As
with any effective policy, unless and until the U.S. Congress enacts
comprehensive, bipartisan, fair, balanced, transparent, and equitable
healthcare legislation and regulatory framework, the task of dealing with
reducing the costs of prescription and generic drugs will be left solely to the
private sector and competing market forces of globalization as in the past. The
U.S. currently is a global leader in CMO’s which have been developed solely
with private sector partnership. Some of these CMO’s have technologies and
manufacturing facilities which are still in early stages, some in
proof-of-concept stages, some in pilot plant stages and some entering scale-up
/ commercialization, respectively. Most of the private sector parties involved
in CMO technologies and manufacturing are small businesses and are presently
starved for capital, with weak balance sheets, minimum collateral and / or
security for securing debt, but have highly competent technical and management
skillset with intellectual property. With the currently fragile investment
scenario for equity, working capital and debt, it is vital to leverage a
“Private-Public-Partnership” model wherein the U.S. government will provide
grants, loans, and loan guarantees via agencies such as the Small Business
Administration (SBA), the Food & Drug Administration (FDA), and / or the
Department of Health & Human Services (HHS). This can be matched with
equity from CMO promoters and owners, private equity groups and venture
capitalists. In addition, the U.S. federal and state government(s) must also
seriously consider providing income tax credits, production tax credits and
other job creation incentives in order to spur active private sector
involvement.
The
U.S. can become a net exporter of CMO products and services thereby increasing
U.S. exports and improving the current economic scenario. The U.S. small
business sector continues to remain as the major engine for economic growth and
can truly accelerate jobs growth in order to meet job creation objectives.
However, unless and until business and market oriented policy and investment
work hand-in-hand, the commitment to increasing CMO’s market share as
articulated above, will just remain as one more “concept” and “business-as-usual”
only as in the previous decades. The pharmaceutical industry is undergoing
significant M&A activity. By leveraging the utilization of CMO’s, the
industry can supply cost effective generic drugs for the global market. In
addition, pharmaceutical companies can take advantage of innovative
technologies developed by CMO’s and enhance job creation during the current
global recession.
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