ANNUAL NUMBER FEBRUARY 1962 THE ECONOMIC WEEKLY Manufacture of Modern Drugs Forging Ahead But Menaced by Patent Laws Saheb Singh Sokhey Major General Sokhey had already initiated the manufacture of sulpha and synthetic antimalarial drugs when he was the Director of Haffkine Institute in Bombay. Deputed by the Government of India to visit drug plants in Europe and America, he had worked in the Toronto University penicillin plant and prepared detailed project reports and blueprints for setting up penicillin, sulpha drugs and anti-malarial drug plants in India. The Government approved these projects but could not find the finance to implement them. Later, when he joined WHO as Assistant Director General, Sokhey took the initiative on behalf of W H O to provide the know-how and equipment to such member nations as desired to put up their own penicillin plants. Thus with funds from W H 0 and V N I C E F, the Hindustan Antibiotics at Pirnpri was put up from the ready-made project report. Through an uptodate though small, but technically highly efficient plant in Belgium, which came forward to render necessary assistance to W H O, Sokhey could work out the detailed methods for the commercial production of penicillin, streptomycin and aureomycin. This was the first time that these met/tods were ever written up; so far they had remained strict trade secrets. He also obtained work ing cultures of the moulds for the production of these antibiotics. Copies of these documents and the cultures were made available to Czechoslovakia, Poland, Soviet Union and China, Three of these countries started producing streptomycin only after they received this material; the Soviet Union which had already taken up production was able to increase its yield ten-fold by using the mould cultures sent from the Belgium plant. This assistance, among other factors, brought back the Soviet Union and the People's Republics in Eastern Europe to WHO from which they had resigned earlier because U S A, which had developed production of penicillin and streptomycin, had refused to give know-how or even sell equipment. After so much effort and waiting, is India to be deprived of the benefits of of the Patent Acts ? The author is afraid that she might, considering the operation of the Kefauver Committee in the U S A. Neither the one-man committee of Justice into the Patents Act nor the Health Enquiry Committee presided over by Dr Mudaliar adequate attention to the problem. It was welcome news indeed, w h i c h S h r i N Sen, C h a i r m a n of the I n d i a n D r u g s a m i Pharmaceuticals L t d , gave to a press conference at M a d r a s the other day, t h a t w o r k on the f o u r d r u g projects to be set up in the p u b l i c sector w i t h Soviet collaboration w o u l d commence " i m m e diately", and the projected plants w o u l d come i n t o o p e r a t i o n i n 1965. Let us hope that he has been correctly reported, and t h a t Government give the w o r d " i m m e d i a t e l y " the same meaning as we c o m m o n citizens do, especially when it is the question o f modern l i f e saving drugs. Strong hope is needed, because u n f o r t u n a t e l y we remember that S h r i M a n u b h a i Shah, U n i o n M i n i s t e r for I n d u s t r y , had told us at the 10th A n n u a l M e e t i n g of the I n d i a n P h a r m a c e u t i c a l Congress at B o m b a y something to the effect t h a t Government h a d decided to set up ( t o take steps to set u p ) the necessary plants to make synthetic drugs, v i t a m i n s , and a n t i b i o t i c s etc as a State enterprise d u r i n g 1958! However, better late t h a n never. We are s t i l l dependent f o r o u r supplies of antibiotics, 1 except f o r the small quantities of p e n i c i l l i n made at the State plant at P i m p r i , sulpha drugs, v i t a m i n s and w h a t not, on foreign countries. The e x o r b i t a n t prices charged p u t t h e m beyond the reach of most of o u r people. Even the p u b l i c hospitals cannot use some of these drugs, especially the important broad-spectrum antibiotics, unless the patients can afford to pav for them w h i c h of course most of them cannot, and deaths result w h i c h could otherwise be prevented. The Plants The largest o f the f o u r plants w