{"article":{"id":268520,"heading":"Leaked TPP Trade Bill Healthcare Annex","author":"Stephen Lendman","created":"2015-06-12 13:51:14","modified":"2015-06-12 13:51:14","last_modified":"Fri, 12 Jun 2015 20:51:14","article":"<p>Leaked TPP Trade Bill Healthcare Annex <br><br> by Stephen Lendman <br><br> Proposed Trans-Pacific Partnership (TPP) trade legislation and its companion Transatlantic Trade and Investment Partnership (TTIP) &nbsp;are anti-consumer stealth corporate coup d'etat freedom and ecosystem-destroying measures - nightmarish by any standard. <br><br> They let corporate predators establish unrestricted supranational global trade rules overriding national sovereignty and domestic laws. <br><br> They serve investor rights at the expense of public ones. They permit anything goes for profit. They create a world more unfit to live in than already. <br><br> On June 10, WikiLeaks published the draft TPP Healthcare Annex (so-called Annex on Transparency and Procedural Fairness for Pharmaceutical Products and Medical Devices). <br><br> It establishes pharmaceutical and medical device procurement and reimbursement rules government healthcare authorities must follow. <br><br> Vague language creates opportunities for drug and medical device companies to challenge Medicare and healthcare program procedures of the 12 TPP-bloc countries. <br><br> Consumer friendly policy reforms would be constrained - including the ability of governments to contain rising prices making them unaffordable for millions. <br><br> Big Pharma wants profits protected over public health, said WikiLeaks. It wants them maximized. <br><br> An earlier Healthcare Annex was released in 2011. Some harmful provisions were removed in the latest version. Global Trade Watch (GTW) says serious questions remain unanswered - vital for people to know, including: <br><br> \"What guarantees are there that the TPP's requirements would not override existing procedures for Medicare?\" <br><br> The US Trade Representative's Office (USTR) claims Medicare fully complies with TPP provisions. <br><br> \"Yet (their) ambiguous language...leaves our domestic healthcare policies vulnerable to attack by drug and (medical) device manufacturers,\" said GTW. <br><br> Could companies use Healthcare Annex provisions to cover expensive products \"without a corresponding benefit to public health,\" GTW asked? <br><br> Medicare reimburses for \"reasonable and necessary\" products and treatment. TPP \"recognize(s) the value (of drugs and medical devices through the) operation of competitive markets (or their) objectively demonstrated therapeutic significance\" - regardless of effectiveness or affordability. <br><br> Medicare permits limited reimbursement appeals only. Companies might argue TPP rules permit unrestricted reviews. <br><br> \"Would the TPP constrain pharmaceutical reform efforts in the US,\" asked GTW? Healthcare Annex provisions apply to future coverage determinations as well as current ones. <br><br> Healthcare reform advocates want soaring drug prices curtailed by establishing a \"national formulary\" enabling the government to get substantial discounts passed on to consumers. TPP won't allow it. <br><br> \"Could the inclusion of this Annex in the TPP bolster the case of a pharmaceutical company that is suing the United States,\" asked GTW? <br><br> Investor-State Dispute Settlement procedures have been included in US trade agreements since the 1990s. Foreign companies may challenge government policies - claiming they potentially curtail future profits. In return, they demand \"unlimited sums in taxpayer compensation.\" <br><br> GTW asked if the Healthcare Annex boosts their case - at the expense of the public interest. Companies could claim government policies compromised their profit expectations and demand compensating reimbursement at taxpayers' expense. <br><br> Much about TPP remains secret - vital information people have a right to know. If enacted, Washington wants it extended to all Asia Pacific Economic Cooperation (APEC) members - about 40% of the world's population. <br><br> Attorney Judit Rius Sanjuan for Doctors Without Borders says TPP \"will increase the cost of medicines worldwide, starting with the 12 countries that are negotiating\" TPP. <br><br> Hugely profitable drug companies want unconstrained rights to charge whatever the market will bear. They claim high prices are needed to compensate for billions of dollars spent for research - without acknowledging how much governments in America and elsewhere pay for, passing on scientific research information to drug companies cost-free. <br><br> GTW director Lori Wallach calls the Healthcare Annex leak \"the latest example of why fast-tracking the TPP would undermine the health of Americans and the other countries and cost our government more, all to the benefit of pharma's profits.\" <br><br> Stephen Lendman lives in Chicago. He can be reached at <a href=\"mailto:lendmanstephen@sbcglobal.net\" rel=\"nofollow\">lendmanstephen@sbcglobal.net<\/a>.  <br><br> His new book as editor and contributor is titled \"Flashpoint in Ukraine: US Drive for Hegemony Risks WW III.\" <br><br> <a href=\"http:\/\/www.claritypress.com\/LendmanIII.html\" rel=\"nofollow\">http:\/\/www.claritypress.com\/LendmanIII.html<\/a> <br><br> Visit his blog site at sjlendman.blogspot.com.  <br><br> Listen to cutting-edge discussions with distinguished guests on the Progressive Radio News Hour on the Progressive Radio Network. <br><br> It airs three times weekly: live on Sundays at 1PM Central time plus two prerecorded archived programs. <\/p>\n","contact":"lendmanstephen@sbcglobal.net","link":"sjlendman.blogspot.com","address":"","phone":"","parent_id":0,"mime_type":"text\/plain","summary":"trade","numcomment":0,"fileurl":"\/uploads\/","filesize":null,"article_url":"\/news\/2015\/06\/268520.php"},"attachments":[],"comments":[]}