Charging Indians for COVID vaccines is bad, letting vaccine producers charge what they like is unconscionable

R. Ramakumar, Tata Institute of Social SciencesCountries around the world are racing against time to vaccinate their populations against the coronavirus.

But India has thus far been a poor performer, with only 9.6% of its population receiving a vaccine so far (compared to 51.8% in the UK, 45% in the US, 32.1% in Germany and 14.9% in Brazil).

While there are a few issues plaguing the vaccine roll out, the most egregious is the fact most Indians, many of whom live in poverty, are being made to pay for their shots. And the government is allowing vaccine producers to charge whatever they like.

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Not enough jabs

To cover its entire adult (over 18 years) population, India needs 1.9 billion doses of vaccines. If these vaccines were to be administered over the next 12 months, India would need 161 million doses each month, or 5.4 million doses each day.

At present, India produces only about 2.5 million doses per day, which may rise at best to three million doses per day over the next few months. At the present rate, India would be able to cover only 30% of its population by early 2022.

Only by 2023 would it be able to administer the shot to everyone above 18, which would be late, given the pace and spread of the pandemic.

How did it come to this?

There are three major reasons for this issue.

First, while many countries permitted a diverse basket of vaccines for domestic use, India limited its emergency approvals to just two — Covishield and Covaxin.

Covishield is the Indian name for the Oxford-AstraZeneca vaccine, produced by the Serum Institute of India. Covaxin, on the other hand, was developed jointly by India’s public sector and a private company named Bharat Biotech.

The reason appears to be a belief – based on zero evidence – that the two “Made in India” vaccines would be sufficient to meet India’s domestic needs and international commitments.

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For example, India could have granted emergency approval to the Russian vaccine Sputnik V, and the US-based Pfizer vaccine, in February 2021. Sputnik V was refused approval in February on the grounds that it had not supplied data on immunogenicity (immune response).

However, the same standards did not appear to have been applied to the other two vaccines – Covishield was given approval in January, even though its immunogenicity data were not yet available. Trial data from the UK, South Africa and Brazil published in The Lancet was considered adequate at the time.

Similarly, Pfizer was compelled to withdraw its application for emergency approval because the drug regulator insisted conducting a local bridging study would be necessary. However, Covaxin was given approval in January even when its Phase 3 data on efficacy were not available.

Second, the vaccine business is risky, given the amount of money that has to go into research, development, and testing, and many won’t end up being effective. Early public investments reduce risk exposure for vaccine companies and help raise their production capacities. Countries such as the United States, the United Kingdom and Germany made large at-risk investments in vaccine companies for research and capacity expansion. India failed to do so.

Third, India failed to place advance purchase orders for adequate quantities of vaccines. The first purchase order wasn’t placed until January this year. By this time, capacities of vaccine producers were already locked into other supply commitments elsewhere.

As a result, vaccination centres are being closed, and people are being turned away. In most cities, the mobile application – CoWin – used to book appointments for vaccination, isn’t allowing people to register. And even if people manage to register, appointments are not available for many months.

There is enormous public anger against the government of India for this, as well as for the serious flaws in its public health system which have been exposed by the sharp rise of infections in the second wave. This includes a lack of oxygen in hospitals and even a lack of space for funerals in crematoriums.

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Vaccine price deregulation

In April the government of India undertook a curious policy shift in its vaccine policy. It deregulated vaccine prices. Vaccine producers could “self-set” the price for their vaccines. Consequently, the two vaccine producers steeply raised the prices of vaccines by two to six times in just a week.

For the same vaccine, the government of India, state governments and private hospitals have different price tags. And the only people in India who receive the vaccine for free are healthcare and frontline workers, and those aged over 45.

The vaccine prices are now so unaffordable that informal workers are forced to spend about half of the household’s monthly salary on vaccinating all the adult members of their households. While it may only be about 800 Rupees for both doses (A$14), when a person at the poverty line may only earn around 50 Rupees (A$0.87) a day on average, this is a large portion of their monthly income. Depending on the definition, one-quarter to one-third of the Indian population is below the poverty line.

The vaccine producers lobbied hard to “free” vaccine prices. One producer said in a television interview he was hoping for “super profits”, and another said he wished the “maximum price” for his vaccine.

The government’s decision to deregulate the vaccine prices allowed “super profits” for private companies, even as an economic and humanitarian crisis was building and unemployment was rising.

