Governments can do multiple things at once on global #COVIDVaccine access. At risk of over-political-scienceing: Need to disntinguish 2 agenda-setting arguments re WTO waiver as "distraction"
-Govts can't do waiver and X (not a real argument)
-Govts might use to distract (fair)
We know (takes Baum&Jones off shelf) govts have limited political attention:
Aside: FAR too little focus on political strategy for vaccine equity. I see this as core prob of COVAX. Political agenda occupied by sharing doses (implausible) instead of knowledge to produce.
But PLENTY of political attention to both do TRIPS waiver and do tech transfer + funding. WTO negotiations will be done by trade ministers/reps with significant capacity. Issues are straightforward. I can say talking to USG, WH+State+HHS have plenty capacity to walk + chew gum.
On other hand, might the US and EU cynically engage in negotiations, drag them out, and then point to their willingness to talk on TRIPS waiver as cover while they continue vaccine nationalism? Yes. Of course.
🗣️ IR people pls explain
But Public health people should not buy in.
In conclusion: pub health ppl, talk to poli sci. Qs are much-studied. Not a problem of insufficient political capacity, but an attempt by some to constrain the agenda. In that context, political response to achieve all the necessary policies is: keep pushing.

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More from @MMKavanagh

11 May
Economists please meet the idea of multiple causality. Insufficient supply of vaccines IS driven by WTO rules & IP monopolies. It's not the ONLY cause. We also need tech transfer & funding & more
@ATabarrok gets so many things here wrong…
a quick list🧵
marginalrevolution.com/marginalrevolu…
“Licenses are widely available” They are not. Most of the world has been dependent on ONE exclusive license to ONE manufacturer, Serum Institute. Many other high-quality firms could be making vaxs but monopoly holders said no. Because of monopoly they can. 2/11
“J&J’s vaccine has been licensed for production in… South Africa.” Nope.
One company has a “fill and finish” contract with J&N in SA. They have been been given the right or the tech to make the full vax or distribute on their own. Sub-contractors are not what’s needed here 3/11
Read 14 tweets
10 May
Richard Epstein says @MadhaviSunder & I are “panglossian” in calling for waiving TRIPS obligations as a piece of vaccine access puzzle. Doing so he provides great summary of baseless arguments against.
Steeped in misinformation and neocolonialism.
Retro to HIV circa 2000...🧵 Image
1: Africans, Asians, LatAmers cant vaccinate:
RE:“Local players—such as doctors, health care officials, pharmacists, transportation officials, & many more—all must be able to efficiently utilize these US technologies for any program to work. Do they have the capacity to do that?" Image
…Remarkable. If exact same hadn't been said on HIV in Africa I would be surprised. Yes, despite health systems weaknesses low&mid-income country healthworkers can provide vaccines. Yes cold-chain is tricky. Yes it can be, has been, will be done
The new "Africans cant tell time"
Read 19 tweets
6 May
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
Read 14 tweets
26 Apr
How much longer 'til we remove barriers to LMIC vax produc? Argument against: might slow down HIC production? Given inequity @POTUS has to see now the urgency.
Quick 🧵 what I and others have written. If we'd seen action, might be factories running today.
No more delays.../1
July 2020: @CyrilRamaphosa & heads of state + world leaders called for open sharing of vaccine science for global production. We've seen that companies like @moderna_tx @BioNTech_Group @pfizer have set up whole new factories in 3-6 months.
Imagine if we'd started last year... /2
Jan 29, just days after @JoeBiden @KamalaHarris inaugurated, @realtahiramin wrote in @ForeignAffairs about The Folly of Hoarding Knowledge.
Imagine if we'd started then? /3
foreignaffairs.com/articles/world…
Read 15 tweets
23 Apr
.@JoeBiden must act on vaccine equity. @MadhaviSunder & I argue today @BLaw voluntary measures & donations won't work. USG needs to use leverage of public funding and IP to compel sharing of technology. WTO agreement was premised on tech transfer...
news.bloomberglaw.com/us-law-week/bi…
The US is now vaccinating everyone under 16 while older people & frontline health workers in much of the world have no access.
This is bad public health.
Deeply unjust.
And economically damaging @SecYellen said /2
washingtonpost.com/us-policy/2021…
$4 billion to #COVAX is important, but Covax is struggling to reach even an insufficient goal of 20% vaccinations in low- and middle-income countries. Donating $ and surplus vaccines will NOT achieve vaccine equity or halt the pandemic /3
Read 10 tweets
25 Nov 20
Calling on @USATODAY to withdraw/correct this piece. Says @SSWorks claim taxpayers paid 100% of Moderna vaccine is Partly False. But (w/respect) you misunderstood research funding, universities & drug discovery.
here's why🧵
@MMStewartNews @nicole_carroll
usatoday.com/story/news/fac…
....@USATODAY says it's false because "the vaccine was funded by a combination of government spending, private donations and research grants" and that "$2.5 billion was given for the development of the company's vaccine and to purchase doses" not for research. Nope 🙅.../2
...First, there's the matter of very clear public funding on the front end. 1) NIH scientists directly worked on this (yay them!) along with handing out grants to others to work on this 2) BARDA gave $955m.
✔️Both are taxpayer funding for research.../3
Read 7 tweets

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