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ABSTRACT
For the past decade the activists and non-governmental organizations that form global
civil society (GCS) have waged a sustained campaign to force the great powers to allow
public health “flexibilities” in the enforcement of Trade-Related Intellectual Property
(TRIPS). GCS advocates have claimed notable successes, culminating in the 2001 Doha
Declaration on the TRIPS Agreement and Public Health. This apparent success
challenges mainstream IR approaches to studying the global political economy. This
paper critically examines the GCS narrative on TRIPS and public health, and finds two
flaws: a neglect of alternative explanations for the policy change, and an overestimation
of the magnitude of the policy shift. Global civil society did play a role in shifting policy
on intellectual property rights – but the role has been exaggerated both before and after
the Doha declaration.
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