Latest / Making Medicine / When the Feds Come Marching In: A Deep Dive on The Bayh-Dole Act
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- 0:01You're listening to Making Medicine Stories from the Early Stage Life Sciences Ecosystem, a
- 0:07podcast that explores the people and deals that have led to the medicines, devices,
- 0:11and technologies that keep us healthy. Let's get into the show. Hello,
- 0:17this is your host, John Stanford, and welcome to this episode of
- 0:21the Making Medicine podcast. We're quite fortunate to have Joe Allen, executive director
- 0:26of the Bi Dole Coalition, with us to talk about his work at the
- 0:30coalition, what's happening in the intellectual property or IP sphere, and the newly
- 0:36announced Marchin Writes framework that everyone's talking about, commenting, and is at the
- 0:41center of policy for technology innovation life sciences innovation. So we really have someone
- 0:47who couldn't be more steeped in a very timely issue here today. So Joe,
- 0:52thank you, thank you for being here today, and thank you for
- 0:55all the advocacy. Your current role at the bi Dole coal which you really
- 1:00built, is a byproduct in my view of your entire life's work. Can
- 1:07you talk about this and why that legislation to some extent has been central to
- 1:12your whole career. Well, first of all, thank you very much for
- 1:15being here. I always enjoyed talking with you and appreciate having some time to
- 1:19chat about this. Yeah, like a lot of things in my life,
- 1:22I just kind of stumbled into something. It really wasn't that I had some
- 1:25great plan. In fact, I'm still trying to figure out what my plan
- 1:27is. But basically, I was a very young staffer on the Senate Judiciary
- 1:32Committee, and I worked for Senator birch By, who was a Democrat from
- 1:34Indiana, and one day we had Purdue University come into our office and say
- 1:40they wanted to talk to us about a patent problem, and we had no
- 1:42idea what it was. But Senator By, anybody any university from Purdue,
- 1:47particularly his alma mater, went to the front of the line. So it
- 1:49turned out that before nineteen eighty, if federal government funded any research and an
- 1:56invention was made, the invention was taken away from them to Washington. There
- 1:59was no incentive for commercialization, and they just started stacking up there and we
- 2:04were appalled because it just didn't seem like it made any sense. So we
- 2:07found out that Senator Robert Dole, who was a conservative Republican from Kansas,
- 2:12had similar concerns. So By and Dole teamed up. It was an odd
- 2:15couple kind of a combination because they were on different sides of the aisle.
- 2:19This was an election year, very much like this year. But we said,
- 2:23this is it. We just can't afford to squander hundreds of billions of
- 2:25dollars or government funded research and not get anything out of it other than research
- 2:30papers which were being picked up by our foreign competitors and turned into products and
- 2:34sold back to us. So, in a nutshell, By Dole changed all
- 2:37that, and it injected the incentives of patent ownership into federal R and D.
- 2:42It said, basically, if a university or small company makes an invention
- 2:45with government funding, they can own it. They can then commercialize it,
- 2:49the government can use it for its own purposes, which is generally conducting more
- 2:53research. That a university has to give a preference in licensing to a small
- 2:57company because small companies drive our innovation largely, and also that we had to
- 3:01give a preference for people to do domestic manufacturing. But we also wanted to
- 3:06make sure that good faith efforts were being made to commercialize an invention, so
- 3:10we put a thing called marching rights there, which actually at the time was
- 3:14really not controversial. Actually, marching rights predated by Dole, and the premise
- 3:17was we wanted to make sure that if the university had licensed an invention,
- 3:22you know, particularly for a large corporation, that the company was making a
- 3:25good faith effort to turn into a product. You didn't want somebody licensing a
- 3:29technology to suppress it because maybe it competed with an existing product. And the
- 3:34other thing was, in nineteen eighty universities were new at licensing, so we
- 3:38also said we wanted to make sure they license their technologies on reasonable terms,
- 3:42in other words, terms conducive to commercialization. For example, you couldn't say
- 3:46that you have to hire the university president's daughter or CEO, you have to
- 3:51build us a new basketball team, you know, a basketball stadium, you
- 3:53know, whatever. It had to be things that they're conducive to commercialization.
- 3:59So that how the law worked, and for twenty years no one questioned that.
