Health equity in economic and trade policies

Honest Accounts? The true story of Africa’s billion dollar losses
Health Poverty Action et al: July 2014

The rest of the world takes from Africa much more than the continent receives. Almost $60 billion more. $192 billion flows out of Africa each year. This report outlines the range of different flows draining out of Africa, as well as the costs imposed on the continent as a result of climate change and explores the reasons for this. Curbing illicit financial flows is argued to demand greater transparency and accountability in the global financial system. This would involve clamping down on shell corporations; improved disclosure of beneficial owners of companies; stricter company
reporting regulations on sales, profits and taxes; and exchanging tax information across borders. Instead of talking about ‘good governance in Africa’ the authors argue that Northern countries must take the lead to reduce the mass extraction of African capital that embeds poverty and inequality, including revenue leakages from extractive industries and fairer trade practices between African countries and MNCs.

Hong Kong outcomes anything but development for Africa
Press Statement By The Africa Trade Network

"Rather than being an important milestone towards the achievement of the much touted development round, Hong Kong has ended as a platform for anti-development outcomes. The declaration from the Hong Kong WTO Ministerial is a loss for African countries. They have been forced to concede on most of the positions with which they came to Hong Kong. And whatever comfort exists in the other areas is ambiguous at best, illusory at worst."

How do intellectual property law and international trade agreements affect access to ART?
Westerhaus M, Castro A: Plos Medicine, 3(8), 8 August 2006

This paper examines the key areas of concern regarding access to antiretroviral treatment (ART) related to US-negotiated bilateral, regional, and multilateral trade agreements. It examines developments in IP law in the wake of WTO's Doha Declaration, which affirmed the priority of public health over the protection of patents. It looks specifically at those developments with particular salience for health related issues and link this history with the current context of access to antiretrovirals (ARVs) worldwide. It further suggests policy and advocacy strategies to ensure and promote access to ART.

How Do Patents And Economic Policies Affect Access To Essential Medicines

This paper studies the relationship between patents and access to essential medicines. It finds that in sixty-five low- and middle-income countries, where four billion people live, patenting is rare for 319 products on the World Health Organisation’s Model List of Essential Medicines. Only seventeen essential medicines are patentable, although usually not actually patented, so that overall patent incidence is low (1.4 percent) and concentrated in larger markets. This and other results shed light on the policy dialogue among public health activists, the pharmaceutical industry, and governments that is often based on mistaken premises about how patents affect corporate revenues or the health of the world’s poorest.

How Intellectual Property Reinforces Inequality
Stiglitz JE: New York Times blogs, 14 July 2013

In this article, the author discusses the ramifications of a 2013 legal battle in the United States that ended with the court ruling unanimously that human genes cannot be patented. He argues that the implications of this ruling are far-reaching in terms of public health and equity. He views the case as an example of how societal inequality is a result not just of the laws of economics, but also of how we shape the economy through politics, including through almost every aspect of our legal system, in this instance intellectual property regimes. The right to life and right to health should not be contingent on the ability to pay. He also argues that some of the most iniquitous aspects of inequality creation within our economic system are a result of ‘rent-seeking’, namely profits, and inequality, generated by manipulating social or political conditions to get a larger share of the economic pie, rather than increasing the size of that pie. The world’s poorly designed intellectual property system encourages pharmaceuticals to pursue such rent seeking. And while advocates of intellectual property rights emphasise their role in promoting innovation, the author counters that most key innovations in history were motivated by the quest for knowledge, not financial gain. He provides evidence that the patent actually prevented the development of better tests, and so interfered with innovation.

How Kenya confirmed the deathbed of WTO
Campbell H: Pambuzuka News 756, 8 January 2016

The author argues that the outcome of the last WTO Ministerial, the 'Nairobi Package', was in fact a slap in the face for the peoples of the South. He observes it to be especially egregious that the US used the 10th Ministerial, with the help of the Kenyan leadership, to undermine the future of Pan-African trading relations and to drive a wedge between the BRICS societies and those that the US wants to manipulate in the poor countries. He further argues that the 10th Ministerial has hastened the demise of the WTO in an article which charts the various trade agreements and roles played by state actors in the North and South in achieving unfair and unequal global agreements.

How to overcome the EPA stalemate?
Dieye CT: Bridges Africa Review 2(1): 18 March 2013

In this article, the author considers why the Economic Partnership Agreement (EPA) negotiations between the European Union (EU) and the African, Caribbean and Pacific (ACP) countries have reached a ‘technical’ stalemate. He proposes three reasons: the configuration of the regions and the great difficulty of states to agree on common interests; the sometimes aggressive nature of European demands; and the evolution of the Europe-Africa partnership in the context of global geopolitical changes. Least-developed countries in Africa already enjoy a number of trade-related flexibilities and advantages and stand nothing to gain from the EPAs, which may explain their reluctance to sign the agreements, the author argues. At the same time, major trading powers are engaged in a low-level trade war aimed at implanting themselves in Africa or consolidating positions they have already acquired. Africa may have understood that such a development could be beneficial provided that it puts into place good policies and strategies, and develops appropriate partnerships. In addition, the emergence of Southern trading powers has widened Africa’s policy space. This could explain the continent’s cautious approach to the trade liberalisation required by the EPAs. The author concludes that the solutions that could unblock the stalemate are no longer technical but political in nature.

How to rob Africa: Why does the Western world feed Africa with one hand while taking from it with the other?
Kwenda S: Al Jazeera, November 2012

The world's wealthy countries often criticise African nations for corruption but shares culpability in not tackling money laundering or the anonymous off-shore companies and investment entities that enable it. In this investigative piece shown on Al Jazeera, Zimbabwean journalist Stanley Kwenda takes a journey through the world of offshore banking.

How will the financial crisis affect health?
Marmot MG and Bell R: British Medical Journal, 1 April 2009

Is there a link between the financial crisis dominating the front pages of newspapers and the health stories on the inside? The Commission on Social Determinants of Health certainly believed so. Its starting point was that the economic and social features of society are closely linked to the distribution of health within and between countries. The social determinants of health are the conditions of daily life and its structural drivers will be influenced by the financial crisis. As social determinants are affected by the financial crunch, so will health outcomes be affected as well.

HSRC embarks on Youth Policy Initiative to fuse research and policy
Human Sciences Research Council (HSRC), 18 May 2007

In the next 10 years South Africa is expected to experience a ‘demographic dividend’ where the youthful population will peak, bringing a unique opportunity for rapid human capital development and economic growth, according to the World Bank’s 2007 World Development Report. This is a compelling argument for urgent investment in young people in Africa. The Human Sciences Research Council (HSRC) Youth Policy Initiative is working to ensure that the country is prepared to make the most of this ‘youth bulge’. The initiative will bring together experts from the policy, programme and research environments as well as young people in a series of six roundtable meetings to interrogate the key questions of youth development.

Pages