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The Impact of India-UK CETA on Access to Affordable Medicines

Examining the implications of voluntary licensing and patent transparency in the pharmaceutical industry

The Impact of India-UK CETA on Access to Affordable Medicines

  • 18 Oct, 2025
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SYNOPSIS

Compulsory licensing and voluntary licensing are two distinct mechanisms that regulate the production of patented medicines. While compulsory licensing prioritizes public health and affordability, voluntary licensing maintains corporate control and market exclusivity. The proposed India–UK Comprehensive Economic and Trade Agreement (CETA) has raised concerns by promoting voluntary licensing, reducing patent transparency, and encouraging evergreening practices. Experts warn that such changes could limit access to affordable, life-saving medicines for millions in India and across the Global South.

FAQs

1. What is Compulsory Licensing?

Compulsory licensing is a legal provision under the TRIPS Agreement and the Indian Patents Act that allows the government to authorize the production of a patented product without the patent holder’s consent. It is typically used during public health emergencies or when essential medicines are either unaffordable or unavailable.

Example: In 2012, India issued a compulsory licence to Natco Pharma for Bayer’s patented cancer drug Nexavar, reducing its monthly cost from ₹2.8 lakh to around ₹8,800.

2. What is Voluntary Licensing?

Voluntary licensing occurs when a patent holder (usually a pharmaceutical company) voluntarily grants permission to another manufacturer to produce a generic version of its medicine under specific terms and conditions, such as royalty payments and geographic restrictions.

Example: Gilead Sciences granted voluntary licences for the hepatitis C drug Sofosbuvir to selected Indian firms, but limited distribution to certain low-income countries, excluding several middle-income nations with high disease burdens.

3. How Do Compulsory and Voluntary Licensing Differ?

The key differences between the two mechanisms lie in their initiation and purpose:

  • Compulsory Licensing: Initiated by the government without the patent holder’s consent to ensure affordable access to medicines, especially during crises or when monopolies restrict supply.
  • Voluntary Licensing: Initiated by the patent holder, often involving selective permissions, royalty clauses, and country-specific limitations.

In short, compulsory licensing advances public interest and equity, whereas voluntary licensing preserves corporate control over pricing and access.

4. How Does the India–UK FTA Depart from Existing Safeguards?

The proposed India–UK Free Trade Agreement (FTA) marks a shift from India’s established public health–oriented patent regime in three major ways:

i) Preference for Voluntary Licensing over Compulsory Licensing

The FTA promotes voluntary licensing as the preferred approach, discouraging governments from using compulsory licensing—even in serious public health emergencies.

ii) Reduced Transparency Obligations

Patent status disclosures, earlier required annually, would now be mandated only once every three years. This reduction in transparency makes it more difficult for public health advocates to demonstrate medicine shortages or unavailability.

iii) Weakening of Anti-Evergreening Provisions

The FTA’s call for “harmonization” with international patent systems risks undermining India’s Section 3(d)—a key safeguard that prevents patenting of minor drug modifications. This could allow pharmaceutical companies to extend monopolies without introducing genuine innovations.

5. Why Is This Shift a Concern for Medicine Access?

The growing preference for voluntary licensing and reduced transparency could severely impact medicine accessibility and affordability. Key concerns include:

  • Restricted geographic access under voluntary licences
  • Corporate control over pricing and supply
  • Weaker monitoring due to reduced patent transparency
  • Facilitation of patent evergreening through diluted Section 3(d)
  • Limited government ability to ensure affordable public access

Together, these changes threaten to weaken India’s position as the “pharmacy of the Global South” and could hinder global access to affordable, life-saving medicines.

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