Proposed TTIP trade agreement in Europe: Report shows European Commission’s access to medicines commitments are ‘empty gestures’

MSF and HAI press release

On 14 October 2015, Médecins Sans Frontières (MSF) and Health Action International (HAI) published a new report that outlines the threats to global access to medicine in low- and middle-income countries (LMICs) from the proposed new TTIP trade agreement.

Both organisations now urge the European Union to close the gap between its public position to support access to affordable medicines and the current reality of its trade policies, calling EU commitments ‘empty gestures’.

The call comes as MSF and HAI today publish the report, “Empty Gestures: The EU’s Commitments to Access to Medicines”, which outlines clear recommendations for the EU to ensure its policies support access to affordable, safe and effective medicines in LMICs.

MSF and HAI have continuously criticised the EU for imposing intellectual property (IP) rules and measures that go further than the internationally-agreed rules on IP for pharmaceuticals in trade agreements with LMICs, as specified in the World Trade Organization’s Agreement on Trade-related Aspects of Intellectual Property Rights (‘TRIPS agreement’). Measures such as those being imposed by the EU have been shown to increase medicine prices by limiting generic competition, thereby reducing access to affordable medicines.

This is in clear contradiction with the Commission’s stated support for the Doha Declaration on TRIPS and Public Health, which reaffirms that WTO members can make use of the public health related flexibilities of the TRIPS Agreement to promote access to medicines.

“The EU’s long history on pushing LMICs to accept intellectual property protection that exceeds international obligations shows that the Commission’s stated support for access to medicines have so far been empty gestures,” said Tessel Mellema, Policy Advisor with Health Action International. “Instead of putting LMICs on trade watch lists and threatening them with financial sanctions for making use of TRIPS flexibilities to improve access to medicines, the EU should actively support these countries in making effective use of these policy flexibilities.”

The European Commission’s recent decision to support the world’s poorest countries in their request for an indefinite exemption from implementing intellectual property rules on medicines until they are no longer classified as a least- developed country could, however, promise a new, more positive direction for EU trade policies under Commissioner Malmström.

The trade and investment policy review is a long-awaited opportunity for the EU to adopt the necessary corrective measures to ensure that the EU’s trade policy supports, instead of undermines, access to medicines. Given that access to affordable medicines is increasingly also a problem in EU Member States, the HAI/MSF report recommends that a comprehensive ‘access to medicines policy’ that covers areas such as trade, R&D, development and public health should urgently be developed by the Commission. This is needed to ensure that future necessary reforms to the current patent-based innovation model in the EU and elsewhere are not impeded by excessive intellectual property rules in international trade agreements.

The EU is currently engaged in free trade negotiations with the United States and numerous LMICs, including India, Thailand, Mexico, Vietnam, as well as the MERCOSUR region.


As this issue of HTB went to press the 11th round of talks for TTIP were underway in Miami.

The secrecy over the proposals precludes any effective public discussion over the outcome until after they have been signed.

Two examples for how TTIP will strengthen multinational companies over the interest of citizens are: i) the UK would become vulnerable to legal challenges for state-provided NHS services that are not put out to commercial tender; and ii) national health initiatives such as the successful Australian anti-tobacco campaign that led to plain packaging – and reductions in smoking – would be increasingly difficult.


MSF and HAI joint report. Empty Gestures: The EU’s Commitments to Access to Medicines. (14 October 2015). (PDF)

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