Comment by alzamos

4 hours ago

The book “against intellectual monopoly” has shaped a lot of my thinking on this topic - economists have looked at the various occasions in which patents were introduced into an industry (or extended in scope), and there is no evidence they actually improve innovation/efficiency/outcomes (including the pharma industry!). I was quite surprised as my whole life, it was sold to me as an incentive-boosting measure which in turn would lead to said outcomes.

With that lens, I welcome gradually phasing this stuff out, especially as we navigate into the unknown game-theory landscape AI-as-inventors brings.

Do you remember some of the studies this book cites? I always thought the drug development lag times and success rate made patents necessary. Do the authors make exceptions for rare disease or CNS therapies?

So I was an intern at Merck MANY years ago and they had this interesting comparison.

Most companies only publish medical research findings on blockbuster drugs once both are true:

1. Production has started

2. A patent has been filed

The reason for this is that they want to maximize the amount of production time under patent b/c that maximizes revenue.

If you are the researcher, that means you have to wait until all of the production setup is ready to go.

Merck took a different stance.

There, the patent was filed as soon as the researcher was ready to publish. This meant that there was less time under patent for production but was much better for the researcher as they got their findings out earlier.

The thinking was that being able to publish earlier would attract better researchers and in turn would lead to better drugs, more revenue, more profits.

This was in the late 1990s so not sure how this plan worked out as I haven't been in pharma since that era.

Would be interesting to hear from other folks more knowledgeable.

  • 2 I recognize, 1 not so much. Patents are usually filed as early as possible, because you risk losing priority to someone else. And you cannot file a claim on inventions that are in the public domain.

    But then it takes a decade or so to develop towards approval. You work together with outside researchers who lend their credibility and get attractive publication possibilities in return. Those publications also help to raise awareness with doctors and investors. Since some company researchers are also authors, this does indeed work as an incentive and is helpful for recruitment and ultimately more successful products.

    To the core of the article: why would anyone want to file a patent with AI as a (co-)inventor? It's a tool, and it cannot have any ownership rights. And even if it did, it would diminish your share of royalties.

You spend billions to get a drug from concept to approval - and then once you've invested all that money, someone else can just sell it too, free loading on all the studies you ran? Why would anyone invest in drug studies?

I need a bit more depth and detail to believe that this doesn't destroy the pharma industry.

What would the empirical evidence even look like? It's not like the modern pharma industry existed before patents.

  • The book goes into quite a bit of depth if it is a topic that interests you.

    I would flag that we’re getting into “prove a negative” territory here: the goalpost is that we need to prove empirically that patents achieve the desired outcome. If the scenario you describe accounts for all game-theory/incentive/complex-adaptive-system universes, we should see this reflected in the data.

    When it comes to pharmaceuticals, they looked into Italy and Switzerland who switched to a patent system in 1978 (and I believe Portugal in the 1990s). They looked at the growth curves of things like # of inventions, total factor productivity, percentage R&D spending, and the conclusion was that there was no statistically significant change in trajectory that would suggest the introduction of the patents had any positive effects. (Edit: they accounted for domestic/international + US filings before/after as well).

    • Thanks for actually giving a great answer to this versus the other knee-jerk comments! I will definitely look into this more.

      I think it's important to note that the cost of bringing a drug to market has increased a lot (about threefold) since 1990, so if the case studies are that old they might not generalize.

  • > Why would anyone invest in drug studies?

    To make a shit ton of money. These things are insanely profitable. Generics exist and they're still profitable. You can get 99% of drugs from over seas and they're still profitable. These companies make trillions of dollars over the years. Yes, they might make slightly less money, but they still would be making a shit ton of money.

    • Generics exist for drugs that usually someone did hold a patent for that has since expired and they're much less profitable than patented drugs.

      Not sure how that address the point. Again, the investment to get a drug to market is gigantic and you're saying that someone should pay for that and someone else should get the reward. It really doesn't work that way. Everyone would want to be the one who didn't pay.

  • This may surprise capitalists but people genuinely want to make the world a better place, let's not act like the only human desire we have is to accumulate wealth.

    If the current iteration of pharma companies refuse to share society progress with all humans, we can create different pharma companies that build drugs for the public good rather than the private benefit.

    • It's not black and white- in pharma there are notable sources for investment that are not private, e.g. for orphan diseases that would otherwise not see enough investment due to lack of profitability.

      But here's a mechanism to mobilize private capital for those diseases that are. Again, the investment needed boogles the mind, around 10B currently, for a single drug.

      You're asking someone to pay that money and allowing others to reap the rewards. Why wouldn't everyone want to be the one who didn't pay the money?

    • Some will surely exist. We already have public funding for things that are not particularly profitable. The question is if it will net a better system overall.

      Even with the current system everything older than X years is public. That means we should have better care options available then anything X years ago. And that keeps increasing.

    • I do however like the imagery from the parent of a big collection of people working for a decade to produce one (1) drug and then burning all that infrastructure and training down and then being shocked when someone with no infrastructure or training or history in drugs comes along and somehow produces it but outsells the original.

    • This may surprise socialists, but you can set up a pharma company yourself right now that makes all its research open.

    • I agree, but man, getting the money to make the world a better place goes through the capitalists right now so unfortunately that's the game. Can't fix the problem without fixing the system. (I'm not like hardcore marxist or anything, but incentives shape everything; have to fix the incentives)

    • This may surprise extreme altruists but there are people who genuinely care about profit motives and are only willing to make the world a better place at a price. I don't see software engineers in advertising and finance quitting their jobs en-masse to work for teach for america, doctors without borders, etc.

