Showing posts with label Abbott. Show all posts
Showing posts with label Abbott. Show all posts

Wednesday, May 9, 2007

Abbott protest follow-up: "In a word, yes."

photo of Chicago protest with Thai activist Mai Rewthong speaking, from abbottsgreed.com

Bill Clinton recently endorsed the decision of the Thai government to issue compulsory licenses for pharmaceuticals to be used in the Thai public sector medical system. It was really during Clinton's presidency that a global shift took place about intellectual property rules. As I wrote in my thesis/book-in-progress,

A debate about [global trade rules] came into the open in 1999, while pharmaceutical companies were suing the South African government. They objected to a 1997 law that permitted compulsory licensing for generic versions of patented medicines. In the United States, the Clinton Administration backed the pharmaceutical companies’ position, threatening trade sanctions. And the companies threatened to stop selling drugs in South Africa. When a New York Times reporter asked an industry spokeswoman if that meant they were “literally threatening to let people die if the law stands”, she “hemmed a bit and then answered: ‘In a word, yes.’”

Activist groups started strategizing. In the United States, a coalition of AIDS activists–who later formed the core of a group called Health GAP–began discussing how they could influence American trade policy. In South Africa, a small group of activists, led by the HIV-positive activist Zackie Achmat, had formed the Treatment Action Campaign (TAC) in late 1998.

TAC targeted the pharmaceutical companies and the US government with protests in South Africa, raising the visibility and political risk of the companies’ lawsuit and of US trade policy. In the United States, activists targeted then-vice president Al Gore as he began a run for president. At campaign appearance after campaign appearance, ACT UP activists shouted the slogan “Gore’s Greed Kills!” linking pharmaceutical companies’ contributions to Gore’s campaign with the government’s trade policy.

Gore and the Clinton administration faced a no-win political situation in the making. They started backing away from the fight. The companies kept up their lawsuit, but the activists had isolated them.


It's important to remember this history in the current controversy over Abbott: this fight has been fought (and won) before. Abbott is trying to roll back global trade rules to 1997, at a time when it thinks no one will notice. It's really important that we keep noticing.

I promised an update from the protest. (Links to media coverage are in a post below.) Three Thai AIDS activists accompanied a group of 60-70 student protesters (along with Brook Baker, from Health GAP) to Abbott Labs' facility in Worcester, MA. As a group, we staged a die-in, some activists delivered speeches, and won only slight coverage from the media. (The Worcester media covered it, though, which is more important than it sounds: for local Abbott employees, it's important to know why people are protesting in front of their building.) More coverage came from the Chicago Tribune and others covering the shareholders' meeting the next day; for this more important coverage, the Worcester protest and its many counterparts served mainly as a backdrop to emphasize the theme of a globally-coordinated activist movement opposing this global company.

A small group of UMass medical students, whose school and hospital is right across the street, were the only other med students there. I didn't get a chance to talk to them. They had an array of style choices--scrubs, white coat over jeans, white coat+tie, and so on--reflecting that some had just come over from the hospital while others had come from classes or a day off. "I've got to get back soon," one said to another, "My guy is going to have a thoracentesis to get two liters off." "Two liters?!" After a little bit of "Drugs Cost Pennies! Greed Costs Lives!" he was off.

I got to hang out a little bit with two activists from the Thai Network of People Living with HIV and AIDS, TNP+, including its head, and a woman translating for him (pictured above, ID'ed as Mai Rewthong by abbottsgreed.com; I didn't write down either of their names, to my shame now). They were there with Jon Ungphakorn, a former Thai senator and long-time AIDS activist; the group of three were touring as many of these protest actions as they could. They were in Chicago at the shareholders' meeting the next day.

For my current work as a historian of AIDS activism, the most interesting moment was when someone shouted, "People with AIDS, under attack! What do we do?" and everyone immediately and vigorously responded, "ACT UP! Fight back!" This chant--and ACT UP itself--was invented twenty years ago, before many of the protesters were born. Everyone--Thai activists, college students, med students--felt that it somehow represented them. There are some amazing continuities in the AIDS activist movement, from gay men with AIDS in 1983 to the coalition of people with AIDS and queer activists in ACT UP in 1987 to today's student groups and global groups of people with AIDS.

On the bus back, I found out that many of the Harvard Student Global AIDS Campaign members who were coming to the protest were pre-med students, and I found myself giving pre-med advice to a small group of them during the bus ride. It is more than a little bit startling and disconcerting--but, I think, ultimately inspiring--to find that a number of Harvard pre-meds make it part of their pre-med process to get on a bus and shout "ACT UP! Fight back!" at a pharmaceutical company. Let's hope for more of that in the future. Perhaps one day, the pre-med mantra for getting ready to apply for medical school will be, "grades, MCATs, research, volunteering, going to die-ins."

Friday, April 27, 2007

News on Abbott

Abbott news:
Global news
Excellent BBC online article
Bangkok Post
The Hindu

Our local news
Worcester Telegram
Harvard Crimson

Bad behavior, even compared to other companies, is not new for Abbott
Wall Street Journal investigation of internal documents on Norvir pricing tactics
GMHC article from 2004 detailing Abbott's tactics with ritonavir (Norvir)
AIDSmeds.com article detailing WSJ findings on Abbott internal strategies

...to be updated.

