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Working, But Still Homeless, in California

When Will More Than $2.7 Billion The State Has Invested  in Fighting Homelessness and Building Affordable Housing Reach the People Who Need it?

By Tanu Henry | California Black Media

When Coleen Sykes Ray started an organization with her daughter in 2015 to help homeless women, the Stockton, California resident had no idea she, too, would be homeless four years later. 

Now, she, her husband and two children live in an Extended Stay America hotel in Stockton. The family pays a costly $610 hotel bill every week as they struggle to find a place to live.

“When you tell landlords you have a Section 8 voucher, its like saying a dirty word,” says Ray who is African American and works as a Community Outreach Specialist for a local public health organization. “It’s heartbreaking because we’re good people. I’m working and I’m college-educated.”

Ray says she gets why landlords refuse to rent their properties to her family. Some of them explain that they have been burnt many times by people who pay them with vouchers. Other property owners, she says, tell her that it is a hassle to have to deal with the Section 8 administration.

But understanding the landlords’ reluctance  – after going great lengths to impress them, only to be rejected in the end – doesn’t make life easier for Ray and her family. They live cramped in a single hotel room, preparing almost every meal in a microwave, with no sign in sight that they will have a new home soon.

From 2017 to 2019, the number of homeless people in San Joaquin County, where Stockton is the largest city and the county seat, tripled, increasing from 567 to more than 1,500. During that same period in the city of Stockton itself, the homeless population skyrocketed, too, reaching 921 from 311 people two years prior, according to a 2018 “point-in-time” census report compiled by San Joaquin County.  

“While we certainly understand that the number of homeless people have tripled in the county, that number might not be a true reflection of what has happened over the last two years,” says Adam Cheshire, Program Administrator for Homeless Initiatives in San Joaquin County.

Cheshire says in 2017, there were only 35 volunteers who signed up to help count San Joaquin’s homeless population. In 2019, there were 400 volunteers, which helped his organization achieve a more accurate count, including the unsheltered homeless population.

Homelessness is not just a problem for San Joaquin county. It’s a statewide issue. Every major city in California has been hit by the crisis. Across California, the homeless population jumped by 16 percent between 2018 to 2019. With a total of about 130,000 people without a permanent place to live, California has the largest homeless population in the United States.

The high number of people in California without stable housing or a permanent address poses a serious problem for the state as it takes steps to avoid an undercount in the 2020 Census. 

For African Americans, California’s homelessness crisis is even more severe.

Easter Baskets for our Easter Outreach in partnership with Heavenly Hands Food Pantry of Stockton, CA.

“Black Californians make up nearly 7 percent of the state’s general population yet are nearly 30 percent of the homeless population,” wrote Mark Ridley-Thomas, a member of the Los Angeles County Board of Supervisors, in an open letter to Gov. Newsom in June. Ridley-Thomas was reaching out to the governor asking him to address some of the problems specific to African Americans in the state.

As the homeless problem started to become more noticeable in Stockton, Ray says she and her daughter would see women, some of them mentally ill, walking around “free-bleeding” during their menstrual cycles. Disturbed by what they saw, they decided to package bags of women’s sanitary hygiene products – washes, wipes, tampons and napkins, etc. –  and hand them out to homeless women.

Soon, what they began as a one-time goodwill gesture grew into a non-profit they started and still run called Bags of Hope. In their first year, Ray and her daughter handed out 30 bags of the feminine products every month. Between 2017 and 2018, as the homelessness crisis spiraled in their city, they donated about 65 bags every month to homeless women in Stockton. This year, Ray says they have been fortunate to reach about 100 women living in shelters and on the streets every month.

Most of the funding they use to buy the products comes from donations from local businesses and individuals and a gala they hold once a year. The biggest gift  their organization has received so  far came from the Black Employee Network at Proctor and Gamble.

“Doing the work of Bags of Hope is a kind of ministry,” says Ray. “Helping other homeless people, gives me and my family hope now that we find ourselves in the same situation. There is no reason to be ashamed. We are not homeless because we are bad people, bad parents or we are lazy. There are investors, buying up properties in neighborhoods, raising the cost of housing, and pushing people out of places where they have been living for years.”

Ray, her husband, daughter and son, who is autistic, became homeless in May of this year. It was about eight months after Blue Shield of California laid her off last September along with about 400 other employees. 

