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To Avoid Covid Inequities in Next Pandemic, Sanders Says WHO Treaty Must Put 'Health Over Profits'
"The life of a millionaire in New York City is not worth more than the life of a person living in extreme poverty in South Sudan."
Nov 07, 2023
As advocates warn of glaring inadequacies in a draft of the global pandemic treaty under negotiation at the World Health Organization, U.S. Sen. Bernie Sanders on Tuesday urged the country's lead negotiator "to push for the inclusion of strong reasonable pricing, technology sharing, and access standards" in the agreement.
"Now is the time to negotiate strong global standards that put public health over profits," Sanders (I-Vt.) wrote in a letter to Ambassador Pamela Hamamoto, U.S. negotiator for the pandemic prevention, preparedness, and response accord, a proposed treaty that 194 WHO member states agreed to draft in response to the Covid-19 emergency.
The WHO's Intergovernmental Negotiating Body is meeting from Monday through Thursday in Geneva to debate the latest draft of the proposed accord.
"The U.S. should champion including reasonable pricing and technology sharing requirements into all funding agreements with pharmaceutical companies," asserted Sanders, who chairs the Senate Health, Education, Labor, and Pensions (HELP) Committee. "That is not just the right thing to do. It is the smart thing to do to protect the American people from viruses that respect no borders."
Sanders' office said in a statement:
During the Covid-19 pandemic, there were vast inequities in access to... tests, treatments, and vaccines. One study estimated that vaccine inequality cost 1.3 million lives by the end of 2021. U.S. taxpayers spent $12 billion on the research, development, and procurement of one of the leading vaccines. Yet, Moderna refused to share its technology with other manufacturers to increase global production, charged some poorer countries more for doses than wealthy countries, and then quadrupled the price of the Covid vaccine to $128—at a time when it costs just $2.85 to manufacture that vaccine.
"The mistakes made with Moderna cannot be repeated," Sanders wrote in his letter. "A public health crisis should not be an opportunity for profiteering. We need real international cooperation and commitment to ensuring equitable access to pandemic products."
"Our goal should be to make tests, treatments, and vaccines for the next public health outbreak available to every man, woman, and child who needs them as soon as possible," he added. "The life of a millionaire in New York City is not worth more than the life of a person living in extreme poverty in South Sudan."
The proposed treaty—a final draft of which is meant to be submitted for consideration by the 77th World Health Assembly in May 2024—aims to build resilience to pandemics; ensure equitable access to pandemic countermeasures; support global coordination through a stronger and more accountable WHO; and support prevention, detection, and responses to outbreaks with pandemic potential.
"The new accord could represent a global commitment to work together, as an international community, to help prevent disease outbreaks from impacting individuals, communities, countries, and the world in the same way as the Covid-19 pandemic did," the WHO explained.
However, Human Rights Watch (HRW) warned Tuesday that "the current draft fails to enshrine core human rights standards protected under international law, most notably the right to health and the right to benefit from scientific progress, therefore risking a repeat of the tragic failures during the Covid-19 pandemic."
HRW's position is shared by the Global Initiative for Economic, Social, and Cultural Rights; the International Commission of Jurists; and Amnesty International.
"Creating a new pandemic treaty could offer an opportunity to ensure that countries are equipped with proper mechanisms for cooperation and principles to prevent the level of devastation wrought by the Covid-19 pandemic, and the rights violations resulting from government responses," Amnesty legal adviser Tamaryn Nelson said in a statement.
"By failing to ground the treaty in existing human rights obligations and inadequately addressing human rights concerns arising during public health emergencies, governments risk repeating history when the next global health crisis hits," Nelson added.
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Nobel Prize for mRNA Researchers Shows Power of Public Funding for Vaccines, Campaigners Say
"Public funding delivers incredible medical advances and that should be a priority for all countries, but pharmaceutical companies cannot be trusted to share technology with the world."
Oct 02, 2023
Scientists Katalin Karikó and Drew Weissman were awarded the Nobel Prize in Physiology or Medicine on Monday for research that paved the way for the messenger RNA vaccines against Covid-19—critical work that, as campaigners quickly pointed out, benefited from substantial U.S. government funding.
