Lots of data in August. My mom turns 80, my marriage turns 25, and Edie (my grand niece) turns 1. There are also numbers although balanced by positives--that translate to disappointment. Projects delayed, others not awarded--a short list for a fellowship that didn't pan out, press access not granted--all fodder for a small business entity.
The salt in the proverbial wound is most liberally applied when we notice the emperor is naked or at least scantily clad. The data everyone wants is the winning algorithm. How much money did a pharmaceutical company generate contrasted with R&D spend and oh look--a productive and "Innovative" pipeline of drugs moves you up the list of success. But does it?
You pay what you pay because golly we all work so hard and R&D is such a risky proposition. This is the very definition of coercion. What if we didn't combine the marginal cost of manufacturing the next pill with the "innovation" of R&D that developed it in the first place? Click here for article on Nimble Solutions for Big Data. What if march in rights were really a thing?
Those of us in the health policy realm recall how the US Bayh-Dole Act (1980) refers to public interest as it empowers US government with 'march-in' rights that enable the government to, on behalf of the public, effect corrective action in the event of non-use, misuse or abuse of intellectual property rights.
However, the US government has never exercised these rights despite a number of instances where the right to health, and more specifically access to patented medicines was compromised.
“action is necessary to alleviate health or safety needs which are not reasonably satisfied,” 35 U.S.C. § 203(a)(2), or where the benefits of the invention are not being made “available to the public on reasonable terms,” 35 U.S.C. § 201(f).--Bayh-Dole
If we are only telling part of the story for example what drives profits in healthcare, why so many patients experience poor outcomes, or why we continue to build a framework and system of disease instead of health--what sorts of decisions can we make?
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