      Also, the bulk of the cost of manufacturing a drug lives in the scientific & engineering exploration space, which we should incentivize.

Patents are an incentive to encourage an inventor to lay out an invention or process in exchange for the state protecting that process, we did this because there have been in the past inventions that have been lost, that were valuable largely because the inventor died without documenting what they did (keep in mind the first patent was issued in 1331[0], this is old law)

The complicating factor is that as time passes our ability to reverse engineer has grown, however I'm not sure that invalidates the need for patents, the question is whether the new patents are being assessed well from a novelty / inventiveness perspective

-[0]: https://en.wikipedia.org/wiki/History_of_patent_law

That's interesting, but I'm a little skeptical about pharma. Right now there are a lot of really potentially-promising molecules that pharma isn't really interested in bringing to market because they can't patent them. I don't know though, maybe the game changes if nobody can patent drugs, but then I think you'd need to make FDA approval a lot cheaper.

  • Care to name a few of them? I've always suspected that novel new substances were being "kept on the shelf" due to a lack of monetization

You could probably take a competitor closing in on a patent and destabilize them by taking just enough of their R&D and feeding it though an LLM to reach a motivated conclusion, then publishing that transcript. I wonder if we'll see an increase in corporate espionage as a result of this powerful new tactic evolving.

I'm having a hard time even grappling with how that could be true?

I always assumed that intellectual property was invented in order to protect against a specific use case:

If researching a new product is extremely cost intensive. But once a product is invented, it is easy to reverse engineer how the product works. Then the first firm will need intellectual property to put in the initial cost, otherwise they will not do so, as they know they will not have enough time to recoup their costs in the market before a competitor moves in with a copy-cat product without having to paid the initial costs.

  • There are two things to tackle here which I’m keen not to mix up as I think their epistemological properties are quite different:

    1) [the stronger one] while the scenario/narrative is a compelling one (or maybe it just feels compelling as I’ve heard it so many times), if it doesn’t have experimental/data backing I have to abandon it.

    2) [the weaker one, as it replaces a narrative with another narrative within a complex system] I’ll only give the highlights as the arguments are a lot more eloquently laid out in the book; part of it is comparing the force of “many inventor nodes building on top of many invention nodes” vs “inventor nodes (with more investment individually?) building on top of fewer invention nodes”, part of it is the game theory effect of companies collectively investing less (proportionally) in R&D as the ROI from lawyers under this regime has more power, part of it was that actually, the reverse-engineering-simplicity story was too overblown and that actually the friction + domain knowledge has a stronger effect than people think (they published a paper on this). There were others, but it’s been a while now!

  • In many research-intensive products go-to-market costs are bigger than the cost of actual invention. You buy a pharma startup for a few million for their patents, then spend tens of millions on certification, trials and manufacturing pipelines. Your competitors would spend most of that too on the same markets. Also, true inventions are rare. A lot of stuff that is being patented is just effort spent, that a lot of people could reproduce (and routinely reproduce, then hit the patent and spend more time to find a workaround).

    • This sounds like it is working as intended. The patent comes early in the process to protect all the commercialization investment. Patents are intended to be filed early in the process, and they gain value as the invention proves its worth. Note also that you can patent a mining claim before pulling a single precious gem or mineral out of the ground.

  • Indeed. Patents incentivize investment in R&D. There is an argument to be made that the scope of patentable inventions should be more limited, in particular preventing trivial patents that didn’t require substantial R&D, and maybe also that patents shouldn’t last as long.

    But doing away completely with patents would certainly stifle companies’ willingness to invest in R&D. They’d rather wait for someone else to invent something they can copy.

  • Reverse engineering may be easy for really simple inventions, but quickly becomes so hard you may as well invent the thing from scratch. Look at USSR's domestic chip production. At one point they succeeded in reverse-engineering chips like Intel's 8086, VAX etc., but chip design very quickly became so complex reverse-engineering the entire chip became impossible. I would say if an invention can be easily reverse-engineered, then it is a simple foundational idea that should not be patented, and if it is truly innovative, then it cannot be reverse-engineered easily and doesn't need patent protections.

    Then there is the fact that when something is patented, that has a chilling effect on competition, making the market less efficient.

    There are also a lot of really silly patents that end up benefitting no-one, not even their inventor, but only result in needless litigation. The recent lawsuit between Nintendo and PocketPair comes to mind.

    While there are cases in which patent law can help individual people profit from their invention, once all consequences are tallied, the overall effect of patent law on society appears to be negative.

>my whole life, it was sold to me as an incentive-boosting measure which in turn would lead to said outcomes

at the time patents were debated, a key part of the proposal was to encourage the transfer "trade secret knowledge" to the public good while still protecting the inventor. this is not an "encourage innovation" argument, it's to stop knowledge from dying with a secretive inventor, knowledge such as glass or metallurgical techniques, formulas, etc.

the inventor also benefited from this patent protection because they could expand their business unlimited by maintaining a small inner circle who knew the secret.

I could be into that

Patents have been mostly a pride checkbox for me, but at the same time being able to get credit for something you could never build is interesting. I’m less supportive of the loose monopoly part though, that seems to be the real issue dampening innovation

Everyone hates patent trolls (non practicing entities who dont implement the idea themselves), but practically its an extremely high burden. I did some patents on financial market plumbing, implementing that requires licensing and infrastructure far beyond any coding or building problem

Thinking of it 10 years before investment banks get around to it I think should still be incentivized someway

But the current system is cooked