i l l be the a n t i b i o t i c p l a n t at Rishikesh (UP). I t w i l l produce all the usually used broad-spectrum antibiotics, such as a u r e o m y c i n , tetra1 Since 1958, several production units have been started in the private sector e g, Standard Pharmaceutical, Pfizer, etc. 235 cheap drugs because patents disclosed by Ayyangar to enquire seems to have given m y c i n , Chloromycetin, tetracycline etc and also p e n i c i l l i n and streptom y c i n and any other antibiotics that may be f o u n d to be of use by the t i m e the p l a n t goes u p . Of course, the plant w i l l have the facilities to discover new antibiotics and to put them into p r o d u c t i o n . At present a p r o d u c t i o n of 300 tons a year is planned, b u t the p l a n t is so designed that it could be easily enlarged to increase p r o d u c t i o n to twice that q u a n t i t y . T h i s p r o d u c t i o n would f u l l y meet the needs of the expandi n g health organisations and the needs of a n i m a l husbandry. It is to be noted, however, that after the M i n i s t r y o f I n d u s t r y had obtained the consent of the Soviet Government to put up the a n t i b i o t i c plant in the p u b l i c sector it gave licences to t w o A m e r i c a n firms — Pfizer and Squibbs—to p u t up two plants to manufacture tetracycline. It is to be hoped that these A m e r i c a n firms w i l l put up the plants actually to manufacture A N N U A L NUMBER FEBRUARY 1962 and not use their licences merely to provide themselves w i t h a channel to b r i n g i n t o I n d i a ready-made penultimate products f r o m U S A to queer the p i t c h for the State plant. A synthetic d r u g p l a n t at Hyderabad, w i l l produce 800 tons a year o f twenty drugs named b y the M i n i s t r y of I n d u s t r y . O r i g i n a l l y the Soviet and I n d i a n experts h a d suggested some 2500 o d d tons of 52 drugs or so. The drugs removed f r o m the Soviet project w i l l now be made, we are t o l d , by private firms. A plant w i l l be put up at Neriamangaiam in Kerala, to make drugs f r o m medicinal plant i n w h i c h I n d i a is p a r t i c u l a r l y r i c h . West Bengal and K a s h m i r Governments are already cultivating these plants, and should prove of great assistance to the Kerala plant for o b t a i n i n g its raw material. Collection o f w i l d plants is not a sound proposition as the supplies r e m a i n uncertain and the strength of the active p r i n cipals varies enormously. W h e n resort is had to cultivation, plants w i t h good quantities of the desired p r i n cipal can be m u l t i p l i e d at w i l l . This plant w i l l make large quantities of caffeine and a large number of other alkaloids used in medicine. Then there w i l l be a plant at G u i n d y . Madras, to make surgical instruments. I t w i l l produce surgical instruments and such useful things as syringes and needles by the million. Exorbitant Prices under Patent Monopoly A l l the four plants w i l l cost about 35 crores of rupees to b u i l d and of this sum the Soviet U n i o n is p r o v i d i n g a credit of 80 m i l l i o n roubles (about 10 crores of rupees) f o r the equipment and technical services, but w i l l provide all know-how ent i r e l y free of charge and w i l l t r a i n hundreds of scientists and technicians in plants in the Soviet U n i o n , so that Indian personnel can take f u l l charge of the plants f r o m the w o r d go. At the time when the Soviet D r u g Project was d r a w n up in 1956, it was estimated that these plants w o u l d save the country over Rs 35 crores w o r t h of foreign exchange a year. Now that the p u b l i c sector and the private industry are planning to THE ECONOMIC WEEKLY make in the country all essential drugs like antibiotics, vitamins, synthetic drugs, alkaloids etc, and make the country self-sufficient and independent o f i m p o r t s f r o m foreign countries, it w o u l d be possible to p r o v i d e them at reasonable prices, somewhere near the cost of production. B u t the development of a l l industries and the prices of their products, p a r t i c u l a r l y those of the d r u g industry, are affected by the patent laws in force hi the country. Under the existing law even when we p u t