- 4:02But there are people who want to return us to the pre by Dole
- 4:04era when everything was owned by the government and Washington micro managed it. So
- 4:11twenty years after by Dole passed, the opponents of by Dole claimed they'd found
- 4:15a secret meaning in the law. And I don't know about other laws,
- 4:19but we didn't have secret meanings in by Doll. We said what we thought,
- 4:24and they claimed that when we said that technologies have to be licensed on
- 4:28reasonable terms, that also meant that the government can impose reasonable pricing. And
- 4:33Senator By and Dole had been out of office for twenty years at that point.
- 4:36But I called up Senator By and I said, hey, this is
- 4:40Senator, this is really serious. Is turning your whole law on its head.
- 4:45And the opponents who actually got an op ed and the Washington Post called
- 4:47paying twice for the same drugs, claiming again that this hidden meaning of by
- 4:51Dole now allowed the government to impose christ controls. So Senator By and Dole
- 4:57immediately wrote back, they said, that's not how the law worked. But
- 5:00nevertheless, the people that want to undermined Bidle have been filing petitions to the
- 5:04government asking them to march in to impose prices on drugs. Everyone has been
- 5:10denied, including by the Biden administration. But then suddenly, out of nowhere,
- 5:15in last December, the Biden administration floated these what are called draft guidelines,
- 5:19which now say that even though the Biden administration said previously, the marching
- 5:26rights aren't for price control. Now maybe they are, so that in a
- 5:30nutshells has sort of thrown the whole system up in the air. But that's
- 5:32sort of how what I started doing back in actually nineteen seventy eight is still
- 5:36relevant and I'm still working on it. So hopefully we'll reassert that the law
- 5:42means what it says. But you know, these issues are very current right
- 5:45now, because that is a big deal, Joe, thanks for that.
- 5:47I think it's really telling that the seventies, I guess, are back in
- 5:51vogue. And close that answer, talking about this frankly bizarre framework, you
- 6:00go a little deeper about just exactly the significance that would have, and by
- 6:04my understanding, not just in medical innovation and intellectual property, but even more
- 6:11broadly. So I'd like to pick at that thread a little bit more,
- 6:14as well as some of the efforts of the Coalition and even Congress to say,
- 6:17hey, this policy really isn't the direction we want to go. Yeah,
- 6:23most of us that lived through I really didn't want to go back to
- 6:25the seventies again. But maybe we are. And you know, we talked
- 6:28about the passage of Bidole in nineteen eighty there was an experiment. We really
- 6:31didn't know what was going to happen. But the Economist Technology Quarterly, which
- 6:35is not a US publication, said the bi Dole Act was probably the most
- 6:40significant piece of legislation passed in the last half century. This is a quote.
- 6:45More than anything, it helped reverse America's precipitous slide into industrial irrelevance.
- 6:49So if you look at what's there's a huge American innovation renaissance, which actually
- 6:54started in nineteen eighty. There was three things that kicked it off, one
- 6:57of which was bi Dole, which now allowed industry to work with the public
- 7:01sector and collaborate and then make sure we had sufficient patent rights out there to
- 7:08encourage commercialization. The other thing that was part of that was the US is
- 7:12really unique because our innovation system is largely driven by small companies. Small companies
- 7:17license about seventy percent of university inventions, about seventy percent of federal laboratory inventions,
- 7:24and even here in the United States, about fifty percent of our new
- 7:27drugs come from small companies. So that link with small companies is really vital.
- 7:30And also because of bi Dole, universities are now spinning off companies.
- 7:35We actually form three new startup companies every day of the year, commercialized three
- 7:40new technologies from under by Dole, and that's way beyond what anybody else in
- 7:45the world does. Just before I finish that thought, the other two things
- 7:49that happened all happened at the same time by serendipity. One of which was
- 7:54the Supreme Court ruled and checker Bardy decision that life's organisms could be patentable they
- 8:00were made. And the other thing was after I left the Senator Buyers Office,
- 8:03I worked for a trade association and we passed the thing called the Court
- 8:07of Appeal for the Federal Circuit, which at the time reimposed certainty in the
- 8:13patent law. So all those things came together if you look in nineteen eighty
- 8:18in nineteen eighty one eighty two, the US was on a serious decline.
- 8:22The Japanese and the Germans were taking markets away from US, and a lot
- 8:26of people were forecasting our best days were over. Well, that didn't happen.
