Geopolitics Quarterly

Geopolitics Quarterly

The Geopoliticization of TRIPS Rules on Access to Medicine

Document Type : Original Article

Authors
1 Faculty of Law, Universiti Kebangsaan Malaysia, Malaysia.
2 Faculty of Law, Universiti Kebangsaan Malaysia
3 Al-Mustaqbal University, Iraq.
Abstract
This article explores the concept of critical geopolitics to understand how international trade laws influence access to medicines within the framework of the TRIPS agreement. Classical geopolitics traditionally emphasizes how geographical features shape state strategy and global power dynamics, whereas critical geopolitics interprets geographical arrangements as constructs shaped by political, economic, and technological forces. By adopting a critical geopolitics approach, this article investigates how developed and developing nations use their ideas, actions, and interpretations of international trade laws to influence the implementation of TRIPS provisions in their favor. The TRIPS agreement, a multilateral treaty aimed at standardizing global intellectual property laws, often benefits developed nations by strengthening patent protections, which in turn restricts access to affordable generic medicines in developing and least developed countries. Despite the inclusion of safeguards and flexibilities designed to promote broader access to medicines, significant inequalities in access persist. This article examines the differential application of TRIPS across diverse national contexts, focusing on how developed and developing nations collaborate—or conflict—in balancing the need for strong patent protection with the imperative of public health access. By analyzing these geopolitical dynamics, the study illuminates the strategic actions employed by nations to navigate the intricate relationship between international trade law and access to pharmaceuticals. The findings offer important insights into the power imbalances that shape global health outcomes under the TRIPS regime.
Keywords

