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Health Services and Access to Medicines and Other Health Technologies

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Part of the Palgrave Studies in Public Health Policy Research book series (PSPHPR)

Abstract

This chapter explores the implications of trade agreements for the provision of health services and access to medicines and other health technologies. It first examines the potential effects of the General Agreement on Trade in Services and subsequent bilateral and regional trade agreements on the provision of universal health care and the ‘brain drain’ of health workers from low-income countries. Next, the intellectual property rights (IPRs) provided for pharmaceuticals by the Agreement on Trade-Related Aspects of Intellectual Property Rights are described, and the way in which these IPRs have been expanded and extended through subsequent bilateral and regional trade agreements elaborated. This chapter also considers other mechanisms through which trade agreements can affect access to health technologies including rules applying to marketing approval processes, pricing and reimbursement and pharmaceutical advertising.

Keywords

GATS Health services Health workforce TRIPS Access to medicines Pharmaceutical policy 

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Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.School of Psychology and Public HealthLa Trobe UniversityMelbourneAustralia
  2. 2.School of Epidemiology and Public HealthUniversity of OttawaOttawaCanada

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