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Instead of unveiling alternative plans at the World Trade Organization (WTO) to boost production and availability of urgently-needed COVID-19 vaccine, treatments and tests production, the European Union revealed its intentions to block negotiations that the rest of the world supports to temporarily waive intellectual property (IP) barriers to end the pandemic and save lives.
The EU's latest move is the height of hypocrisy: EU officials say Covid vaccines should be a universal common good and no one is safe unless everyone is, yet act to prioritize Big Pharma demands and block the rest of the world from enacting a critical first step, the WTO IP waiver, to boost production and access.
The increasingly isolated EU not only is blocking a waiver that the vast majority of the world's countries deem necessary to save their people and end the pandemic. It is trying to distract and delay the rest of the world from moving forward. On Friday, the EU submitted two papers at the WTO that recycle debunked, stale Big Pharma defenses of WTO rules and claim that anything but expansive IP monopolies are causing the dire global shortage of COVID vaccines, treatments and tests. The EU "plan" is to urge current vaccine makers to produce more, an approach that already has failed spectacularly and now imperils the world.
As major economies with large pharmaceutical industries such as the United States, Japan and China and other developed nations like New Zealand have joined 100-plus developing nations supporting waiver talks, the increasingly isolated EU is expected to block waiver negotiations during the June 8-9 meeting of the WTO's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) Council.
While the vast majority of WTO members agree a temporarily waiver is necessary to remove intractable webs of patent, copyright, trade secret, industrial design and other IP barriers pharmaceutical firms have constructed to maintain monopoly control of COVID-19 vaccines and related medicines, the EU doubled down in opposition in May 2021 after German Chancellor Angela Merkel echoed attacks from the pharmaceutical industry when the Biden-Harris administration announced U.S. support for a waiver.
The EU's latest WTO submissions closely hew to the Big Pharma talking points leaked last month. They include the colonialist insinuations that developing countries do not understand what is in their own interest and cannot act for themselves. They assume that the press and public do not understand that the supply chain "bottlenecks" that the EU claims are the issue are in no small part caused by IP barriers that limit production of COVID-19 vaccine inputs as well as finished vaccines not by "trade barriers," as the EU claims. As Human Rights Watch recently documented: "The TRIPS waiver proposal sponsors and experts at the leading science journal Nature, Medecins Sans Frontieres (MSF) Access Campaign, the Third World Network, and others have presented many other concrete examples of how enforcement of IP rules blocked, delayed, or limited production of chemical reagents for Covid-19 tests, ventilator valves, Covid-19 treatments, and elements of Covid-19 vaccines. IP constraints have not only led to vaccine shortages but have also led to shortages of key raw materials like bioreactor bags and filters."
They pretend that manufacturing shortfalls are not caused by IP barriers even as a few firms holding vaccine monopolies have refused to license technology to world class drug producers worldwide.
Despite the overwhelming evidence to the contrary, the EU paper reviews existing WTO TRIPS "flexibilities" and argues these are sufficient.
It's an absurd claim on its face. Countries worldwide support a waiver because the existing WTO "flexibilities" for HIV/AIDS treatments that were reaffirmed in the 2001 Doha Declaration after hard campaigning are obviously insufficient in the COVID-19 context. First, because COVID vaccines have complex global supply chains that rely on numerous inputs subject to patents, and other forms of IP monopoly that are cross-licensed and produced in multiple countries, the existing flexibilities that are focused on compulsory patent licensing are widely recognized to be unworkable for quickly boosting COVID-19 vaccine production.
Even leaving aside other IP restrictions, pharmaceutical firms have made sure that webs of patent claims underpin and restrict the marketing of many vaccines, as exposed in a recent Nature article that exposes the complex patent and licensing deals for mRNA vaccines and their underlying technologies. This intricated web of patents, licenses and sublicenses eviscerates the UE papers' claims that somehow existing compulsory licensing flexibilities suffice to ramp up production.
Second, technology has developed rapidly since 2001 and pharmaceutical firms have created IP "thickets," adding layers of additional copyright, industrial design and other exclusivities that extend beyond the patent barriers that were the focus of the 2001 flexibilities. Copyright protections on software, algorithms and training materials used to make the drugs and on storage and use guidelines, as well as undisclosed data protections covering some trade secrets, plus perhaps industrial design protections for key machinery used to mix lipids and genetic materials for mRNA vaccines are among the innumerable IP barriers thwarting production by non-originator firms. None of these IP barriers are addressed by the EU plan communication to supposedly boost production and availability of COVID-19 vaccines.
