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[Joseph_E._Stiglitz,_Carl_E._Walsh]_Economics(Bookos.org) (1)

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International Perspective

SOUTH AFRICA, AIDS, AND PRICE DISCRIMINATION

In perfectly competitive and well-functioning markets,

goods cannot be sold at two different prices. Those who

purchased the good at the low price could resell the good in

the high-price market, making a pure profit. But in some

markets, reselling the good is difficult; in others, governments

prohibit or limit resale.

Research and testing account for the major cost of

producing drugs. These are fixed costs that the drug manufacturers

recoup by charging prices that are considerably

in excess of the manufacturing costs. If they can practice

price discrimination, the price they charge in each market

will depend on the price elasticity in that market. But if they

worry about resale, they may charge the same price in

all markets.

Drug companies have developed some effective remedies

against AIDS—not cures but treatments that can

substantially prolong life. They charge $10,000 and more

a year for treatment, a cost few in the developing countries

can afford. The actual cost of manufacturing the

drugs is much, much less. But the drug companies have

been reluctant to sell the drugs at lower prices in these

countries for two reasons. They worried that it would

lower profits in those countries; and, probably more importantly,

they worried about resale, which would lower

profits in their own home markets (the United States,

Europe). But charging high prices in, say, South Africa,

the country with one of the highest incidence of HIV infection

in the world, in effect condemned millions in

that country to a premature death. Naturally, South Africa

balked. It passed a law allowing the importation of drugs

at lower prices, drugs possibly made by manufacturers

that had ignored standard patent protections. The drug

companies sued on the grounds that the law violated their

basic economic rights. But protesters around the world

argued that intellectual property rights must be designed

to balance the rights of potential users and the rights of

producers, that the benefits to the poor in Africa far

outweighed the loss in profits. In April 2001 they successfully

pressured the drug companies to drop their suit against

South Africa.

Protesters in South Africa objected to the high price of AIDS

drugs.

268 ∂ CHAPTER 12 MONOPOLY, MONOPOLISTIC COMPETITION, AND OLIGOPOLY

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