up our o w n plants we shall have to pay royalties to foreign firms who have taken out patents on the processes of m a k i n g drugs, even though we shall not go to them f o r know-how, w h i c h is going to be made available to us free of charge by Soviet Union in this case. Besides charging royalties, the patentees usually impose a number of other terms in their licences w h i c h enhance prices. B u t since our Government is undertaking i n d u s t r i a l i sation on a large scale and would not l i k e its development to be h i n d ered by the existing patent laws, and especially as they w o u l d not like the patents to add to the cost of drugs, they appointed a one-man Committee of S h r i Justice Rajgopala Ayyangar in 1959 to see if our Patent Act was conducive to national interests and to make necessary recommendations. Kefauver Committee Report Justice A y y a n g a r submitted his report in September 1959 covering the p r o b l e m of patents in all industries including the d r u g industry. B u t later, on June 27, 1 9 6 1 , was published the Report of the A m e r i can Senate Committee, under the Chairmanship of Senator Estes Kefauver, on Administered Prices in the D r u g I n d u s t r y (Report No. 448, 8 7 t h Congress). This Senate Committee had conducted a very exhaustive e n q u i r y i n t o all aspects of ethical drugs, that is, drugs not advertised to the l a y m a n , but sold only on the presc r i p t i o n of a physician. T h i s enq u i r y lasted over two years d u r i n g which numerous public hearings were held, at w h i c h leading professors f r o m medical schools, research scientists, and the representatives of leading d r u g manufacturers of the U n i t e d States gave evidence and had their f u l l say. The Committee's 236 report throws a flood of l i g h t on the practices of the d r u g manufacturers and how they exploit d r u g patents to r i g i d l y control the m a r k e t to make excessive profits—more t h a n double of those made by the U S manufacturing industries as a whole, i n c l u d i n g o i l steel, automobiles and chemicals. Justice A y y a n g a r d i d not have the benefit of the findings of this American enquiry, and he himself could not have conducted a w o r t h w h i l e enquiry i n t o the operation of patents in the d r u g i n d u s t r y . He d i d not have the facilities, very largely because there is yet l i t t l e or no d r u g industry in I n d i a to investigate. But now that the findings of this very exhaustive American e n q u i r y are available they should be given due weight in the d r a w i n g up of the clauses r e l a t i n g to patents in drugs i n our new Patent B i l l . India the Victim of Drug Patents Senator Kefauver Committee cites I n d i a as an example of the disastrous effect of patents 2 on the prices of drugs. I t says: "India which does grant patents on drugs' provides an interesting case example. The prices in India for the broad spectrum antibiotics, aureomycin and achromycin are among the highest in the world. As a matter of fact, in drugs generally, India ranks among the highest priced nations of the world— a case of an inverse relationship between per capita income and the level of drug prices" (Italics mine). Kefauver Committee p a i d special attention to the production and sale of antibiotics, corticosteroids, o r a l antidiabetics and tranquilizers w h i c h constitute in money value the largest p o r t i o n of the total sale of drugs in the U n i t e d States. A n t i b i o t i c s account for more than h a l f of the total ethical d r u g sales, and tetracycline, one of the broadspectrum antibiotics, accounted in 1956 for 24 per cent of the industry's 3 It should be understood we are not talking of patent drugs, but of easen' tial drugs which are sold to patient' only on doctors' prescription and are advertised only .in medical journals. These drugs are produced by processes which are patented by the inventors under the Patent Act. THE ECONOMIC WEEKLY Sales. T h e practices of the manufacturers of broad-spectrum antibiotics reveal some of the worst features of the d r u g trade. Three of the broad-spectrum antibiotics are p r o duced and sold exclusively by one company—aureomycin b y A m e r i c a n Cyanamid, Chloromycetin