scholarly journals Intellectual property and access to medicines: mapping public attitudes toward pharmaceuticals during the United States-Mexico-Canada Agreement (USMCA) negotiation process

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Anna S. Y. Wong ◽  
Clarke B. Cole ◽  
Jillian C. Kohler
Keyword(s):  
United States ◽  
Pharmaceutical Industry ◽  
Access To Medicines ◽  
The United States ◽  
Negotiation Process ◽  
Public Consultation ◽  
Trade Negotiation ◽  
Consultation Process ◽  
The Public ◽  
United States Mexico

Abstract Background Transparency and accountability are essential components at all stages of the trade negotiation process. This study evaluates the extent to which these principles were upheld in the United States’ public consultation process during the negotiation of the United States-Mexico-Canada Agreement (USMCA), with respect to public comments about the pharmaceutical sector and access to medicines. Results The public consultation process occurred before the start of official negotiations and was overseen by the Office of the United States Trade Representative (USTR). It included both written comments and oral testimony about US trade negotiation objectives. Of the written comments that specifically discussed issues relating to pharmaceuticals, the majority were submitted by private individuals, members of the pharmaceutical industry, and civil society organizations. Nearly all comments submitted by non-industry groups indicated that access to medicines was a priority issue in the renegotiated agreement, with specific reference to price affordability. By contrast, more than 50% of submissions received from members or affiliates of the pharmaceutical industry advocated for strengthened pharmaceutical intellectual property rights, greater regulatory data protections, or both. This study reveals mixed outcomes with respect to the level of transparency achieved in the US trade negotiation process. Though input from the public at-large was actively solicited, the extent to which these comments were considered in the content of the final agreement is unclear. A preliminary comparison of the analyzed comments with the USTR’s final negotiating objectives and the final text of the USMCA shows that several provisions that were advanced exclusively by the pharmaceutical industry and ultimately adopted in the final agreement were opposed by the majority of non-industry stakeholders. Conclusions Negotiators could increase public transparency when choosing to advance one competing trade objective over another by actively providing the public with clear rationales for their negotiation positions, as well as details on how public comments are taken into account to form these rationales. Without greater clarity on these aspects, the public consultation process risks appearing to serve as a cursory government mechanism, lacking in accountability and undermining public trust in both the trade negotiation process and its outcomes.

scholarly journals NAFTA Is Renegotiated and Signed by the United States

2019 ◽  
Vol 113 (1) ◽  
pp. 150-159 ◽  
Keyword(s):  
United States ◽  
Dairy Products ◽  
Free Trade Agreement ◽  
Dispute Settlement ◽  
Trade Agreement ◽  
The United States ◽  
Negotiation Process ◽  
Rules Of Origin ◽  
The North ◽  
United States Mexico

A twenty-four-year-old agreement was reborn on October 1, 2018, when President Trump announced that the North American Free Trade Agreement (NAFTA) had been successfully renegotiated. The deal came after an arduous, year-long negotiation process that almost left Canada behind. As one indicator of its contentiousness, the deal lacks an agreed-upon name, but the United States is referring to it as the United States-Mexico-Canada Agreement (USMCA). It keeps some key NAFTA provisions mostly the same, including with respect to state-to-state dispute resolution, but eliminates, modifies, and adds other provisions. Among the changes: investor-state dispute settlement has been eliminated as between the United States and Canada; rules of origin for automobiles and rules for U.S. dairy products have been modified; and new provisions address labor protections, intellectual property rights, rights for indigenous persons, rules for trade negotiations with non-market countries, and the agreement's termination. The agreement was formally signed by the leaders of all three countries on November 30, 3018. It must be approved through the domestic ratification procedures of the three countries before it enters into force.

scholarly journals The American Democratic Deficit in Assisted Reproductive Technology Innovation

2019 ◽  
Vol 45 (2-3) ◽  
pp. 130-170
Author(s):  
Myrisha S. Lewis
Keyword(s):  
United States ◽  
Assisted Reproductive Technology ◽  
Public Discourse ◽  
Technology Innovation ◽  
The United States ◽  
Reproductive Technology ◽  
Public Consultation ◽  
Democratic Deficit ◽  
The Public ◽  
The United Kingdom

In many areas of innovation, the United States is a leader, but this characterization does not apply to the United States' position in assisted reproductive technology innovation and clinical use. This article uses a political science concept, the idea of the “democratic deficit” to examine the lack of American public discourse on innovations in ART. In doing so, the article focuses on America's missing public consultation in health care innovation. This missing discourse is significant, as political and ethical considerations may impact regulatory decisions. Thus, to the extent that these considerations are influencing the decisions of federal agency employees, namely those who work within the U.S. Food and Drug Administration, the public is unable to participate in the decision-making process. This lack of a public discourse undermines the goals of the administrative state, which include democratic participation, transparency, and accountability.The United Kingdom, on the other hand, has had a markedly divergent experience with assisted reproductive technology innovation. Instead of ignoring the various ethical, social, and legal issues surrounding assisted reproductive technology innovation, the United Kingdom engaged in a five-strand public consultation on the topic of mitochondrial transfer, a form of assisted reproductive technology that uses genetic modification in order to prevent disease transmission. This article argues that after a multi-decade standstill in terms of the public discourse related to ethical issues associated with assisted reproductive technology and germline modification, it is time for the United States to institute a more democratic inquiry into the scientific, ethical, and social implications of new forms of assisted reproductive technology and ultimately, forthcoming medical innovations that involve genetic modification.

