PharmaSeekers
Compulsory Licensing: How Governments Override Patents to Save Lives

What Is Compulsory Licensing?

Compulsory licensing is a legal tool that lets a government allow someone else to make or sell a patented product - like a medicine - without the patent holder’s permission. The patent owner still gets paid, but they don’t get to say no. This isn’t about stealing ideas. It’s about making sure people can get life-saving drugs when prices are too high or supplies are too low.

This isn’t new. The idea goes back to the 1883 Paris Convention, but it became a global standard in 1994 with the TRIPS Agreement under the World Trade Organization. That agreement says countries can issue these licenses, but only under strict conditions: the license must be for the domestic market, the patent holder must be paid fairly, and usually, the government must try to negotiate first.

But here’s the catch: those rules bend in emergencies. When a pandemic hits or a disease spreads fast, countries can skip the negotiation step and move straight to issuing a license. That’s exactly what happened in 2020. Over 40 countries, including Canada, Germany, and Israel, prepared to use compulsory licensing for COVID-19 tests, treatments, and vaccines.

Why Do Governments Use It?

Patents give companies a monopoly. That’s good for innovation - it lets them recoup billions in R&D costs. But when that monopoly means a cancer drug costs $100,000 a year, and only 1 in 10 patients can afford it, the system breaks.

Compulsory licensing steps in when public health is at risk. In India, for example, the government issued its first compulsory license in 2012 for Nexavar, a liver and kidney cancer drug made by Bayer. The price dropped from $5,500 a month to $175. That’s not charity. That’s a legal reset. The Indian court found Bayer wasn’t making the drug available at a reasonable price, and Natco Pharma was allowed to make a generic version.

Thailand did something similar in 2007 with HIV drugs. Lopinavir/ritonavir went from $1,200 a year to $230. Efavirenz dropped from $550 to $200. These weren’t random decisions. They were responses to tens of thousands of people dying because the drugs were unaffordable.

Even the U.S. has tools like this. Under Title 28, U.S.C. § 1498, the federal government can use any patented invention - from military tech to medical devices - without permission. The company gets paid, but the government decides when and how. The Bayh-Dole Act also lets the government force a license if a company isn’t making a federally-funded invention available to the public.

How It Works in Different Countries

Not every country uses compulsory licensing the same way. The U.S. has the legal power, but it rarely uses it. Between 1945 and 2020, there were only about 10 cases - all for government use, mostly defense tech. The NIH has received 12 requests to force licenses on federally-funded drugs since 1980. Not one was granted. Why? The agency always claimed the company was “making reasonable efforts” to distribute the drug.

India, by contrast, has issued 22 compulsory licenses since 2005 - almost all for cancer medicines. Brazil issued three for HIV drugs, slashing prices by over 70%. South Africa and Thailand have used it to bring down prices for HIV and heart disease drugs.

Europe is mixed. Germany has the law, but never used it. Spain, however, passed emergency rules in 2020 allowing compulsory licensing for COVID-19 tech without even asking the patent holder first. The UK’s Patents Act 1977 allows it if the public’s “reasonable requirements” aren’t met - but no one’s pulled the trigger yet.

The biggest difference? Speed. In India, the process takes 18-24 months. In Spain, it took days during the pandemic. The U.S. system is slow and expensive - lawsuits under Section 1498 take an average of 2.7 years to resolve.

A pharmaceutical executive faces a high drug price while a factory produces affordable generics for smiling patients.

Who Benefits?

Patients do. Generic drugmakers do. Governments do.

Between 2000 and 2020, compulsory licensing helped cut the price of first-line HIV drugs by 92% in low- and middle-income countries. That’s millions of people getting treatment who otherwise wouldn’t have. Teva Pharmaceuticals, one of the world’s largest generic makers, made $3.2 billion extra between 2015 and 2020 from these licenses.

But it’s not just about money. It’s about access. In 2012, Canada used a special WTO rule to export a generic HIV drug made under compulsory license to Rwanda. That’s the only time that mechanism has ever been used - but it proved it could work.