- 8:30We were completely reversed it. Now the US is dominant in most fields
- 8:33of technology because of our public private partnerships and in fact, the response to
- 8:37the COVID pandemic was a classic example where while most people were hunking down under
- 8:43their beds, university researchers, federal lab researchers, and most importantly, industry
- 8:48researchers all were working together twenty four to seven to combat the coronavirus. So
- 8:56and again we led the world in that. So this really is a big
- 8:58deal, the driver of our economy. And the other thing that you point
- 9:03out is really critical. The Bi Doole Act applies to all federal R and
- 9:09D, not just national suits of health. It applies to defense, energy,
- 9:13NASA, agriculture, you name it. So you know, the critics
- 9:20are always looking at drug pricing, and we'll talk for a minute later perhaps
- 9:22about why marching rights. First of all can't be used for price control,
- 9:28but even if they were, they would not reduce drug prices. But the
- 9:31thing where there they really will have an impact is against small companies because anyone
- 9:37can file a marching petition. The way the statute works, it's like a
- 9:41whistleblower kind of thing where if somebody says, hey, we license this to
- 9:45John and he's sitting on it, then the agencies can look at that see
- 9:48if it makes sense, and if it does, they can have an administrative
- 9:52procedure. There's a chance to appeal to the Court of Claims. But if
- 9:56you go through all that, the government can force a university to license another
- 10:00person if it looks like you're not commercializing it, or if you can't meet
- 10:03the needs of a national emergency. But what's happening now is from the Biden
- 10:07administration standpoint, unfortunately, choosing to misinterpret the law, even though that's who
- 10:15was never authorized to say. If someone doesn't like the price of your product,
- 10:20they can now petition the government, and the government, if they agree
- 10:22with them, can license a copier. So that's not only bad legally because
- 10:26the Bidoll Act does not authorize that, but the thing that makes it even
- 10:31worse is no one can tell you upfront what a reasonable price is, so
- 10:35you know who is going to commercialize a new product if it looks like and
- 10:39again, the odds against success are formidable, and particularly in life sciences,
- 10:43I mean and life sciences is like ninety eight to one. They're going to
- 10:46fail and probably lose a lot of money. But even in clean battery technologies
- 10:50and environmental technologies, you know, the odds of a startup or somebody taught
- 10:54starting an early stage technology, which is what most government inventions are have a
- 11:00successful product or daunting. But our system works because people are willing to assume
- 11:05that risk. But now, if it looks like if you do succeed,
- 11:07your brother in law who hates you, a competitor or the Chinese can file
- 11:13a petition and say, hey, we really don't think that this new water
- 11:16purification technology is reasonably priced. We could make it cheaper, and we want
- 11:22the EPA now to march in and license it to a competitor. You know,
- 11:24no venture capitalist is going to fund that, and no startup company is
- 11:28going to waste their time and their own money, you know, trying to
- 11:31build a company. If it looks like at the end of the day,
- 11:35someone can say I just don't like your price, and then if the government
- 11:37agrees with that some im GS fourteen, they can license your competitor. And
- 11:43you know what's going to happen is this is going to unleash It's going to
- 11:46leash the furies on American innovators because what's what would happen is not only would
- 11:52competitors be doing this and big companies be doing this, but scam. They
- 11:58won't be scams. They'll be basically be shakedown artists. We'll be saying,
- 12:01hey, John, really would be a shame while you're trying to get a
- 12:03venture funding. I filed a marching petition. Maybe you should either make it
- 12:07worth my while to go away or maybe open to copy. And you better
- 12:09not do anything. So it now turns BI DOLE on its head. By
- 12:13Dole right now, for forty three years until last December, was very predictable
- 12:18and no one was abusing it. Now no one can tell you what the
- 12:22rules are. And David Cappo said, who was a former director of the
- 12:26Patent Office under the Obama administration, this new Biden effort is making federal R
- 12:31and D toxic. Now you're really scared about doing anything with this because you
- 12:37never really know if someone's going to come in and say I don't like your
- 12:41price, I can make it cheaper, and is the government going to license
- 12:43somebody else or not. So the time when we're being pressed by the Chinese,
- 12:48and by the way, the Chinese have adopted by DOLE is the best
- 12:50practice for their own universities. Now we've taken something which is the lynchpin of
- 12:54American innovation, which has worked for forty three years. The law has not
- 12:58been changed, This is not in the statute. Everyone's I think most people
- 13:01are agreeing with that. But now suddenly you're turning making BIDOL a weapon against
- 13:07against American innovation. And that's frankly why we're so exercised about this, because
- 13:13this is a great example of the United States shooting itself on the foot.