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Predatory capitalism during human tragedy

Many commentators welcomed the new vaccine policy in the hopes increased prices would incentivise producers to increase supply. But they fail to see that vaccines are global public goods. They impart not just private benefits, but also social benefits, and so every barrier to vaccination must be minimised.

This is why most other nations, including Australia, the US, UK, Germany, France and China, are providing vaccines free of cost to all. India is an unfortunate exception to this global trend, and vaccines are now unaffordable to many.

Poor and faulty planning by the government of India has led to an acute shortage of vaccines. In the midst of the vaccine shortage, the government has effectively withdrawn from the social responsibilities of a welfare state. It has also opened the flood gates for a vulgar form of predatory capitalism to take the stage amid a raging human tragedy.

R. Ramakumar, Professor of Economics, Tata Institute of Social Sciences

This article is republished from The Conversation under a Creative Commons license. Read the original article.

How an Australian-born pastor survived a Molotov cocktail

Wayne Zschech, the Australian-born pastor of Calvary Chapel Kaharlyk, just south of Kiev in Ukraine with a population 15,000, says he will never forget the events that took place in the early hours of Wednesday, October 14th, when attackers smashed a window at the church building, where he and his family live, and threw a Molotov cocktail (petrol bomb) into the building, reports Dan Wooding, founder of ASSIST Ministries.

In an interview he gave me during my recent visit to Kiev, he re-lived the horrifying turn of events that could have caused the deaths of himself and his family as they slept.

“It all started when my wife Olya woke up in the morning to feed the newborn baby and she said she could smell smoke,” said Wayne. “We actually live in the church building and that night, there were six of us (including his mother-in-law) who were sleeping. We had actually sent the kids to school at eight o’clock in the morning and my wife said again that she could ‘really smell smoke.’ So we looked out the back window and there was smoke billowing out of the back of the church.

“Suddenly, it was all hands on deck. I called the fire brigade and then started finding where the fire was coming from. We originally thought that it was an electrical short because it’s an old building. I began opening up all the doors – because I didn’t want the fire brigade knocking them down – and looking in the basement trying to find where the fire was coming from.

“I kept going down into the basement and when I came up for air on the third or fourth occasion, I just happened to walk around the side of the building and suddenly the whole situation became clear. Someone had thrown a Molotov cocktail through the side of the building into our children’s ministry room and had also left spray painted markings on the side of the building saying, ‘Get out of here, you sectarians.’ So suddenly it put a big a whole new spin on the situation.”

I asked Wayne if he had ever experienced trouble before and he replied, “Not directly. We’ve had a couple of youths smashing windows and so we had to put security screens on our apartment, but nothing like this. There was no warning.”

Sitting next to Pastor Zschech was his assistant pastor, American-born Micah Claycamp, who is married with four children, who then described what he saw when he arrived at the church that morning.

“I had come to the church to do a language lesson and, as I walked in, I saw a big hose running from the back of the church into the room that had been firebombed and I could smell smoke,” he said. “They had just finished cleaning everything up and I went around to the side of the building and saw what had been spray painted and started talking to Wayne who had got the situation figured out and he told me what exactly had happened.

“This was the first big thing we’ve seen in our town. It is pretty quiet for the most part. I don’t feel threatened living there but this obviously is a situation that is a lot different and when you walk into something like this it makes you appreciate the things that you see God do, the unseen things. It makes you realize how much God protects our lives in ways you don’t see every day. So it just makes you more appreciative of His protection.”

I then asked Wayne how an Australian from Brisbane whose family hailed from the Prussian part of Germany finished up in a small town in Ukraine.

“Well, to be perfectly honest, I think God played a trick on me,” he smiled. “I graduated from school and wanted to get into the Royal Australian Air Force (RAAF) and when I applied for the Australian Defence Force Academy I got the chickenpox and so they didn’t let me in that year, even though my academic achievements were fine.

“So I quickly did a deal with God and said, ‘I’ll give you a year of my life’ and the next thing I knew three months later I was in Ukraine and started a Bible-based English schooling programs in communist government schools where kids were learning about Jesus. I was just seventeen years old at the time and began travelling all over the country and I’ve been here ever since. That is some sixteen and a half years now.”

Had he seen big changes in the country?

“Yes, many changes,” he said. “We’ve had currency changes and also seen mindset changes. We see economic things going on and we’ve learned a lot of things. But along the way, I found a beautiful Ukrainian girl and we have a wonderful marriage and we have three Ukrainian kids.”

