Part 1 Socio-Political Situation in China Fractionalization of the political spectrum The Chinese Communist Party (CCP or Party) has been in power in China for 63 years a record that can put to shame almost any communist structure in world including the soviets. The politics of the People's Republic of China take place in a framework of the single- party socialist republic. The leadership of the Communist Party is stated in the Constitution of the People's Republic of China. All power within the government of the People's Republic of China is divided among several bodies: the legislative branch, the National People's Congress. the executive branch, the State Council the judicial branch, the Supreme People's Court and the Supreme People's Procuratorate the military branch, People's Liberation Army (PLA) via the Central Military Commission
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Country Risk Analysis - Pharma firm entering China's market
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Part 1 Socio-Political Situation in China
Fractionalization of the political spectrum
The Chinese Communist Party (CCP or Party) has been in power in China for 63 years a record that can put to shame almost any communist structure in world including the soviets. The politics of the People's Republic of China take place in a framework of the single-party socialist republic. The leadership of the Communist Party is stated in the Constitution of the People's Republic of China.
All power within the government of the People's Republic of China is divided among several
bodies:
the legislative branch, the National People's Congress.
the executive branch, the State Council
the judicial branch, the Supreme People's Court and the Supreme People's Procuratorate
the military branch, People's Liberation Army (PLA) via the Central Military Commission
Most positions of significant power in the state structure and in the military are occupied by members of the Communist Party of China which is controlled by the Politburo Standing Committee of the Communist Party of China, a group of 4 to 9 people, the paramount leader being Xi Jinping. The executive body i.e. the State Council is tasked with running day-to-day affairs of the country. The State Council is the chief authority of the People's Republic of China. It is appointed by the National People's Congress and is chaired by the Premier (Li Keqiang) and includes the heads of each governmental department and agency. Exploring the possibilities of a rift Often sever competition exists among the members of the Communist Party’s Politburo & its Standing Committee - China’s highest decision-making bodies. As part of a trend of very modest political pluralization, moreover, other political actors are increasingly able to influence policy debates. One test of a political system is its ability to manage political transitions. In the run-up to a once in a decade change in the Communist Party’s leadership in November 2012, Communist Party Politburo member and Chongqing Municipality Party Secretary Bo Xilai fell from grace, exposing at least one serious rift in the leadership, raising questions about the tenacity of the one-party command structure opening room for factionalism. Many analysts, both in China and abroad, have questioned the long-term viability of China’s current political system, in which the politburo remains above the constitution, leadership politics is a black box, & right to free speech and association are severely restrained Maintaining domestic stability is one the prime mandates of the 2.5m strong PLA and 800,000 strong police forces. However, the current domestic issues are getting more complex to control:
a) Among the Chinese political system’s governance difficulties is the phenomenon known as “stove-piping,” in which individual ministries and other hierarchies share information up and down the chain of command, but not horizontally with each other.
b) A related governance issue is unproductive competition among official entities. It is not uncommon in China for multiple entities to attempt to assert jurisdiction over the same issue, competing with each other for scarce budget resources, power, and recognition from higher government officials.
c) Although China is effectively a one party state, multiple coalitions, factions, and constituencies exist within the political system. Political mentorship, place of birth, the affiliations of one’s parents, and common educational or work history may lead individuals to form political alliances.
We believe that in the next ten years the Chinese political system may be quite different. There is a chance that the basic game shall change significantly by 2017, and even a chance that there won’t be the same kind of Party Congress by 2022. Instead, we could witness transparent political process, more accountable and representative government, and increasingly democratic elections both within the Party and in the country. And it’s possible that very abrupt (yet largely non-violent) change could happen. Some intellectuals in China argue that cultural change takes 60 years, economic change takes 6 years, but political change takes 6 days, or even a weekend.