Dr. Mohga Kamal-Yanni, policy co-lead for the People's Vaccine Alliance, said in a statement that "this award challenges the claim that it was solely big pharmaceutical companies who saved the world from Covid-19."
"Just like the Oxford-AstraZeneca vaccine, Karikó and Weissman's groundbreaking work on mRNA vaccines received a huge amount of public funding," said Kamal-Yanni. "Pharmaceutical companies have refused to share mRNA technologies with developers and researchers in developing countries."
The Nobel Prize committee credited Karikó and Weissman with fundamentally changing "our understanding of how mRNA interacts with our immune system."
"The laureates contributed to the unprecedented rate of vaccine development during one of the greatest threats to human health in modern times," the committee said.
As The Washington Postsummarized, the pair "discovered how to chemically tweak messenger RNA, turning basic biology into a technology ready to change the world when the pandemic struck. Their discovery is incorporated into the coronavirus vaccines made by Moderna and Pfizer and its German partner, BioNTech, which have now been given billions of times."
But the Post and other major outlets covering Karikó and Weissman's Nobel prize-winning contributions did not emphasize—or even mention—that some of the scientists' work was funded by the National Institutes of Health. Karikó and Weissman patented their findings in 2006 and later licensed the patents to Moderna and BioNTech, Pfizer's coronavirus vaccine partner.
According to an analysis by Knowledge Ecology International (KEI), Weissman "appears as the principal investigator on a total of 42 projects funded by the National Institutes of Health (NIH) between 1998 and 2020, representing $18,323,060 in costs."
"Karikó was the principal investigator of four projects funded by the NIH between 2007 and 2011, totaling $1,234,462 in costs," KEI observed. "In other words, the United States government funded and has certain rights over at least some of the foundational Karikó and Weissman patents directed to mRNA discoveries."
"As governments discuss how to prepare for the next pandemic, they should learn from the story of mRNA."
Throughout the pandemic and into the present, vaccine makers such as Pfizer and Moderna have opposed global calls to share their vaccine recipes and technology with the world, fiercely clinging to their monopoly control over production and using that control to force governments into one-sided contracts favorable to the pharmaceutical industry—even though their vaccines were developed with massive public support.
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study published in The BMJ earlier this year estimated that the U.S. government pumped nearly $32 billion into the development, production, and purchase of mRNA coronavirus vaccines.
The Biden administration, meanwhile, has declined to use its ownership of key patents or the leverage provided by public funding to force pharmaceutical companies to do everything they can to ensure the equitable distribution of lifesaving vaccine technology.
Kamal-Yanni of the People's Vaccine Alliance said Monday that "fortunately, Weissman is helping a WHO-backed mRNA program which aims to develop mRNA technology in lower-income countries, even while pharmaceutical companies refuse to share their know-how."
"As governments discuss how to prepare for the next pandemic, they should learn from the story of mRNA," said Kamal-Yanni. "Public funding delivers incredible medical advances and that should be a priority for all countries, but pharmaceutical companies cannot be trusted to share technology with the world."
Peter Maybarduk, director of the Access to Medicines program at Public Citizen, echoed that message, saying in a statement that "today's Nobel must ring as a call for equity and health justice, and a call to change a massively unjust pharmaceutical industry."
"Moderna, Pfizer, and BioNTech still largely control the available vaccines and in some countries have significantly increased their price, despite the billions in public funding on which the vaccines rely," said Maybarduk. "By supporting initiatives to share science and technology, and by funding vaccine infrastructure, governments can help blunt the effects of disease, and bring a coda of justice to a terribly unjust time."
This story has been updated to include a statement from Public Citizen.
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Bernie Sanders Targets Moderna Greed in Covid-19 Vaccine Hearing
"Should people in America and around the world be allowed to get sicker and sometimes die because they cannot afford the outrageous and arbitrary prices that the pharmaceutical industry demands?" asked the Vermont Independent.
Mar 22, 2023
Sen. Bernie Sanders on Wednesday denounced Moderna's proposal to more than quadruple the price of the Covid-19 vaccine it co-developed with billions of dollars in public funding—along with mRNA technology co-invented by government scientists—as an example of Big Pharma's "unacceptable corporate greed."
