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Monday, May 05, 2008

 

INSIDE CONGRESS
By Efren L. Danao
Mar’s future and medicine
bill’s success or failure

 
Sen. Mar Roxas has assumed such a high profile in the passage of the “Universally Accessible Cheaper and Quality Medicines Act of 2008” that whether he likes it or not, his political future will be affected by the law’s success or failure. If it succeeds in lowering the price of quality medicines, then it will give added luster to his name. On the other hand, he will be blamed should substandard and expensive medicines still permeate the market despite the law.

Mar had been pressing for the availability of lower-priced quality medicine since his stint as trade secretary 10 years ago. He authored the Quality Affordable Medicine in the 13th Congress that was passed by the Senate, but got nowhere because the House failed to pass its counterpart bill. In the 14th Congress, the measure got a quick okay in the Senate but went through the gauntlet in the bicameral conference committee. His blood pressure rose and fell depending on the progress of the bill which lasted more than four months with the bicam. Now that the bill is certain to become a law, it is time to see if it could really deliver the promised quality, cheaper medicines.

Mar and his co-author in the Senate, Sen. Pia Cayetano, are confident that prices of medicines would go down and their quality would go up because the measure would ensure stiffer competition. Small drug stores could no longer be cowed by big pharmaceutical companies because they would be required to carry competing products in their shelves.

Another salient feature of the bill is the provision for parallel importation. Mar explains that if a particular medicine is cheaper in another country, the law’s provision for parallel importation allows its importation so that competition can be provided locally.

The Health secretary, with the approval of the President, is given the power to set price ceilings. The Intellectual Property Code is amended to allow drug companies to prepare for the production of a patented drug before its expiry, so that they could have a ready competing product on the day the patent expires.

Previous high hopes not met

The bill has many features that should assure its success. But then, there were previous laws that had failed to meet the high expectations they had generated. A lot of voices were heard in the House and the Senate proclaiming that the passage of the Oil Deregulation Law would result in lower price of fuel because of increased competition. Who can say now that it had actually achieved the promised results? Instead of competing, the big oil companies are even suspected of acting as a cartel in uniformly increasing their price.

Then, there was the Electric Power Industry Reform Act. The EPIRA was rushed in the dying days of the 12th Congress because of imposition by the World Bank and the International Monetary Fund. Just like the medicine bill and the Oil Deregulation Law, the EPIRA was meant to bring down prices, this time, of power. I used to pay a little more than P1,000 a month in power bills. Now, I am paying more than P6,000. Where’s the promised relief to consumers?

Mar worked like a man possessed for the passage of the Universally Accessible Cheaper and Quality Medicines Act of 2008. I know he did so not for his personal glory but in the belief that he was doing a great service for the nation. I am keeping my fingers crossed that the measure would achieve its end, not just for Mar’s sake but for the sake of the people.

Much ado about the bicam

Many still do not know it, but in a bicameral conference committee meeting, the House and the Senate have only one vote each. This should be made clear because of the apparent confusion brought about by the opposition of two congressmen to the provision in the bicam report giving price control powers to the President through the secretary of Health instead of a Price Regulatory Board.

The size of the House or the Senate panel does not matter in a bicam, or else one chamber could simply outvote the other by having more members. In the bicam on the medicine bill, for instance, the House had 12 members while the Senate had only three. The three senators are equal to 12 congressmen in a bicam because in essence, it is the House and the Senate, both co-equal bodies, that are meeting.

If the House panel could not agree on an issue, then it should consult its principal before proceeding with the bicam meeting. But when 11 of the 12 agreed to the price control mechanism, then any fear about the bill’s approval is misplaced. It should not have been overblown in the first place.

efrendanao2003@yahoo.com

   
 

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