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The Commission’s great U-Turn on mRNA vaccines

Here’s a change of heart we can support…

Back in January I published a blog post on this site asking the question of whether the new generation of COVID-19 vaccines will change our view on genetic engineering. In a statement back in July last year, the European Parliament said that “The derogation will facilitate the development, authorisation and consequently availability of COVID-19 vaccines and treatments”. According to EU legislation dating back to the early 2000s, genetic engineering is generally forbidden, with only a few exceptions. This was particularly driven by the scepticism of genetic engineering in agriculture. The Pfizer/Biontech, which to date remains the most prominent and incidentally most trusted COVID-19, something that surveys have also shown with our friends in the United States.

Now, the Commission is surfing the wave of the popularity of this vaccine in order to bank on mRNA shots for fighting COVID-19. And, as Euractiv reports, more voices are supportive of these vaccines in the fight against future pandemics: “Commenting on the news, centre-right MEP Peter Liese said he supported the decision to move towards mRNA vaccines, pointing out that they can be better adapted to mutations.”

Peter Liese is to be commended for his statement on this matter. Indeed, this new technology which relies on genetic engineering is very promising. For some experts, mRNA vaccines hold the key to faster and more effective vaccine programmes, capable of fighting multiple viruses in a single injection or providing protection against recalcitrant diseases (diseases characterised by poor survival and with little progress made in developing novel treatments).

In January, Moderna launched new programmes to develop mRNA vaccines for Nipah virus, HIV and influenza, adding to its portfolio of 20 mRNA candidates. Pfizer is also developing new mRNA vaccines, including one for seasonal flu. Several dozen other manufacturers and laboratories around the world are currently involved in similar initiatives.

The use of mRNA as a therapeutic or vaccine technique has been studied and developed for over a decade. Its interest seems to go beyond the field of vaccines against infectious diseases and also concerns cancers (see, for example, the immunotherapy products under development at BioNTech, or diseases with an autoimmune component (a treatment against multiple sclerosis is under development at BioNTech).

COVID-19 will have accelerated the large-scale evaluation of mRNA technologies. It is likely that this approach will expand massively in the coming years, also benefiting from advances in microencapsulation (nanoparticle) technologies. This technology could be refined by allowing nanoparticles to target specific cells by adding specific recognition molecules (e.g. ligands, receptors, antibodies) to the particle membrane. It will then be possible to deliver mRNA only to cells that need it (e.g. to compensate for the absence of a protein in genetic diseases, as with gene therapy, or to eliminate infected or tumour cells).

However, for this to happen the European Union ought to change its general approach to genetic engineering. While the support for the Pfizer/Biontech vaccine is commendable, more needs to be done from the point of view of legislation. There is a significant logical discrepancy when we are ready to use genetic engineering for medical purposes, but we somehow reject it in the field of agriculture. There are comparable health benefits to using similar technologies in our food; not least since the invention of vitamin B-heavy Golden Rice for the Asian market have genetically modified foods shown to be inherently linked to healthier food. On top of that, we can achieve our climate ambitions through new technologies that consume less resources at higher yields.

Originally published here.

Counterpoint: What about freedom to choose your care?

From atop the lecterns at the Democratic presidential debates and the White House, a common trope is dismantling and rejiggering how health care is delivered in America.

For those on the left, the emphasis is on expanding who can access government-backed health insurance programs while cutting off the role of the private sector. And on the right, President Donald Trump is looking to import drugs and pharmaceutical price controls from abroad.

Missing in both of these visions is the essential component that governs every other sector of the economy: the freedom to choose.

Much like housing, transportation and education, it’s clear that the entire health care sector needs disruption. We need some out-of-the-box thinking, innovation and on-demand delivery that will bring costs down for ordinary people.

It’s this formula that has empowered millions to rise out of poverty, make a decent living for their families, and expand consumer choice to makes their lives better.

But both the Democrats and Trump are leading Americans astray on what really matters when it comes to health care.

Sens. Bernie Sanders, Elizabeth Warren, Cory Booker and Kamala Harris have serious proposals to totally ban the private health care market in favor of a “Medicare for All” system. That means every American would be thrown into the government insurance program reserved for our seniors.

All administration, billing, reimbursement claims and hospital contracts for more than 350 million people would be handled by the federal government. For a country as unique, diverse and large as the United States, this just couldn’t be carried out effectively.

Such plans would make it illegal for Americans to choose the type of health care coverage that fit them best, depriving them of fundamental choices.

Many younger working people don’t have comprehensive insurance because it doesn’t make economic sense. They would rather pay out of pocket for small expenses and use high-deductible disaster insurance when necessary.

For the 8.8 percent of Americans without health insurance, would they benefit from a mass reorganization of the system that would offer the care reserved for our seniors if the cost comes in the form of higher taxes and less consumer choice?

The same applies to Trump’s well-intended but flawed plans on importing drugs from single-payer systems around the world.

The reason pharmaceutical drugs are more expensive has more to do with subsidies than cost. Most drugs are born from innovative American firms but are subsidized greatly or negotiated for lower rates by governments who import them.

Firms can afford this because it’s offset by American prices, meaning the rest of the world is free-riding on American innovation and intellectual property.

They achieve this by reducing access and choice. It’s no secret that the lion’s share of pharmaceutical drugs are available in the United States while they’re unavailable in the countries that refuse to pay for them. So yes, the prices of drugs may be cheaper in Canada or Norway, but the supply and choices are lacking.

Do we want fewer choices of drugs for lower costs or more choices and prices at market rate?

What matters most when it comes to our personal health is the freedom to choose. Whether it is our doctor, insurance program or drugs we buy, Americans want to be able to pick what works best from them.

Grandiose plans that seek to completely reorganize how many taxes we pay and how we receive care would severely restrict that.

Originally published here.


The Consumer Choice Center is the consumer advocacy group supporting lifestyle freedom, innovation, privacy, science, and consumer choice. The main policy areas we focus on are digital, mobility, lifestyle & consumer goods, and health & science.

The CCC represents consumers in over 100 countries across the globe. We closely monitor regulatory trends in Ottawa, Washington, Brussels, Geneva and other hotspots of regulation and inform and activate consumers to fight for #ConsumerChoice. Learn more at 
consumerchoicecenter.org

Allowing patients to choose could save billions

EURACTIV: The Commission’s recent musings on the social dimension of Europe touches on common drug pricing among member states.

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