The Star Malaysia

No sense in producing unaffordab­le medicines

- MARK CHEONG Monash University Malaysia

I REFER to the letter “Act fast to get life-saving antivirals” ( The Star, Nov 16). The author rightly raises the issue of how the vast majority of Malaysians suffering from Hepatitis C (HCV) are unable to obtain treatment with newer antivirals such as sofosbuvir (brand name Sovaldi) due to the exorbitant costs. Malaysians are doubly unfortunat­e as this country is currently excluded from the list of 101 developing countries that have obtained access to cheap generic versions of sofosbuvir due to licensing agreements with the pharmaceut­ical company Gilead.

Once again, we find ourselves returning to the question of why lifesaving medicines cost so much that patients cannot access them. The usual reason provided is that pharmaceut­ical companies have to recoup the high costs of R&D and production. In the case of sofosbuvir, research has shown that the cost of producing sofosbuvir is estimated to be a mere RM450 per treatment course, which is a tiny fraction of the RM144,000 final price tag. As for the cost of research, the study to originally develop sofosbuvir was in fact partially funded by taxpayers in the United States. When these facts are taken together, it becomes exceedingl­y difficult to understand how the exorbitant prices charged for this lifesaving medicine might be considered fair.

Patients should not be denied access to lifesaving treatment due to excessive profiteeri­ng. We strongly urge the Government to implement measures that will prevent unjustifie­d patent issues and exorbitant drug prices that keep important medicines out of the hands of doctors and patients. After all, what use are lifesaving medicines if people are unable to afford them?

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