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March 14, 2018

India is witnessing a steady decline of public sector capacity for manufacture of drugs and vaccines. In this context, discuss the significance of public sector in ensuring universal accessibility and affordability of drugs. (200 words)

Refer – The Hindu

Enrich the answer from other sources, if the question demands.

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IAS Parliament 7 years

KEY POINTS

·         The growth of Private drug industry has led to the decline and near disappearance of public sector capacity for manufacture of drugs and vaccines. 

Significance of public sector

·         The existence of PSUs in drug manufacturing sectors would provide an opportunity to utilise the provision of Compulsory Licensing under TRIPS.

·         Compulsory licences need to be issued by the government for patent protected drugs or even off-patent drugs which are commercially unattractive to private manufacturers.

·         If the domestic private sector drug manufacturers are not ready to apply for CL, public sector capacity to seek and utilise such licences becomes indispensable.

·         The role of PSUs will offer an opportunity to produce drug volumes for use in primary and secondary care facilities as well as help in ‘benchmarking’ drug costs.

·         Effective implementation of the Ayushman Bharat initiative calls for investment in expanding public sector capacity for producing essential drugs.

·         Drugs for neglected tropical diseases are of little interest to the commercially driven private drug industry.

·         Enhancing public sector capacity is also essential in such scenario.

·         Active pharmaceutical ingredients (APIs), which are needed for drug manufacture (formulation), are now mostly imported from China.

·         This makes India highly vulnerable to disruptions in supply and cost escalations in import.

·         National security demands the development of both public and private sector capacity within the country, with suitable government support and incentives, to ensure uninterrupted and inexpensive availability of APIs.

·         Thus, active public sector capacity is needed to ensure that Indians are not denied access to essential drugs.

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