How Canada botched its campaign for vaccines
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The
proven determinants of scientific progress – collaboration, a plan,
guaranteed funding, transparency – are nowhere to be found
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By Susan Martinuk
Research Associate
Frontier Centre for Public Policy
The
Human Genome Project (HGP) stands as one of mankind’s most remarkable
achievements. Its significance is easily equal to, or even eclipses,
James Watson and Francis Crick’s discovery of DNA’s helical structure,
or Neil Armstrong’s first steps on the moon.
The
goal was to determine the position and function of the more than
100,000 genes that comprise the 23 chromosomes of human DNA. It was a
massive endeavour and the challenge was so overwhelming that it could
only be accomplished by the global collaboration of scientists.
In 1990,
a $5-billion publicly-funded plan was established under the auspices of
national research councils in the United States and the United Kingdom.
A 15-year timeline was set and the chromosome pairs were sectioned and
sent to laboratories around the world.
The
collaboration was a gamble that paid off in spades: the HGP was
completed in 13 years (not 15) and at a cost of $3 billion (not $5
billion).
The
group was led by Dr. Francis Collins, an American geneticist who is now
head of the National Institutes of Health. Years ago, I heard him give a
speech in which he jokingly (and probably quite rightly) referred to
the HGP as the “only government project to ever be completed earlier
than scheduled and under budget.”
The secrets to this multi-layered (financial, bureaucratic and scientific) success?
Collaboration. A plan. Guaranteed funding. Transparency.
So where are these proven determinants of scientific progress today?
We’re
in a pandemic and, so far, there has been far more competition than
collaboration in the race to create, manufacture and distribute enough
vaccines to immunize all of humanity. As many as 23 vaccines have been approved by various countries and more than 60 others are in some stage of development or clinical trials.
A
vaccine is, ultimately, the only solution to this pandemic. Former U.S.
president Donald Trump may have eschewed masks, but his administration
shifted $18 billion
into a rapid vaccine development program called Operation Warp Speed.
These funds have supported seven drug manufacturers, including $2.5
billion for Moderna Therapeutics and almost $2 billion for Pfizer.
Perhaps that’s why these companies delivered some of the first, safest,
most effective vaccines.
Instead
of funding vaccine development, Canada’s leaders decided to pay
“volunteers” by providing, without proper scrutiny, almost $1 billion to
their ethically challenged friends at WE Charity and giving billions
more to ensure the survival of almost every industry – except vaccine
research and development.
This decision has not been without consequences.
Although Canada
made agreements to obtain the most vaccine doses (more than four times
our population) of any country, it has become abundantly clear that the
big drug companies are in no hurry to deliver them, signed agreements or
not.
In
contrast, countries that pumped billions of dollars into research
efforts (like the United States and the United Kingdom) began receiving
their allotted doses long ago. While they’re quickly getting vaccines
into arms, Canada is tumbling downward on lists that rank nations by the
progress of their vaccine rollout.
To be fair, Canada did make an international contribution of $440 million
to the World Health Organization’s vaccine partnership. Half of the
money was to secure vaccines for us; the other half was to assist in
creating a global vaccine cache for underdeveloped nations. But as our
vaccine delivery schedules turned into a gong show, Prime Minister
Justin Trudeau decided that Canada should dip into the global vaccine
bank to withdraw vaccines that were set aside for the poor.
At home, attempts to fund the development of a Canadian-made vaccine were anemic and impractical, at best. Initially, just $23 million was provided for domestic vaccine research and payouts were capped at $5 million per group.
Later,
$192 million was made available to vaccine manufacturers – but only as a
reimbursement for expenses. That fund has only recently increased to
$468 million. Such minuscule contributions, coupled with no money
upfront, are not nearly enough to assist Canadian biotech companies in
managing the financial risks of developing a vaccine.
Finally,
most government decisions and contract negotiations have been conducted
in secrecy. It was only recently that Canadians realized the federal
government had, months ago, appointed a vaccine task force
to advise on policy. Names were withheld from the public (until
uncovered by the media), meetings take place in secrecy and details of
contracts with private corporations are not released. Actions and
decision-making on a national level have only been open and transparent
if we pretend this is the Soviet Union, circa 1962.
Yet this is the group that apparently controls Canada’s pandemic destiny.
So
much for collaboration. A plan. Funding. Transparency. Sadly, these
proven characteristics of scientific progress are nowhere to be found in
Canada.
Susan
Martinuk is a research associate with the Frontier Centre for Public
Policy and author of a soon-to-be-released book, Patients at Risk:
Stories that Expose Canada’s Health-care Crisis.
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