Shin ya kamata a bar gwamnati ta bukaci 'yan ƙasa su karɓi samfurin likita idan an kare masu kera samfurin daga alhakin doka?
Wannan ita ce tambayar da ke gaban ‘yan majalisun jihohi da dama.
North Dakota, HB 1406 yana ba da shawarar hana hukumomin jihar neman alluran rigakafi "sai dai idan mai yin samfurin likitancin yana da alhakin duk wani mutuwa ko mummunan rauni da samfurin likitan ya haifar." Majalisar dokokin West Virginia na duba yiwuwar a irin wannan lissafin.
In "Yadda Gwamnati ta kebe Babban Pharma daga Alhaki," Na tattauna yadda gwamnatin tarayya ta siyar da gyara na bakwai daidai ga shari'ar juri ga babbar rundunar masu fafutuka a kasar, Big Pharma.
Jama'a ba za su iya kai ƙarar masana'antun allurar rigakafin cutar ta Covid-2020 ba saboda kiran Sakataren HHS Alex Azar na Dokar PREP a cikin Fabrairu XNUMX.
Wannan ya mayar da mulki daga ƴan ƙasa zuwa masu mulki na ƙasa kuma ya yi musayar haƙƙin tsarin mulki don garkuwar abin alhaki na kamfani.
Yanzu, wasu 'yan majalisar dokoki na jihohi suna neman haramta magani na tilas sai dai idan mai yin samfurin zai iya ɗaukar alhakin raunin da ya samu. Waɗannan ƴan majalisa suna da damar haɓaka haƙƙin doka na ƴan ƙasarsu da kuma maido da manufar farko ta Kwaskwarima ta Bakwai.
'Yan adawa
A fahimta, kamfanonin harhada magunguna suna adawa da waɗannan matakan. Abubuwan da suka fi samun riba sun sami garkuwar abin alhaki na tarayya, wanda ya haifar da ribar rikodin.
A cikin 2022, kudaden shiga na shekara-shekara na Pfizer ya kai dala biliyan 100; Kayayyakin Covid na kamfanin - gami da alluran rigakafi da Paxlovid - sun kai dala biliyan 57 na wannan kudin shiga.
Siyayyar tarayya na Pfizer da na Moderna's mRNA Covid alluran sun cika fiye da $ 25 biliyan. Gwamnati ta biya Moderna $ 2.5 biliyan na kudaden masu biyan haraji don haɓaka rigakafin, kuma Shugaba Biden ya yi kira ga shugabannin yankin da su yi amfani da su kudin jama'a don baiwa 'yan kasa cin hanci don samun harbe-harbe.
Waɗannan kamfanonin harhada magunguna suna wakiltar mafi girma da ƙarfi a cikin ƙasar. Daga 2020 zuwa 2022, masana'antar harhada magunguna da masana'antar kiwon lafiya ta kashe Dala biliyan 1 akan lobbying – fiye da hada kashe kudi na mai, gas, barasa, cãca, noma, Da kuma tsaro masana'antu a lokacin wannan lokacin.
Amma ba kawai Big Pharma CFOs da masu hannun jari ke adawa da takardar kudi kamar HB 1406 a Arewacin Dakota ba.
Sama da mutane 25 ne suka bayar da shaidar goyon bayan HB 1406, idan aka kwatanta da 4 kawai na adawa (daya daga cikinsu ya ki amincewa da kudirin saboda ta ya yi tsayayya umarni ba tare da la'akari da matsayin abin alhaki ba).
Kylie Hall, Daraktan Ayyuka na Cibiyar Bincike da Ilimi ta Kiwon Lafiyar Jama'a na Jami'ar Jihar North Dakota ta kasance daya daga cikin wasu ukun da suka ba da shaida a kan kudirin.
Hall yana wakiltar waccan akidar ta gaza wacce ta mamaye martanin mu na Covid shekaru uku.
Ta kasance cikin jama'a sosai a cikin tallafinta na rigakafin Covid. A cikin Fabrairu 2021, ta ya gaya NBC News, "Yin rigakafin Covid-19 ita ce kadai hanyar fita daga wannan cutar."
Ta ƙarfafa 'yan Arewacin Dakota da su hanzarta karɓar samfuran maimakon yin haƙuri da jira don karɓar maganin da ya dace da bukatun lafiyar su.