Today China's population is over 1344 million, the largest of any country in the world. As per
last consensus in 2010, PRC officially recognizes 56 distinct ethnic groups, the largest of which
are Han, who constitute 91.51% of the total population with 8.49% being minorities. The Han
Chinese – the world's largest single ethnic group – outnumber other ethnic groups in every
provincial-level division except Tibet and Xinjiang
The official spoken standard in the People's Republic of China is Putonghua. Its pronunciation is
based on the Beijing dialect of Mandarin, which was traditionally the formal version of the
Mandarin or Chinese language. Mandarin and its various dialects are spoken by more than 70%
of the population.
The Chinese government has implemented state atheism since 1949, making it difficult to
ascertain the data on the religious diversity. Different surveys undertaken over smaller samples
over the years have thrown up divergent results to establish any specific trend. Today, according
to different surveys, Taoism is being practiced by over 30% of the Chinese population while
Buddhism is practiced by between 11 - 18% of the Chinese. Christianity is practiced by 3 - 5%
& Islam by 2% of the population.
Thus religion, race, nor language has any major role to play in igniting any factionalist tensions.
However in light of the recent and rising disparity due to the widening income gap across the
social strata and also the glaring disparity in the economic growth of various parts of the country
may lead to some fractionalization along the regional lines.
As per BMI’s recent forecast, separatist movements will remain weak, but unrest will
occasionally erupt in the ethnic-minority regions of Tibet and Xinjiang, and related incidents of
terrorist violence elsewhere are possible. There is a small risk that separatism in Xinjiang will
escalate into a full-blown insurgency; a series of security incidents there so far in 2013 have
resulted in numerous deaths. The Tibetan separatist movement could grow more violent when
the exiled Tibetan spiritual leader, the Dalai Lama, dies. As yet, China’s government shows no
signs of moderating its harsh approach to dealing with separatist and ethnic unrest. However,
there are some signs of new policy strategies being discussed in official think-tanks that may
eventually lead to a change.
Restrictive measures to retain power
The Chinese government is famed for using all forms of restrictive practices ranging from
legitimate constitutional provisions to use of force in order to suppress any anti-party
commentary. The PLA is often touted to be the military arm of the CCP. The primary mandate
of the 2.5m-strong PLA along with 800,000 strong police force is to ensure domestic stability i.e
to prevent any social uprising.
In the words of Tanner during his testimony before the U.S.-China Economic and Security Review Commission, that aptly summarizes the popular practices adopted by Chinese Authorities:
“Despite the historic success of Beijing’s 30-year economic growth strategy, the available data from Chinese law enforcement sources indicates that unrest in China has continued rising for nearly two decades with little or no break. The list of government and managerial abuses that spark the great majority of these protests has changed little over the past decade, notwithstanding innumerable directives and laws from Beijing to stanch them. Beijing continues to struggle to find institutional responses that will check these abuses and predations by local officials. But over the past decade it has been far more ambivalent in promoting some of the legal and political institutional reforms first inaugurated in the late 1980s and 1990s that once promised to strengthen citizen access, oversight, and influence. Western analysts would be justified in asking themselves to what extent the promotion of political or legal structural reform can still be described as major priority of the Chinese Communist Party. Shortly after the onset of the 2008 economic crisis, China’s public security forces issued new regulations aimed at forging a more sophisticated response to unrest. As with previous efforts to develop more effective police containment and management of unrest, the question remains whether China’s law enforcement forces can develop the discipline and professionalism to carry out the new strategy—and whether or not local Party authorities will let them.” Besides physical force on the street the Chinese govt. has banned the use of twitter, google, Youtube, FB or any such mass medium of information sharing as part of the internet censorship drive. The govt. employees an army of tech sleuths to constantly monitor and track the web traffic flowing in and out of the country to check for any inflammatory/anti-institution rhetoric. Such heavy restraining measures cast a severe doubt the ability of any multi-national firm to seek
grievance redressal through public campaigns. As the new firms contemplate investing in China,
the informational barriers would have to come down sooner rather than later to ensure a healthy,
conducive environment to carry out their businesses.
