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During the anthrax attacks,
Bayer AG, the German pharmaceutical giant and manufacturer of the
anthrax-fighting drug Cipro, experienced a windfall. The sudden demand
for Cipro could not have come at a better time for a company that had
been in a slump and was hemorrhaging due to a considerable
operating-profit shortfall. The financial press's accounts of how Bayer
was scouting for bailout partners soon gave way to detailing Bayer's
moves to triple its production of Cipro. With Cipro, Bayer was vying for
some of the $643 million the Bush administration had planned to put
toward increasing stockpiles of antibiotics.
Scrambling to fill every
order placed by government, Bayer ran its facilities 24 hours a day,
seven days a week; placed its Connecticut plant on an accelerated
production schedule; and even reopened a defunct German plant. The
likelihood, however, that Bayer would ever meet consumer demand for
Cipro is slim, if not anorexic.
In a command economy,
government decides when the demand for anthrax tablets has been
satisfied, but not in a free market. In a free market, consumers direct
supply and demand. And in a free market, increased demand leads to
increased supply, as producers compete with one another to meet the
demand. When the demand for Cipro has approximated the supply of Cipro,
buyers—not the government—will have indicated their needs have been
satisfied. But Bayer's promise to triple the production of Cipro—cranking
out 200 million tablets over the next three months—may do little to
satisfy a temporary demand driven by almost as many Americans.
When there is a shortage of a
good, it is safe to say that it is a result of government incursion into
the economy. In the Cipro shortfall, the likely culprits are Food and
Drug Administration regulations and the patent system. FDA regulations
go some distance toward explaining why our choices are limited so as to
make Cipro the only drug that has been approved for the treatment of the
inhaled—and the most lethal—form of anthrax. But FDA regulation—which
has been streamlined in recent years in order to allow for the
introduction of various AIDS drugs—does not explain why, once a shortage
has occurred in an already approved drug, the self-regulating market
mechanisms cannot kick in to overcome the scarcity.
In contrast, the patent
system hasn't changed significantly in terms of the length of the patent
granted. As bad as FDA regulation is, patent law constitutes even more
of a barrier to entry into the pharmaceutical market. In the case of
Cipro, the acute scarcity of the drug is indeed a creation of the law.
The anthrax panic, preceded by the events of September 11, has served to
amplify the manner in which patents subvert the market and invite—even
require—further central planner tinkering.
How would consumer demand
have been heeded in a market unhampered by patent? The same events that
have hitherto occurred would have unfolded; the sudden urgent demand for
the drug would have been followed by a shortfall of supply. Large demand
and short supply would initially send the price of Cipro rocketing.
Profits in an unhampered pharmaceutical market would signal to the many
drug makers that it's time to enter into Cipro production.
These processes have all
transpired, save one: Drug makers are not permitted to respond to one of
the street signs of the free market, to profits. The law prohibits
pharmaceutical companies from competing for Cipro market share,
supplying the demand, and, in the process of creating competition,
dealing a blow to the Bayer monopoly price tag. Because of specific
patents Bayer has obtained, other companies cannot bring supply and
demand into equilibrium, thus satisfying buyers.
Whether one thinks that
granting to an inventor a near 20-year monopoly on the manufacture, use,
or sale of a product is the right thing to do, is quite apart from
acceding that a patent places a barrier on entry into the market. This
barrier is the essence of monopoly. Capturing a large market share by
pleasing consumers does not a monopolist make. But appealing to
government for a grant of privilege that gives the rent-seeker the legal
power to restrict access into the market, so that he is undeterred by
competition, qualifies. Ensuring that there is only one price and that a
competitive price—a function of the presence of other sellers in the
market—cannot arise is also the practice of a monopolist.
While making her something of
an untouchable to the international pharmaceutical kingpins, certain
provisions in India's patent law account for a thriving generics
industry. Compare the monopoly price of $350 U.S. for a course of Cipro
to the roughly $20 per course of treatment set by profitable Indian
generic companies. The patent has survived challenges, which would
explain why, in turn, the monopoly price remains unchallenged. In the
absence of competition, the product's high price does not markedly
reduce sales or force a market adjustment on the seller. This patent has
pretty much guaranteed that Bayer reaps a considerable profit
irrespective of price or less-than-robust sales.
On how the patent holder can
generate scarcity and draw a monopoly profit, the distinguished free-market
economist Sir Arnold Plant wrote: "Whereas in general the institution of
private property makes for the preservation of scarce goods, property
rights in patents . . . make possible the creation of a scarcity of the
products appropriated which could not be otherwise maintained." In his
1974 essay "Property and Ownership," Plant noted that the legislator
enables the beneficiary of a patent to secure an income from the
monopoly conferred upon him by restricting the supply in order to raise
the price. A patent, in effect, allows an inventor to forcibly prevent
others from practicing the patented invention, even if another inventor
arrived at the invention independently, an exceedingly common
occurrence. Merely arriving first at the patent office can give inventor
A a legal edge over inventor B, who stumbled in five minutes later. Try
as it may, the law fails to address the moral claim to practice an
invention that inventor B can assert.
The moral claim of concurrent
inventors notwithstanding, the fact that Bayer's Cipro patent does not
expire until December 2003, and the fact that Bayer is the only company
that is allowed to produce ciprofloxacin until then, leaves us with the
reality of shortages. There is no telling whether Bayer might relent and
license the drug to other drug makers, thus enabling generics to fill
the demand generated in the aftermath of September 11. The anthrax
threat has, however, drastically altered the consumer's tolerance.
It is the aim of the U.S.
government to be able to treat 12 million people for 60 days of
incubation. This is the calculus of probabilities courtesy of a central
planner. But why is the government justified in facilitating access to
the medication for only a fraction of the population? If every single
paying American wishes to secure a course of Cipro, if only as a
psychological antidote, why not? Tommy Thompson, U.S. Secretary of
Health and Human Services, would like to control what American consumers
access. If the rise in firearm sales in the aftermath of September 11
was anything to go by, Americans were looking out for themselves.
Not content with Bayer's
assurances to meet demand, Sen. Charles Schumer (D-N.Y.) inadvertently
expressed what amounts to unease about the hampered drug market. "I'd
still feel a lot better with several competitors," said the senator,
adding that "it goes without saying that if we increase the number of
manufacturers producing ciprofloxacin, we are more likely to have enough
on hand, should we need it."
The fact that HHS Secretary
Tommy Thompson went ahead and asked Congress to suspend the patent on
Cipro is neither here nor there. It tells us nothing substantive about
the patent system, but it speaks volumes about the nature of government.
It tells us that government can as easily revoke monopoly privileges as
it can revoke genuine liberties. It tells us that when you make the
law—just or unjust—you can also break it.
©2001 By Ilana Mercer
The Ludwig von Mises Institute
October 25 |