Ray’s husband is a diabetic who became permanently disabled seven years ago after doctors amputated one of his feet following an injury. After her layoff last year, the couple scraped up money together to continue paying their $1,200 monthly rent – until January.

That’s when the landlord increased their rent to $1340, which Ray says they “simply could not afford.” After getting help from her church and making payment arrangements with the landlord for the next couple of months, the family fell behind on rent payments and agreed to move out.

Because every apartment or house they looked at before they left their rented home cost between $1,500 and $1,700 a month, the family decided to move into the hotel where they currently live. 

Fortunately for Ray, she landed her current job on June 24, this year.

But with the high weekly hotel cost, almost “every dime we earn,” says Ray, from her salary and her husband’s disability payment, goes toward their hotel bill. 

Around the time Ray and her family moved into the hotel in May, Gov. Newsom presented his revised 2019-20 budget to the legislature with unprecedented spending in it to take on the state’s homelessness crisis. The state plans to invest approximately $2.7 billion on shelters, prevention, support services, and more, as well as funding new affordable housing initiatives, according to Christopher Martin, Legislative Advocate for Housing California, a Sacramento-based organization focused on helping to solve California’s homelessness problem.

The budget took effect July 1.

Then, two weeks ago, Gov. Newsom signed into law AB 101, a trailer bill detailing budget dollars and issuing guidelines on how the monies allocated to fight homelessness will be spent. A provision tucked into the bill now prevents local governments from blocking the building of homeless shelters and navigation centers in communities across the state.

A few of the budget items in AB 101 are: a $45.9 million allocation to support Census outreach to hard-to-count communities; $25 million to support housing and benefits for homeless people who are disabled; and $16.4 million in rental assistance for former prisoners .  

About $250 million in the state budget will be funneled to counties across the state to fund homeless initiatives.

Together, California’s counties and  cities will receive a total of $650 million from the state over the next year for homeless housing, assistance and prevention programs. 

Cheshire told California Black Media that his team is coming up with ideas for the most effective ways to spend the new state funding in San Joaquin County so they can help families like Ray’s. But it is still too early, he says, to share those plans because they are not yet finalized and the state has not yet released the money.

Most of the money will start to kick in after April of 2020, says Martin.

As Ray balances adjusting to her new day job with the difficulties of being homeless, and helping other homeless women through  the work of Bags of Hope, she remains upbeat and optimistic.

“I can’t go out and preach love, light and strength and have a negative spirit,” she says. “No matter what I’m facing.”



$3 Million Dollar Check Issued to Implement City Plan for San Bernardino

(SAN BERNARDINO, CA)— Assemblyman James Ramos delivers a $3 million check to Mayor John Valdivia and City Councilman Juan Figuroa of San Bernardino. The state of California issued the check as a result of Ramos’ advocacy! The money is earmarked for updating the City Plan for San Bernardino. Mayor Valdivia also presented The Assemblyman with a Resolution thanking him for his support. A series of community meetings will occur to facilitate creating the development document. Call the San Bernardino City Clerk for more information.

Redlands Passenger Rail Project, Groundbreaking Ceremony

By John Coleman

(EMPIRE NEWS NETWORK)—- REDLANDS, CA— Special  members of the public were invited to join officials who represent federal, state, county, local communities and business interests in the ceremonial groundbreaking of the extension of the passenger rail service to, and eventually through Redlands. The ceremony was held on July 20, 2019.

For the period necessary for the ceremony, Redlands traffic was diverted from Stuart Street between Texas Street and Orange Street in Redlands. A small number of residents from the area were also in attendance. The event was covered by local, regional and electronic media.

The Redlands Passenger Rail Project (RPRP) describes itself as an advanced regional transportation project designed to connect residents, businesses and visitors to a variety of leisure, education, healthcare and other destinations. The nine-mile rail project provides new transportation choices through the implementation of a new rail service that integrates conveniently with other transportation modes such as auto, bus and bicycle.

The route starts at it’s national and Metrolink rail services base located at the Santa Fe Depot near Downtown San Bernardino then it proceeds locally to the San Bernardino Transit Center where it connects with the (non-rail) Omnitrans, Mountain Transit, Pass Transit, Victor Valley Transit systems and the SB/X route that flows from north of CSUSB to the Loma Linda University and Medical Center and to the VA Medical Center. 