Xenophobia, nationalism, corruption
Corruption in China is widespread. The roots of the corruption lie in the extremely bureaucratic
and rigid framework of the Chinese government. Given that everything falls under the aegis of
just one party with minimal counter-vigilance to check existing structures. Given that most
regimes have chosen to bring about only evolutionary changes in the govt. machinery – mal
practices and bribery have now been entrenched into the system. Among its forms are lavish
gifts and expensive meals bestowed on officials by those seeking favors; bribes explicitly
provided in exchange for permits, approvals, and jobs; privileged opportunities offered to
officials or their extended families to acquire corporate shares, stock, and real estate;
embezzlement of state funds; and exemption of friends, relatives, and business associates from
enforcement of laws and regulations. As China’s economy has expanded over the last 30 years,
the scale of corruption has grown dramatically. 2011 report released by China’s central bank
estimated that from the mid-1990s to 2008, corrupt officials who fled overseas took with them
$120 billion in stolen funds.46 Estimates of illicit financial flows out of China are many times
higher. In a 2012 report, Global Financial Integrity, a Washington, DC-based research and
advocacy organization, estimated that total illicit financial flows out of China in the decade from
2001 through 2010 amounted to $2.74 trillion, with $420 billion leaving China illicitly in 2010
alone.47 The international non-governmental organization Transparency International ranks
China 80th on its Corruption Perceptions Index, with the top ranking countries being the least
corrupt. China ranks just below Sri Lanka and above Serbia.
However, given the increased vigilante activism by a more vibrant civil society armed with social
media and other internet based resources, the government has gone into a counter-offensive
crackdown on bribery. The recent Bo-Xilai indiction openly demonstrated the entrenchement of
the endemic. Thus, immediately following his appointment as Communist Party General
Secretary in November 2012, Xi Jinping identified corruption and graft within the Party as
“pressing problems.” He pledged to “work with all comrades in the party, to make sure the party
supervises its own conduct and enforces strict discipline.” Many observers believe, however, that
the Party’s insistence on supervising its own conduct, rather than accepting supervision from
outside, has been part of the reason that corruption has flourished. Critics charge, moreover, that
when the Party’s corruption-fighting agency, the Central Discipline Inspection Commission,
conducts investigations; they are frequently politically motivated, even if they uncover real
wrongdoing. Officials who keep on the right side of their superiors and colleagues may engage in
large-scale corruption, while other officials may be investigated for lesser infractions because
they have fallen afoul of powerful officials.
Media commentators and academics have suggested a variety of measures to tackle corruption,
including allowing the media to play more of a watchdog role and requiring officials to make
their family assets public. So far, neither proposal has advanced significantly. Journalists who
expose wrongdoing do so at their peril. In recent years, however, microbloggers have
successfully exposed a string of corrupt officials. In one high-profile case, microbloggers drew
attention to photographs of a local official showing him wearing at least 11 different luxury
wristwatches on various occasions. Just one of the timepieces was worth more than twice the
man’s annual salary. Going forward, the virtual monitoring done by informed netizens shall play
a decisive role in further governmental reforms.
Managing corruption is a difficult but a mandatory art to be mastered for MNC seeking
successful operations in D&E markets. However, the increasingly complex landscape due the
recent crack-down both by the govt. and also the citizens have alerted the entire country that a
mild revolution is on the anvil.
Social conditions (population density and wealth distribution)
The population density also shows significant diversity with most sparse in the mountainous,
desert, and grassland regions of the northwest and southwest. The Inner Mongolia, Xinjiang,
and Tibet autonomous regions and Qinghai and Gansu provinces comprise 55% of the country's
land area but in 1985 contained only 5.7% of its population. Accordingly the economic disparity
is distributed along the regional lines with wealth being disproportionately held up in wealthy
centres such as Beijing, Guanzhou etc.