by Parke Davis and t e t r a m y c i n by Pfizer. A n d tetracycline i s produced b y three; companies B r i s t o l , A m e r i c a n C y a n a m i d and Pfizer—and is sold by five companies under five different brand names, i e A c h r o m y c i n , T e t r a c y n , Polycycline Stecline a n d P a r m y c i n . A l l these antibiotics, the Committee f o u n d , are sold ( 1 9 6 0 ) by these companies to the druggists at exactly the same price of 8 5.10 for 16 capsules of 2 5 0 m g . each w i t h suggested price of $ 8.50 to the consumer. T h e Committee at a lavish estimate calculates the cost of the p r o d u c t i o n o f tetracycline i n 1958 at 46 cents f o r 16 capsules, and this gives a m a r k up above cost of 1,730 per cent to the consumer, i e more than 17 times the cost of p r o d u c t i o n . The Committee notes the fact that in 1959 the same firms sold 16 capsules to chemists in I n d i a , w h i c h grants p r o d u c t patents, at $ 6 . 5 0 , and to chemists in A r g e n t i n a , w h i c h controls d r u g prices, at 8 1.19, i e 134 per cent and 23 per cent respectively of the U n i t e d States p r i c e . The representative of the A m e r i c a n C y a n a m i d admitted at the hearing that they made a p r o f i t even at the sale price of 8 1.19, The most serious feature of the sale of aureomycin, Chloromycetin, t e r r a m y c i n and tetracycline, which are produced under patents, is that their unreasonably h i g h prices have been kept unaltered between 1951 and I 9 6 0 — o n l y recently a reduct i o n of 15 per cent has been made — w h i l e d u r i n g the same p e r i o d the b u l k prices of unpatented antibiotics pencitlin and streptomycin, have fallen f r o m 25 cents to 2.1 cents per mega u n i t and f r o m 32 cents to 3.6 cents per gramme, respectively. In August 1961 the Justice Dep a r t m e n t o f U S A , o n a charge o f conspiracy to fix prices a n d l i m i t competition, won a grand j u r y i n d i c t m e n t against three of the nation's largest a n t i b i o t i c producers and t h e i r chief executives — A m e r i c a n Cyanam i d , Charles Pfizer and BristolM y e r s . T h e y were also charged by ANNUAL NUMBER FEBRUARY 1962 the Federal Trade Commission w i t h h a v i n g submitted false affidavits to get the patent f o r tetracycline. As a result of these arrangements, says the Government, Cyanamid, Pfizer and Bristol-Myers were able to m a i n t a i n "non-competitive and unreasonably h i g h p r o f i t s " for a l l their broad-spectrum antibiotics. The case has now gone to court and d r u g companies are liable to be fined up to $ 150,000 each, and their executives may get as much as one year i n j a i l plus $ 5 0 , 0 0 0 f i n e each. Corticosteroids and Oilier Drugs The Committee took up prednisolone and prednisone as t y p i c a l examples of corticosteroids. Prednisolone, an a n t i - a r t h r i t i c d r u g much in demand, synthesised and patented by Schering Corporation in comp e t i t i o n w i t h Merck's cortisone is marketed under the b r a n d name of Medieortclone. Schering licensed U p j o h n Company to make it for them, who charged them $ 1.19 per 100 tablets of 5 mg carh. Schcring's cost after b o t t l i n g came to $ 1 . 5 7 per bottle of 100 tablets. They sold it to wholesalers at $ 14.32 who retail it to the druggists at $ 17.00 w i t h a suggested price to the consumer of 8 29.83 per bottle—a mark up above cost of 1.800 pei rent to the consumer, i e, 18 times the cosl of production. The same d r u g is sold by arrangement with Schering under a variety of other brand names by U p j o h n (Delta' C o r t e l l . Merck ( H y d e l t r a ) , Pfizer (Stccane) and Parke D a v i s (Para C o r t e h all at the same wholesale and suggested retail and consumer prices as indicated above. The rase of prednisone is identical. It is made by Syntex and sold bv different firms under different brand names w i t h a mark up above cost of 1,982 per cent to the consumer, i e a p p r o x i m a t e l y 20 times the cost of production. Stranger still, a 100 tablet bottle of this d r u g , w h i c h is sold by Merck to the druggists in U S A at $17.00 is sold by the same firm in England for $7.53 and in T o k y o for $ 27.78, i e, 42 per cent and 155 per