- 13:16Chinese didn't do it to us, Vladimir Putin didn't do us too, And
- 13:20it's got to be taken off. It's got to be taken off. This
- 13:22is something which really is going to have a huge impact, and it's not
- 13:26a small thing. Well, I think you covered a lot of critically important
- 13:31ground there that was very informative, even to me. It's any federally funded,
- 13:35and I don't know that we all appreciate just how much basic research comes
- 13:41from that early stage federal funding in agriculture defense. You sort of name it.
- 13:48You've got some bright idea and you get early SBIR funding. We're really
- 13:54and you said the magic word for the investors who listen to the show,
- 13:58certainty, And every single one that's come on talks about the need for certainty
- 14:03in order to be able to deploy capital, and this puts it on a
- 14:07ten. I want you mentioned that one of the drivers of this, as
- 14:13inaccurate and sort of foolish as it is, was to address drug pricing,
- 14:18and yet you made them mention that it would do very little. Can you
- 14:22expound a little bit further on that. Yeah, I mean, the irony
- 14:26of this whole thing is is astounding. Let's just go back just a little
- 14:30bit. I don't want to get too much of the wastter, but just
- 14:31to give a timeline for your listeners. As I mentioned, there have been
- 14:35a series of petitions to the federal government esking the marching against drugs to reduce
- 14:39their price. Everyone has been dismissed for twenty years under Republican and democratic administrations.
- 14:45In fact, the most were dismissed in the Obama administration, but the
- 14:48critics keep filing over and over again. They've founded at least six or seven
- 14:52petitions just on one drug, which is called extandy XTA n d I.
- 14:58It's a prostate cancer drug. So that was that's been denied under the Obama
- 15:03administration and the Trump administration, but they re fouled it again. In the
- 15:07Biden administration and the current administration sat on the petition to nih to march in
- 15:13for about a year and a half. Then suddenly last March they issued one
- 15:16of the strongest denials of a marching petition wh's ever been issued, saying we
- 15:20are not going to march in on exstendy again their price control. It has
- 15:24been commercialized, it's met the standards of by DOLE, and the government's not
- 15:28going to impose a price. But you had people like Senator Warren and Senator
- 15:33Sanders who have been apoplectic about trying to misuse by DOLE. So I think
- 15:37as a fig leaf, the Biden administration said we're going to form this interagency
- 15:41committee to look at marching guidelines and whether price can be a factor, which
- 15:46I wasn't thrilled about, but you know, what are you going to do?
- 15:48So that was going on, and then in December that same guideline came
- 15:52out and said, in fact, price could be a factor. So that's
- 15:56what's really sort of thrown the whole thing in limb. But just before the
- 16:02guidelines issued in December, I think it might have been in either late October
- 16:06or November, there's a group called Vital Transformation, which does excellent research.
- 16:11So they were intrigued about this whole idea about marching in against drugs, and
- 16:17so they did some research and they looked at I think, I believe it's
- 16:19every drug that's been approved by the Food and Drug Administration. I believe from
- 16:22twenty thirteen to twenty nineteen. My dates may be a little bit off.
- 16:26That's that's pretty much the ballpark. And what they found was ninety nine percent
- 16:32of them could not be marched in on for a simple reason under the Bidole
- 16:37Act, the government is only you're only talking about marching you know, having
- 16:40the government license other federally funded inventions. But if you look at drugs,
- 16:45and again, because companies are not just waiting for the federal government to come
- 16:48up with a patent, there's ongoing research in the industry. And as you
- 16:52blisters very well known, you know, drug development's one of the most expensive
- 16:56and long term things you can ever do. So what happens is even if
- 16:59the comp many licenses a university invention, that's going to be part of a
- 17:03very broad patent portfolio to use the drug. So what Vital Transformation found out
- 17:08was you couldn't copy the drug just on the bidole patent because that does not
- 17:12give you access to the industry patents. So ninety nine percent of them would
- 17:18not be copyable, but one of the exceptions and you know, again we're
- 17:21talking about ninety nine percent, but the exception would be extending because extend.
