The Trans-Pacific Partnership Agreement: Implications for Access to Medicines and Public Health. Bhardwaj K and Oh C. (2014)


The objective of this report is to provide an analysis of the provisions in the proposed TPPA in order to obtain a clearer understanding of their implications. It is hoped that the report will also be a useful resource for other stakeholders in the public health field.


The report analyses the key negotiating issues in the USA’s proposals (widely considered to be the basic negotiation text for the TPPA) which are likely to have an impact on access to medicines and public health.


Analysis in this report is based on negotiation texts that were leaked and made available in the public domain in 2011 and 2012. The main texts include the USA’s proposals for chapters on intellectual property, on the regulation of pharmaceutical reimbursement programmes and on investment. It should be borne in mind that it may not be possible to provide a comprehensive examination of all relevant provisions or to assess fully how these provisions will impact and interact with other parts of the TPPA (which are not currently in the public domain). Moreover, as long as the negotiations are ongoing, the text may evolve and change.

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