The fight for access to medicines is going global
Germany 2018 © Peter Bauza
By Els Torreele, Executive Director, MSF Access Campaign
When I first joined the Access Campaign in 1999, I understood both the enormous medical needs and intense frustration that led to its creation. MSF staff in the field were facing multiple challenges, unable to provide adequate treatment to people dying from HIV/AIDS, tuberculosis, malaria, and neglected tropical diseases because drugs were too expensive, ineffective, toxic—or simply did not exist at all.
I used my expertise as a biomedical researcher to coordinate a working group analyzing the lack of research and development (R&D) for neglected tropical diseases. Across the board, it was clear that these deficiencies were not solely due to scientific or technical limitations. They were the result of conscious political choices about how medical innovation and access to health tools are organized and financed globally. The multinational pharmaceutical industry, rooted in the economic and political systems of the richest countries on earth, decides which diseases merit R&D effort and wields unchecked power over the pricing and distribution of essential medicines and vaccines everywhere. Big Pharma routinely prioritizes profits over people’s health.
“Medicines Shouldn’t Be a Luxury” was an early rallying cry for the campaign, and it remains a powerful message today. Over the past 20 years, we have achieved incredible victories. Working together with patient activists, MSF was part of a coalition that helped overcome the barriers to accessing lifesaving HIV antiretroviral drugs. Thanks to intensive advocacy as well as competition from generic producers, the price of these drugs dropped from more than $10,000 per person per year to less than $100. As a result, we’ve seen the massive scaling up of treatment for people living with HIV/AIDS to over 22 million at the end of 2018.
Other campaign successes followed, from increasing access to rapid diagnostic tests and artemisinin-based combination treatments for malaria, to decreasing the prices of the pneumococcal conjugate vaccine and hepatitis C drugs, to fostering R&D for the most neglected diseases. A major outcome of the campaign was the creation in 2003 of the Drugs for Neglected Diseases initiative (DNDi), which I joined as a founding member. DNDi is a collaborative, non-profit drug development organization driven by patients’ needs, with which MSF continues to partner. Earlier this year, we celebrated the launch of fexinidazole, a new all-oral cure for African sleeping sickness developed with partners by DNDi. This landmark achievement shows that it is possible to develop new drugs outside the commercial pharmaceutical business model.
Despite some major wins, today the challenges for access to lifesaving medicines are greater than ever. Many new drugs, diagnostics, and vaccines are marketed at increasingly high prices. Drug corporation monopolies are even more entrenched, and their powers are more global. At the same time, we are missing the tools we need to control some of the major public health challenges of our time, such as the spread of antibiotic resistance and outbreaks of epidemic diseases like Ebola.
The crisis of access to medicines and medical innovation is truly global now, which presents enormous hurdles as well as opportunities for greater solidarity and coalition building. Finding solutions for exorbitant drug prices while fostering medical innovation is a topic of public and political debate in high- and low-income countries alike.
We are advocating for health needs-driven medical R&D and access to medicines as a collective responsibility. Given that medical R&D is largely financed by public funds, it is unacceptable that the fruits of these collective efforts are captured by unchecked monopolies that mainly enrich pharmaceutical corporations and their shareholders. Meanwhile, health systems collapse under financial burdens and people die for lack of medicines.
Together we must drastically step up efforts to expand people’s access to lifesaving health tools. Across the international community, all of us must continue to demand justice, not charity.
Pharmaceutical corporations and governments in wealthy countries should not get to decide if and when lifesaving drugs, vaccines, and diagnostics are affordable or available to the people who need them. We must work together to ensure that people’s right to health and equitable access are put first.
Story Jun 01, 2023
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