Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models

Pharmaceutical products have contributed to longer life expectancy and better quality of life in Latin America and the Caribbean. However, they often account for a significant share of household expenditures, especially among the poor and those fac...

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Main Authors: Vargas, Veronica, Rama, Martin, Singh, Rucheta
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2022
Subjects:
Online Access:http://documents.worldbank.org/curated/undefined/766131641877985994/Pharmaceuticals-in-Latin-America-and-the-Caribbean-Players-Access-and-Innovation-Across-Diverse-Models
http://hdl.handle.net/10986/36871
id okr-10986-36871
recordtype oai_dc
spelling okr-10986-368712022-01-25T05:10:47Z Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models Vargas, Veronica Rama, Martin Singh, Rucheta PHARMACEUTICAL INDUSTRY INTELLECTUAL PROPERTY RIGHTS REGULATORY OVERSIGHT PUBLIC PROCUREMENT SCIENTIFIC CAPACITY PHARMACEUTICAL TRADE Pharmaceutical products have contributed to longer life expectancy and better quality of life in Latin America and the Caribbean. However, they often account for a significant share of household expenditures, especially among the poor and those facing catastrophic health shocks. And they are not always accessible, as dramatically exposed by the Covid-19 pandemic. This mixed record can be linked to the workings of the pharmaceutical sector, an issue that has not received much attention in policy discussions. This paper identifies the sector’s key domestic and foreign players, and analyzes its local output, international trade, and price levels. It also documents government policies, including intellectual property rights, regulatory oversight, and public procurement. An important contribution of the paper is to show the significant scientific capacity of the region, especially in relation to biological products - including vaccines - whose intrinsic heterogeneity challenges intellectual property rights protection. Based on this diagnosis, the paper flags three sets of issues for policy makers to consider. Relatively uncontroversial measures include strengthening regulatory authorities, promoting the use of generics, and upgrading public procurement. Other areas, such as supporting R and D and regulating prices, involve tradeoffs. Finally, there are strategic choices to be made, with some countries in the region favoring stringent intellectual property rights, while others support national champions or rely on state entrepreneurship. 2022-01-24T20:35:35Z 2022-01-24T20:35:35Z 2022-01-03 Working Paper http://documents.worldbank.org/curated/undefined/766131641877985994/Pharmaceuticals-in-Latin-America-and-the-Caribbean-Players-Access-and-Innovation-Across-Diverse-Models http://hdl.handle.net/10986/36871 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Latin America & Caribbean Caribbean Latin America
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic PHARMACEUTICAL INDUSTRY
INTELLECTUAL PROPERTY RIGHTS
REGULATORY OVERSIGHT
PUBLIC PROCUREMENT
SCIENTIFIC CAPACITY
PHARMACEUTICAL TRADE
spellingShingle PHARMACEUTICAL INDUSTRY
INTELLECTUAL PROPERTY RIGHTS
REGULATORY OVERSIGHT
PUBLIC PROCUREMENT
SCIENTIFIC CAPACITY
PHARMACEUTICAL TRADE
Vargas, Veronica
Rama, Martin
Singh, Rucheta
Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
geographic_facet Latin America & Caribbean
Caribbean
Latin America
description Pharmaceutical products have contributed to longer life expectancy and better quality of life in Latin America and the Caribbean. However, they often account for a significant share of household expenditures, especially among the poor and those facing catastrophic health shocks. And they are not always accessible, as dramatically exposed by the Covid-19 pandemic. This mixed record can be linked to the workings of the pharmaceutical sector, an issue that has not received much attention in policy discussions. This paper identifies the sector’s key domestic and foreign players, and analyzes its local output, international trade, and price levels. It also documents government policies, including intellectual property rights, regulatory oversight, and public procurement. An important contribution of the paper is to show the significant scientific capacity of the region, especially in relation to biological products - including vaccines - whose intrinsic heterogeneity challenges intellectual property rights protection. Based on this diagnosis, the paper flags three sets of issues for policy makers to consider. Relatively uncontroversial measures include strengthening regulatory authorities, promoting the use of generics, and upgrading public procurement. Other areas, such as supporting R and D and regulating prices, involve tradeoffs. Finally, there are strategic choices to be made, with some countries in the region favoring stringent intellectual property rights, while others support national champions or rely on state entrepreneurship.
format Working Paper
author Vargas, Veronica
Rama, Martin
Singh, Rucheta
author_facet Vargas, Veronica
Rama, Martin
Singh, Rucheta
author_sort Vargas, Veronica
title Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
title_short Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
title_full Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
title_fullStr Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
title_full_unstemmed Pharmaceuticals in Latin America and the Caribbean : Players, Access, and Innovation Across Diverse Models
title_sort pharmaceuticals in latin america and the caribbean : players, access, and innovation across diverse models
publisher World Bank, Washington, DC
publishDate 2022
url http://documents.worldbank.org/curated/undefined/766131641877985994/Pharmaceuticals-in-Latin-America-and-the-Caribbean-Players-Access-and-Innovation-Across-Diverse-Models
http://hdl.handle.net/10986/36871
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