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Big pharma needs to act on vaccines

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As Matthew D’Ancona and colleagues at Tortoise say (#TheArmsRace Campaign Update 12): “After the disappointment of President Biden’s vaccine summit last week, it is more evident than ever that scrutiny of national governments, NGOs, and pharmaceutical companies, and of their performance in the great race to share doses, is going to have to be carried out by independent organisations.”

This could include pension funds with members who are concerned about profiting from the approach taken by pharma companies. This is an account of an imaginary meeting between an important asset owner and a major fund manager…

Dramatis personae

Jacintha Messina, widely respected CEO of Healthcare Workers International, the global co-ordinating body for pension funds for nurses and doctors in many countries. This is one of the top 20 pension funds in our world.

Cyrus Juckley, high-profile president and CEO of Blackguard Global Investors, their main investment partner.

MESSINA: Thank you so much for meeting me, Cy…

JUCKLEY: Well, of course. It’s been a long time – since INSEAD, I mean.

MESSINA: (Looking down at plate, a little embarrassed) Yes, well… Let’s just stick to business, shall we? You know why I … we wanted to meet up, don’t you?

JUCKLEY: Fine by me. Yup, you don’t get to be president of one of the world’s top three fund managers without having a pretty good sense of why people want to meet up. Even people as elusive as you are, Jacki. By the way, did you order anything to drink?

MESSINA ignores this.

MESSINA:  I just wanted us to get together before the meeting of our members which you very kindly offered to co-chair…

JUCKLEY:  Fine then, you shoot!

MESSINA:  Here’s the point, Cy. Given your firm owns between 5 and 10 per cent of the vaccine manufacturers, my members are really wanting to know what we – and you – are doing about this crisis. You get that, don’t you?

JUCKLEY:  Sure, I totally get their concern. But this isn’t a crisis created by ‘big bad pharma’ – they understand that, don’t they?

MESSINA:  Of course they do.

JUCKLEY:  These companies have worked day and night to get the vaccines out in record time. We both know governments have screwed up big time by not funding COVAX quickly enough and now by not sharing out the vaccines that are available in a fair way. I know its easy to  raise the spectre of ‘greedy pharma’, but that’s diverting attention from who’s really responsible. And by the way, these stocks are really performing for your portfolio which is what you want, right?

JUCKLEY smiles and winks with self-satisfaction.

MESSINA:  Listen, Cy. You remember the HIV/anti retroviral case study we learnt at INSEAD? Do you remember how pharma companies fought tooth and nail to prevent generics? Some 10 million Africans died because of that. This time around, the immediate answer may not be patents – although this won’t be the last pandemic. What I’m talking about the fundamental mindset that puts shareholder value above millions of lives, many more millions affected, economies disrupted and countries destabilised.

JUCKLEY:  I love your big picture worldview, Jacki – always have. But you and I have businesses to run. We have fiduciary responsibilities. We can’t make up for failing governments, my friend!

MESSINA smiles with familiar irritation.

JUCKLEY:  I apologise. I know you think I’m being patronising.

MESSINA:  I must be used to it by now. Let me try something else. Speaking of big picture, I’m reading that experts consider that we won’t be able to  vaccinate the world till 2023 or possibly later. Let’s leave aside the delivery schedules and assume this is correct. What impact do your macro team think this will have on global economic prospects compared to 70 per cent vaccination – herd immunity levels – by mid 2022? You know what the World Health Organisation wants?

JUCKLEY:  Well, I don’t know, Jacki. I haven’t seen that kind of scenario analysis – but let me make a note to ask our macro team.

MESSINA:  Fine, thanks. What I’d also like to know is whether they or other specialists have modelled the economic impacts of a ‘doomsday’ variant – one that isn’t responsive to current vaccines?

JUCKLEY:  I don’t know. My guess is that’s going to be impossible to quantify. Perhaps it’s one I’d put in the ‘existential risks’ bucket. Like, we also don’t model the impact of meteors hitting the earth…

MESSINA breathes deeply and consciously, then looks at her watch.

JUCKLEY:  Aw, now come on, Jacki. It can’t be time to go yet. We’ve hardly begun, and you haven’t even eaten yet…

MESSINA pulls herself together, smiles and looks him firmly in the eye.

MESSINA:  Funny you should mention existential risks, Cyrus. When I was looking at our files for Blackguard, I found a note of a meeting between my predecessor and yours, where he said much the same when he dismissed investor ‘response-ability’ about the climate crisis. But now your firm takes a very different approach, much more proactive, which we are very pleased about. Why do you think that changed? Because unlike a meteor, a vaccine resistant variant is a very likely outcome of our collective acceptance of not vaccinating the world quickly, right?