"Mafi kyawun rigakafin covid da za a samu shine na farko da ke samuwa a gare ku kuma hakan shine saboda zai hana kamuwa da cuta mai tsanani a yanzu," Hall ya ce. "Kada mutane su jira har sai samfurin da suka fi so ya zo kasuwa."
Bukatun rigakafinta ya kai har jami'a. A cikin Afrilu 2021, ta tattauna batun buƙatar samun ɗalibai a NDSU a yi musu rigakafin Covid. Ta ya ce samfuran magunguna sun zama dole don "dawowa al'ada."
Hall ya yi aiki na tsawon shekaru biyu don samun yawancin 'yan Arewacin Dakotan su ɗauki rigakafin Covid gwargwadon iyawa ba tare da la'akari da shekaru, tarihin likita, ko rigakafi na halitta ba. A cikin wannan lokacin, Big Pharma ya ji daɗin faɗuwar iska daga samfuran da aka wajabta ba tare da alhakin alhakin doka ba.
Hall ya gaya Majalisar Dokokin Dakota ta Arewa ta ce tana adawa da HB 1406 saboda “tsagarorin matakai da ke bayan ci gaban rigakafin rigakafi da sa ido kan tsaro a wannan kasar da kuma manyan ka’idojin da ake gudanar da allurar.” A cewar Hall, waɗannan abubuwan suna sa lissafin "ba dole ba."
Kamar tarihinta na shawarwarin manufofin Covid, labarin Hall duk rashin hankali ne kuma ƙarya. Na farko, idan alluran rigakafin ribar sun kasance lafiya kamar yadda ta yi alkawari, to, kamfanoni ba za su damu da ƙarar ƙarar ba.
Na biyu, samfuran mRNA ba a riƙe su zuwa "masu ƙima mai ban mamaki."
Operation Warp Speed ya juya ƙoƙarinmu na rigakafin Covid zuwa aikin soja mai riba. Ma'aikatar Tsaro ta taimaka wajen haɓaka fasahar, kera samfuran, rarraba allurai, da gudanar da harbe-harbe. A halin da ake ciki, masu biyan haraji sun bankado shirin da dala biliyan na gwamnatin tarayya kokarin farfaganda.
Kamar yadda Philip Altman ya rubuta, wannan aikin soja ya ƙetare ka'idojin gargajiya.
"A cikin firgita don haɓaka rigakafin COVID-19, an bar wasu mahimman bincike da hanyoyin haɓakawa, an ƙetare su, rage su, ko kuma ba a yi su ta hanyar ma'ana ba, ko kuma kafa ɗakunan gwaje-gwaje ko masana'antu."
Yayin da ci gaban al'ada da amincewar alluran rigakafin ya ɗauki kusan shekaru 10, harbin Covid ya zo kasuwa cikin ƙasa da shekara ɗaya a ƙarƙashin Operation Warp Speed.
Bugu da ari, allurar rigakafin ba su yi aiki kamar yadda aka yi alkawari ba, kuma yuwuwar illar lafiya na iya zama mai tsanani.
Misali, yanzu mun san cewa allurar rigakafin ba ta hana kamuwa da cuta, ba ta hana kamuwa da cuta, ba ta hana mutuwa, duk abin da jami’an gwamnati suka yi ta bayyani a wurare daban-daban a yakin da suke yi na farfaganda. A halin yanzu, alluran rigakafin sun haye shingen jini-kwakwalwa, su lipid nanoparticles (LNPs) shiga cikin hanta Kwayoyin kuma canza zuwa DNA, kuma mRNA ɗin su na roba na iya dorewa watanni biyu a cikin jiki, duk abin da jami'ai suka musanta.
Bayan shekaru na tantancewa da magudi, tambayar da ke gaban North Dakota da West Virginia ta kasance mai sauƙi: Shin yakamata a bar gwamnati ta ba da izinin waɗannan samfuran idan kamfanoni ba za su iya ɗaukar alhakin abubuwan ƙirƙira masu riba ba?
Bayan shekaru uku na yaudarar jama'ar Amurka game da manufofin Covid, masu ba da shawara kamar Hall suna aiki don ci gaba da tauye hakkin 'yan ƙasa na neman a ba da izini daga manyan muradun kasuwanci na ƙasar.
