# E-DRUG: Dep of State NGO meeting on Int HIV/AIDS initiative

**URL:** <https://talk.edrugplus.org/t/e-drug-dep-of-state-ngo-meeting-on-int-hiv-aids-initiative/4483>\
**Category:** e-drug\
**Created:** [February 19, 1999, 8:49pm UTC](https://talk.edrugplus.org/t/e-drug-dep-of-state-ngo-meeting-on-int-hiv-aids-initiative/4483 "1999-02-19T20:49:50Z")\
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**Author:** ![love](https://avatars.discourse-cdn.com/v4/letter/l/dec6dc/32.png) [@love](https://talk.edrugplus.org/u/love)\
**Post date:** [February 19, 1999, 8:49pm UTC](https://talk.edrugplus.org/t/e-drug-dep-of-state-ngo-meeting-on-int-hiv-aids-initiative/4483/1 "1999-02-19T20:49:50Z")

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E-drug: Dep of State NGO meeting on Int HIV/AIDS initiative  
----------------------------------------------------------  
Department of State NGO meeting on International HIV/AIDS initiative --  
Intellectual Property rights off limits to NGOs

The attached letter from Ralph Nader and James Love to Secretary of State  
Madeline Albright expresses dismay over a February 18, 1999 State Department  
meeting with NGO's on the U.S. Diplomatic Initiative on International  
HIV/AIDS. The Department of State told the NGOs they could not talk about  
intellectual  
property right issues, one day after the Department of State meet with the  
Pharmacuetical Industry to discuss compulsory licensing of HIV/AIDS drugs.  
Jamie

\<----------------------------------------------------------\>  
Ralph Nader  
P.O. Box 19312, Washington, DC 20036

James Love  
Consumer Project on Technology  
P.O. Box 19367, Washington, DC 20036  
[http://www.cptech.org](http://www.cptech.org) , 202.387.8030; love@cptech.org

February 18, 1999

Secretary Madeleine Albright  
Department of State, 2201 C St. NW, Washington, D.C. 20520  
(202) 647-4000, FAX: (202) 647-7120  
E-mail: secretary@state.gov

Re: US State Department briefing on US Diplomatic Initiative on HIV/AIDS

Dear Secretary Albright:

We are writing to express our dismay over the U.S. State Department February  
18, 1999 "Meeting with NGO community on U.S. Diplomatic Initiative on  
International HIV/AIDS." In particular, we strongly object to the decision  
by Nancy Carter-Foster to ban NGO discussions of intellectual property  
issues as they relate to the new U.S. Diplomatic Initiative on HIV/AIDS, and  
her insistence that the Consumer Project on Technology (CPT) not even be  
permitted to distribute literature about international HIV/intellectual  
property right disputes.

What is particularly galling about today's incident is that Ms Carter-Foster  
chaired a similar briefing for the pharmaceutical industry just yesterday,  
and the issue of compulsory licensing of AIDS drugs was one of five items on the  
agenda. We are attaching both agendas. For the February 17, 1999 meeting,  
item four is "Automatic patenting for AIDS drugs." This item was not  
included in the NGO meeting agenda, and NGO participants were not permitted  
to even discuss the topic.

We found out about the industry meeting through a bureaucratic snafu. At  
the close of work on Monday, the 15th, Ms Nancy Carter-Foster sent a fax to  
CPT saying "We would like to keep you apprised of our progress to date and  
to involve you in the launch and implementation of the diplomatic initiative,"  
inviting us to the February 17 meeting. CPT replied and indicated James  
Love would attend. We were then faxed an agenda that included the  
"automatic patenting" issue.

Apparently CPT was invited as a consequence of having submitted November 6,  
1998 comments to the Department of State. These comments specifically  
addressed compulsory licensing of AIDS drugs in Thailand and other  
countries, and CPT asked that intellectual property issues be addressed in  
the International  
HIV/AIDS document.

When Mr. Love attended yesterday's February 17 meeting, he advised Ms  
Carter-Foster that he worked for a consumer group, noted that the agenda  
indicated this was an industry meeting, and asked if a mistake had been made  
regarding the invitation. Ms Carter-Foster said that yes there had been a  
mistake and that Mr. Love should leave and return the next day for the  
meeting with non-industry NGOs. Before leaving, Mr. Love asked about the  
"automatic licensing" item, and was told the agenda item concerned  
compulsory licensing of AIDS drugs, and specifically a meeting that CPT,  
M�decins Sans Fronti�res (MSF) and Health Action International (HAI) were  
hosting in Geneva on March 26, 1999 to discuss compulsory licensing of  
essential medicines. Since Mr. Love was in fact one of the organizers of the  
March 26 Geneva meeting, there was a brief discussion about the meeting  
before his departure.