In order to manufacture a COVID-19 mRNA vaccine using compulsory licensing, the relevant producer would have to seek licenses for each IP-protected commodity in its country of origin and for export, which would require the compulsory licensing cooperation of the exporting country and input producer. It would likewise have to seek a compulsory license allowing for import of each such component and allowing for production of the vaccine. These multiple cases of component-by-component and country-by-country licenses result in timing and coordination complexities that are virtually insurmountable even if the existing WTO flexibilities were determined to cover all of the different forms of IP exclusivities involved. Even for medicines not subject to such complicated supply chains, successfully obtaining a compulsory license requires a time-consuming and administratively burdensome process.
The EU touting compulsory licensing as the way forward is even more cynical given decades of developing countries' attempts to use compulsory licensing being viciously attacked with trade threats and more by rich countries, including the EU and its member nations. In the midst of COVID-19 pandemic, pharmaceutical firms continue to pressure countries over the use of compulsory licensing. Gilead sued Russia for issuing a compulsory license on remdesivir. The Pharmaceutical Research and Manufacturers Association (PhRMA), the Biotechnology Innovation Organization (BIO) and the U.S. Chamber of Commerce tried to recruit the U.S. government to threaten countries that have used or planned to use compulsory licenses to incentivize domestic manufacturing of COVID-19 vaccines and treatments.
The EU communications does not address any solution to overcome these problems. In contrast, a TRIPS waiver would simply clear the thorny IP thickets, the related investment-chilling liabilities and threats of trade sanctions.
The EU papers were only novel in the seeming ignorance that what is labeled as reforms in fact are terms that have been in place since the 2001 WTO Declaration on the TRIPS Agreement and Public health:
* The EU purports that the use of the compulsory licensing system can be eased by formal clarification that COVID qualifies as a national emergency so countries are not subject to requirements to negotiate with patent holders when issuing compulsory licenses. Beyond the absurdity that the WTO must clarify that COVID has caused national emergencies, under existing WTO rules countries self-declare emergencies, and emergencies are not the only basis for waiving the negotiate-first rule. Public non-commercial use is also included, like when governments provide vaccines to their populations.
* The EU purports to clarify that WTO Members can set patent holder remuneration under a compulsory license at the price charged by the manufacturer of the vaccine or therapeutic. Yet the TRIPS Agreement already makes that clear. And, the problem with compulsory licensing of COVID vaccines is not related to compensation, but that compulsory licensing is not a workable solution in this context.
* The EU papers restate as a new reform another existing TRIPS rule: That when countries export medicines made under a compulsory licensing to countries with no or insufficient pharmaceutical manufacturing capacity, the exporting country can provide a single notification that lists all the importing countries to which vaccines or therapeutics would be supplied. Yup, that's been the case for many years...
Given the EU is increasing alone against the world in service of Pharma, the latest EU WTO papers that restate existing WTO rules as if they are innovations and recycle old Big Pharma claims that have been so thoroughly debunked are surprisingly lame.
Instead of obstructing the world's progress towards the massive increase in COVID vaccines and medicines needed to save lives and end the COVID pandemic, the EU should just say nein to Germany's deadly, self-defeating position and join the community of nations in favor of the WTO TRIPS waiver.
Public Citizen is a nonprofit consumer advocacy organization that champions the public interest in the halls of power. We defend democracy, resist corporate power and work to ensure that government works for the people - not for big corporations. Founded in 1971, we now have 500,000 members and supporters throughout the country.
(202) 588-1000Israel is seeking to invalidate the ICC's arrest warrants for fugitive Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant for alleged crimes against humanity and war crimes.
Appellate judges at the embattled International Criminal Court on Monday rejected Israel's attempt to block an investigation into alleged Israeli war crimes committed during the Gaza genocide.
The ICC Appeals Chamber dismissed an Israeli challenge to the assertion that the October 7, 2023, attacks and subsequent war on Gaza were part of the same ongoing "situation" under investigation by the Hague-based tribunal since 2021. Israel argued they were separate matters that required new notice; however, the ICC panel found that the initial probe encompasses events on and after October 7.
The ruling—which focuses on but one of several Israeli legal challenges to the ICC—comes amid the tribunal's investigation into an Israeli war and siege that have left at least 250,000 Palestinians dead, maimed, or missing and 2 million more displaced, starved, or sickened.
The probe led to last year's ICC arrest warrants for Israeli Prime Minister Benjamin Netanyhau and former Israeli Defense Minister Yoav Gallant for alleged war crimes and crimes against humanity, including murder and forced starvation. The ICC also issued warrants for the arrest of three Hamas commanders—all of whom have since been killed by Israel.