Wayne then spoke about how he got involved in this Calvary Chapel.

“Well, I got tricked also into becoming the pastor of this church in what was then a village,” he said. “The founding pastor who moved with me from Kiev to Kaharlyk went back home to Australia to do his deputation work and a couple months later, he wrote me an email saying that he was ‘not returning to be the pastor of the church.’ He added, ‘So congratulations. You’re the pastor.’ So not only did I become a missionary by hook or by crook but also became a pastor and I’m thrilled.

“I never wanted to be those things but God has turned things around totally and I’m absolutely content and happy and it’s a very exciting life to see what God is doing despite the fact that humans would have had other choices.”

I then asked Wayne what Kaharlyk was like when he first arrived.

“We are about 80 kilometers (nearly 50 miles) south of Kiev and it was a town that had been in economic ruin as most of the country had been after the collapse of the Soviet Union,” he said. “Unemployment was rife. There were no jobs, no income and there was lots of mental and cultural baggage as the country was trying to reacclimatize to the real world situation.

“Now some 12 years later, we’re basically on the outskirts of Kiev although obviously the town hasn’t moved geographically. But it’s a thriving little town. It hasn’t grown numerically that much but you can definitely see there are changes. There are people moving out of Kiev to come and live in our town. That was never in our plan and we’re also seeing bits of investment coming in and things like that show what was once basically dead is now starting to show signs of life.”

I then asked him to describe the types of people who attended his church.

“We’re a young church and we’re different from the mainstream Orthodox and older style Baptist churches,” Wayne explained. “But the truth is that we are reaching out to orphans, to the elderly and we have a beautiful mix of all those generations in between. When you see a grandmother coming with her son and her grandson to church, you see the wholesomeness that the Gospel brings when God enters a family’s life.

“Back in the early days everyone was warned about people like us saying that these are the people ‘you’ve been warned about for all those years’ and that ‘they’ve come here to hypnotize you and take all your money.’ But that was more then based out of ignorance.

“We had an Orthodox priest back then and we had some very serious chats with him and he said, ‘Look publicly, I have to hold the government line or the Orthodox line, but personally I see that you’re a brother in Christ. So that was good. I wouldn’t call that major persecution, but I can understand the fear from their side.”

He then spoke about a unique business he has begun in the town.

“We decided that we had to become producers so people can put bread on the table and we have to show how God is in everything,” said Wayne. “So we have started a little mushroom-growing enterprise and now we’re making biodiesel. We actually collect oil from a number of restaurants, including McDonald’s Ukraine, and we make biodiesel and sell it and save money for the church and make money for the church and employ people and reinvest into the local town.”

Micah then said that he runs his car on biodiesel which he says smells like “fried chicken.”

“I can run it and I haven’t had any problems at all,” he said. “It’s also cheaper and I’ve put advertisements on the van to let people know the phone numbers so that people know what’s going on.”

It was Micah that picked me up at the Kiev (Borispol) Airport and drove me to my hotel and I have to confess that I didn’t catch a whiff of fried chicken from the exhaust of the van, though I did have a bad cold at the time.

I concluded by returning to the topic of the firebombing and asked Wayne if he had further thoughts about it.

“As soon as we discovered that it was intentional, you can just imagine the situation in your mind with totally charged different emotions,” he said. “We were targeted from the side of the building so that everyone in the town walking past it could see the damage and the spray painting.

“It was basically a political statement in that respect. The fact that the family was asleep in the building when it happened my mother in-law was staying at the time and she said that she heard some banging around at five o’clock in the morning and we looked at the fire damage and we see that it was a real a miracle. There was a fire but the damage was minimal. It should have been so much worse. What turned out to be a couple thousand dollars worth of damage when we could have lost the whole room.

“If they, for some, reason had chosen another window to throw it in, just the next window, the floor boards are totally bear there we don’t have thick linoleum on them, so the fire would have spread immediately. There’s a big air gap right under those boards and it runs right to our family’s bedrooms.”

I concluded by asking Wayne what his prayer needs were at this time.

“That Christ would be glorified to the maximum through this and the next circumstances and that He would save people and that the Christian body locally and throughout the world would pray harder to understanding the privileges that we have in our situations and that God can change them any time that He wants.”

Micah then added his prayer request: “That our church would grow together in this as they would see that God allows these things to happen to strengthen the body, to cause our eyes to be back upon Him and that for His glory to be done and bring more people to Christ.”