The Redlands Passenger Rail Project proceeds through the SBTransit Center, jogs south and east to cross the Santa Ana River, stops at the to-be-built new Tippecanoe Ave Station, runs along-side the 10 freeway and Redlands Blvd to the to-be built station at ESRI , on to the under- construction Redlands Train Station, & University (of Redlands)  station.

Black Angus Steakhouse Re-Opens in San Bernardino

Beloved restaurant fires up the grill with refreshed look and feel

(EMPIRE NEWS NETWORK—ENN)— SAN BERNARDINO, CA— Black Angus Steakhouse, the original American Steakhouse, announced today it will officially re-open the doors of its San Bernardino location on Monday, July 15th. A mainstay in the area since 1979, the restaurant will reveal a renovation that is the second for the chain this year, giving the coveted 55-year-old steakhouse a 21st century refresh.

“There aren’t a lot of restaurant chains with over five decades of history, but Black Angus wears it well,” said Chris Ames, CEO Black Angus Steakhouse. “As our customers evolve, we must evolve with them – paying homage to our roots but in a more modern way. Our newly renovated space will continue to offer a dining place that is at the border between casual dining and fine dining, a lively and approachable restaurant with booths that are home to family dinners, date nights, celebrations and more.”

Traditionally known for tall booths, a cozy bar, and western vibe, the Black Angus remodel will keep the original sensibility, but with larger windows, a lighter palette and more open floor plan. A spacious private dining room, a destination-worthy bar, and the comfortable lounge are new features that bring more cause to dine in for longtime restaurant-goers and new ones alike.

The Black Angus Steakhouse menu its guests know and love will return, including USDA choice, 21 day aged steaks, chops and prime rib. Guests can expect to see a revamped beverage program where flavors are highlighted in classic drinks, new brewery partnerships, trending flavors and robust wines.

The San Bernardino location will be open for both lunch and dinner and is located at 290 E. Hospitality Lane. To learn more about Black Angus Steakhouse, visit www.BlackAngus.com or follow Black Angus on Facebook, Instagram or Twitter @BASteakhouse.

SBVC Ranked One of Best Online Community Colleges in California

(EMPIRE NEWS NETWORK—ENN)— SAN BERNARDINO, CA—- San Bernardino Valley College is once again ranked among the best community colleges in California. SR Education Group, an educational research publisher, just released its inaugural ranking of the Best Online Community Colleges by state, and SBVC ranked #12 in California. 

SR Education Group considered retention and graduation rates, percentage of online enrollment data, and the number of online associate degrees offered.

“Community colleges offer some of the most affordable degrees in the country,” SR Education Group CEO Sung Rhee said in a statement.

“With a growing number of these degrees becoming available online, we wanted to let prospective students know about these great, accessible options near them. By providing these resources, we hope to help more people reach their educational and professional goals.” 

The ranking acknowledges SBVC’s offerings of associate degrees in various fields, including Administration of Justice, Anthropology, Liberal Arts, Philosophy, Sociology, and more. Students can also pursue a variety of online certificates, where all remote students have the opportunity to still participate in free tutoring sessions through the campus writing centers.

For more information about San Bernardino Valley College, visit valleycollege.edu

Two SBVC Student Athletes Named ‘Athletes of the Year’ in Foundation Awards

(EMPIRE NEWS NETWORK—ENN)—- SAN BERNARDINO, CA—- The SBVC Foundation recently announced distance runner Michael Ramirez as the Male Athlete of the Year, and women’s soccer player Karen Jacobs as the Female Athlete of the Year.

Ramirez was the fastest Wolverine at the State Championships, as he earned All-American honors by finishing tenth. He has committed to Chico State in the fall, and is the SBVC’s nomination to the PCAC Scholar Athlete of the Year.

Jacobs was the Pacific Coast Athletic Conference’s player of the year in 2018, leading the team on offense with team highs in goals (18) and assists (13). Jacobs has committed to continue her soccer career at Louisiana State University-Alexandria in the fall.

Congratulations to these SBVC Wolverines!

For more information about San Bernardino Valley College, visit valleycollege.edu

A City that Believes in the Impossible

(EMPIRE NEWS NETWORK—ENN)—- SAN BERNARDINO, CA—- The San Bernardino Pastors United (SBPU) in association with community leaders and the faith based community, will have another Community Block party on Saturday, July 27 from 1 p.m. to 4 p.m.  at San Bernardino High School, located at 1850 North E St, San Bernardino. The theme of this block party is taken from Matthew 19: 26, “with God all things are possible”.

