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Bio-Society Issues and Related Processes. Andreas Seiter Novartis International. Purpose of this talk . Highlight core issues Reflect on stakeholder groups and diversity of views, based on “Access to healthcare” example
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Bio-Society Issues and Related Processes Andreas Seiter Novartis International
Purpose of this talk • Highlight core issues • Reflect on stakeholder groups and diversity of views, based on “Access to healthcare” example • Explain the need for a multi-stakeholder approach from an industry’s perspective • Initiate discussion on concrete steps towards potential msp’s
Bio-Society Issues • Impact of genomics revolution on humanity and society at large • Ethical boundaries (e.g. embryonic stem cells, cloning of human beings, germ line therapy) • Novel risks (cross-species infections, new bio-warfare agents) • Access and benefit sharing (IP, costs, allocation of funding, equal access to treatment)
The challenge of bio-innovation • All innovation has a tendency to be disruptive • Disruptive change creates fear: Loss of status, economic disadvantage, increasing external control of our live • Specific concerns in the Bio-Society debate: Potential for major impact on the fundamentals of human society • The goal of achieving equal access to live saving medicines for all becomes more difficult to achieve if such medicines become reality in increasing numbers - but at high costs
Example: Access to novel drugs • Diversity and partial antagonism of pharmaceutical industry stakeholders • Customers (doctors and patients) • Shareholders (analysts, pension fund managers) • Employees • Payors (insurers, government agencies) • Politicians • Development agencies, NGO universe
Elimination of risks is expensive higher < risk tolerance > lower
Example: Access to novel drugs • Diversity and partial antagonism of pharmaceutical industry stakeholders • Customers (doctors and patients) • Shareholders (analysts, pension fund managers) • Employees • Payors (insurers, government agencies) • Politicians • Development agencies, NGO universe
The innovation crisis • Old: Industry consolidation due to lack of innovation • New: Genomics revolution, North-South divide and aging society create a cocktail which threatens (remaining) consensus • A refined and more sustainable direction of global healthcare policies is in demand (priorities, funding) • The healthcare industry, used to portrait itself as a “philanthropic industry”, suddenly finds its business model under public attack
Governance issues requiring MSP • Reducing the healthcare divide between the rich and the poor • Human rights versus luxury - where is the line? • Role of private (capital market funded) healthcare industry, sustainable business model • Balancing market forces with social and developmental goals • Measuring, monitoring, sharing “good practice” in pragmatic problem solving
Who is in charge? • Who is in a position to set off a structured (global) debate? • How would it be linked into decision making processes? • Are there any “easy wins”? • How do current approaches to problem solving score against best practice? • Where are the relevant roadblocks and how can they be overcome?