Joe Allen has written a new piece warning of the dangers of trying to use Bayh-Dole march-in procedures to control drug prices. And he has a point–the Bayh-Dole march-in procedures were not designed to deal with pricing. In fact, the march-in procedures were designed not to work at all! The distinction to be made is between what folks like Norman Latker and Howard Bremer intended when they designed the march-in procedures, and what we must determine Congress intended when it passed the bill. Premise: Congress did not intend what Latker designed. The march-in procedures end up being an apparatus with no purpose but to give the appearance of public oversight. They have never been used. It is almost impossible for a federal agency to use them. They likely never will be used. If Latker and Bremer designed march-in so that it would never be used for *anything*, then they designed march-in so that it would not be used for pricing. Does the logic get any more direct? and yet, isn’t this a strange use of logic?
The reality is that Bayh-Dole authorizes federal agencies to march-in to address unreasonable terms. Price is a term. If price is unreasonable–not “high” or “unaffordable” but rather higher than what one would expect if there were competition even if a patent is used to suppress competition–then march-in is authorized. Thus, it is clear that march-in can be used to address unreasonable pricing, and the alternatives introduced–competition, so the theory goes–will address unreasonable pricing. If it doesn’t, then take a look at price-fixing.
But Joe Allen makes a few other assertions along the way that are worth examining. I will be brusque.
Allen claims
Not a single new drug had been developed from NIH funded research under the patent destroying policies preceding Bayh-Dole.
This is not true. Instances: Methotrexate, Cisplatin, MOPP. The policies before Bayh-Dole were not patent destroying. At worst, those policies prevented the creation of private monopolies around inventions that were made in projects dedicated to the public welfare. It takes some balls to argue that the public welfare depends on the formation of massive private monopolies to jack earnings 10x over what they would be with competition.
Take it further. March-in does not destroy a patent–it changes how a patent holder is compensated for the patent. Instead of selling directly, or licensing to only a single company to make and sell, the patent holder must grant licenses, or more licenses. For each license Bayh-Dole provides that the patent holder should enjoy “terms reasonable under the circumstances”–that would include reasonable compensation for the use of the patent, just as one would find for unlicensed government use of patented inventions under 28 USC 1498. Only if a patent holder refuses to grant such licenses on reasonable terms may the federal government grant licenses itself, on whatever terms the government chooses (which might not involve any compensation to the patent holder). March-in, then, changes the patent holder’s strategy for exploiting its patent position. It does not destroy the patent, it does not mean that the patent holder cannot make any more money.
Allen claims
The successful integration of public research institutions into the economy is based on the Bayh-Dole Act, which inserted the incentives of patent ownership into the government R&D system.
This is nonsense. Continue reading →