As the City of San Bernardino continues to recover, the SBPU continues to engage the community and fill in the gape as needed. The pastors believe as spiritual leaders they must show love, and demonstrate helping thy neighbor, and being there for one another. The Churches of San Bernardino continue to stand together in solidarity and continue to teach residence how to fish. With God, and resources combined, each person pulling their weight toward recover, all things are possible.

At the event, there will be free food, free groceries, free shoes, free backpacks for kids, free clothes and free health checks, job resources. The host church is S B Community SDA Church, Dr. Jerrold Thompson, co-host 16th St SDA Church, Dr. Andrea King, Senior Pastor will deliver a life changing message. Please register by phone, or go to our website www.sbpastorsunited.org to register. We are expecting thousands to attend the event try to register.  We are asking the community to join us, as we remain strong, providing:  “Healing, Change, and Progress” to the City of San Bernardino, for more information call 909-353-7977 or contact the S B Community SDA church at 909-883-2400 email sbpastorsunited@gmail.com. Thank you. Pass the Word!

African American and Black Voters Needed for Citizens Redistricting Commission

Learn how to apply July 13 and 14 at community meetings in San Diego and San Jose; Applications close August 9

(EMPIRE NEWS NETWORK—-ENN)— African American and Black community members need to apply for a commission that will draw California’s voting districts to ensure all communities are fairly represented over the next decade, said Sean Dugar of California Common Cause.  

Since applications opened in June for the 2020 Citizens Redistricting Commission, about 6 percent of applicants have identified as Black or African American voters, according to theCalifornia State Auditor’s website. About 7 percent of the state’s voting-age population identifies as Black or African American.  

The Citizens Redistricting Commission is required by law to have 5 Republicans, 5 Democrats and 4 unaffiliated or independent voters. But Dugar said it is imperative that the applicants and selected commissioners represent not just political diversity, but all the diversity of the state.  

Without such diversity, commissioners could draw districts that dilute the political power of certain communities by slicing them into different voting areas. Commissioners who are dedicated to fairness and equity are encouraged to apply before the deadline of August 9. 

“California voters aimed to end racial and partisan gerrymandering when they set up the citizens redistricting commission a decade ago and that goal continues today,” Dugar said. “This is your chance to shape California’s future by drawing fair district boundaries that serve the best interests of all of the people of California.”   

The outgoing commission is majority voters of color and is viewed as the best citizens redistricting commission in the nation. The Ash Center for Democratic Governance and Innovation, a leading research center at Harvard University, awarded the California commission the 2017 Roy and Lila Ash Innovation Award for Public Engagement in Government. Commissioners used a $100,000 grant award to support the replication and dissemination of the California model in other states where gerrymandering suppresses voters.  

How can I learn more? 

Join Sean Dugar of California Common Cause and our allies for informational meetings on how to apply.  

What: San Diego Counts 
When: 9 a.m.-1 p.m. Saturday, July 13 
Where: Balboa Park Club, Santa Fe Room, 2150 Pan American Road West, San Diego 
RSVP to San Diego 

What: All Things Redistricting 
When: 1-4 p.m., Sunday, July 14 
Where: SEIU Local 521, 2302 Zanker Road, San Jose 
RSVP to San Jose 

What is the 2020 Citizens Redistricting Commission?  

Every 10 years, after the federal government conducts the census, California must redraw the boundaries of its congressional, state senate, state assembly, and state board of equalization districts so that the districts correctly reflect the state’s population. The 2020 Citizens Redistricting Commission is the entity that will draw all the district lines.  

Why do we have a Commission?  

California voters authorized the creation of the commission when they passed the Voters FIRST Act in 2008 and stripped the power to draw lines from politicians and gave it to the people. In 2010, the Voters FIRST Act for Congress added the responsibility of drawing congressional districts to the commission. The goal was to end racial and partisan gerrymandering in California.  

Who can serve on the Commission?  

The Act requires applicants meet these minimum eligibility requirements:

  • Registered to vote since July 1, 2015  
  • Have been registered without a, or “independent” of any, political party (decline-to-state or no party preference) or registered with the same political party since approximately July 1, 2015 
  • Voted in at least two of the last three statewide elections  

How do I apply for the Commission?  

You may submit an application to the California State Auditor through www.shapecaliforniasfuture.auditor.ca.gov before August 9, 2019. Applicants who meet all of the qualifications for serving on the commission, and do not have a disqualifying conflict of interest, will be invited to submit a supplemental application containing additional information about their qualifications.   