- 17:25These drugs actually came primarily from the University of California, which is why the
- 17:29opponents keep filing on extending. So what's happened is after that study came out,
- 17:36Now even the very people who've been pushing the Biden administration to march in
- 17:40for price control are now conceding then, in fact, marching rights will not
- 17:45reduce drug prices. So rather than being they're wrong, now they're going to
- 17:49the next step. Now they say the government should use its authority under Section
- 17:52fourteen ninety eight, which allows the government to seize patents that they need to
- 17:56for their own purposes. It came out of World War Two. Now they're
- 18:00trying to say, now we need to misuse section fourteen ninety eight, so
- 18:03the government can not only sees bi dole patents, but also private patents.
- 18:07And you know that's where this issue is going. Next but we're not there
- 18:11yet. But it just shows you even if you did what the critics say
- 18:15and have been claiming for twenty years that using marching rights is a huge lever
- 18:21for lowering drug prices. Now we find out looking at the data, which
- 18:25even they've acknowledged is accurate. No, by doll marching rights will not reduce
- 18:30drug prices. They can't because you can't get access to the drugs for ninety
- 18:33nine percent of them. But here's what it will do. Let's get outside
- 18:37of drug development. Now, if you look at people on you know,
- 18:41small companies spinning off campus on clean energy, environment, agriculture, actually even
- 18:48even life sciences. When you're spinning off campus as a startup company is a
- 18:52fledgling company, your critical patents probably are covered by by DOLE. So here's
- 18:57the upshot. If this smithsuse is not going to lower drug prices, but
- 19:02now you've put a target on the very companies that drive American innovation because their
- 19:07patterns are likely to be covered by by DOLE. And they're the ones now
- 19:11who are susceptible to somebody saying I'm going to march in on you, and
- 19:14I'm going to make it publicly known, So no VC is going to come
- 19:17anywhere near you. Even if they don't succeed, they can they can kill
- 19:21you at a time when you critically need funding. And you also mentioned another
- 19:25thing which I just want to mention talk about in passing the Small Business Innovative
- 19:30Research Act is also covered by by DOLE. So this is not just university
- 19:34inventions. These are small business inventions. And as you well know, the
- 19:38administration now they have the clean Technology Initiatives, or they have initiatives across the
- 19:45board, you know, billion dollar programs going on now to help us be
- 19:48competitive in new technologies. Most of those are driven by small companies, and
- 19:53this marching thing is a death knell to those companies because again, as you
- 19:57said very well, VCS wants certainty, even not only VCS. If I'm
- 20:03going to start a company and I'm putting up my house is collateral, or
- 20:06I'm willing to dedicate ten years of my life, I'm not going to do
- 20:10that. If so I can come in and copy it. So you know,
- 20:12the iriy of this whole thing is astounding. I think I believe the
- 20:15Biden administration is starting to realize they've made a real blunder. Here. But
- 20:19now the problem is, you know, how can you sort of climb down
- 20:22off the ledge after we've got this thing hanging over us. Well, Joe,
- 20:26I think a lot of credit is owed to you and the Bidole Coalition
- 20:33for really yeoman's work in calling attention to the origin of this law, the
- 20:37bipartisan congressional intent of it, and I think in this environment that is so
- 20:42important, and this has been a big priority for Incubate and bringing the voice
- 20:47a venture capital on this issue. We submitted comments and we've been talking about
- 20:51it, but it's so great to have you, really one of the leaders
- 20:53in this entire space, taking some time with us today to talk about the
- 20:57issue, give us a little hope that maybe they'll change direction given me strong
- 21:03pushback and unified pushback from policymakers, investors, and other stakeholders. So,
- 21:11ladies and gentlemen, I want to give a big thank you to Joe Allen
- 21:14and all the folks at the Bidole Coalition for the meaningful work they do.
- 21:18Thank you for joining us today and our audience for listening and sharing and giving
- 21:22feedback. Check out more from Incubate at www dot Incubatecoalition dot org and while
- 21:30you're there, give us a follow on LinkedIn, x and YouTube so you
- 21:33can stay informed on what's happening in life, science, venture capital. As
- 21:37always, a special thanks to Grace Moster and the making of today's podcast,
- 21:41and as always, keep innovating. You've been listening to Making Medicine. To
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