Trade Therapy

Page 131

Deepening Cooperation on Medical Goods and Services Trade

assurances that their supplies of critical medical goods will not be arbitrarily cut off (Evenett and Winters 2020). Exporters could limit their rights to introduce temporary export controls in times of crisis in exchange for better market access in the importers’ markets in normal times. This would not be a deal of reciprocal market opening (the standard practice in trade agreements) but a promise to limit supply disruptions during a health crisis in exchange for a promise to retain open markets in normal times. Box 3.3 summarizes specific policy commitments to support such a bargain. Box 3.3 crises

Potential commitments to bolster governance of trade policy in global

Suggested commitments on the use of trade policy instruments in public health ­emergencies can be grouped into five categories (Espitia, Rocha, and Ruta 2020): 1. Commitments to limit trade policy discretion on medical goods during a pandemic • By importers, to retain policy reforms on medical goods enacted during a pandemic for three years • By exporters, that any export restriction would not exceed a period of three months and would not lower exports to partners by more than 50 p ­ ercent of the average of the past two years • By both exporters and importers, that proposed measures account for the impact on others—a requirement that exists for export controls on agricultural products 2. Actions to ease flows of medical products across borders could include commitments to abide by best trade facilitation practices for medical goods or to adopt international standards for critical medical goods for three years. 3. A commitment to improve transparency on policies and production of medical goods could include • A commitment to improve notifications (for example, by making information on new measures quickly available online), and • Strengthening of the World Trade Organization (WTO) monitoring function during a pandemic, including expanding its analysis of trade effects of policy actions and the Secretariat’s capacity to collect and report on measures from sources other than government notifications. 4. A commitment to basic principles for dispute resolution could include, for instance, an agreement that partners’ responses must be proportional and time-bound if a party walks away from its commitments to restrain export policy or retain import policy reforms. 5. A commitment to create a consultation mechanism could provide a forum to discuss common and country-specific problems, including the emergence of new critical areas such as shortages of medical goods or inputs not covered by the deal or the trade effects of policy changes by one party on other members. This mechanism could be informed by the analysis and enhanced monitoring of policies by the WTO Secretariat.

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response for future pandemics

18min
pages 177-187

Notes

11min
pages 165-168

References

12min
pages 169-174

3.2 Low levels of GATS commitments in medical services trade

1min
page 147

commitments than in GATS

15min
pages 148-154

Cooperation beyond trade agreements for global health security

22min
pages 155-164

3.3 Potential commitments to bolster governance of trade policy in global crises

20min
pages 131-139

Trade policy cooperation to contribute to global health security

3min
pages 127-128

3.5 Traceability and illicit trade in medical products in Africa

5min
pages 145-146

B3.4.2 Types of health technology transfer programs reported by WTO developed country members under TRIPS Agreement, art. 66.2, 2018–20

5min
pages 142-144

3.2 Pricing policies for medical goods in the context of international trade

6min
pages 124-126

3.1 RTA cooperation during the COVID-19 pandemic

6min
pages 121-123

References

12min
pages 114-118

Policies affecting medical goods and services trade during the COVID-19 pandemic

2min
page 96

the onset of the COVID-19 pandemic (excluding China), January 2020 to March 2022

5min
pages 108-110

Notes

8min
pages 111-113

2.11 NRA decisions on WHO-EUL COVID-19 vaccines, December 2020 to February 2022

8min
pages 104-107

2.7 Government support measures for the medical goods sector predated the pandemic

6min
pages 93-95

2.4 Trade in medical services faces many trade barriers

5min
pages 88-90

References

8min
pages 71-74

2.2 WTO-notified quantitative restrictions, by type and member income group, 2018–19

3min
pages 80-81

2.3 Progress on implementation commitments under the WTO Trade Facilitation Agreement

10min
pages 82-86

1.22 The vaccine value chains

3min
pages 68-69

2.2 Development of export-oriented medical services in selected countries

2min
page 87

1.17 Exports of PPE soared early in the COVID-19 pandemic

0
page 63

Notes

2min
page 70

1.11 Trade in medical services hit US$78.6 billion in 2019

1min
page 56

1.3 Recent FDI trends in medical goods and services

2min
page 46

Personnel—and the blurred boundaries between trade in medical services and migration of health workers

5min
pages 43-44

1.6 MNCs’ contribution to global value added and exports varies by industry

3min
pages 50-51

Patterns in medical goods and services trade before the pandemic

2min
page 52

B1.1.1 Private health insurance schemes as a share of total health expenditure in selected countries, 2019

3min
pages 41-42

1.1 Access to health care: The role of (trade in) health insurance services

2min
page 40

Drivers of trade in medical goods and services

2min
page 36

of medical goods and services, leading to concentration

8min
pages 32-35

Notes

1min
page 23

1 Trade and trade-related policy actions to improve prevention, preparedness, and

2min
page 20

Deepening cooperation on medical goods and services trade

4min
pages 21-22

Stronger trade systems for better global health security

1min
page 25

References

1min
page 24

Organization of the report

1min
page 26

Reference

0
pages 27-28

The medical goods and services trade: Relevance, characteristics, and welfare implications

1min
page 29
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