By the way if the name Zschech rings a bell with you, he is related to Darlene Zschech, who is perhaps most famous for the chorus "Shout to the Lord," a song that is sung by an estimated 25 to 30 million churchgoers every week, who has married in the Zschech family. “I was a Zschech first,” laughed Wayne.

Report from the Christian Telegraph 

TURKEY: MUSLIM SENTENCED FOR STABBING PRIEST IN IZMIR

Assailant influenced by TV series defaming Christian missionaries.

ISTANBUL, January 12 (Compass Direct News) – A judge in Turkey sentenced a 19-year-old Muslim to four-and-a-half years in prison on Jan. 5 for stabbing a Catholic priest in the coastal city of Izmir in December 2007.

Ramazan Bay, then 17, had met with Father Adriano Franchini, a 65-year-old Italian and long-term resident of Turkey, after expressing an interest in Christianity following mass at St. Anthony church. During their conversation, Bay became irritated and pulled out a knife, stabbing the priest in the stomach.

Fr. Franchini was hospitalized but released the next day as his wounds were not critical.

Bay, originally from Balikesir 90 miles north of Izmir, reportedly said he was influenced by an episode of the TV serial drama “Kurtlar Vadisi” (“Valley of the Wolves”). The series caricatures Christian missionaries as political “infiltrators” who pay poor families to convert to Christianity.

“Valley of the Wolves” also played a role in a foiled attack on another Christian leader in December 2007. Murat Tabuk reportedly admitted under police interrogation that the popular ultra-nationalist show had inspired him to plan the murder of Antalya pastor Ramazan Arkan. The plan was thwarted, with the pastor receiving armed police protection and Antalya’s anti-terrorism police bureau ordering plainclothes guards to accompany him.

Together with 20 other Protestant church leaders, Arkan on Dec. 3, 2007 filed a formal complaint with the Istanbul State Prosecutor’s office protesting “Valley of the Wolves” for “presenting them as a terrorist group and broadcasting scenes making them an open target.”

The series has portrayed Christians as selling body parts, being involved in mafia activities and prostitution and working as enemies of society in order to spread the Christian faith.

“The result has been innumerable, direct threats, attacks against places of worship and eventually, the live slaughter of three innocent Christians in Malatya,” the complaint stated.

The Protestant leaders demanded that Show TV and the producers of “Valley of the Wolves” be prosecuted under sections 115, 214, 215, 216 and 288 of the Turkish penal code for spreading false information and inciting violence against Christians.

The past three years saw six separate attacks on priests working across the country, the most serious of which resulted in the death of Father Andreas Santoro in Trabzon. As with Fr. Franchini, many of the attacks were coupled with accusations of subversion and “proselytizing.”

Although a secular republic, Turkey has a strong nationalistic identity of which Islam is an integral part.

Television shows such as “Valley of the Wolves” may not be the norm, but the recent publication of a state high school textbook in which “missionary activity” is also characterized as destructive and dangerous has raised questions about Turkey’s commitment to addressing prejudice and discrimination.

“While there is a general attitude [of antipathy], I think that the state feeds into it and propagates it,” said a spokesperson for the Alliance of Protestant Churches of Turkey (TEK). “If the State took a more accepting and more tolerant attitude I think the general attitude would change too.”

At the end of 2007 TEK issued a summery of the human rights violations that their members had suffered that year. As part of a concluding appeal they urged the state to stop an “indoctrination campaign” aimed at vilifying the Christian community.

TEK will soon release its rights violations summery for 2008, and it is likely that a similar plea will be made.

“There is police protection, and they have caught some people,” the TEK spokesperson said. “There is an active part of the state trying to prevent things, but the way it is done very much depends on the situation and how at that moment the government is feeling as far as putting across a diplomatic and political statement. There is hypocrisy in it.”

A survey carried out in 2005 by the Pew Global Attitudes Project also suggested a distinctly negative attitude towards Christians among Turks, with 63 percent describing their view of Christians as “unfavorable,” the highest rate among countries surveyed.

Niyazi Oktem, professor of law at Bilgi University and president of a prominent inter-faith organization in Turkey called the Intercultural Dialogue Platform, said that while the government could do more to secure religious freedom, he would not characterize Turkish sentiment towards Christians as negative.

“I can say that general Turkish feeling towards the Christian religion is not hostile,” said Oktem. “There could be, of course, some exceptions, but this is also the case in Christian countries towards Islam.”

Report from Compass Direct News