At a hearing held by the Senate Committee on Health, Education, Labor, and Pensions (HELP), the Vermont Independent reiterated his widely shared belief that the purpose of medical advancements should be to save as many lives as possible, not make executives "obscenely rich."
Sanders, who chairs the panel, invited Moderna CEO Stéphane Bancel to testify at a hearing titled "Taxpayers Paid Billions For It: So Why Would Moderna Consider Quadrupling the Price of the Covid Vaccine?"
In his opening statement, Sanders stressed that scientists at the National Institutes of Health (NIH) and other federal agencies "worked with Moderna to research, develop, and distribute the Covid vaccine that so many of our people have effectively used."
"While Moderna may wish to rewrite history," Sanders continued, "this vaccine would not exist without NIH's partnership and expertise and the substantial investment of the taxpayers of this country. As a matter of public record, U.S. taxpayers spent $12 billion on the research, development, and procurement of the NIH-Moderna Covid vaccine."
"For that huge investment," added the progressive lawmaker, Moderna is "thanking the taxpayers of America by proposing to quadruple the price of the Covid vaccine to as much as $130 once the government stockpile runs out—at a time when it costs just $2.85 to manufacture that vaccine."
"Moderna has already made $21 billion in profits off of the Covid vaccine during the pandemic and four of Moderna's executives and investors collectively became more than $10 billion wealthier as a result of the massive taxpayer investment into that corporation," said Sanders. "Mr. Bancel literally became a billionaire overnight and is now worth $4.7 billion."
"Do we not need to change the current culture of greed into a culture which understands that science and medical breakthroughs should work for ordinary people, and not just enrich large corporations and CEOs?"
In the words of the senator, "This type of profiteering and excessive CEO compensation is exactly what the American people are sick and tired of."
In response to a letter Sanders sent to Bancel following Moderna's January announcement of its planned price hike, the corporation vowed to make Covid-19 vaccines and boosters "available at no cost for the vast majority of people in the United States." Last month, after Bancel agreed to testify at Wednesday's hearing, Moderna said that when the federal government's public health emergency declaration expires in May, "Covid-19 vaccines will continue to be available at no cost for insured people," while the company's patient assistance program "will provide Covid-19 vaccines at no cost" to uninsured or underinsured people.
"That is good news," Sanders said Wednesday. "The bad news is that most patient assistance programs are poorly designed and are extremely difficult, if not impossible, for patients to access," he added, urging Moderna "to reconsider their decision to quadruple the price of this vaccine and not raise the price at all."
"Our committee looks forward to working with Moderna to develop a program that allows every American to continue to receive the Covid vaccine for free without the need to file complicated forms or paperwork, answer personal questions, or wait for hours on end at the pharmacy," said Sanders. "In other words, let us truly make this vaccine available for free to all Americans."
But when asked by Sanders if Moderna will charge the U.S. government less for the NIH-Moderna Covid-19 vaccine, Bancel refused to commit, citing so-called "complexity."
"You have money for stock buybacks by the billions, and you guys became billionaires," Sanders responded. "That doesn't seem too complex to me."
In a video shared Tuesday, Senate HELP Committee senior health counsel Zain Rizvi further detailed how Moderna has tried to suppress evidence of the U.S. public's massive contributions to the NIH-Moderna Covid-19 vaccine while refusing to share the recipe with South African scientists who are working with the World Health Organization to boost global supply.
The refusal of Moderna and other pharmaceutical corporations to transfer publicly funded technology to qualified generic manufacturers has contributed to global Covid-19 vaccine apartheid, needlessly prolonging and worsening the pandemic.
Although Covid-19 jabs have been credited with preventing roughly 20 million deaths worldwide in 2021 alone, researchers estimate that 1.3 million additional lives could have been saved in the first year of the vaccine rollout had shots been distributed equitably. As a result of unequal access to lifesaving Covid-19 vaccines—made worse by corporate-friendly trade rules that protect Big Pharma's intellectual property monopolies and lead to artificial scarcity—one person suffered an avoidable death from the disease every 24 seconds in 2021.