Damar Maido da Kwaskwarima na Bakwai
Kamar yadda na yi bayani a makala ta da ta gabata, ’yancin yin kwaskwarimar na bakwai na yin shari’ar alkali an yi shi ne don kare talakawa daga ikon kasuwanci da zai lalata tsarin shari’a don amfanin kansu.
Daga Sir William Blackstone zuwa Sanarwa na 'Yancin kai zuwa Anti-Federalist 'yan jarida, al'adar shari'a ta Anglo-Amurka sun fahimci rawar da tsarin juri ke takawa wajen tabbatar da adalci da rikon amana.
Ƙarnuka bayan haka, mun koma tsarin da ke hana ƴan ƙasa damar yin shari'ar juri don amfanin muradun kasuwanci.
Wannan ya zo daidai da kofa mai juyawa tsakanin masana'antar harhada magunguna da manyan matakan gwamnatin Amurka.
Alex Azar, Sakataren Lafiya da Ayyukan Jama'a na Shugaba Trump wanda ke da alhakin ba da kariya ga masu kera rigakafin cutar ta Covid, a baya ya taba zama shugaban sashen Amurka na Eli Lilly.
Scott Gottlieb ya yi murabus a matsayin Kwamishinan FDA na Shugaba Trump don shiga kwamitin Pfizer. A can, yana aiki tare da Big Tech zuwa m masu suka da bayar da shawarwari ga kulle-kulle.
Mashawarcin Fadar White House Steve Richetti, daya daga cikin "masu ba da shawara ga Shugaba Biden" a cewar sanarwar New York Times, Ya yi aiki a matsayin mai fafutuka na Novartis, Eli Lilly, da Pfizer tsawon shekaru ashirin.
A cikin 2018, Labaran Lafiya na Kaiser samu "Kusan tsoffin ma'aikatan majalisa 340 a yanzu suna aiki ga kamfanonin harhada magunguna ko kuma kamfanonin da ke fafutuka."
Yanzu, jihohi suna da damar sake kafa ƙa'idodin da ke ƙarƙashin Gyara ta Bakwai. A cikin West Virginia, HB 2936 yana nufin "hana jiyya na tilas sai dai idan wanda ya kera samfurin ya kasance abin dogaro."
Wannan na iya taimakawa wajen hana manyan kamfanoni masu fafutuka a kasar samun riba ba tare da la’akari da shari’ar juri ba kuma zai iya fara gyara gurbatattun kamfanoni na tsarin shari’a.
Yawancin shugabannin jam'iyyar Republican sun bayyana adawar su umarni da nema lissafin kuɗi ga kamfanonin harhada magunguna. Yanzu, GOP yana da damar da za ta tabbatar da sadaukarwarta ga adalci na Kwaskwarimar Bakwai da kuma neman alhaki ga samfuran Big Pharma masu fa'ida.
A West Virginia, 'yan Republican sun zarce 'yan Democrat 88 zuwa 12 a majalisar da 31 zuwa 3 a majalisar dattijan jihar. Adadin dai ya yi kama da na Arewacin Dakota, inda akwai ‘yan Republican 82 da Democrat 12 a majalisar dokokin jihar da kuma ‘yan Republican 43 da Democrat 4 a majalisar dattawan jihar.
Idan jami'an Republican a wadannan jihohi suna son zartar da wadannan matakan, ba za su sami matsala ba. Duk da haka, har yanzu takardun ba su sami ci gaba ba.
Kwamitin Sabis na Jama'a na Majalisar Dakota ya ba da shawarar hana HB 1406 da kuri'a na 9 zuwa 4. HB 2936 na West Virginia bai bar kwamitin ba.
Idan 'yan majalisar dokokin jam'iyyar Republican ba su dauki mataki ba, 'yan kasarsu za su ci gaba da rasa hakkokinsu na shari'a ga kamfanonin harhada magunguna da ma'aikatan da aka yi watsi da ra'ayoyinsu akai-akai.
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William Spruance lauya ne mai aiki kuma wanda ya kammala digiri na Cibiyar Shari'a ta Jami'ar Georgetown. Ra'ayoyin da aka bayyana a cikin labarin gaba ɗaya nasa ne ba lallai ba ne na ma'aikacinsa.
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