解决发展中世界的公共卫生危机:获得基本药物的问题和障碍

B. Mercurio
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引用次数: 14

摘要

本文审查了造成并继续使发展中国家持续存在的健康危机永久化的许多因素。在这样做的过程中,这篇文章将揭示对专利监管的关注在很大程度上是被误导的,并且针对制药公司和TRIPS协议已经导致了与影响向发展中国家提供急需的护理和药品的实际关键问题的不幸背离。文章随后认为,关键问题不在于制定适当的TRIPS条款,而在于为那些遭受公共卫生危机的发展中国家提供财政资源,以建立、维持和稳定适当的医疗保健系统。这篇文章并没有完全免除制药公司的责任,也没有声称TRIPS在任何情况下都能在创造者和使用者之间取得适当的平衡,但是关于这两个问题已经有很多文章了。相反,本文侧重于并审查为缓解当前公共卫生问题而可能采取的解决办法或举措,并根据影响发展中国家的特殊情况和环境评估其实用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resolving the Public Health Crisis in the Developing World: Problems and Barriers of Access to Essential Medicines
This article examines the many factors that have created and continue to perpetuate the ongoing health crisis in developing countries. In so doing, the article will reveal that the focus on patent regulation is largely misguided and that the targeting of pharmaceutical companies and TRIPS has led to an unfortunate divergence from the actual critical issues that affect the delivery of much-needed care and medicines to the developing world. The article then argues that the critical issues lie not in constructing appropriate TRIPS provisions, but more so in providing financial resources to build, maintain and stabilize proper healthcare systems in those developing countries afflicted with public health crises. This article does not fully absolve pharmaceutical companies from blame nor does it claim that TRIPS strikes the appropriate balance between creators and users in every situation, but much has already been written on these two issues. Instead, this article focuses on and examines possible solutions or initiatives that may be adopted to alleviate the current public health problems and assesses their practicability in light of the particular situations and circumstances affecting the developing world.
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