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Stakeholders

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World Market Strategies for Drugs to Fight Aids
Jérôme Dumoulin, Yves-Antoine Flori, Philippe Vinard, Thomas Borel

Key words: AIDS; drugs; price; developing countries.

Abstract
Faced with a situation where the market is unstable and the political context is crucial, we propose a three-part analysis. In the first part, an overview of the chronology of the main events shows that the evolution of the price of ARVs is interlinked with numerous issues of pharmaceutical patent rights. In the second part, we analyse the positions of stakeholders: how they behave in the market and influence market regulations. In the third part, we propose three scenarios which are both simplified interpretations of stakeholders’ strategies and options for the future. The first scenario is the status quo, where prices are high. The second scenario is driven by multinational companies who work to enlarge the markets by price differentiation and product diversification. The third scenario is driven by International Organisations which achieve a political consensus to enlarge access to ARV drugs through broader international financing and a systematic opening of the market to generics.

Résumé
Face à une situation de marché instable où le contexte politique est primordial, nous proposons une analyse en trois parties. Dans la première partie une esquisse de la chronologie des événements montre que l’évolution des prix des

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Economics of A I DS and Access to H I V/A I DS Care…

ARV est liée dans le temps à de nombreux débats sur les brevets des médicaments. Dans la seconde partie, nous analysons les positions des parties intéressées : comment elles agissent sur le marché et sur la réglementation du marché. Dans la troisième partie, sont proposés trois scénarios qui sont à la fois des interprétations simplifiées du jeu des acteurs et des perspectives sur les évolutions

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