Subjects


  1. Althabhawi, N. M; Chao, W. Z; Nadia Sofea Zainal Abidin; Imari, M. H. O. (2023). Personal media restrictions on freedom of speech: A social contract theory behind it. Geopolitics Quarterly, 19(Special Issue), 119-144.
  2. Anderson, S. (2005). Making medicines: A brief history of pharmacy and pharmaceuticals. Pharmaceutical Press.
  3. Arza, V; López, A; Montes-Rojas, G; Pascuini, P. (2023). In the name of TRIPS: The impact of IPR harmonisation on patent activity in Latin America. Research Policy, 52(6), 104759. https://doi.org/10.1016/j.respol. 2023.104759.
  4. Azlinda Abdul Samad; Abdul Samad Abdul Ghani. (2023). corporate crime in the pharmaceutical industry: Why we must be concerned. JUUM, 32, 3–12. https://doi.org/10.17576/juum-2023-32-01.
  5. Calboli, I. (2022). Intellectual property exhaustion and parallel imports of pharmaceuticals: A comparative and critical review. In C. M. Correa & R. M. Hilty (Eds), Access to Medicines and Vaccines. Springer. https://doi.org/10.1007/978-3-030-83114-1_2
  6. Colin, F (2021). Introduction to geopolitics (4th ed.). Routledge, Taylor and Francis Group.
  7. Correa, C. (2020). Trade related aspects of intellectual property rights: A commentary on the TRIPS agreement. Oxford University Press.
  8. De Menezes, H. Z. (2021). The TRIPS waiver proposal: An urgent measure to expand access to the COVID-19 vaccines. Research Paper, No. 129, South Centre, Geneva.
  9. Dichtel, H. (2023). The evolution of pharmaceuticals: advancements, challenges, and the future of healthcare. Perspective - Pharmaceutical Bio processing, 11(6), 122-123. https://doi.org/10.37532/2048-9145.2023.11 (6).
  10. Geng, Q; Lo, K. (2024). Geopolitical strategies and transnational environmental governance: A comparative study of international NGOs in Cambodia. Geoforum, 154, 104063. https://doi.org/10.1016/j.geoforum. 2024.104063.
  11. Goes, C; Bekkers, E. (2022). The impact of geopolitical conflict on trade, growth, and innovation. Economic Research and Statistic Division. https://www.wto.org/english/res_e/reser_e/ersd202209_e.pdf.
  12. Grabowski, H. G; DiMasi, J. A; Long, G. (2015). The roles of patents and research and development incentives in biopharmaceutical innovation. Health Affairs, 34(2), 302–310. https://doi.org/10.1377/hlthaff.2014.1047.
  13. Gupta, H; Kumar, S; Roy, S; Gaud, R. (2010). Patent protection strategies. Journal of Pharmacy and Bioallied Sciences, 2(1), 2. https://doi.org/10.4103/0975-7406.62694.
  14. Hutchinson, T. (2015). The doctrinal method: Incorporating interdisciplinary methods in reforming the law. Erasmus Law Review, 8(3), 130. https://doi.org/10.5553/ELR.000055.
  15. Ifa Sirrhu Samsudin; Ramalinggam Rajamanickam; Rohaida Nordin. (2022). Roles of human rights bodies on chain remand complaints in Malaysia. Cogent Social Sciences, 8(1), 2095079. https://doi.org/10.1080/ 23311886 .2022.2095079
  16. Japan Patent Office. Asia-Pacific Industrial Property Centre, JIII. Introduction to TRIPS Agreement. https://www.jpo.go.jp/e/news/kokusai/ developing/training/textbook/document/index/TRIPsAgreement.pdf.
  17. Kartal M. (2007). Intellectual property protection in the natural product drug discovery, traditional herbal medicine and herbal medicinal products. Phytother Res, 21(2), 113-9. https://doi.org/10.1002/ptr.2036.
  18. Kesselheim, A. S. (2007). Intellectual property policy in pharmaceutical sciences: The effect of inappropriate patents and market exclusivity extensions on the health care system. The AAPS Journal, 9(3), 306-11, https://doi.org/10.1208/aapsj0903033.
  19. Lu, Y; Hernandez, P; Abegunde, D. (2011). Medicine expenditures. In WHO. The World Medicines Situation 2011. 3rd edition. World Health Organization. http://apps.who.int/medicinedocs/documents/s18767en/s 1876 7en.pdf.
  20. Martina, M. (2024). US lawmakers call for sanctions on China's WuXi AppTec biotech firm. Reuters. https://www.reuters.com/business/healthcare-pharmaceuticals/us-lawmakers-call-sanctions-chinas-wuxi-apptec-biotech-firm-2024-02-12/.
  21. McAlevy, J; Lawlor, A. (2021). Turning the tables: Participation & power in negotiation. UC Berkeley Labor Center.
  22. Moerman, L; Van Der Laan, S. (2006). TRIPS and the pharmaceutical industry: Prescription for profit? Critical Perspectives on Accounting, 17(8), 1089-1106. https://doi.org/10.1016/j.cpa.2005.09.001.
  23. Mokhtari Hashi, H. (2020). Interstate rivalries within regional organizations case study: Economic Cooperation Organization (ECO). Geopolitics Quarterly, 16(60), 334-350.
  24. Muhamad Sayuti, H; Rohaida Nordin. (2023). Pengiktirafan hak orang asal di sisi undang-undang: Analisis perbandingan antara Malaysia dengan Filipina dan New Zealand. JUUM, 33, 3-20. https://doi.org./10.17576/juum-2023-33-01.