"Moderna has taken a publicly funded vaccine, built on decades of publicly funded research, and used it to maximize their own profits at the expense of public health," Julia Kosgei, policy co-lead for the People's Vaccine Alliance, said Wednesday in a statement. "It's long past time for Stéphane Bancel to be held to account."
"Today's hearing must be the beginning of a conversation about how governments can place public health needs before private profit. That means requiring companies that profit from publicly funded research to share new technologies with the world."
Citing the corporation's latest earnings report, Kosgei noted that "Moderna is spending as much on buybacks and dividends as it is on research and development." She called it "plainly ludicrous to suggest that this is the best way to ensure everyone has access to effective vaccines and medicines."
"This should be a moment of reckoning for Big Pharma," said Kosgei. "Today's hearing must be the beginning of a conversation about how governments can place public health needs before private profit. That means requiring companies that profit from publicly funded research to share new technologies with the world."
Like Kosgei, Rizvi stressed that Moderna's behavior is not unique and called for far-reaching action "to put an end to the greed of the pharmaceutical industry."
That's also precisely what Sanders did during his opening remarks:
In the pharmaceutical industry today we are looking at an unprecedented level of corporate greed—and that is certainly true with Moderna. Today, while 37% of the American people could not afford the prescription drugs their doctors prescribe, 10 major pharmaceutical companies made over $100 billion dollars in profits in 2021—a 137% increase from the previous year. In these corporations, the 50 top executives made over $1.9 billion in total compensation in 2021 and are in line to receive billions more in golden parachutes once they leave their companies. In other words, Americans die because they cannot afford the outrageous cost of prescription drugs, while the drug companies make huge profits.
Further, while many Americans don't know this, the taxpayers of this country have spent many tens of billions of dollars over the past decade to research and develop life-saving medicine. Yet, despite that huge investment, and the vitally important work done by NIH scientists, the citizens of the United States pay far more for prescription drugs than do the people of any other country, in some cases, as much as 10 times more. Unbelievably, there are important drugs on the market today that literally cost hundreds of thousands of dollars.
"What does a lifesaving drug mean for a person who cannot afford to buy that drug?" Sanders asked. "Should people in America and around the world be allowed to get sicker and sometimes die because they cannot afford the outrageous and arbitrary prices that the pharmaceutical industry demands?"
"Do we not need to change the current culture of greed into a culture which understands that science and medical breakthroughs should work for ordinary people, and not just enrich large corporations and CEOs?" he continued.
Sanders urged people "to remember the contributions of great scientists like Dr. Jonas Salk who, in the 1950s, invented the vaccine for polio. Salk's work saved millions of lives and prevented millions more from being paralyzed."
According to the progressive lawmaker: "It has been estimated that if Dr. Salk had chosen to patent the polio vaccine he would have made billions of dollars. But he did not. When asked who owns the patent to this vaccine Dr. Salk said: 'Well, the people, I would say. There is no patent. Could you patent the sun?' What Dr. Salk understood was that the purpose of the vaccine he invented was to save lives, not to make himself obscenely rich."
Salk was not alone, as Sanders explained:
In 1928, Alexander Fleming, a scientist from Scotland, discovered penicillin at St. Mary's hospital in London. Fleming's discovery of penicillin changed the medical world and saved millions of lives.
When Fleming was asked about his role, he did not talk about the outrageous fortune he could have made through his discovery. Instead, he said: "I did not invent penicillin. Nature did that. I only discovered it by accident." He refused to make obscene profits from his discovery.
In 1921, Dr. Frederick Banting along with two other scientists at the University of Toronto invented insulin—an issue we're hearing a lot about today. When Dr. Banting was asked why he wouldn't patent insulin and why he sold the rights to insulin for just $1 he replied: “Insulin does not belong to me. It belongs to the world.”
It has been estimated that Dr. Banting's invention saved some 300 million lives. Once again, a great scientist made it clear that his purpose in life was to ease suffering and save human lives, not to make billions for himself.
"In this moment of excessive corporate greed," said Sanders, "the moral vision of these great scientists is something that we might learn from."
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