Innovative Pharmaceutical Industry and Innovative Nation
From the beginning, the government used an innovation model akin to a triple helix, conditioning that academia, public and private research institutes, and industry should collaborate with each other in order to create new knowledge and products.
In this model, the government plays a role in formulating policies and laws and supporting research and development of innovative knowledge and technologies. Academia and research institutes make a strategic alliance with industry to develop and commercialize innovative products.[797] In the case of South Korea, universities, public and private research institutes, and pharmaceutical firms constituted helices, with the government coordinating both helices and interrelated governmental institutions to facilitate research and development of new products based on and derived from Korean medicines. It was a top-down innovation model in which the government took the lead and oversaw the cluster of participating parties. The South Korean government looked into a modified triple helix model, that is, governmentindustry-research institute-academia complex, as a practical solution to create the pharmaceutical industry. The role of the government was clearly defined from the beginning, in that the government was responsible for creating the legal and regulatory foundations to facilitate the cultivation of the industry in additional to financial support. Considering colonial and postcolonial legacies and that public health-related laws and regulations were instituted based on Western biomedicine, the government felt a need to reestablish legal foundations to cultivate a pharmaceutical industry fit both with local and global contexts. The intended goal was clearly set to establish a domestic pharmaceutical ecosystem to mass-produce natural drugs that were marketable to the domestic as well as international markets. The government’s aspirations could be summarized as follows: first, research and development of natural resources should be prioritized with full support from the government; second, newly invented or innovated knowledge should be transferred to the industrial sector for commercialization. Considering the long medical and cultural history that Korean medicine had for the Korean population, the government believed thatthe South Korean pharmaceutical industry had a greater potential to win the global market.
On the one hand, the government’s policy turn toward herbal medicines renewed business interests among social actors who were directly and indirectly involved in the value chains of herbal medicines, changing the geography of herbal medicines in complex ways. For instance, one clear indicator demonstrative of renewed commercial interest in herbal medicines was the rise of the cultivating fields to mass-produce herbs as opposed to hunting and gathering medicinal herbs in the wild, let alone adopting and implementing good manufacturing/laboratory practices in circulating herbs and related products.[798] Starting in the 1990s, a new social actor came to the surface in the business of herbs and herbal medicines, namely the herbal pharmaceutical industry. The herbal pharmaceutical industry refers to either a biotechnology company or a pharmaceutical company that utilizes and transforms herbs to produce commercial products. The emergence of the herbal pharmaceutical industry can be majorly attributed to governmental aspirations to arise as a competitive player in global markets.
The classification system of the pharmaceutical industry tells how the industry is imagined and understood by regulatory agencies. According to Korean Standard Industrial Classification (KSIC), the pharmaceutical industry is classified under three different categories: the manufacturing industry, wholesale and retail industry, and service industry. The herbal pharmaceutical industry is more specifically subsumed under the manufacturing industry without appearing in the other two categories.
Part of the reason the herbal pharmaceutical industry boomed could be attributed to loosened regulatory measures to boost the industry. Less rigorous regulatory standards were applied to the processes of transforming natural resources into pharmaceuticals for the reason that natural resources had been empirically tested on human beings for thousands of years in Korea (referring to the medical tradition of Korean medicine and drugs). For instance, it was not mandatory to undergo animal tests for toxicity in laboratory, and in some cases, it was permitted to skip the first phase of clinical trials if sufficient evidence, whether clinical or historical records, proved the use of the medicinal plant efficacious.While in the 1990s the newly created herbal pharmaceutical industry was more focused on the pharmaceuticalization of herbal medicines, in the 2000s, the government pushed the industry to innovate herbal medicines as global hits. For 14 years, from 2001 to 2014, the governments spent about 309.2 billion KRW on developing and commercializing natural products and about 2 trillion KRW on national health insurance to reimburse natural
Classification as a Technology 227 drugs from 2003 to 2014.[799] Accordingly, the nominal growth of the industry was 2 trillion KRW between 2010 and 2013, of which 34% accounted for han yak products, including ginseng, herbs, manufactured herbal medicines. However, a more dramatic explosion of the market was observed in medical products and cosmetics based on or derived from Korean medicine and drugs.[800]
Despite the astronomical size of the public funds that had been spent on the pharmaceuticalization of medicinal plants, along with loosened regulatory measures, only eight pharmaceuticals were recognized as innovative natural drugs by 2015 by the Korea Food and Drug Administration, targeting non-specific chronic symptoms such as osteoarthritis and digestive troubles. Although they were approved as novel drugs, physicians of Korean medicine, who were excluded from prescribing and administering such drugs to their patients, contested the novelty of these eight natural drugs.
According to Korean medical laws, jurisdictional boundaries over pharmaceuticals are delineated along medical licenses. Physicians of Korean medicine are not permitted to own prescription rights to novel drugs, even if they are made out of medicinal plants in accordance with principles of Korean medicine. Possibly more troublesome to the governmental agencies was the reality that such novel drugs were not able to enter the global markets, mainly because of the regulatory gap between the domestic and global markets.In 2015, the National Assembly of Korea instructed the Board of Audit and Inspection of Korea to inspect a series of government-driven projects about the development of natural drugs. Through months-long investigation into the R&D projects, attention was paid to the following three issues, in particular: the effectiveness of the projects, that is, cost-benefit analysis; regulatory procedures to approve innovative natural drugs; and appropriateness of safety and quality management. The board decided to repeal a special bill about natural drugs, putting a closure on relentless doubts about the novelty of natural drugs since its birth. However, in 2018, similar rhetoric was cited again. The government aimed to develop ten global products comparable to Artemisinin and Saponin and to extend the market share from 2.2% in 2017 to 4.4% in 2022.[801] In late May 2018, the South Korean Ministry of Science and ICT announced that it would drive innovation growth in the domain of natural products and push interested industries, research institutes, academia, and governmental agencies to collaborate intimately. In order to facilitate the growth of the bio-economy (economic growth pertaining to and
deriving from biotechnology) and natural products in the Korean peninsula, the government took the initiative again to develop higher value-added industry in natural products. For instance, in 2016, the government poured 140 billion KRW into research and development in natural products, which included the plan to utilize natural resources in North Korea because of the changing political environment between the North and South Korean governments.
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