Melissa Barber (@mbarber.bsky.social) Profile picture
Postdoc @YaleLawSch @YaleMed @Yale_CRRIT researching econ, law, & medicines • she/her Past lives @Harvard @PORTAL_Research @FXBHarvard @WHO @MSF @GlobalFund
Aug 2 7 tweets 2 min read
Longread from @VidyaKrishnan:

"Modi was right, in a way, when he announced India’s efforts are a “new model” in controlling TB. The policide is indeed a new model.

“Instead of eliminating TB,” Ganesh Acharya said, “the government is eliminating us.”🧵1/

caravanmagazine.in/health/modi-go… Since Modi came to power, the entire approach to infectious diseases has radically changed. In 2014, the health minister, Harsh Vardhan, controversially argued fidelity in marriage was more important than condom use in preventing AIDS & proposed a ban on sex education. 2/
Jan 17, 2023 12 tweets 6 min read
It's wild and bad that Biontech tried to get public mentions of #CTAP, a @WHO housed initiative to pool intellectual property, scrapped as "vaccine misinformation".

This is not the pharma's first bizarre anti-generics campaign. A quick bit of history.🧵1/
My 'favourite' absurd anti-generics lobbying story is the time PhRMA commissioned a novel about why generic medicines were bad.

It never was published because even the paid ghostwriters wouldn't take it as far as PhRMA wanted.

I wrote abt it here ⬇️2/

Jan 12, 2023 14 tweets 8 min read
Jan 2023 #Paxlovid costing update:🧵

9 months later, no real news.
❌generic supply is still not widely available
❌Pfizer is refusing to expand licensing
🥴no trial data on how it works in key populations

Updated cost-based estimated generic price: $15
scholar.harvard.edu/melissabarber/… Here's the top-line summary, using current prices of API traded in global markets.

#Paxlovid is $530 in the US. It has been reported that in China right now, desperate people have been paying as much as $7,000 to get it for their loved ones. 2/
reuters.com/business/healt… Image
Oct 14, 2022 5 tweets 2 min read
I saw videos I posted retweeted out of context, so I want to be clear abt a few things.

What has happened this week is pharma's failure to show up & be transparent abt contracts and pricing has fanned the flames of of distrust about vax effectiveness.

That's a problem.🧵1/5 I encourage folks to read the linked tweet (above) on the transmission q.

I really wish MEPs had the opportunity to pose questions to someone who had been involved in the R&D side of things rather than the business side of things so their questions could have been answered. 2/5
Oct 11, 2022 41 tweets 30 min read
To sum up today's @Europarl_EN hearing w/@Pfizer on #COVID19 vaccines:

1) member states are furious by the lack of transparency & #SMSgate
2) @AlbertBourla miscalculated that this was something he could skip.
3) The committee is ready to recommend consequences

Summary in 🧵1/ I don't usually do full 🧵 detailing hearings (apologies in advance), but what happened yesterday was pretty extraordinary and I think will be important in setting the course for ongoing future pandemic planning.

You can watch the full hearing here: multimedia.europarl.europa.eu/en/webstreamin… 2/
Aug 4, 2022 12 tweets 5 min read
Pharma is really good at creating narratives with half-truths (or just outright lies) that narrow the policy space to their desired outcome.

So good that even @jacobin- a rare US socialist magazine-has accidentally repeated a few of their greatest hits. A (gentle) correction 🧵1 Let's unpack this:

"The sheer complexity of insulin production makes it financially unviable for generic companies. Thus, instead of generic insulin, we speak of biosimilar insulin — a biosimilar is a biologic drug that is extremely similar but not identical to the original." 2
Jun 1, 2022 12 tweets 10 min read
Are you a pharma company who just put up a 🏳️‍🌈logo but have not yet announced meaningful efforts to improve the lives of LGBTQ+ people?

To help you really celebrate this #PrideMonth #Pride2022 right here's a🧵of some actionable ideas you can implement this month. (1/11) Sky high prices for insulin mean that people are rationing and dying because they cannot afford it.
-jamanetwork.com/journals/jamai…
-t1international.com/access-survey/

LGBTQ+ ppl are disproportionately affected bc discrimination-> poverty + job discrimination
williamsinstitute.law.ucla.edu/publications/l… (2/11) Image