cent respectively of the Urr/ted States price. O r a l antidiabetics and t r a n q u i l i zers also t e l l the same tale. O r a l antidiabetic tolbutamide i' marketed by U p j o h n under the b r a n d name of "Orinase" and sold to t h e consumer 237 at over 17 times the cost of production. S i m i l a r l y , meprobamate, a widely used m i l d tranquilizer, is marketed by Carter Products under the b r a n d name of M i l t o w n and by A m e r i c a n Home Products under the brand name of E q u a n i l , and both are sold to the consumer at about 15 times the cost of p r o d u c t i o n ' Note again, that Carter, who sell a bottle of 50 tablets t o druggists i n U S A f o r $3.25 sell it to the druggists in A r g e n t i n a for $0.75, i n England f o r $ 1 . 4 8 and in I n d i a f o r $ 4 . 7 9 , i e 23 per cent, 45 per cent and 147 per cent of the A m e r i c a n p r i c e respectively. Prices' in Countries with and without Patents The Committee finds that d r u g prices tend to be substantially higher in countries w h i c h a w a r d patents on d r u g products as compared w i t h those w h i c h do not. Of the 17 foreign countries for w h i c h usable price i n f o r m a t i o n was obtained for the Committee. 6 grant patents on d r u g products; w h i l e 11 do not. In these countries, in the case of 12 drugs (selected by the Committee for their (importance) prices were higher by 118.2 per cent to 355.0 per cent in countries w i t h product patents-. To take a few examples: Rhone Foulejie of France sells prochlorperazine (Compazine) 50 tablets of 25 mg each for $3.03 in U S A I through S m i t h K l i n e and French!, f o r $ 1.61 in Belgium but f o r only 80.80 in France. American Home Products sells Promazine (Sparine) at $ 3.00 in U S A, at $ 3 . 1 5 in Canada and at 8 1 . 3 2 in Italy. American Home Products sells M i l t o w n for $ 3,25 in Belgium, for $ 1.77 in Italy and for only $ 1,38 in Germany. Ciba of Switzerland sells Serpasil for $ 4 . 5 0 in USA hut o n l y for $ 1.05 in Germany and $ 0.83 in France. The difference in prices between Brazil and Panama, both under-developed and close to U S A — Brazil does not a w a r d patents in drug: pro ducts while Panama does — makes the contrast s t r i k i n g . M e t i c o r t r n . B r a z i l $ 14.15, Panama $ 2 2 . W : M i l t o w n , B r a z i l 8 2.20, Panama 8 4 . 7 9 : Chlorpropamide (Diahinesc) B r a z i l 8 4.59. Panama $ 6.64; Penicillin V (V C i l l i n ) . Brazil 88.67, Panama 8 15.00; Achromyc i n , B r a z i l 83.40 Panama 8 5.40. A N N U A L NUMBER FEBRUARY 1962 T h e Committee gives several other examples and in each case the p r i c e i s higher i n Panama t h a n i n Brazil. Research Expenses Not a Factor in High Prices Research expenditure is often cited as the p r i n c i p a l j u s t i f i c a t i o n f o r h i g h d r u g prices, but the Committee shows this contention to be u t t e r l y unfounded. Detailed financial statements of 22 leading A m e r i c a n d r u g companies for 1958 showed that they spent as l i t t l e as 6.3 per cent on r e ' search and as much as 24,8 per cent on advertising and sales p r o m o t i o n of their $ 2.3 b i l l i o n income f o r the year. Eleven of these companies spent 5 to 11 times as much on advertising and sales p r o m o t i o n as they d i d on research. Even them most of this small sum is directed to achieve slight molecular modifications j u s t enough to get a patentable derivative of an effective a n d already w e l l established d r u g . N o t m u c h attent i o n is p a i d to basic research; as l i t t l e as 1 per cent of the research funds are directed to i t . The Committee says, in U S A resources are directed at w r o n g objective'' w i t h the result that the physicians are snowed under large number of drugs o f miserable q u a l i t y w i t h b u i l t in obsolescence which sell f o r a l i t t l e w h i l e and then disappear f r o m the market. Advertising and Sales Promotion The U n i t e d States d r u g industry spent in 1958 as m u c h as $ 750 m i l l i o n on advertising and sales prom o t i o n , while the t o t a l budget of a l l the medical schools in the U n i t e d States in 1957 was o n l y $ 2 0 0 m i l l i o n . These very large amounts are spent by d r u g