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Bush bird flu plan includes windfall for pharmaceuticals giants
By Kate Randall
3 November 2005
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President George W. Bushs announcement Tuesday of a $7.1
billion plan to combat the threat of an avian influenza pandemic
has drawn criticism from scientific experts and the state and
local authorities mandated to implement much of the program.
It is also being exposed as a thinly disguised gift to US pharmaceutical
companies that stand to profit handsomely from the production
of vaccines and treatments for the bird flu under the administrations
plan, while avoiding liability for damages resulting from their
operations.
Bush unveiled the National Strategy for Pandemic Influenza
in a speech Tuesday to doctors, scientists and members of Congress
at the National Institutes of Health in Bethesda, Maryland. Utilizing
the phraseology common since the 9/11 terror attacks, Bush described
the threat of the bird flu as a danger to our homeland,
and urged Congress to fund his proposal.
The threat of a worldwide outbreak of avian flu is genuine.
The H5N1 strain of the virus has already infected 122 people and
killed 62 in four countriesIndonesia, Vietnam, Thailand
and Cambodiaand has contaminated poultry flocks across wide
stretches of Asia and into Europe.
While up to now most human victims appear to have been infected
directly from birds, the danger is that the deadly virus could
mutate into a form easily transmittable between humans. A recent
Science magazine article stated that according to expert
opinion the odds of an eventual global outbreak are 100
percent, posing a danger to millions of lives.
Critics have decried Bushs crash program
as too little, too late. Dr. Allan Rosenfield, dean of the Mailman
School of Public Health at Columbia University in New York, told
Reuters, It should have happened five years ago. To
put the $7.1 billion figure into perspective, it is close to the
amount spent by the US in a month on the war in Iraq. It is also
less than the $8-billion flu preparedness plan passed recently
by the Senate.
It is also a fraction of the $70 billion in additional tax
cuts for the wealthy that Bush and the Republican-controlled Congress
are preparing to enact.
The Bush administrations National Strategy
to fight an avian flu pandemic is not only woefully inadequate,
but promises windfall profits to the giant pharmaceutical interests
while leaving cash-strapped state and local authorities financially
responsible for implementing large portions of the plan.
The overwhelming share of the proposed $7.1 billion$6
billionis earmarked to purchase vaccines and antiviral drugs
and to change the way the vaccines are produced. In particular,
drug manufacturers will receive $2.8 billion to shift from an
older technique that involves inoculating a virus into fertilized
hens eggs to a more efficient approach using cell cultures
to produce vaccines.
Also allocated in these drug-related costs are between $1.2
billion and $1.5 billion to build a 20 million-dose stockpile
of an experimental vaccine (based on the bird flu presently found
in Asia), $1 billion for antiviral medicines, and $800 million
to develop new flu treatments. Only $251 million is slated to
go to affected nations in Asia to monitor the disease and build
new laboratories.
But while the US pharmaceutical companies stand to reap billions,
one of the most sinister aspects of the administrations
plan calls for their protection from legal liability. In his remarks,
Bush said he wants to remove one of the greatest obstacles
to domestic vaccine productionthe growing burden of litigation,
urging Congress to pass liability protection for the makers
of life-saving vaccines.
Administration officials have yet to clearly spell out how
the drug giants would be shielded from this growing burden
of litigation, but the implications are clear: ordinary
citizens suffering sickness or death as a result of the use of
vaccines or flu treatments would be sharply restricted in efforts
to seek legal redress for their injuries. Congress has already
approved limits on the legal liability for drugs and vaccines
used for bio-defense.
While details of how the money is to be doled out have yet
to be released, pharmaceutical companies expressed their delight
at the prospect. Its really an encouraging step,
said Dino Dina, chief executive of Dynavax Technologies of Berkeley,
California, which is developing a drug to increase the effectiveness
of bird-flu vaccines.
Gilead Sciences of Foster City, California, developer of the
antiviral drug Tamiflu, was singled out for mention in Bushs
speech. Gilead stands to make about $50 million from royalties
for Tamiflu, which is manufactured by Roche.
Local and state officials, however, were less enthusiastic.
The plan calls for $644 million to ensure that all levels
of government are prepared, and calls for states to buy
enough antiviral medicine to treat 31 million people, with the
federal government providing a 25 percent subsidy. But Trust for
Americas Health, an advocacy group, calculates that this
amounts to an underfunded mandate of about $510 million.
The National Strategy also allots $100 million
for state and local preparedness in the event of a flu pandemic.
But the Bush administrations budget has already reduced
funding for state and local health departments by $130 million,
so the net result is a $30 million cut in funding.
Commenting on the shortfall for local health authorities, Mary
Selecky, secretary of the Washington State Department of Health,
told the Seattle Post-Intelligencer, I appreciate
that the feds want to stockpile antiviral drugs and improve the
work toward getting a vaccine, but we also need basic support
for state and local public health departments.
The Infectious Diseases Society of America, a professional
organization of disease experts, said in a statement that significant
issues remain to be resolved, including investment in state and
local preparedness, (medical) surge capacity and risk communication.
There is also no funding in Bushs program to counteract
the danger of an inadequate number of hospital beds in the event
of a pandemic. Hospital beds have been slashed in recent years
due to a combination of federal budget cuts and moves by for-profit
health care corporations to boost revenues.
According to a leaked draft of the plan drawn up by the Department
of Health and Human Services (HHS) and obtained by the New
York Times, in the event of a flu outbreak, hospitals would
be overwhelmed, riots would engulf vaccination clinics and power
and food could be in short supply.
In remarks last month, Bush seized on the threat of an avian
flu pandemic to press for legislative changes to grant him de
facto martial law powers in the event of an outbreak. He said
that large numbers of US combat troops could be needed to effect
a quarantine.
In the wake of the Hurricane Katrina disaster, Bush administration
officials have repeatedly urged Congress to repeal or amend the
Posse Comitatus Act, an 1878 statute that bars the use of the
military for domestic policing, except under conditions of a popular
insurrection.
At a news conference Wednesday on the new bird flu plan, HHS
Secretary Mike Leavitt did not indicate whether the government
planned on restricting travel in the event of a pandemic, but
said that the departments of Homeland Security and Transportation
were still considering possible scenarios and plans.
Up to now, one of the major factors contributing to the short
supplies of vaccines and influenza treatments has been their limited
profit potential for pharmaceutical corporations, as compared
to more lucrative profits from the production of drugs for chronic
conditions, such as heart disease, impotence and arthritis.
As in other aspects of social life in America, private ownership,
production for profit and the anarchy of the capitalist market
constitute the central obstacles to an effective and comprehensive
plan to safeguard the people. In the case of the avian flu pandemic
threat, millions of lives are potentially at stake. But the governments
response is to treat it as a pretext for expanding the domestic
use of the military and providing a new windfall for multibillion-dollar
corporations.
See Also:
Bush seizes on flu threat to
press for martial law power
[7 October 2005]
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