| Affordable access to essential medication in developing countries: conflicts between ethical and economic imperatives. | |
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MedLine Citation:
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PMID: 11961696 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Recent economic and political advances in developing countries on the African continent and South East Asia are threatened by the rising death and morbidity rates of HIV/AIDS. In the first part of this paper we explain the reasons for the absence of affordable access to essential AIDS medication. In the second part we take a closer look at some of the pivotal frameworks relevant for this situation and undertake an ethical analysis of these frameworks. In the third part we discuss a few of the proposed solutions to the problem and conclude with an argument in support of our preferred course of action. In this article we argue for compulsory licensing of essential AIDS medications in the current conditions of public health emergency. We argue on broadly consequentialist grounds that compulsory licensing is preferable both morally and pragmatically to the alternatives, notably the currently offered price cuts and drug donation schemes. |
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Authors:
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Udo Schüklenk; Richard E Ashcroft |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of medicine and philosophy Volume: 27 ISSN: 0360-5310 ISO Abbreviation: J Med Philos Publication Date: 2002 Apr |
Date Detail:
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Created Date: 2002-04-18 Completed Date: 2002-06-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7610512 Medline TA: J Med Philos Country: Netherlands |
Other Details:
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Languages: eng Pagination: 179-95 Citation Subset: E; IM |
Affiliation:
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University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa. bioethic@chiron.wits.ac.za |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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drug therapy*,
economics,
epidemiology Africa South of the Sahara / epidemiology Anti-HIV Agents / economics, supply & distribution* Asia, Southeastern / epidemiology Conflict (Psychology)* Cooperative Behavior Developing Countries* Drug Approval / legislation & jurisprudence Drug Costs* Drug Industry / economics Ethics* HIV Infections / drug therapy, economics, epidemiology Health Care Rationing Health Services Accessibility / economics* Humans Patents as Topic Poverty Private Sector Public Health Administration / economics Public Sector |
| Chemical | |
Reg. No./Substance:
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0/Anti-HIV Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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