scholarly journals The Study’s Origins and Methodology

2021 ◽  
pp. 9-16
Author(s):  
Daniela Bandelli
Keyword(s):  
United States ◽  
Women's Movement ◽  
Public Discourse ◽  
The United States ◽  
Theoretical Framework ◽  
International Debate ◽  
The Public ◽  
Key Concepts ◽  
The Subject ◽  
United States Mexico

AbstractThis chapter discusses the origin, spirit, objectives and methodology of this study on the surrogacy international debate. The aim of this study is to explain the politics of signification on surrogacy carried out especially by the women’s movement, verifying how it is contributing to the public discourse and policies on the subject, how it is being organized, as well as dividing, and how the proposed instances fit into global discourses and are recontextualized on the basis of social specificities. These aims are pursued through three case studies in the United States, Mexico and Italy. The key concepts of the theoretical framework of the research will also be described in this chapter, such as: the women’s movement, diagnostic and prognostic frames.

Interests Not Passions: Mexican-American Attitudes toward Mexico, Immigration from Mexico, and Other Issues Shaping U.S.-Mexico Relations

1998 ◽  
Vol 32 (2) ◽  
pp. 401-422 ◽  
Author(s):  
Rodolfo O. De La Garza ◽  
Louis DeSipio
Keyword(s):  
United States ◽  
Mexican Americans ◽  
Mexican American ◽  
The United States ◽  
Political Leaders ◽  
Policy Issues ◽  
The Public ◽  
Policy Attitudes ◽  
Political Interests ◽  
United States Mexico

As Mexico has become more significant to the United States in the past decade, political leaders on both sides of the border have raised questions regarding the role that the Mexican-origin population of the United States will play in U.S.-Mexico relations. Will they become, as many Americans fear and Mexican officials hope, an ethnic lobby mobilized around policy issues affecting Mexico? Or will they abandon home-country political interests while maintaining a strong cultural identity? This article examines Mexican-American attitudes toward Mexico and toward the public policy issues that shape United States-Mexico relations. Our analysis suggests that Mexican Americans have developed policy attitudes that diverge from those of Mexico. Yet, the relationships of Mexican Americans to the United States and to Mexico are sufficiently volatile to suggest caution in concluding that Mexican Americans will take no role in shaping relations between the two countries.

It is time to change US trade policy to foster access to medicines

2020 ◽  
Vol 9 (1) ◽  
pp. 25-27
Author(s):  
Maria Fabiana Jorge
Keyword(s):  
United States ◽  
At Risk ◽  
Trade Policy ◽  
Critical Role ◽  
Access To Medicines ◽  
The United States ◽  
Drug Prices ◽  
Us Trade Policy ◽  
United States Mexico ◽  
United States Trade

While Americans are deeply concerned about drug prices, the United States Trade Representative (USTR) continues to negotiate agreements like the United States-Mexico-Canada Agreement (USMCA) that put at risk the sustainability of the generics industry and undermine the development of biosimilars that play a critical role in access to medicines. It is time to restore some balance to US trade policy.

Verán ustedes las chozas más humildes. El discurso de pobreza en la diplomacia pública cardenista dirigida a Estados Unidos

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel
Keyword(s):  
United States ◽  
New Deal ◽  
Public Diplomacy ◽  
The United States ◽  
The Public ◽  
The Poor ◽  
The Face ◽  
The Government ◽  
Lazaro Cardenas ◽  
The New Deal

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.

Interaction of Ukrainian Diaspora and the USA Government Regarding Celebration of Ukrainian Independence Day on January 22

2018 ◽  
Vol 1 (47) ◽  
pp. 136-145
Author(s):  
Halyna Shchyhelska
Keyword(s):  
United States ◽  
House Of Representatives ◽  
The United States ◽  
100Th Anniversary ◽  
Totalitarian Regime ◽  
The Public ◽  
Us Congress ◽  
The Us ◽  
Public Consciousness ◽  
The Usa

2018 marks the 100th anniversary of the proclamation of Ukrainian independence. OnJanuary 22, 1918, the Ukrainian People’s Republic proclaimed its independence by adopting the IV Universal of the Ukrainian Central Rada, although this significant event was «wiped out» from the public consciousness on the territory of Ukraine during the years of the Soviet totalitarian regime. At the same time, January 22 was a crucial event for the Ukrainian diaspora in the USA. This article examines how American Ukrainians interacted with the USA Government institutions regarding the celebration and recognition of the Ukrainian Independence day on January 22. The attention is focused on the activities of ethnic Ukrainians in the United States, directed at the organization of the special celebration of the Ukrainian Independence anniversaries in the US Congress and cities. Drawing from the diaspora press and Congressional Records, this article argues that many members of Congress participated in the observed celebration and expressed kind feelings to the Ukrainian people, recognised their fight for freedom, during the House of Representatives and Senate sessions. Several Congressmen submitted the resolutions in the US Congress urging the President of United States to designate January 22 as «Ukrainian lndependence Day». January 22 was proclaimed Ukrainian Day by the governors of fifteen States and mayors of many cities. Keywords: January 22, Ukrainian independence day, Ukrainian diaspora, USA, interaction, Congress

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