  25. Muhammad Amirul Hakimie Bin Romainoor, Ahmad Muhammad Amirul Fawwaz Bin Mohamad Khairi, Muhamad Sayuti Hassan, & Zainab Kadhim Motlag Al Marzog. (2023). Jurisprudence and its relation to Malaysia political scene. Geopolitics Quarterly, 19(Special Issue), 22-36.
  26. Noor Azlina Che Hasan; Muhamad Helmi Md. Said; Fatimah Yusro Hashim. (2022). Penjagaan bersama melalui konsep perkongsian keibubapaan: Satu tinjauan kepada undang-undang keluarga Australia dan Sweden. JUUM, 31, 31-45. https://doi.org/10.17576/juum-2022-31-03.
  27. Nor Ashikin Mohd Yusof. (2009). Biotechnology Law policy for developing countries: The third patentability requirement is still a constraint. JUUM, 13, 170-190. https://ejournal.ukm.my/juum/article/view/7565/3084.
  28. Oliveira, M. A; Bermudez, J. A. Z; Chaves, G. C; Velásquez, G. (2004). Has the implementation of the TRIPS Agreement in Latin America and the Caribbean produced intellectual property legislation that favours public health? Bulletin of the World Health Organization, 82(11), 815-821.
  29. Piscitello, A. S. (n.d.). Twenty-five years since TRIPS: Patent policy and international business. Journal of International Business Policy, 3(4). https://www.doi.org/10.1057/s42214-020-00079-1.
  30. Qunaj, L; Kaltenboeck, A; Bach, P.B. (2022). Compulsory licensing of pharmaceuticals in high‐income countries: A comparative analysis. The Milbank Quarterly, 100(1), 284-313. https://doi.org/10.1111%2F1468-0009.12557.
  31. Rasooli Saniabadi, E. (2022). China’s reaction to external threats from the perspective of foreign policy and international politics theories. Geopolitics Quarterly, 18(68), 202-225.
  32. Roberts, M. J; Reich, M.R. (2011). Pharmaceutical reform. A guide to improving performance and equity. The World Bank.
  33. Rohaida Nordin; Norainina Shariful Anuar; Nur Syafiqah Izzati Zahari; Norizan Abdul Samad Uthayasoorian. (2021). Hak orang asal berkaitan dengan pengambilalihan tanah: Kajian perbandingan antara Malaysia dengan Filipina. KANUN: Jurnal Undang-Undang Malaysia, 33(1), 1-28.
  34. Sajanee Sukumaran, Yuh, H. C., Rizal Rahman, & Kadhim, A. A. (2023). Jurisprudence concerning ‘fake news’ and related concepts in Malaysia. Geopolitics Quarterly, 19(Special Issue), 79-99.
  35. Singh, R. (2004). Law relating to intellectual property: A complete comprehensive material on intellectual property covering acts, rules, conventions, treaties, agreements, case Law and much more. Universal Law Publishing.
  36. (2022). Market share of leading 10 national pharmaceutical markets worldwide in 2022.
  37. Subhan, J. (2006). Scrutinized: The TRIPS agreement and public health. McGill Journal of Medicine: MJM, 9(2), 152-159.
  38. Taylor, D. (2015). The pharmaceutical industry and the future of drug development. In R. E. Hester & R. M. Harrison. Pharmaceuticals in the Environment (pp. 1-33). The Royal Society of Chemistry.
  39. Trihastuti, N; Hananto, P. W. H; Prabandari, A. P; Salawati Mat Basir, Pratama, A. A; Puteri, E. A.P. (2024). The impact of environmental terrorism on land degradation: legal comparative studies between Indonesia and Malaysia. Journal of Property, Planning and Environmental Law, 16(2), 105-116. https://doi.org/10.1108/JPPEL-05-2023-0023.
  40. TRIPS agreement. Pp 319 – 351.
  41. UHC Technical Brief. Country Experiences in using TRIPS safeguards: Part I. World Health Organization Publication. https://iris.who.int/bitstream/ handle/10665/272977/Country-experiences-TRIPS Part1.pdf? Sequence=1.
  42. Urias, E; Ramani, S.V. (2020). Access to medicines after TRIPS: Is compulsory licensing an effective mechanism to lower drug prices? A review of the existing evidence. Journal of International Business Policy, 3(4), 367-384. https://doi.org/10.1057%2Fs42214-020-00068-4.
  43. Vaculchuk, R; Overland, I; Scholten, D. (2020). Renewable energy and geopolitics: A review. Renewable and Sustainable Energy Reviews, 122. https://doi.org/10.1016/j.rser.2019.109547.
  44. WHO, World Bank, Global Alliance on Vaccines Initiative (GAVI), Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM). (2009). Monitoring and Evaluation of Health Systems Strengthening. An Operational Framework. Geneva: WHO.
  45. World Health Organization. (2017). TRIPS, intellectual property rights and access to medicines. https://iris.who.int/bitstream/handle/10665/258915/ TRIPS .pdf?sequence=1.
  46. Wujie, X. (2023). The impact of geopolitical risks and international relations on inbound tourism——evidence from China and key source countries. Cogent Social Sciences, 9(2), 1-30. https://www.doi.org/10.1080/23311886 .2023.2285244.
  47. Zinatul Ashiqin Zainol. (2011). Pharmaceutical patents and access to essential medicines in sub-Saharan Africa. African Journal of Biotechnology, 10. https://www.doi.org/10.5897/AJB11.1052.
Volume 20, Special Issue
Autumn 2024
Pages 23-42

  • Receive Date 19 August 2024
  • Revise Date 23 October 2024
  • Accept Date 02 December 2024