Intellectual Property and the Politics of Public Good during COVID-19: Framing Law, Institutions, and Ideas during TRIPS Waiver Negotiations at the WTO.

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Sara E Fischer, Lucia Vitale, Akinyi Lisa Agutu, Matthew M Kavanagh
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Abstract

Context: To facilitate the manufacturing of COVID-19 medical products, in October 2020 India and South Africa proposed a waiver of certain intellectual property (IP) provisions of a World Trade Organization (WTO) agreement. After nearly two years, a narrow waiver agreement that did little for vaccine access passed the ministerial despite the pandemic's impact on global trade, which the WTO is mandated to safeguard.

Methods: The authors conducted a content analysis of WTO legal texts, key-actor statements, media reporting, and the WTO's procedural framework to explore legal, institutional, and ideational explanations for the delay.

Findings: IP waivers are neither legally complex nor unprecedented within WTO law, yet these waiver negotiations exceeded their mandated 90-day negotiation period by approximately 18 months. Waiver opponents and supporters engaged in escalating strategic framing that justified and eventually secured political attention at head-of-state level, sidelining other pandemic solutions. The frames deployed discouraged consensus on a meaningful waiver, which ultimately favored the status quo that opponents preferred. WTO institutional design encouraged drawn-out negotiation while limiting legitimate players in the debate to trade ministers, empowering narrow interest group politics.

Conclusions: Despite global political attention, the WTO process contributed little to emergency vaccine production, suggesting a pressing need for reforms aimed at more efficient and equitable multilateral processes.

COVID-19 期间的知识产权与公益政治:世界贸易组织《与贸易有关的知识产权协议》豁免谈判期间的法律、制度和理念框架》。
背景:为促进 COVID-19 医疗产品的生产,印度和南非于 2020 年 10 月提议放弃世界贸易组织 (WTO) 协议中的某些知识产权 (IP) 条款。经过近两年的时间,尽管大流行病对全球贸易产生了影响,而世贸组织的任务就是维护全球贸易,但一项对疫苗获取几乎没有帮助的狭隘豁免协议还是在部长级会议上获得通过:作者对世贸组织的法律条文、关键人物的声明、媒体报道和世贸组织的程序框架进行了内容分析,以探讨造成延误的法律、制度和意识形态方面的原因:知识产权豁免在法律上既不复杂,在世贸组织法律中也没有先例,但这些豁免谈判却比规定的 90 天谈判期超出了约 18 个月。放弃谈判的反对者和支持者采用了不断升级的战略框架,以证明其合理性,并最终赢得了国家元首的政治关注,将其他大流行病解决方案置于一边。所采用的框架阻碍了就有意义的豁免达成共识,最终有利于反对者所希望的现状。世贸组织的制度设计鼓励了旷日持久的谈判,同时将辩论中的合法参与者限制在贸易部长范围内,增强了狭隘利益集团政治的力量:尽管受到全球政治关注,但世贸组织进程对紧急疫苗生产的贡献甚微,这表明迫切需要进行旨在提高多边进程效率和公平性的改革。
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来源期刊
CiteScore
7.30
自引率
7.10%
发文量
46
审稿时长
>12 weeks
期刊介绍: A leading journal in its field, and the primary source of communication across the many disciplines it serves, the Journal of Health Politics, Policy and Law focuses on the initiation, formulation, and implementation of health policy and analyzes the relations between government and health—past, present, and future.
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