{"id":219481,"date":"2022-12-22T19:27:26","date_gmt":"2022-12-22T13:57:26","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=219481"},"modified":"2022-12-22T19:27:26","modified_gmt":"2022-12-22T13:57:26","slug":"the-need-to-make-cancer-drugs-affordable","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/the-need-to-make-cancer-drugs-affordable\/","title":{"rendered":"The need to make cancer drugs affordable"},"content":{"rendered":"\n<p><b><span data-contrast=\"auto\">Source<\/span><\/b><span data-contrast=\"auto\">: The post is based on the article <\/span><b><span data-contrast=\"auto\">\u201c<\/span><\/b><b><span data-contrast=\"auto\">The need to make cancer drugs affordable<\/span><\/b><b><span data-contrast=\"auto\">\u201d <\/span><\/b><span data-contrast=\"auto\">published in<\/span><b><span data-contrast=\"auto\"> The Hindu <\/span><\/b><span data-contrast=\"auto\">on <\/span><b><span data-contrast=\"auto\">22nd December 2022<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Syllabus: <\/span><\/b><span data-contrast=\"auto\">GS2 &#8211; Issues related to the development and management of health<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Relevance<\/span><\/b><span data-contrast=\"auto\">: About the high cost of cancer treatment<\/span><\/p>\n<p><b><span data-contrast=\"auto\">News<\/span><\/b><span data-contrast=\"auto\">: The article explains the issue of the high cost of cancer treatment in India.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"auto\">What are some facts related to the high cost of cancer treatment in India?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">The <\/span><b><span data-contrast=\"auto\">Rajya Sabha Standing Committee on Health<\/span><\/b><span data-contrast=\"auto\"> noted that \u201cabout 40% of cancer hospitalisation cases are financed mainly through borrowings, sale of assets and contributions from friends and relatives\u201d.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This situation has arisen because even average <\/span><b><span data-contrast=\"auto\">out of pocket spending<\/span><\/b><span data-contrast=\"auto\"> on cancer care is too high. Spending on cancer care in private facilities is about three times that of public facilities. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">According to <\/span><b><span data-contrast=\"auto\">WHO<\/span><\/b><span data-contrast=\"auto\">, the costs associated with other medical care and interventions such as surgical interventions and supportive care would make overall care even more <\/span><b><span data-contrast=\"auto\">unaffordable<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In the treatment protocol for breast cancer, <\/span><b><span data-contrast=\"auto\">CDK (cyclin-dependent kinase) inhibitors<\/span><\/b><span data-contrast=\"auto\"> constitute a <\/span><b><span data-contrast=\"auto\">major therapeutic tool<\/span><\/b><span data-contrast=\"auto\">. These three drugs belong to this therapeutic class. A month\u2019s treatment using these drugs could range between \u20b948,000 and \u20b995,000.\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"auto\">What are the impacts of the high cost of cancer treatment?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">The <\/span><b><span data-contrast=\"auto\">high treatment cost<\/span><\/b><span data-contrast=\"auto\"> has seriously impacted <\/span><b><span data-contrast=\"auto\">survival rates <\/span><\/b><span data-contrast=\"auto\">in developing countries. In the case of <\/span><b><span data-contrast=\"auto\">breast cancer<\/span><\/b><span data-contrast=\"auto\">, the five-year survival rate in India is estimated to be 65%. In high-income countries, it is nearly 90%.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The<\/span><b><span data-contrast=\"auto\"> lack of access<\/span><\/b><span data-contrast=\"auto\"> to these critical medicines has pushed the life of patients and their families into deep <\/span><b><span data-contrast=\"auto\">financial stress<\/span><\/b><span data-contrast=\"auto\">. It has affected their right to live with dignity, a fundamental right guaranteed under Article 21 of the Indian Constitution.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The Supreme Court in several judgments has interpreted the <\/span><b><span data-contrast=\"auto\">right to health<\/span><\/b><span data-contrast=\"auto\"> as an extension of the <\/span><b><span data-contrast=\"auto\">right to life under Article 21<\/span><\/b><span data-contrast=\"auto\">. According to the <\/span><b><span data-contrast=\"auto\">WHO Constitution<\/span><\/b><span data-contrast=\"auto\">, \u201cenjoyment of the highest attainable standard of health is one of the <\/span><b><span data-contrast=\"auto\">fundamental rights<\/span><\/b><span data-contrast=\"auto\"> of every human being\u201d.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"auto\">What explains the high cost of cancer treatment?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\"><strong>Recover research and development cost<\/strong>: According to pharmaceutical companies, they spend over $3 billion bringing a new molecule to the market. They must recover these costs.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">However, the WHO observed that spending on <\/span><b><span data-contrast=\"auto\">research and development<\/span><\/b><span data-contrast=\"auto\"> may bear little or no relationship to how pharmaceutical companies set cancer medicine prices. Companies set prices with an eye to <\/span><b><span data-contrast=\"auto\">maximise profits<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Intellectual property protection:<\/span><\/b><span data-contrast=\"auto\"> The pharma companies can exercise <\/span><b><span data-contrast=\"auto\">monopoly control<\/span><\/b><span data-contrast=\"auto\"> over their products.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The scope and the power of these monopolies can become nearly absolute due to several factors. Ordinarily, patent rights over a medicine last until the expiry of its patent term.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In the case of pharmaceutical patents, the leading firms in the industry often obtain patents on <\/span><b><span data-contrast=\"auto\">incremental innovations<\/span><\/b><span data-contrast=\"auto\"> involving older medicines. It is called <\/span><b><span data-contrast=\"auto\">evergreening<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"auto\">What is the way forward to overcome the high cost of cancer treatment?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">The most obvious option is to authorise Indian companies to domestically produce high-priced cancer medicines, by granting <\/span><b><span data-contrast=\"auto\">compulsory licences<\/span><\/b><span data-contrast=\"auto\"> in keeping with <\/span><b><span data-contrast=\"auto\">Sections 84 and 92 of the Patents Act<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The Government can invoke provisions of <\/span><b><span data-contrast=\"auto\">Section 100<\/span><\/b><span data-contrast=\"auto\">. It <\/span><b><span data-contrast=\"auto\">empowers the government<\/span><\/b><span data-contrast=\"auto\"> to authorise any entity to use a patented invention <\/span><b><span data-contrast=\"auto\">without the authorisation<\/span><\/b><span data-contrast=\"auto\"> of the patent holder. According to the <\/span><b><span data-contrast=\"auto\">Rajya Sabha\u2019s Standing Committee on Health<\/span><\/b><span data-contrast=\"auto\">, invoking the provisions of Section 100 seems to be the best way forward.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Source: The post is based on the article \u201cThe need to make cancer drugs affordable\u201d published in The Hindu on 22nd December 2022.\u00a0 Syllabus: GS2 &#8211; Issues related to the development and management of health\u00a0 Relevance: About the high cost of cancer treatment News: The article explains the issue of the high cost of cancer&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/the-need-to-make-cancer-drugs-affordable\/\">Continue reading <span class=\"screen-reader-text\">The need to make cancer drugs affordable<\/span><\/a><\/p>\n","protected":false},"author":10311,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[1230,9],"tags":[212,10498],"class_list":["post-219481","post","type-post","status-publish","format-standard","hentry","category-9-pm-daily-articles","category-public","tag-gs-paper-2","tag-the-hindu","entry"],"jetpack_featured_media_url":"","views":{"total":0,"cached_at":"","cached_date":1704932061},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/219481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10311"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=219481"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/219481\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=219481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=219481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=219481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}