Now for Reimers’s new op/ed, making more arguments against march-in, but now directed at Xtandi, a prostate cancer drug based on a series of compounds developed at UCLA with federal funding. According to Knowledge Ecology International, Xtandi is offered for sale in the U.S. at a price of around $150,000 for a year’s worth of pills, more than double the price for which Xtandi is offered in other developed countries. Two generic versions of the drug already have FDA approval but cannot be sold in the U.S. because of UCLA’s patents and its exclusive license deal. The generic drug companies say they can make a profit selling their version of the drug for $5,000 for a year of pills.
In 2018, I wrote a series of articles about Xtandi and Bayh-Dole. The first one is here. The short of it is, UCLA violated Bayh-Dole in a number of ways to do its deal, and the outrageous pricing is one consequence. It’s not just that the federal government should march-in to address the pricing issue, or even that the government should use its license to make, use, and sell under Bayh-Dole and skip march-in for now–it’s that the government should enforce the other parts of Bayh-Dole that in their breach created the anti-competitive situation in the first place.
Reimers does not address this core point–that US prostate cancer patients get charged way more than patients in any other country, and a whopping 30x more than the price would be if there were competition to provide the drug. One might be left with the impression that if these weren’t “unreasonable terms” for U.S. cancer patients, then it is difficult to imagine any terms that would be “unreasonable.” If that were the case, then one also would have to accept that Congress in using “unreasonable terms” did not intend for there to ever be any unreasonable terms and so unreasonable terms must not mean anything, really, at all. That’s not a good starting point for statutory construction, but it is helpful to make the connection–arguments about Bayh-Dole carry with them implicit claims with regard to what Congress intended in passing Bayh-Dole. Not what Norman Latker or Senators Bayh and Dole privately thought they were doing, not even what Niels Reimers, who lobbied for the law, thought he was doing. What did Congress intend? What would one think is the plain and ordinary language of the law? Stuff like that. Work with it. Rule of law and all that. Continue reading
