global North and has had long-running harm for Southern economies… inequality in resources is not naturally occurring/2
Empiricaly clear e.g. Nunn "the world’s current income differences could be explained by the divergent effects of European contact globallty, which resulted in a massive transfer of disease, food, ideas, and people.../3
science.org/doi/10.1126/sc…
Read 15 tweets
Aug 4, 2021
Article out: Legal environ & #pandemic response. After 5yr global #HIV push on testing&treatment, countries that criminalized gay relat, sexwork, drugs had less success. Rights-protective laws, better outcomes
Biomedical & structural interconnected
A🧵/1
gh.bmj.com/content/6/8/e0… Image
Measuring legal approaches in world: @HIVPolicyLab data show some countries highly criminalize, some less so (only 20% criminalize all). Meanwhile rights-protective legal approaches: 23% have strong non-discrim, 39% ind. human rights inst., 79% enforceable GBV laws. /2 Image
@HIVPolicyLab @BenjaminMMeier @sharifasekalala @SECTION27news @mpactglobal @mplngr @KashishAneja_ @EllieGraeden @LawrenceGostin We looked at success on the global #HIV 90-90-90 targets to achieve knowledge of status + viral suppression by 2020. Biomedical focus of last 5 year Global AIDS Strategy agreed at UNGA. Some countries exceeded, many did not. This allows for empirical comparison. /3
Read 7 tweets
Jun 21, 2021
Dear @JoeBiden @KamalaHarris @SecBlinken @SecBecerra time for you to act. Sharing tech is good public health, it's good diplomacy. NIH-Moderna vax already paid for. It could show the power and relevance of government, US in particular. How about you...
1. Democratize vaccine production. I know you've already said USDFC is investing, take the last steps... and also
foreignpolicy.com/2021/03/01/to-…
2. Use the authority you have. Not sure why you're NOT using the carrot and stick to get this done, but it's a bad look. Moderna has NO interest in these markets, has not even registered to sell there. You can use the Defense Production Act and...
lpeproject.org/blog/how-to-va…
Read 4 tweets

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