Hi Fleishman Hillard! Hi! Your client is killing people with AIDS! Thanks for stopping by!


You know what I love?

StatCounter.

You know why I love StatCounter?

Because it told me that someone from Fleishman Hillard, a PR firm that represents Abbott, was doing an internet search with the key words "Abbott Kaletra" and landed on... my dumb blog post about what I was going to wear to the protest, which I'll write about more in the next day or so.

Now, that makes me feel stupid because it would have been nicer if that Fleishman Hillard intern landed on a post that said something like... something like the title of THIS post. Or at least, something that wasn't my little throwaway observations about the semiotics of hospital fashion when protesting. How embarrassing is that?

So, now I've got my post title all set up for tomorrow, which I hope will bring another blog search from the good folks over there at Fleishman Hillard. And maybe, just maybe, a low-level PR employee will take a moment to wonder... is this really the work that represents who I am as a human being? Am I really being the best person I can be today?

Or, more likely, just glance at this and be annoyed that they have to enter the link into some Excel spreadsheet that indexes "Blog Mentions: Positive" "Blog Mentions: Negative" "Blog Mentions: Mixed."

Pic: Abbott CEO Miles White

Thursday, April 26, 2007

White coats at protests? Maybe not.


Photo: Treatment Action Campaign and Student Global AIDS Campaign protesters at last year's International AIDS Conference, part of a coalition opposing Abbott Laboratories' approach to access to AIDS drugs.

I'm going to be taking part in a global day of action to condemn Abbott Laboratories for their attempt to block compulsory licensing of one of their AIDS drugs, known in the United States as Kaletra. This is an important medicine for people with AIDS, and Thailand wants to produce generic versions of it for impoverished people living with HIV and AIDS, who could not otherwise afford it.

The Bangkok Post has an editorial which lays out the legal issue from a Thai point of view. This one is pretty stark: Abbott is deliberately trying to roll back agreements about international trade rules, because the company doesn't like them.

There's more to say about Abbott, but I'll save that for now. In the meantime, I am now wrestling with a less important problem familiar to all 4 or 5 regular Hemodynamics readers, and a problem that afflicts all casual activists who only attend protests now and then: what to wear.

On its face, this is a silly thing to spend much time worrying over. But protests in the television age, and even more so in the digital image age, require careful attention to symbolism. And it turns out that as a future doctor I've got a lot of symbolism to think carefully about.

Medical students have often worn white coats to protests, as have doctors. This is a way of bringing professional credibility as a form of solidarity. But I've never done this, and though I thought about it earlier this evening, I don't think I will this time either.

This particular issue is fairly clear: when people don't get medicines to treat HIV, they often die of AIDS. Incredibly enough, and despite everything bad you can say about an organization like the World Trade Organization, nations around the world have agreed on ways that countries can make sure people get medicines. If you want to reap the benefits of global capitalism you should at least play by its very limited rules.

This message does not require a white coat for its credibility.

To say that you should listen to my views about intellectual property policy because I'm going to be a doctor would be absurd. After all, so many other doctors have been so egregiously wrong about this kind of issue that I would hate to encourage people to listen to doctors about patent policy. As far as the embroidery on my white coat, it says "Harvard Medical School" and it doesn't say my name. And I don't believe there's anything about my Harvard Medical School education that makes me any more equipped than any other reasonably well-informed person to express my opinion about Abbott's approach to intellectual property. All I know now that I didn't know before is the details of how people die from lack of medicines, and what happens to their various organ systems as they get more ill.

You could argue that wearing the white coat is a kind of threat to Abbott, along the lines of the anti-Abbott coalition's suggestions for doctors that they prescribe equivalent generics instead of Abbott products, refuse to talk to Abbott drug reps, and refuse to accept gifts from Abbott reps. But for me, this would not be sending the right message: whether or not Abbott cares about Thai people living with HIV and AIDS, I will prescribe generics when I can, I won't talk to drug reps, and I won't accept gifts. If I was the kind of doctor who was actually thoughtlessly prescribing unneeded overpriced brand name drugs and getting chummy with drug reps, I probably wouldn't be going to a protest at Abbott headquarters anyway.

Another entirely opposite direction would be the Treatment Action Campaign's "HIV Positive" t-shirt. But I've always felt that this shirt has a different meaning in the United States than it does in South Africa, and it definitely means something different when worn by groups of people which do not include many people living with HIV. In the US, the meaning of this shirt can be helpful but it can also be presumptuous; tomorrow, at least, I'm not taking this approach.

The only visual signal I might feel comfortable displaying is letting people know that I am a health worker--someone who makes it their life's work to care about the well-being of people who are sick. I'm uncertain about the political value of that gesture, but I think that at least it is a visual reminder that the protest is an issue of health, and survival, and not just an issue of market rules.

In other words, I've reduced my protest wardrobe to two alternatives: I can either dress as just me, a concerned citizen--or I can dress as a health worker. Considering the health worker option, I realized once again that if I take this route, I would not wear the clothes of the profession (the white coat), but of the hospital and all who work on its clinical floors: I would wear scrubs.