Abstract
This chapter explores the development of the generic drug policy. We know that generic drug regulation persisted even after Serra left the government, but we know less about how this happened. In what ways has the generic drug regulation influenced the governance of the pharmaceutical sector in Brazil? The first part presents the economic outcomes of this regulatory policy, reviewing the vitality of generic drugs in the pharmaceutical sector. The second part assesses how government advocacy for generic evolved after the Serra administration and the market demands for generic drugs. Governments have been less politically active on this matter, and there is controversial and conflicting information about how health professionals and the population received these products. The third part of this chapter discusses the role of suppliers. Private local pharmaceutical producers have been leading the rank of the generic drug sector. Particularly puzzling is that, as demonstrated in the previous chapter, local pharmaceutical producers repealed this government intervention in their business. This chapter concludes by summarising how the new institutional context empowered local pharmaceutical producers and the structure of the interest group in this sector in Brazil.
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- 1.
I could not have full access to this study as this was conducted by a consultancy agency (www.marketanalysis.com.br). Nevertheless, I thank the director of this agency, Fabian Echegaray, who kindly provided me with a briefing of this research. Further information was also found in press releases.
- 2.
The Marxist perspective discusses the infiltration of the capitalist production process into the health sector and its structural determinants on health practice (e.g. the inter-relation of pharmaceutical industries within the capitalist production system and the consequences of medicines as a trade commodity). The neo-Schumpeterian approach discusses the configuration of production based on technological innovation. The health sector can be a producer of economic development simultaneously connected to its sanitary role. If so, this group of researchers and now policymakers understand that the management of the health sector must take into account both its sanitary role and its capital accumulation face. It places technological and industrial development within public health policies by integrating production of service and industrial goods to social interests (economic growth, innovation and welfare enhancement) [211].
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Pro-genericos is represented within Sindusfarma.
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A recently published newspaper article presents an interesting profile of the founder of EMS pharmaceutical industry and his commercial ability to survive in the generic drug sector, declining several merge/acquisition proposals [246].
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Massard da Fonseca, E. (2015). Assessing the Generic Drug Regulatory Process in the 2000s: Governmental Intervention, Market Demand and Local Pharmaceutical Industries. In: The Politics of Pharmaceutical Policy Reform. SpringerBriefs in Political Science, vol 26. Springer, Cham. https://doi.org/10.1007/978-3-319-12565-7_4
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DOI: https://doi.org/10.1007/978-3-319-12565-7_4
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