firms on frequent visits of salesmen to p r a c t i s i n g phy-' sicians. p r i n t i n g of circulars and brochures, advertisements in medical journals and on e x h i b i t i o n s . The worst aspect of the whole advertisi n g business is that b a r r i n g the literature of a few companies- the brochures, circulars etc are misleadi n g i f not u t t e r l y false. A s many as 300 medical journals published in the U n i t e d States are sustained almost entirely by d r u g advertisements. They readily seem to publish almost a n y t h i n g sent to them on behalf of advertising companies. A witness said that some drug companies get a j u n i o r physician to make observations on the use of a THE ECONOMIC WEEKLY new d r u g and his sketchy a n d unc r i t i c a l data are t u r n e d over to the company. There a medical w r i t e r e m p l o y e d by the Company writes the paper w h i c h is sent back to the o r i g i n a l physician f o r p u b l i c a t i o n . A s soon as the paper is published its contents become a u t h o r i t a t i v e in the eyes of most physicians, they are extensively used by companies in their brochures a n d circulars. The postage alone costs the companies $ 12 m i l l i o n a year. T h i s sum could enable the U n i t e d States to b u i l d 3 large hospitals a year. Better s t i l l , i f p r i n t i n g o f these brochures and circulars etc, was not undertaken at a l l the U n i t e d States could b u i l d 50 large new hospitals a year f r o m the money so saved. A n d a l l this wasteful expenditure i s i n d u l g e d i n , not to i n f o r m the physicians b u t to mislead them. T h e attempt is to brainwash them t o t h i n k i n terms o f b r a n d names of drugs. and to automatically prescribe in b r a n d names rather than in generic names of drugs, and thereby e x p l o i t the patent monopolies to charge v e r y h i g h prices. Patent System Detrimental Even his o w n investigations led Justice A y y a n g a r to say that "Although the Patent System in India has been in existence for over 100 years it has failed to serve its object which is to benefit the trade and industry of this country and the System has been generally detrimental to the national economy. Over 85% of the patents granted (almost 100% for essential drugs) are owned by foreigners" (Italics m i n e ) . A n d in spite of his considered view that the considerations w h i c h are said to constitute quid pro quo for the errant nf patennt monopoly do not benefit I n d i a , he suggests that the patent system should not be abrogated but continued w i t h s u i t a b l e m o d i f i c a t i o n ' ' because according to h i m "notwithstanding the handicaps which the Patent System involves in underdeveloped countries, the system con-' tinues to be still the best method of encouraging. inventions and has been universally adopted" (Italics m i n e ) . Patents Do Not Encourage Inventions in Drugs The Kefanver Committee after a very exhaustive enquiry such as was not w i t h i n the reach of Justice Ayyangar, emphatically controvert 238 his v i e w . The Committee says: "The conclusion would appear to be warranted that in this industry the mere existence of patent protection is not a guarantee of invention, nor is its absence much of a barrier" ( I t a l i c s m i n e ) . The Committee lists and groups i n t o t w o classes a l l the drugs invented since 1875 w h e n the patent system was first introduced, that is those made in countries w i t h o u t a n d w i t h patents. I t f i n d s that "drugs discovered in foreign countries w i t h o u t p r o d u c t patents outnumber those discovered in countries w i t h such protection, i n the order of 10 to I" They f u r t h e r find it " s u r p r i s i n g that a large "number of the most i m p o r t a n t drugs and the most w i d e l y used (drugs) i n the w o r l d were discovered i n countries w h i c h have never awarded patents on pharmaceutical products". W h a t i s s t i l l more significant, a l l the great d r u g break-throughs of modern times such as i n s u l i n , v i t a mins, the first sulpha d r u g (sulphan i l a m i d e ) a n d the first a n t i b i o t i c (penicillin) were discovered in public laboratories by scientists who were not w o r k i n g for