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“The Meaning of July Fourth for the Negro!”

By Lou Yeboah

(EMPIRE NEWS NETWORK—ENN)— Oration delivered by abolitionist Frederick Douglass in Rochester, N.Y. on July 5, 1852, entitled “The Meaning of July Fourth for the Negro”.

“Fellow-citizens, pardon me, allow me to ask, why am I called upon to speak here to-day? What have I, or those I represent, to do with your national independence? Are the great principles of political freedom and of natural justice, embodied in that Declaration of Independence, extended to us? The blessings in which you, this day, rejoice, are not enjoyed in common. —The rich inheritance of justice, liberty, prosperity and independence, bequeathed by your fathers, is shared by you, not by me. The sunlight that brought life and healing to you has brought stripes and death to me. This Fourth [of] July is yours, not mine. You may rejoice, I must mourn. To drag a man in fetters into the grand illuminated temple of liberty, and call upon him to join you in joyous anthems, were inhuman mockery and sacrilegious irony. Do you mean, citizens, to mock me, by asking me to speak to-day? What, to the American slave, is your 4th of July? I answer: a day that reveals to him, more than all other days in the year, the gross injustice and cruelly to which he is the constant victim. To him, your celebration is a sham; your boasted liberty, an unholy license; your national greatness, swelling vanity; your sounds of rejoicing are empty and heartless; your denunciations of tyrants, brass fronted impudence; your shouts of liberty and equality, hollow mockery; your prayers and hymns, your sermons and thanksgivings, with all your religious parade, and solemnity, are, to him, mere bombast, fraud, deception, impiety, and hypocrisy—a thin veil to cover up crimes which would disgrace a nation of savages… For black men there are neither law, justice, humanity, not religion.” [Frederick Douglass]

“One hundred years later, the Negro still is not free. One hundred years later, the life of the Negro is still sadly crippled by the manacles of segregation and the chains of discrimination. One hundred years later, the Negro lives on a lonely island of poverty in the midst of a vast ocean of material prosperity. One hundred years later, the Negro is still languished in the corners of American society and finds himself an exile in his own land. And so we’ve come here today to dramatize a shameful condition. In a sense we’ve come to our nation’s capital to cash a check. When the architects of our republic wrote the magnificent words of the Constitution and the Declaration of Independence, they were signing a promissory note to which every American was to fall heir. This note was a promise that all men, yes, black men as well as white men, would be guaranteed the “unalienable Rights” of “Life, Liberty and the pursuit of Happiness.” It is obvious today that America has defaulted on this promissory note, insofar as her citizens of color are concerned. Instead of honoring this sacred obligation, America has given the Negro people a bad check, a check which has come back marked “insufficient funds.” But we refuse to believe that the bank of justice is bankrupt. We refuse to believe that there are insufficient funds in the great vaults of opportunity of this nation. And so, we’ve come to cash this check, a check that will give us upon demand the riches of freedom and the security of justice. We have also come to this hallowed spot to remind America of the fierce urgency of Now. This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism. Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quicksand’s of racial injustice to the solid rock of brotherhood. Now is the time to make justice a reality for all of God’s children. It would be fatal for the nation to overlook the urgency of the moment. This sweltering summer of the Negro’s legitimate discontent will not pass until there is an invigorating autumn of freedom and equality. Nineteen sixty-three is not an end, but a beginning. And those who hope that the Negro needed to blow off steam and will now be content will have a rude awakening if the nation returns to business as usual. And there will be neither rest nor tranquility in America until the Negro is granted his citizenship rights. The whirlwinds of revolt will continue to shake the foundations of our nation until the bright day of justice emerges…. And if America is to be a great nation, this must become true…” [Martin Luther King Jr].

“Allow me to say, in conclusion, notwithstanding the dark picture I have this day presented of the state of the nation, I do not despair of this country. There are forces in operation, which must inevitably work the downfall of slavery. “The arm of the Lord is not shortened,” and the doom of slavery is certain. I, therefore, leave off where I began, with hope [Frederick Douglass].

“True Freedom is yours Forever in Christ!”

“Free At Last, Free At Last, Thank God Almighty I’m Free At Last!” [Martin Luther King Jr.]