When Mr. Love returned to his office he contacted Ms Carter-Foster's staff  
to make sure he was cleared for the meeting on the 18th, and he asked if the  
compulsory licensing issue was on the agenda for the NGO briefing. It was  
not. Mr. Love requested that the compulsory licensing topic be added, noting  
that it was an agenda item for the Industry briefing, that compulsory  
licensing of AIDS drugs was the main subject of CPT's November 6, 1998  
comments on the International initiative, and that the U.S. was actively  
engaged in disputes about compulsory licensing in developing countries.

When today's meeting began, Ms. Carter-Foster distributed a three item  
agenda that did not include compulsory licensing. Ms. Carter-Foster  
indicated she would permit a five minute discussion of this topic at the  
conclusion of the meeting. About 50 minutes into the meeting, Ms  
Carter-Foster asked the attendees to describe their work with international  
NGOs and other foreign  
governments. Mr. Love began to describe his work with public health groups  
and other NGOs and governments in several developing counties on matters  
concerning intellectual property. He expressed frankly the concerns among  
public health groups that US State Department staff were often poorly  
informed on  
intellectual property disputes, and that the Department of State was widely  
perceived to have become an unseemly advocate for the interests of the  
pharmaceutical industry.

Ms Carter-Foster interrupted Mr. Love and indicated that matters concerning  
intellectual property rights would not be discussed in the meeting, and that  
Mr. Love would not be permitted to criticize US policy during the meeting.  
Mr. Love  
asked to distribute a September 1998 article from the Nation, an English  
language Thai newspaper, about a trade dispute between the US and Thailand  
over the compulsory licensing of ddI, an HIV drug invented by the United  
State government and marketed on an exclusive basis by Bristol-Myers Squibb  
(BMS), and BMS and Pfizer drugs used to treat cryptocolcal meningitis, "a  
fungal infection  
of the brain that affects 15 to 20 percent of the estimated 900,000  
HIV-infected people in Thailand." Ms Carter-Foster interrupted Mr. Love,  
told him he could not discuss the matter, and could not distribute the article.

Finally, at the end of the hour and a half meeting, an astonishingly  
patronizing Ms Carter-Foster said that Mr. Love would have three minutes to  
talk, but that he could not criticize U.S. policy, mention specific  
disputes, or pass out any  
literature. Under those constraints, Mr. Love mentioned that policies  
regarding intellectual property rights were highly relevant to access to  
HIV/AIDS drugs in developing countries, that this was a major issue with  
governments around the world, and that the US government was very active in  
these disputes. Mr. Love said citizen of the United States have a right to  
ask the government to (1) state what US policies on intellectual property  
rights are (2), provide the documents and analysis that justify those  
policies, and (3) to discuss these polices with public health groups.

Clearly American citizens have a right to know what our policies are on  
these topics, and we do not accept the notion that the Department of State  
will only consult with the pharmaceutical companies on these important issues.  
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;  
We ask that you provide a second NGO briefing to specifically discuss U.S.  
policies on intellectual property and access to HIV/AIDS drugs in developing  
countries. Furthermore, we ask that such a meeting be held with adequate  
notice. As indicated above, CPT received less than 48 hours notice of the  
meeting on the 17th. Moreover, the short notice prevented others from  
attending. For example, on the 16th, less than a day after we heard about  
the meeting, Mr. Eric Sawyer, a New York City AIDS activist, contacted the  
Department of State asking for clearance to attend the NGO meeting on the  
18th. His clearance was not approved until 11 am today, about two hours  
before the meeting. As a consequence of the short notice, Mr. Sawyer, who  
lives in  
New York, could not attend.

We look forward to your undelegated response so that your views about this  
important matter are conveyed directly to us and the public.

Sincerely,

Ralph Nader James Love  
--  
James Love, Consumer Project on Technology  
P.O. Box 19367, Washington, DC 20036  
202.387.8030; f 202.234.5176  
[http://www.cptech.org](http://www.cptech.org), [mailto:love@cptech.org](mailto:love@cptech.org)

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