Policy Debate: Should there be a shorter period of patent protection for prescription drugs?Issues and Background
The overwhelming evidence from around the globe supports the thesis that the protection of private property is central to improving economic performance. This protection must extend to intellectual property and patents on drugs. Attenuation of patents therefore goes further than simply making developing country disease an unattractive avenue for pharmaceutical research and development; it undermines economic growth and human health.
The inefficiency stemming from the patent is both large and indisputable. The most basic principle in economic theory is that goods should sell at their marginal cost of production (including a normal profit). In the case of patented drugs, prescriptions that are produced for as little as $1-2 each can sell for hundreds of dollars as a result of patent protection. The rationale for this gap is that the firm has to be able to recover its research costs, which are often quite significant. Concerns over bio-terrorism during the Fall of 2001 raised questions in the U.S. and Canada about the length of patent protection for Cipro, the only medication approved by the Food and Drug Administration (FDA) for the treatment of inhalation anthrax. While there were many advocates in both countries for the elimination of this patent protection, both countries decided to maintain the patent (partially because low-cost generic alternatives such as penicillin were known to provide alternative effective treatment for this illness). The high cost of effective medications for malaria and AIDS have also lead to calls for a relaxation of patent protection for these medications in low-income African countries. Under current patent law, the patent holder for a pharmaceutical product has the exclusive right to supply the product for 20 years from the granting of the patent. One problem with this, from the perspective of the pharmaceutical companies, is that the 20-year period begins with the granting of the patent, not with FDA approval of the drug. As the time required for drug approvals lengthened substantially due to requirements for more elaborate clinical trials, the period of market exclusivity provided by the patent declined. The Hatch-Waxman Act of 1984 provided an extension to the patent period equal to one-half of the time from the beginning of clinical trials to the end of the drug approval process. This extension can last for at most five years and the total period of market exclusivity cannot exceed 14 years. To receive this extension, a pharmaceutical company must display "due diligence" in the approval process. Since patent protection provides the company holding the patent with some degree of monopoly power, the price is higher and the level of use is lower than it would be in a competitive market. Patents exist, however, because there would be no incentive for firms to engage in research and development of new drugs if patent protection did not help to ensure a return that is large enough to make this risky venture profitable. A difficult tradeoff faces society in determining the length of patent protection for prescription drugs. A shorter period of patent protection results in lower prices and higher levels of use for medications that improve the quality of life (and often help to extend lifespans). A reduction in the length of patent protection, however, would also be expected to result in the development of fewer medications. An increase in the length of patent protection would increase the incentives for research and development, but would make medications more difficult for patients to afford. Once the patent for a prescription drug expires, other companies may submit generic equivalents to the FDA for approval. When a generic equivalent to a particular medication is approved, it receives 180 days of market exclusivity before any other generic equivalents to this medication are allowed to enter the market. The purpose of this 180-day market exclusivity period is to provide a return on the cost of the drug approval process. Patent protection is not always a sure means of maintaining a monopoly during the life of the patent. Once a new drug appears on the market, other drug companies are often able to engage in a reverse engineering process that allows them to develop products with similar therapeutic benefits that are sufficiently different chemically to not violate the original patent. It is quite common for the development of a new product to result in the release of several other similar products within a few years. This results in a significant reduction in the return that will be received by the original developer. Prescription drug prices have been increasing more rapidly than the overall increase in medical costs. As the population ages, the share of GDP devoted to pharmaceutical products is likely to continue to expand. It is quite likely that drug company patents and profits will continue to be an issue of concern for the next several decades. Primary Resources and Data
Different Perspectives in the Debate
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