monetary gain, and d i d not take out patents. As regards the U n i t e d States the C o m m i t t e r notes that the U S A has made some outstanding discoveries in drugs only since 1939. I t raises the i s s u e that " i f patents are in fact the key to the u n l o c k i n g of new d r u g discoveries w h y has it functioned effectively in this, c o u n t r y only for the last 20 years? F o r over a century foreign countries w h i c h do not grant patent protection have been m a k i n g i m p o r t a n t new discoveries. T h e fact that they were d o i n g so p r i o r to the last 20 years white the U n i t e d States, w h i c h has granted f u l l patent protection since 1790, was f a i l i n g to develop an i m p o r t a n t d r u g industry of its o w n o n l y serves to cast further doubt on the essentiality of patent grants to scientific progress in this country." No Reward for the Inventor T h e beneficiary of the patent g r a n t ' has become the c o r p o r a t i o n . not the i n d i v i d u a l inventor. T h e situation today is very different f r o m w h a t it was three hundred years ago when E n g l a n d introduced the natents system to encourage inventions b y r e w a r d i n g inventors. T h e n there were no p u b l i c laboratories and no THE ECONOMIC WEEKLY ANNUAL NUMBER FEBRUARY 1962 239 ANNUAL NUMBER FEBRUARY 1962 THE ECONOMIC WEEKLY 240 ANNUAL NUMBER FEBRUARY 1962 THE ECONOMIC WEEKLY b i g industries. Inventions were made by i n d i v i d u a l s at their o w n expense of time, effort and money. T h e y were given the monopoly r i g h t t o e x p l o i t their inventions to their o w n financial advantage for 15 years or so b o t h to encourage them to make m o r e inventions and to induce them to disclose the secret of their i n ventions by m a k i n g them file patent specifications. Today technology is so h i g h l y developed and the cost of p u t t i n g up plants so huge that no i n d i v i d u a l scientist can undertake research or manufacture on his o w n . He has to take up a j o b w i t h one of the b i g corporations or in a public l a b o r a t o r y and has to agree in w r i t i n g to assign all his inventions to his employers. T h u s his work becomes a p a w n in the business s t r u g g l e ; and the nature and q u a l i t y of his w o r k — i n c l u d i n g the lines of enquiry he m a y f o l l o w — are largely dictated by the expectations of businessmen untrained in science, as to what areas appear to h o l d the greatest promise of commercial gains. The extent to w h i c h the patent has been transformed in the drug i n d u s t r y f r o m a r e w a r d to the ind i v i d u a l inventor to an instrument of market control can be seen through a delineation of the various ways in w h i c h patents have been used to l i m i t c o m p e t i t i o n . In some cases the exclusion of competition is total, in others it licenses one other firm establishing a " d u o p o l y " . In still others several large firms become licencees creating oligopoly, when several firms apply for a patent, and they m u t u a l l y agree to work together. Patents are also used to establish international cartels. Only Solution Senator Kefauver public hearings have started public agitation in America for the abrogation of d r u g patents. Indian scientists have been recommending s i m i l a r action for several years. The 20 year old Pharmaceutical and D r u g Research Committee of the Council of Scientific and I n d u s t r i a l Research of the Government of I n d i a , on w h i c h are represented i m p o r t a n t agencies engaged in research on and the manufacture of drugs, both in the public and private sectors, have d u r i n g the last several years unanimously passed resolutions asking Government to abrogate d r u g pat- ents. S i m i l a r l y the Panel of Scientists of the P l a n n i n g Commission called to consider Justice A y y a n g a r ' s recommendations expressed the view that the m i n o r changes suggested by Justice Ayyangar i n d r u g patents d i d not meet the situation and 47 out of 50 members attending considered that i n the new Patent B i l l inventions r e l a t i n g to drugs and foods should be made non-patentable, both as regards the product and the process, in the same way