Queen’s Speech — House of Lords, 2021-05-12
Topic: Health
Pauline Bryan (Labour, Centre-left): My Lords, I would like to speak to an issue that crosses two areas in today’s discussion: health and business. The pharmaceutical industry has for decades been problematic even for the most dedicated supporter of capitalism. It is heavily dependent on public spending as it is often assisted by government funding to develop vaccines and medicines and then, once these become available, it needs government spending to buy them. Across the developed world, big pharma has produced life-saving vaccines and medicines, but at times some companies have put profits before safety The reputation of big pharma companies is probably higher now than it has been for decades. Their ability to produce several successful vaccines during the Covid pandemic has been remarkable, but their attitude to sharing information and spreading the production across the globe has not developed at the same speed. The case for temporarily suspending intellectual property rights for coronavirus vaccines has growing support, including from Pope Francis and President Biden. While this issue was not mentioned in the gracious Speech, we must hope that the UK Government will pursue this policy However much rhetoric there is about making the vaccine available worldwide, the vast majority of stock continues to be hoarded in wealthy countries. They are retaining far more than they can possibly use. COVAX aimed to vaccinate all high-risk people and health workers everywhere, rich and poor equally, during 2021. But better-off nations have gone beyond vaccinating people at high risk and are now determined to vaccinate their entire populations, leaving COVAX struggling to reach only 20% of the most vulnerable during 2021 The important lesson from this pandemic is that poorer countries cannot rely on the largesse of richer ones; for the future they need their own vaccine capacity. They need access to raw materials and technology, and the waiver of intellectual property rights. We know the well-rehearsed arguments against waiver. First, it is bad for innovation; companies must retain intellectual property rights because without monopolies there would be no incentives. We should remember that it is scientists who develop vaccines, not businesspeople. In the US, $112 billion of public money was spent on Covid vaccine development. In the UK, at least 97% of the funding for the development of the Oxford/AstraZeneca vaccine came from taxpayers or charitable trusts: less than 2% came from private industry. The Prime Minister is in danger of believing one of his own myths if he thinks that the fast development of Covid vaccines was because of capitalism The second concern is about quality assurance. This was a common argument during the early days of AIDS treatments that was proved wrong. The technology and knowhow exist and can be further developed, particularly as Covid and its variations will not disappear any time soon, and other epidemics will follow Increased capacity across the globe would allow scientists and technicians to target the health issues that are of immediate importance in the developing world, rather than prioritising illnesses prevalent in more developed countries. Cuba is an example of how innovation can be driven by something other than profit. It is a global leader in the South-South transfer of technology, helping low-income countries develop their own domestic biotech capabilities, providing technical training, and facilitating access to low-cost, life-saving medicines. This model puts health before profits and is one where greed is not the driving factor. It should be the example that the developed world follows.