And here’s something surprising: the threat of compulsory licensing often works better than actually using it. Professor Brook Baker found that since 2000, 90% of HIV drugs in developing countries saw voluntary price cuts - just because companies feared governments would issue licenses.

What Are the Downsides?

It’s not all clear wins. Big pharma argues that compulsory licensing kills innovation. A 2018 study in the Journal of Health Economics found that countries with active licensing programs saw 15-20% less investment in new drug research. When India issued the Nexavar license, Bayer’s stock dropped 10%. The IFPMA says each announcement causes an average 8.2% decline in company share prices.

There’s also the legal risk. Bayer fought India’s Nexavar license for eight years - and won some points on appeal. The process is messy, slow, and expensive. Only 12 out of 34 countries with licensing laws have ever actually used them. Why? Because most lack the legal expertise, technical capacity, or political will.

And then there’s the fear factor. The U.S. government has listed countries that issue compulsory licenses as “priority watch list” members in its Special 301 Report - a diplomatic warning. No sanctions have followed since 2012, but the message is clear: use this tool, and you might face trade pressure.

A global map shows patent locks breaking over countries using compulsory licensing during a health crisis.

What’s Changing Now?

The biggest shift came in June 2022, when the WTO agreed to a temporary waiver for COVID-19 vaccine patents. For the first time, developing countries could legally produce vaccines without permission - until 2027. But adoption has been slow. Only 12 facilities in 8 countries are authorized to use it. Why? Because setting up manufacturing takes time, money, and regulatory approval.

The EU is pushing new rules. Its 2023 Pharmaceutical Strategy says patent holders must respond to licensing requests within 30 days - or risk automatic compulsory licensing. That’s a game-changer. No more waiting years for a response.

And the WHO is drafting a Pandemic Treaty. Draft Article 12 says: when a global health emergency is declared, licenses for essential health products should be automatic. No negotiation. No delays. Just speed.

Experts predict compulsory licensing will become more targeted. By 2030, 75% of licenses may be limited to emergencies, cancer drugs, or antimicrobial resistance - not just any patent.

When Is It the Right Move?

Compulsory licensing isn’t a weapon. It’s a safety valve. It’s meant for when the market fails - when people are dying because a drug is too expensive or too scarce.

It’s not for routine price disputes. It’s not for companies that just want cheaper generics. It’s for when the patent system stops serving the public.

The best cases - India, Thailand, Brazil - all had three things: a clear public health crisis, transparent pricing data, and a legal process that moved quickly. The worst cases? When governments issue licenses without planning for production, distribution, or quality control. That’s when you get shortages, fake drugs, or wasted effort.

And here’s the truth: if you’re waiting for a company to lower prices voluntarily, you might be waiting forever. Compulsory licensing isn’t the first tool. But when all others fail, it’s the only one that works.

  • Medications
  • Dec, 27 2025
  • Rachael Smith
  • 9 Comments
Tags: compulsory licensing patent override TRIPS Agreement public health patents generic drugs

9 Comments

  • Image placeholder

    Babe Addict

    December 29, 2025 AT 03:52
    Look, I get the emotional appeal, but this is just intellectual property theft dressed up as 'public good.' Patents aren't just about profit-they're the entire reason pharma companies risk $2B+ on a single drug. If you kill that incentive, we get fewer breakthroughs. And guess what? The next cancer cure? It might never exist because some country decided to play Robin Hood with R&D.
  • Image placeholder

    Satyakki Bhattacharjee

    December 30, 2025 AT 21:09
    In India, we saw the truth. Bayer charged 5500 dollars a month. People died. We did not steal. We did what was right. Life is not a product. Medicine is not a luxury. If your system kills people to protect profits, then your system is broken.
  • Image placeholder

    Kishor Raibole

    December 31, 2025 AT 21:31
    It is, indeed, a matter of profound ethical jurisprudence that compels us to interrogate the ontological foundations of intellectual property in the context of existential human need. The patent regime, as currently constituted, functions as a neocolonial mechanism of pharmaceutical hegemony, wherein the commodification of biological life is elevated above the sanctity of the human organism. One cannot, in good conscience, uphold the sanctity of a monopoly on a molecule that could prevent mass mortality.
  • Image placeholder