Israel and the United States, neither of which are party to the Rome Statute governing the ICC, vehemently reject the tribunal's investigation. In the US—which has provided Israel with more than $21 billion in armed aid as well as diplomatic cover throughout the genocide—the Trump administration has sanctioned nine ICC jurists, leaving them and their families "wiped out socially and financially."
The other Hague-based global tribunal, the International Court of Justice, is currently weighing a genocide case against Israel filed in December 2023 by South Africa and backed by more than a dozen nations, as well as regional blocs representing dozens of countries.
University of Copenhagen international law professor Kevin Jon Heller—who is also a special adviser to the ICC prosecutor on war crimes—told Courthouse News Service that “the real importance of the decision is that it strongly implies Israel will lose its far more important challenge to the court’s jurisdiction over Israeli actions in Palestine."
Although Israel is not an ICC member and does not recognize its jurisdiction, Palestine is a state party to the Rome Statute, under which individuals from non-signatory nations can be held liable for crimes committed in the territory of a member state.
The Israeli Foreign Ministry condemned Monday's decision, calling it "yet another example of the ongoing politicization of the ICC and its blatant disregard for the sovereign rights of non-party states, as well as its own obligations under the Rome Statute."
The Council on American-Islamic Relations (CAIR), a Washington, DC-based advocacy group, welcomed the ICC decision.
“This ruling by the International Criminal Court affirms that no state is above the law and that war crimes must be fully and independently investigated," CAIR said in a statement. "Accountability is essential for justice, for the victims, and survivors, and for deterring future crimes against humanity.”
"Wales and Sanger must be stopped from trying to censor the Wikipedia ‘Gaza genocide’ entry that clearly documents Israel’s horrifying crime against humanity.”
More than 40 advocacy groups on Monday called on Wikipedia editors and the Wikimedia board of trustees to reject efforts by the web-based encyclopedia's co-founders to censor the site's entry on the Gaza genocide.
After months of internal debate, editors of the Wikipedia article titled “Allegations of genocide in the 2023 Israeli attack on Gaza” renamed the entry "Gaza genocide" in July 2024, reflecting experts' growing acknowledgement that Israel's annihilation and siege of the Palestinian exclave met the legal definition of the ultimate crime. The entry also notes that the Gaza genocide is not settled legal fact—an International Court of Justice case on the matter is ongoing—and that numerous experts refute the claim that Israel's war is genocidal.
The move, and the subsequent addition of Gaza to Wikipedia's article listing cases of genocide, sparked heated "edit wars" on the community-edited site—which has long been a target of pro-Israeli public relations efforts. In the United States, a pair of House Republicans launched an investigation to reveal the identities of the anonymous Wikipedia editors who posted negative facts about Israel.
"Israeli officials and pro-Israel organizations are attempting to hide the horrifying reality... by putting pressure on institutions like Wikipedia to engage in genocide denial."
Wikipedia co-founders Jimmy Wales and Larry Sanger have intervened in the dispute, with Wales—a self-described "strong supporter of Israel"—publicly stating that the Gaza genocide entry lacked neutrality, failed to meet Wikipedia's "high standards," and required "immediate attention" after an editor blocked changes to the article.
"Wales and Sanger are using their roles as Wikipedia founders to bypass the normal editing and review process and introduce their
own ideological biases into an entry that has already undergone exhaustive vetting and review by Wikipedia editors, including thousands of edits and comments," the 42 advocacy groups said in a letter to Wikimedia's board and site editors.
"Their efforts deny the documented reality of Israel’s genocide in Gaza and contradict the broad consensus among genocide scholars, international human rights organizations, UN experts, and both Palestinian and Israeli human rights organizations," the groups continue. "In doing so, Wales and Sanger are engaging in attempted censorship and genocide denial."
The letters' signers include the American Friends Service Committee, Artists Against Apartheid, Brave New Films, CodePink, Council on American Islamic Relations (CAIR), Democracy for the Arab World Now (DAWN), Doctors Against Genocide, MPower Change Action Fund, Peace Action, and United Methodists for Kairos Response.
Since the Hamas-led October 7, 2023 attack, Israel's retaliatory obliteration and siege on Gaza—for which Israeli Prime Minister Benjamin Netanyahu and former Defense Minister Yoav Gallant are wanted by the International Criminal Court for alleged crimes against humanity and war crimes—have left more than 250,000 Palestinians dead, maimed, or missing. Around 2 million other Palestinians have been forcibly displaced, sickened, or starved in what hunger experts say is an entirely human-caused famine.