Over the last twenty years, China has growth at phenomenal rates raising the per caputa standard
of living but has also widened the gap between the rich and the poor. Results of a wide-ranging
survey of Chinese family wealth and living habits released this week by Peking University show a
“Understanding China’s Business Risk Environment”, Marsh Risk Alert, Volume V Issue 3
The enforcement of protection of intellectual property rights is difficult in China. Without
adequate education with regard to IPRs, there is little awareness that infringement is a crime.
Strict laws and patents in economies of the West protect domestic and foreign businesses,
whereas in China, the legal system is designed in such a way that gives rise to ambiguity.
“Shanzhai” 14is an integral part of the Chinese tradition promotes individuals sharing what they
create with the society to promote greater harmony. Shanzhai in business today takes the form of
imitation of goods. Hence anything from shoes to cell phones are copied and sold openly in
markets across the country. China today is the world’s largest producer of counterfeit products.
Governments around the world continue to pressure Chinese authorities to do a better job of
enforcing IP laws, and there are signs of progress. In May 2006, President Hu made a speech in
the Political Bureau of the Chinese Communist Party calling for strengthening the country’s IP
system.
Some progress has also been seen in enforcement. In February 2006, the U.S. Department of
Justice obtained a conviction against a U.S. citizen for counterfeiting a popular pharmaceutical.
With the cooperation of Chinese law enforcement, the operation resulted in the seizure in China
of 600,000 labels, 440,000 tablets, and more than 500 pounds of raw pharmaceutical
manufacturing materials.
China’s State Administration of Industry and Commerce (SAIC) is the primary enforcer of IP
regulations. It has the authority to seize counterfeits from markets, warehouses, and factories.
Many companies find it helps to be proactive with the SAIC by using an independent
investigative firm to track counterfeiters, locate the warehouse or the factory where the
counterfeiters are producing the product, and then pass the information on to the SAIC along
with a formal letter of complaint. In theory, the SAIC should then raid the offending site. Brand
owners are well-advised to keep up the pressure on pirates through investigations and raid
actions. They should also practice thorough due diligence on employees and potential business
partners to see if they have a track record of IP theft or are currently involved in counterfeit
activities.
International Disputes Resolution15
China has several institutions for arbitration such as China International Economic and Trade
Arbitration Commission (CIETAC). Only litigations containing an "external element" can be
arbitrated outside China.
Dispute resolution in the commercial area is characterized by: (i) demonstrable overall progress;
(ii) considerable efforts to improve the regulatory framework and respond to investor needs,
14
Jayaraman, Karthik:"Doing business in China: A risk analysis", Journal of Emerging Knowledge on Emerging Markets, Fudan University & The Norwegian School of Management, November 2009 15
"Dispute Resolution in China: Patterns, Causes, and Prognosis": Randall Peerenboom and He Xin - The Foundation for Law, Justice and Society in collaboration with The Centre for Socio-Legal Studies,University of Oxford
thus reducing vertical disputes and tensions between businesses and the state; (iii) a rapid rise in
litigation to resolve horizontal commercial disputes among business operators through the late
1990s followed by relative stability; (iv) improvements in enforcement, particularly in more
developed urban areas; (v) notwithstanding considerable progress, ongoing problems with
litigation, including significant regional differences in the nature of the economy, the nature of
disputes and institutional capacity, and (vi) a renewed emphasis on judicial mediation in response
to ongoing problems
SWOT Analysis of General Business Environment
Strengths
Opening up various sectors of its economy to foreign investment.
China is the top destination for FDI with its vast supply of cheap labour.
Weaknesses
Foreign companies complain about the poor protection of intellectual property in China.
Chinese corporate governance is weak and non-transparent by Western standards.
Choice of right local partner is accompanied by considerable risk for foreign companies.
Opportunities
Urbanisation and infrastructure drive will provide major opportunities for foreign
investment in landlocked provinces as well as the transfer of skills and knowhow.