JUCKLEY:  That’s it, Jac. I’ve missed our debates. Yes, we were slow off the mark about GHGs and the energy transition. And yes, the losses we picked up on coal were huge. But pharma aren’t fossil fuel stocks!

MESSINA:  Not yet, Cy. Not yet. In a world where uncertainty means discontinuous change, perhaps we might want to add ‘yet’ to that sentence? Look, we and you are fully aligned on wanting to make sure big pharma doesn’t end up being like tobacco or big oil or big tech. The sector’s reputation was resuscitated by the R&D success, but it could so easily be wasted – if doctors and the public come to see pharma companies as being roadblocks to global health in a pandemic of the kind we haven’t seen since 1918.

JUCKLEY (just beginning the process of losing his cool):  Jacky! So what do you want me to do? Sell the pharma stocks in your portfolio?”

MESSINA:  Oh, don’t be silly, Cyrus! On the contrary, we think there’s a good case for our managers to be over-weight in this sector, given public health needs – even without a pandemic. And this won’t be the last. What we wan…

She corrects herself.

.. are hoping for is a really assertive, well-informed stewardship by you and the other major investors in the sector.

JUCKLEY (grinning and teasing):  You mean I’ve got to relearn the words to Kumbaya.

MESSINA:  Actually Cy, we were thinking about something like CA100+. You and the other big US managers were slow to join. So this time, we hope you’ll play a founding role!

JUCKLEY:  Ouch, Jacki!

MESSINA:  Speaking of which, we thought of a name for this initiative: Pharma Responsible Investment Campaign. Or you might prefer Coalition? You know, as in ‘It’s just a little PRIC’!”

JUCKLEY:  I love it!  So what do you hope we could do?”

MESSINA:  Well, in the first instance, we hope you’d look at how investors – collectively – contribute to this situation. Given the KPIs that pharma CEOs have, it isn’t really surprising that manufacturers focused on first supplying rich countries and now are focusing on boosters. It isn’t greed – it’s the predictable consequences of incentives. Since investors approve these incentive plans, logically we and you share responsibility for the vaccine inequity we see today. So how could investors change the KPIs and compensation metrics so pharma execs really focused on vaccinating the world?”

JUCKLEY stops eating, his fork half way to his mouth.

MESSINA:  If vaccine manufacturers were more transparent about vaccine supply challenge then governments, investors, other corporate players, the WHO, foundations could help overcome these bottle-necks. So are your pharma analysts really happy with the reasons given by vaccine producers for not making this information more public?

JUCKLEY:  OK, OK, I get it!

MESSINA:  Most important – do your pharma team buy the reasons given by pharma execs for not sharing technology knowhow? Why have these manufacturers turned down requests from Samsung, Teva, Celltrion & Bavarian Nordic? All are serious vaccine players in their own right and they are willing to pay license fees.

JUCKLEY:  OK, honey – I don’t say I agree with you, but I accept these are important questions. Now, shall we order another bottle?

*****

We hope this will be continued. That depends on you, the reader, contacting your pension fund – as one NGO says about the climate crisis, to “make my money matter”.

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Radix is the radical centre think tank. We welcome all contributions which promote system change, challenge established notions and re-imagine our societies. The views expressed here are those of the individual contributor and not necessarily shared by Radix.