"The simple reality is that Israeli officials and pro-Israel organizations are attempting to hide the horrifying reality of Israel’s genocide in Gaza by pretending that there is a substantive debate and by putting pressure on institutions like Wikipedia to engage in genocide denial," the groups' letter asserts.
"Wales’ 'both sides' framework for denying the Gaza genocide," the groups warned, "could also be used to legitimize Holocaust denial, denial of the Armenian genocide, or to platform 'flat-earthers' who deny the Earth’s spherical shape."
"Healthcare is a human right. That’s why we need Medicare for All," said one senator. "And the American people agree!"
In Maine, only one of the top two candidates in the Democratic US Senate primary has expressed support for the specific healthcare reform proposal that continues to be treated by the political establishment as radical—but which is supported by not only a sizable majority of Mainers but also most Americans surveyed in several recent polls.
Graham Platner, a veteran and oyster farmer who was a political novice when he launched his campaign in August and has polled well ahead of Gov. Janet Mills in several recent surveys, and a poll that asked Mainers about healthcare on Saturday showed he is in lockstep with many people in the state.
As the advocacy group Maine AllCare reported, the Pan Atlantic 67th Omnibus poll found that 63% of Mainers support Medicare for All, the proposal to transition the US to a system like that of other wealthy countries, with the government expanding the existing Medicare program and guaranteeing health coverage to all.
Those results bolster the findings of More Perfect Union in October, which found 72% of Mainers backing Medicare for All, and of Data for Progress, which found last month that 65% of all Americans—including 78% of Democratic voters—support a "national health insurance program... that would cover all Americans and replace most private health insurance plans.”
Even more recently, a Pew Research survey released last week found that 66% of respondents nationwide said the government should guarantee health coverage.
Platner has spoken out forcefully in support of Medicare for All, saying unequivocally last month that the proposal "is the answer" to numerous healthcare crises including the loss of primary care providers in many parts of the country and skyrocketing healthcare costs.
He made the comments soon after Mills said at a healthcare roundtable that "it is time" for a universal healthcare system, but did not explicitly endorse Medicare for All.
Maine AllCare noted that the latest polling on Medicare for All in the state comes as Maine "is on the verge of a multi-pronged healthcare crisis" due to Republican federal lawmakers' refusal to extend Affordable Care Act subsidies—which is projected to significantly raise monthly premiums for many Maine families as well as millions of people across the country. People in Maine and other states are also bracing for changes to Medicaid, including eligibility requirements.
Those changes "alongside long-standing affordability and access gaps, are projected to cost Maine billions and trigger deep operating losses in already strained hospitals," said Maine AllCare.
The group emphasized that that the Republican budget reconciliation law that President Donald Trump signed in July is projected to have a range of economic impacts on Maine, including a $450 million decline in statewide economic output, the loss of 4,300 state jobs, and the loss of $700 million in revenue at the state's hospitals due to Medicaid cuts.
“Maine needs a sustainable and universal healthcare system now. Poll after poll show people want Medicare for All. Our leaders can let the current health system continue collapsing—harming families, communities, and the economy of our state—or they can meet the moment and fight like hell to enact change that protects both the people and the future of the state," said David Jolly, a Maine AllCare board member. "That is the work Mainers elected them to do and that is what they must do now.”
Despite the broad popularity of the proposal to expand the Medicare program to everyone in the US—a system that would cost less than the current for-profit health insurance system does, according to numerous studies—supporters, including the 17 cosponsors of the Medicare for All bill in the US Senate and the 110 cosponsors in the US House, continue to face attacks from establishment politicians regarding the cost and feasibility of the proposal.
On Monday, Rep. Ro Khanna (D-Calif.) explained to Fox News anchor Maria Bartiromo how the Affordable Care Act that was passed by the Democratic Party is "not the solution" to the country's healthcare crisis, because it keeps in place the for-profit health insurance industry.
"The solution, as everyone knows, in my view, who has studied this, is Medicare for All," said Khanna. "People should have national health insurance. Healthcare is a human right. You should not be subject to these private insurance companies that have 18% admin costs, that are making billions of dollars in profits."
I made the case for Medicare for All on @MorningsMaria with @MariaBartiromo with facts and basic economics. https://t.co/ExZpCNQT7B pic.twitter.com/F226Kutv16
— Ro Khanna (@RoKhanna) December 15, 2025
Sen. Jeff Merkley (D-Ore.) also spoke out in favor of the proposal, pointing to the recent Data for Progress poll that showed 65% of Americans and 78% of Democrats backing Medicare for All.
"Healthcare is a human right. That’s why we need Medicare for All," said Merkley. "We need to simplify our system and make sure folks can get the care they need, when they need it. And the American people agree!"