    John Barron

    January 1, 2026 AT 19:24
    I'm sorry, but this is why we can't have nice things. 🤦‍♂️ The U.S. has the legal framework, yes - but we also have the most advanced R&D ecosystem on the planet. Every single breakthrough in mRNA, CAR-T, and CRISPR therapies? Funded by private capital protected by patents. You want cheaper drugs? Fine. But if you break the patent system, you break the pipeline. And when your grandchild gets cancer in 2040, don't come crying to me because you were too busy cheering for 'generic justice' to notice the empty labs.
  • Image placeholder

    Liz MENDOZA

    January 3, 2026 AT 11:40
    I just want to say thank you for writing this. So many people don't realize how many lives this has saved. My cousin in Kenya got her HIV meds because of Thailand's license. She's alive today because someone chose humanity over profit. That's not radical. That's basic decency.
  • Image placeholder

    Jane Lucas

    January 3, 2026 AT 17:04
    the thing no one talks about is how the us uses this for defense tech all the time but acts like its evil when other countries do it for medicine lol
  • Image placeholder

    Elizabeth Alvarez

    January 3, 2026 AT 19:45
    This is just the first step. Once they start overriding patents on medicines, what's next? Your iPhone? Your Tesla? Your insulin? The WHO and WTO are being used as tools by globalist elites to dismantle national sovereignty under the guise of 'health equity.' Remember when they said 'trust the science'? Now they want to force your doctor to use generics made in a factory with no quality control. This isn't about saving lives-it's about control. And they're using fear to get it.
  • Image placeholder

    Miriam Piro

    January 4, 2026 AT 05:01
    They're not just targeting drugs. This is the soft takeover of innovation. Once you normalize taking someone's IP without consent, you normalize taking everything. The pharmaceutical industry is just the first domino. Next, they'll come for your AI models, your software patents, your biotech seeds. The WTO isn't a health org-it's a corporate dictatorship in disguise. And the 'waiver'? A Trojan horse. They want to replace innovation with state-controlled production. No competition. No progress. Just obedience.
  • Image placeholder

    dean du plessis

    January 4, 2026 AT 05:09
    Interesting read. I've seen how this works in South Africa. The price drops, people get medicine, but then the supply chain falls apart because no one invests in local manufacturing. We need the license, yes. But we also need the factories, the training, the logistics. It's not just about taking a patent. It's about building something better after. And that's the hard part

Write a comment

Categories

  • Medications (94)
  • Health Conditions (24)
  • Health and Wellness (17)
  • Supplements (7)
  • Healthcare Services (5)
  • Nutrition (4)
  • Fitness and Supplements (2)
  • Lifestyle (1)

Archives

  • January 2026 (13)
  • December 2025 (31)
  • November 2025 (17)
  • October 2025 (30)
  • September 2025 (16)
  • August 2025 (4)
  • July 2025 (5)
  • June 2025 (2)
  • May 2025 (4)
  • April 2025 (5)
  • March 2025 (4)
  • February 2025 (1)

Recent Posts

  • Tendinopathy: How Eccentric Training and Injection Options Really Work
  • Alfacip (Alfacalcidol) vs Alternatives: Which Vitamin D Option Is Best?
  • Guide to Zovirax: Uses, Dosage, and Safety Precautions
  • Pariet: Uses, Dosage, Side Effects, and Safe Tips for Rabeprazole
  • How to Safely Dispose of Expired EpiPens, Inhalers, and Patches
Back to Top

About

PharmaSeekers is your comprehensive resource for information about pharmaceuticals, medications, diseases, and supplements. Explore detailed articles on various health conditions and treatments. Stay informed with up-to-date research and recommendations on prescription and over-the-counter drugs. Find all your healthcare needs addressed in one place.

Menu

  • About Us
  • Terms of Service
  • Privacy Policy
  • Data Protection
  • Contact Us
PharmaSeekers

© 2026. All rights reserved.