Pharmaceutical growth versus health equity in India: when markets fail.

Aim: To reveal inequity in health in India. Subject and methods: The global paradigm of the knowledge economy propounds that growth and equity will occur if there is a free-market economy without state intervention and if patents are provided as incentives for innovation. In this paper, we explore t...

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Publicado en:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 27; no. 4; pp. 473 - 490
Autores principales: Mukhopadhyay, Kausiki, Paul, Pallab
Formato: Artículo
Publicado: Springer Nature Aug2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2019
      vid: 27
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      pub: Springer Nature
    artinfo:
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        137721116
        10.1007/s10389-018-0969-6
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        atl: Pharmaceutical growth versus health equity in India: when markets fail.
      aug:
        au:
          Mukhopadhyay, Kausiki
          Paul, Pallab
        affil: Daniels College of Business, University of Denver, 2101 S. University Blvd, Room 497, 80208, Denver, CO, USA
      su:
        India
        World Health Organization
        Economics
        Health services accessibility
        Health status indicators
        Interprofessional relations
        Medical care costs
        Practical politics
        Psychological tests
        Public health
        Sex distribution
        Women's health
        Government policy
        Family relations
        Biotechnology
        Pharmaceutical industry & economics
      sug:
        subj:
          Economics
          Health services accessibility
          Health status indicators
          Interprofessional relations
          Medical care costs
          Practical politics
          Psychological tests
          Public health
          Sex distribution
          Women's health
          Government policy
          Family relations
          India
          World Health Organization
          Research and Development in Biotechnology
          Drugs and Druggists' Sundries Merchant Wholesalers
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical Preparation Manufacturing
          Pharmaceutical and medicine manufacturing
          Health and Welfare Funds
          Biotechnology
          Pharmaceutical industry & economics
      keyword:
        Equity
        Ethics
        Growth
        Health
        Patents
        Equity
        Ethics
        Growth
        Health
        Patents
      ab: Aim: To reveal inequity in health in India. Subject and methods: The global paradigm of the knowledge economy propounds that growth and equity will occur if there is a free-market economy without state intervention and if patents are provided as incentives for innovation. In this paper, we explore the veracity of this thesis by investigating growth in the pharmaceutical and biotech sectors in India, and by looking at equity issues through the lens of gender health and health costs for poor consumers. We used data from current publications to support this thesis. Results: We found that growth has been characterized by multiple handicaps and oligopoly, with the nature of expansion not having relevance for the disease profiles in India. The scenario of gender health and health costs of the poor is grim due to state retrenchment and neglect of the provision of public good, such as in health matters. Conclusion: One can conclude that equity has not occurred under a growing pharmaceutical sector. This finding has huge implications for public policy in India and other emerging nations.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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