The Chinese government is giving more protection and encouragement to the private
sector, which is now the most dynamic in the economy and accounts for most of the
country's job growth.
Threats
China's government might block attempts by foreign firms to take over assets of national
importance.
China is experiencing rising labour costs, prompting some investors to turn to cheaper
destinations such as Vietnam.
Pharmaceutical Industry in China – legal & regulatory dimension
The domestic pharmaceutical market in China is highly fragmented. Traditional systems of
medicine have long had a major presence in China. The industry is still small-scale with a
scattered geographical layout, duplicated production processes, and outdated manufacturing
technology and management structures. The Chinese pharmaceutical industry also has a low
market concentration and weak international trading competitiveness, coupled with a lack of
patented domestically-developed pharmaceuticals.
Earlier, the industry had been riddled with problems such as: Poor IP rights protection, non-
transparency for drug approval procedures, ineffective governmental incentives, and poor
corporate support for drug research.
Accession to the WTO has brought a stronger patent system, medical insurance is now more
widespread, and pharmaceutical-related regulations have been tightened. Changes to the
patenting laws in full compliance with the requirement of the Agreement on Trade-Related
Aspects of Intellectual Property Rights (TRIPS Agreement) and the poorly developed
infrastructure of Chinese pharmaceutical R&D have created gaps in the market, which offer a
scope for foreign investments.
SWOT Analysis of the pharmaceuticals industry16
Strengths
Progressive healthcare Reform by Central government
Among the top five drug markets in the world in terms of overall size.
Large pool of highly skilled, low-cost scientists and general labour.
Rising per capita drug expenditure on the back of strong economic growth.
Weaknesses
Highly fragmented market.
Complex and protectionist (biased) drug pricing and reimbursement policy by the
government,
Lack of tight enforcement of domestic patent laws.
General focus on lower-cost pharmaceuticals and production overcapacity.
Government bureaucracy, non-transparency and corruption.
Opportunities
Rapid growth in generic drug sector.
Patented drug sector growth boosted by rising demand for hi-tech treatments.
The fastest growing over-the-counter drugs sector in Asia.
Modernisation of local manufacturing sector
Rising foreign direct investment (FDI) following increased intellectual property rights
Increased tax revenues, allowing the government to expand health insurance coverage.
New and improved drug registration process to place less emphasis on personal
connections.
Increasing research and development capacity.
Part 4 Chinese Pharmaceutical Market17
The Chinese Pharmaceutical market is currently the third greatest pharma market globally, after
the US and Japan, and in 2011 was worth $40 billion. It is forecast to increase dramatically to
$200 billion by 2020 and increase its dominance as a leading player in Asia. As the current third
market leader it is predicted that the Chinese pharma market will be the main competitor of the
US by 2020. The Chinese pharmaceutical market is the main driver of the countries healthcare
industry and in 2011 dominated with almost 90% share. Within the pharmaceutical industry
drugs and active pharmaceuticals (API) are the main revenue generators. Over the Counter
16
Business Monitor International: China – Pharmaceuticals & Healthcare Report, Q4, 2012 17
Deloitte: Opportunities in China's pharmaceuticals market, 2011
(OTC) medicines had a Chinese market figure of $9 billion in 2008 (18% of total market share)
and by 2013 will become the world’s second largest OTC market. In the same year prescription
medicines dominated the market place with 62% share, and traditional Chinese medicine (TCM)
made up almost 20%. Diabetes is one of the most successful therapeutic areas in the Chinese
market and will reach over $2 billion in annual sales in 2019, compared to $700 million in 2009.
Vaccine production is a leading strength in China with the ability to produce almost 1 billion
doses each year according to the State Food and Drug Administration (SFDA). The country has
almost 40 (38 in 2011) companies with vaccine manufacturing capabilities and the vaccine
market was worth an estimated RMB1 billion in 2011. Over 40 different vaccines covering more
than 26 indications are currently being made in China. The main vaccines that are currently
exported are against hepatitis A, influenza and Japanese encephalitis. The oncology market in
China is forecast to grow steadily and reach $2.2 billion by 2017 from $830 million in 2009 with
a CAGR of 12.9%.