as Justice Ayyangar has recommended in the case of inventions in the field of atomic energy. A n y permissive law w h i c h abolishes only product patents no matter how strict, w o u l d s t i l l leave the way open f o r powerful r i c h firms, who own 100 per cent of the patents on essential drugs, to exact exorbitant royalties, or to conduct protracted l i t i g a t i o n in courts to delay and damage the development of the d r u g industry. There are no international patents, Each country enacts patent laws to suit its own needs. Thus there is no obstacle to the abrogation of d r u g patents and there are excellent precedents. Most countries of the w o r l d do not grant product patents, while I t a l y does not grant either product or process patents, and of course no socialist country does either. Abrogation of Patents Imperative Now is the time to set the matter r i g h t . The country is m a k i n g a great effort to attain self-sufficiency i n drugs and a new Patents B i l l is in the offing. We should see to it that inventions relating to drugs and foods are made non-patentable both as regards the product and process. If the d r u g patents are not abrogated we shall have to pay crores of rupees every year as royalties to foreign firms which own almost 100 per cent d r u g process patents. And the licences they will issue w i l l for certain impose onerous terms which w i l l make as part of their drug racket. The new d r u g plants w i l l be b u i l t w i t h Soviet know how to be provided to us entirely free of charge and by our own efforts; the patent holders w i l l contribute' nothi n g . We must avoid such unpardonable waste of foreign exchange as is involved in the agreement entered i n t o by the M i n i s t r y of Commerce 241 and I n d u s t r y w i t h M e r c k . W e shall have to pay them almost 2 crores of rupees in dollars for the supply of know-how to produce streptomycin at Hindustan Antibiotics, P i m p r i , although no v a l i d patents exist to entitle M e r c k to demand this royalty. A n d w h a t is worse, under the terms of the licence, we are debarred f r o m e m p l o y i n g any scientist or a l l o w i n g anyone to enter the plant unless he is screened in accordance w i t h the conditions dictated by M e r c k . T h i s in spite of the fact that our Government accepted the collaboration of W H O and the U N I C E F under a solemn c o m m i t m e n t to keep the plant open so that any country whatsoever either of its o w n or at the i n i t i a t i v e of these i n t e r n a t i o n a l bodies, could send their technicians to the plant for t r a i n i n g w i t h o u t let or hindrance. The Soviet U n i o n had agreed to provide know how e n t i r e l y free of charge long before M e r c k was brought into the picture. Even I was in a position to provide the know-how as I provided it to f o u r countries in 1052 and helped them to take up the p r o d u c t i o n of streptomycin. However, the Soviet U n i o n w i l l now help us to b u i l d a very large a n t i b i o t i c plant at Rishikesh which w i l l produce 300 tons of all antibiotics i n c l u d i n g streptomycin and w i l l provide all know how free of charge and yet oddly enough we shall s t i l l he paying royalties to Merck. If the d r u g patent' are abrogated by the time the new d r u g plants in the public sector begin to function, and we are thereby freed f r o m the obligation to pay royalties and to comply w i t h the terms likely to be imposed by foreign patent holders, our plants w o u l d be in a position to sell broad-spectrum antibiotics and other modern life-saving drugs mentioned at something like 1 / 1 0 (one-tenth) of the present .selling prices. Otherwise' the royalty we pay w i l l add enormously to the cost of drugs to o u r people. Drug: industry w i t h o u t doubt is the one field of i n dustrial endeavour from which profit should be kept out. more p a r t i c u l a r l y in a poor country like ours. Even in U S A, the richest country, the Kefauver Committee considers "profits might also be expected to be relatively smaller'' as drugs "deal quite literally in matters o f l i f e and death," ANNUAL. NUMBER FEBRUARY 1962 THE 242 ECONOMIC WEEKLY
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