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You may withdraw this consent at any time by <a href="mailto:hello@radixuk.org">emailing us</a>.</p></li><li id="field_4_12" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" ><label class='gfield_label' for='input_4_12' >Email</label><div class='ginput_container'><input name='input_12' id='input_4_12' type='text' value='' autocomplete='new-password'/></div><div class='gfield_description' id='gfield_description_4_12'>This field is for validation purposes and should be left unchanged.</div></li></ul></div> <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='RSVP' tabindex='98' onclick='if(window["gf_submitting_4"]){return false;} if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;} ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_4"]){return false;} if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;} jQuery("#gform_4").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=&amp;tabindex=87' /> <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='4' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjg1ZGYwZWM3YzAyMDRmYTcyZDYxNmIwMWJiNmFhYzVhIl0=' /> <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' /> <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' /> <input type='hidden' name='gform_field_values' value='' /> </div> <p style="display: none !important;"><label>&#916;<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js" name="ak_js" value="53"/><script>document.getElementById( "ak_js" ).setAttribute( "value", ( new Date() ).getTime() );</script></p></form> </div> <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe> <script type="text/javascript"> gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https://radixuk.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { /* delay the scroll by 50 milliseconds to fix a bug in chrome */ jQuery(document).scrollTop(jQuery('#gform_wrapper_4').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_4').val();gformInitSpinner( 4, 'https://radixuk.org/wp-content/plugins/gravityforms/images/spinner.svg' );jQuery(document).trigger('gform_page_loaded', [4, current_page]);window['gf_submitting_4'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_4').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_4').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [4]);window['gf_submitting_4'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_4').text());}, 50);}else{jQuery('#gform_4').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger('gform_post_render', [4, current_page]);} );} ); </script>
[gravityform id=2 title=false description=false ajax=true tabindex=69]
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_2' ><div id='gf_2' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_2' id='gform_2' action='/opinion/big-pharma-needs-to-act-on-vaccines/#gf_2' novalidate> <div class='gform_body gform-body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id="field_2_5" class="gfield gravity_head gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><h3>Join Our Movement</h3> <p>Keep updated on what's going on. Get email notifications</p></li><li id="field_2_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_1'> <span id='input_2_1_3_container' class='name_first' > <input type='text' name='input_1.3' id='input_2_1_3' value='' aria-label='First name' tabindex='70' aria-required='true' placeholder='First Name*' /> <label for='input_2_1_3' class='hidden_sub_label screen-reader-text'>First</label> </span> <span id='input_2_1_6_container' class='name_last' > <input type='text' name='input_1.6' id='input_2_1_6' value='' aria-label='Last name' tabindex='72' aria-required='true' placeholder='Last Name*' /> <label for='input_2_1_6' class='hidden_sub_label screen-reader-text'>Last</label> </span> </div></li><li id="field_2_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_2_2' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_2_2' type='email' value='' class='large' tabindex='74' placeholder='Email*' aria-required="true" aria-invalid="false" /> </div></li><li id="field_2_4" class="gfield gf-conf-check gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label gfield_label_before_complex' >Confirmation<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_4'><li class='gchoice gchoice_2_4_1'> <input class='gfield-choice-input' name='input_4.1' type='checkbox' value='Please keep me updated on new website content and Radix news. (We will process your data in accordance with our <span class="pp"><a href="https://radixuk.org/privacy-policy/">Privacy Policy</a></span>. You may withdraw this consent at any time by &lt;a href=&quot;"mailto:hello@radixuk.org"&quot;&gt;emailing us&lt;/a&gt; or clicking “unsubscribe” at the bottom of our emails).' id='choice_2_4_1' tabindex='75' /> <label for='choice_2_4_1' id='label_2_4_1'>Please keep me updated on new website content and Radix news. (We will process your data in accordance with our <span class="pp"><a href="https://radixuk.org/privacy-policy/">Privacy Policy</a></span>. 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[gravityform id=5 title=false description=false ajax=true tabindex=64]
<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_5' ><div id='gf_5' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_5' id='gform_5' action='/opinion/big-pharma-needs-to-act-on-vaccines/#gf_5' novalidate> <div class='gform_body gform-body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id="field_5_5" class="gfield gravity_head gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><h3>Get emails</h3></li><li id="field_5_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_5_1'> <span id='input_5_1_3_container' class='name_first' > <input type='text' name='input_1.3' id='input_5_1_3' value='' aria-label='First name' tabindex='65' aria-required='true' placeholder='First Name*' /> <label for='input_5_1_3' class='hidden_sub_label screen-reader-text'>First</label> </span> <span id='input_5_1_6_container' class='name_last' > <input type='text' name='input_1.6' id='input_5_1_6' value='' aria-label='Last name' tabindex='67' aria-required='true' placeholder='Last Name*' /> <label for='input_5_1_6' class='hidden_sub_label screen-reader-text'>Last</label> </span> </div></li><li id="field_5_2" class="gfield gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label' for='input_5_2' >Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_2' id='input_5_2' type='email' value='' class='large' tabindex='69' placeholder='Email*' aria-required="true" aria-invalid="false" /> </div></li><li id="field_5_4" class="gfield gf-conf-check gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_visible" ><label class='gfield_label gfield_label_before_complex' >Confirmation<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_4'><li class='gchoice gchoice_5_4_1'> <input class='gfield-choice-input' name='input_4.1' type='checkbox' value='Consent' id='choice_5_4_1' tabindex='70' /> <label for='choice_5_4_1' id='label_5_4_1'>Please keep me updated on new website content and Radix news. (We will process your data in accordance with our <span class="pp"><a href="https://radixuk.org/privacy-policy/">Privacy Policy</a></span>. 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<div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_6' ><div id='gf_6' class='gform_anchor' tabindex='-1'></div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_6' id='gform_6' action='/opinion/big-pharma-needs-to-act-on-vaccines/#gf_6' novalidate> <div class='gform_body gform-body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id="field_6_5" class="gfield gravity_head gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" ><h3>Before you go!</h3> <p>Stay up to date with what's happening at Radix. 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