Sécurité sanitaire sous dépendance

Improving public health security on a sustainable basis is not simply a matter of adjusting economic variables or a few incentives, even on a large budgetary scale. Such an ambition implies that new compromises must be made at the different levels of stakeholders in health security. This is a new pu...

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Main Authors: Marie Coris, Alain Piveteau, Philippe Gorry, Matthieu Montalban
Format: Article
Language:English
Published: Association Recherche & Régulation 2021-07-01
Series:Revue de la Régulation
Subjects:
Online Access:https://journals.openedition.org/regulation/20065
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author Marie Coris
Alain Piveteau
Philippe Gorry
Matthieu Montalban
author_facet Marie Coris
Alain Piveteau
Philippe Gorry
Matthieu Montalban
author_sort Marie Coris
collection DOAJ
description Improving public health security on a sustainable basis is not simply a matter of adjusting economic variables or a few incentives, even on a large budgetary scale. Such an ambition implies that new compromises must be made at the different levels of stakeholders in health security. This is a new public policy challenge to which industrial policy must contribute independently of the traditional objective of improving competitiveness.We focus on the case of the drug industry to discuss this proposal. First, we note the emergence of a shortage of medicines in rich countries. This reflects the fragility of a globalized industry in the wake of the internationalization of patent protection in 1995. We then return to the national debate in France. The search for solutions to the production problem has focused on relocation or on improving competitiveness. But the debate has failed to understand the complexity of the determining factors in the location of pharmaceutical companies and to overcome the contradictions at work in this productive and security crisis. Finally, we consider the regional territory as one of the proper scales at which constructing a socio-productive compromise likely to support the objectives of a health security based on an industrial policy in need of major rethinking.
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spelling doaj-art-b725be03327c4dea9ec604feac62eb522025-01-30T14:26:01ZengAssociation Recherche & RégulationRevue de la Régulation1957-77962021-07-012910.4000/regulation.20065Sécurité sanitaire sous dépendanceMarie CorisAlain PiveteauPhilippe GorryMatthieu MontalbanImproving public health security on a sustainable basis is not simply a matter of adjusting economic variables or a few incentives, even on a large budgetary scale. Such an ambition implies that new compromises must be made at the different levels of stakeholders in health security. This is a new public policy challenge to which industrial policy must contribute independently of the traditional objective of improving competitiveness.We focus on the case of the drug industry to discuss this proposal. First, we note the emergence of a shortage of medicines in rich countries. This reflects the fragility of a globalized industry in the wake of the internationalization of patent protection in 1995. We then return to the national debate in France. The search for solutions to the production problem has focused on relocation or on improving competitiveness. But the debate has failed to understand the complexity of the determining factors in the location of pharmaceutical companies and to overcome the contradictions at work in this productive and security crisis. Finally, we consider the regional territory as one of the proper scales at which constructing a socio-productive compromise likely to support the objectives of a health security based on an industrial policy in need of major rethinking.https://journals.openedition.org/regulation/20065global value chainsdependencyindustrial policyhealth safetymedicines
spellingShingle Marie Coris
Alain Piveteau
Philippe Gorry
Matthieu Montalban
Sécurité sanitaire sous dépendance
Revue de la Régulation
global value chains
dependency
industrial policy
health safety
medicines
title Sécurité sanitaire sous dépendance
title_full Sécurité sanitaire sous dépendance
title_fullStr Sécurité sanitaire sous dépendance
title_full_unstemmed Sécurité sanitaire sous dépendance
title_short Sécurité sanitaire sous dépendance
title_sort securite sanitaire sous dependance
topic global value chains
dependency
industrial policy
health safety
medicines
url https://journals.openedition.org/regulation/20065
work_keys_str_mv AT mariecoris securitesanitairesousdependance
AT alainpiveteau securitesanitairesousdependance
AT philippegorry securitesanitairesousdependance
AT matthieumontalban securitesanitairesousdependance