As Global Markets for Generic Drugs Fail, Poor People Pay the Price

By Rachel Silverman and Amanda Glassman

(EMPIRE NEWS NETWORK—ENN)— Healthy competition from generic drugs is often held up as a “cure” for high drug prices — a shared concern across rich and developing countries alike. For many low- and middle-income countries, however, a new report from the Center for Global Development that we co-authored shows that global markets for generic medicines are failing, leaving the poorest patients without safe and affordable essential medicines.

The first point of failure is drug quality. In wealthy countries, residents can usually trust that all drugs on pharmacy shelves are safe, authentic, and potent. Most families and doctors are happy to opt for quality-assured generics that have been tested for bioequivalence, systematically monitored for adverse events, subject to regular inspection for manufacturing quality, and priced well below their branded competitors. As we describe in the report, in the United States and the United Kingdom, for example, non-branded generic drugs account for more than 80% of all pharmaceutical consumption by volume (and roughly 30% by value).

In poor countries, by contrast, regulatory and quality control systems are often ill-equipped and under-resourced to ensure medicine quality, which can allow low-quality or fraudulent drugs to infiltrate the market. In her new book, “Bottle of Lies,”Katherine Eban highlights manufacturing shortcuts and fraud among Indian and Chinese manufacturers that endanger the quality of the global supply of generic drugs. And these challenges are shared across low- and middle-income countries, including emerging economies like Indonesia and Nigeria.

So when a Nigerian woman goes to the pharmacy, she’s rightfully suspicious about whether unfamiliar “no-name” pills work safely. Instead, she looks for other signals of medicine quality. Most likely, she’ll settle on a familiar brand name, usually sold at a substantial price premium. This is a similar story for many people living in the poorest countries where unbranded generics represent just 5% of all medicine consumption. Most health workers and patients there instead opt for familiar brands that (they hope) signal higher quality.

The second point of failure is limited competition. Entering new markets is costly and time consuming for generic manufacturers. For each new generic, each country needs to review and approve a product dossier, a procedure filled with bureaucratic red tape. That means under-resourced regulatory agencies spend much of their time and energy on registering new products, leaving little capacity to inspect them and ensure quality once they hit the market. When market entry is difficult or where government policies restrict purchasing to local manufacturers or middlemen, a single seller can capture 85% or more of the market for entire therapy classes such as contraceptives in Senegal, diabetes medicines in Zambia, or anti-parasitics in South Africa.

Healthy generic competition can help keep medicine prices in check. In the U.S., the entry of additional generic competitors helps push down prices: by 6% after the first entrant, 48% after a second entrant, and up to 95% by the time a 19th generic manufacturer enters the market. In some large emerging economies, generic competition is thriving, and prices are low. But in many smaller low- and middle-income countries, where competition is limited and prices are marked up before they reach consumers, patients can face highly inflated prices: up to 30 times more than a minimum international reference price for basic generic medicines, our report shows.

While some experts tout increased price transparency as an answer to these failures, easing market entry and promoting competition through strategic, effective procurement is a better way forward. The World Health Organization and country governments need to focus on enhancing competition and creating an enabling and adequate policy environment for quality generics competition.

The WHO has already set up a “Collaborative Registration Procedure” to help reduce the costs of market entry of quality-assured generic products into small low- and middle-income countries. Next, the WHO should fully fund, expand, and endorse this process so it can become the norm for relatively small markets.

Country governments, for their part, should ease legal and/or regulatory barriers, such as country-specific labeling requirements, to expedited registration and jump on board a collaborative global or regional registration process. By streamlining national registration processes, they can also reallocate regulatory resources to helping catch and remove fake or tainted drugs from the pharmacy pipeline.

Policies for how countries select and procure products also require reexamination to boost competition and improve access to medicines. Policies that require purchase of nationally manufactured products can inhibit market entry and prevent efforts to pool procurement across countries, creating missed opportunities for savings. Some countries want to expand local manufacturing as a solution, but local monopolies and potential conflicts of interest can keep prices high. Corruption in the procurement of medicines also represents a major challenge. Understanding the scale of the problems in each country and designing bespoke reforms should be a priority for partnerships between the World Bank or the International Monetary Fund and national governments.

Patients around the world are being harmed by failing global markets for generic drugs. With leadership from the WHO and national governments, countries can take a big step in the right direction to close this gap, which severely affects the world’s poor.


Rachel Silverman is a policy fellow at the Center for Global Development. Amanda Glassman is the center’s executive vice president and CEO of Center for Global Development Europe.