Trade Therapy

Page 177

Table 4.1

Trade and trade-related policy actions to improve prevention, preparedness, and response for future pandemics

Instrument

National

Regional

Multilateral

• Ensure that all medical goods are fully liberalized in the context of regional trade agreements (RTAs).

• Develop an international list of essential medical goods in consultation with the relevant international organizations (such as the WCO, WHO, and WTO).

Measures affecting medical goods • Reduce or eliminate tariffs and internal taxes imposed on essential medical goods. • Establish, publish, and maintain a national list of essential medical goods (generating specific tariff lines for these products in the national tariff schedule), and create an interagency coordination mechanism to update and modify the list when needed.

Crisis response: Cease imposing import tariffs on critical medical products in short supply. If not permanent, tariff reductions should be for a minimum period to preserve market stability (for example, three years).

Prohibitions and restrictions on imports and exports

• Eliminate export restrictions in essential medical goods.

• Review and simplify the relevant rules of origin on medical goods to ensure preference utilization.

None

• At the WCO, negotiate the creation of new HS subheadings (6-digit codes) to facilitate the national classification and improve the collection of trade statistics in medical goods. • Bind currently unbound products (tariff lines) on medical goods in the WTO goods schedules. • Revisit the WTO’s Agreement on Pharmaceuticals and Expansion of the Information Technology Agreement to liberalize trade in additional medical goods or negotiate a new agreement to this effect.

• Review and improve interagency coordination for the introduction of prohibitions and restrictions on imports and exports, including licensing requirements.

• Share experiences in the relevant forums on the way these measures are introduced, administered, and removed, with a view to drawing lessons and identifying best practices that may assist during a crisis.

Crisis response: Refrain from imposing export prohibitions or restrictions during a global health emergency, and ensure that any such measures are implemented as a last resort and only when necessary to prevent or relieve critical shortages of medical goods. If an export prohibition or restriction is introduced, then

Crisis response: Limit the duration of export restrictions on essential goods, and establish a consultation mechanism to assess the adverse impact on partners of the emergency measures that have been imposed.

• Ensure the measure is targeted, transparent, proportionate, temporary, and consistent with WTO obligations; • Establish a short duration of the measure (for example, three months) and a review mechanism to extend or modify it subsequently if necessary;

161

(Continued)

LEVERAGING MEDICAL GOODS AND SERVICES TRADE FOR FUTURE PANDEMICS

Tariffs


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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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