Growing and distinctive Chinese pharmaceutical market
1. Pharmaceutical sales grew at a CAGR of 25.9 percent from 2007 through 2010, and are
expected to continue strong but more modest growth from 2010 through 2015, at a
CAGR of 15.5 percent.
2. The aging population will generate higher demand for health care services. Currently, the
elderly population makes up 23 to 40 percent of the prescription drug market and 40 to
50 percent of the over-the-counter (OTC) drug market.
3. Out-of-pocket and private insurance healthcare payments rose steadily from 2007
through 2010, at a CAGR of 13.5 percent and expected to grow at a lower rate of 8.5
percent through 2015.
4. The CAGR for government healthcare payments was 17.9 percent from 2007 through
2010, and they are forecast to grow at 12.1 percent from 2010 through 2015
5. Although healthcare infrastructure expansion and the hiring of physicians have lagged,
the net income and private healthcare expenditure of rural households have grown
sharply over the past two decades.
6. Generics expected to continue to dominate the market, but patented drugs expected to
see significant growth.
Competition and changing Government health care policies
18National firms compete and cooperate with foreign companies that have a direct presence in
the market. The three major firms - one Chinese and two big Western multinationals - share only
10% of the market. Yangtze River Pharmaceutical Group is the leading player (3.6% of the
market’s value), AstraZeneca PLC controls 3.4% and Pfizer Inc. 3.0%. Bayern is gaining
importance, as well. China’s top three distributors - Sinopharm Group, Shanghai Pharmaceutical,
and Guangdong Jiuzhoutong Pharmaceutical - had in combination less than 20% of overall
market share in 2009. The number of firms has more than doubled from 2000 to 2010 and their
scale has been also increasing. State-owned enterprises, foreign enterprises and private
enterprises compete in the market. Even if the number of private firms has more than doubled
in only 6 years, their average size is much lower than SOEs and foreign firms. SOEs, on their
side, have been experiencing a period of reorganization and rationalization: their number
18
The rising Chinese pharmaceutical industry: local champions vs global players - Francesca Spigarelli, Hao Wei
decreased from 1.500 to 500, but their average size grew significantly, as well as their gross
domestic output.
In 2010, firms from abroad produced 27.01% of gross industrial output value. Anyway, despite
the importance of foreign companies, their share in the market is not overtaking national firms,
that are keeping their role and competitive position. Competition and rivalry among foreign
firms and Chinese companies is going to be strongly affected by the changing landscape in
proprietary technology. At the moment, foreigners hold the monopoly in many proprietary
technologies. In the insulin market only, Novo Nordisk, Eli Lilly and Sanofi controlled more
than 90% of the sales in 2010. This situation is going to change rapidly. In fact, more than 10 of
the world’s best-selling drugs, including Pfizer’s cholesterol-lowering Lipitor and Lilly’s
antipsychotic Zyprexa, lost patent protection in 2011. This is expected to directly result in a
nearly US$5 billion reduction in those global pharmaceutical companies’ revenue. Furthermore,
it is estimated that more drugs valued at about 77 billion $ in total are going off patent within the
next five years.
In March 2009, China's government revealed plans for a sweeping healthcare overhaul, and
committed RMB850 billion to develop the country's healthcare system between 2009 and 2011.
Among its provisions were to increase the Basic Medical Insurance (BMI) coverage from
approximately 65 percent of the population to 90 percent by 2011; to revise the national
Essential Drugs List (the "EDL", medicines reimbursable under BMI); and to allow the National
Development and Reform Commission (NDRC) to more strictly regulate pricing.
Domestic companies are mainly government owned and fraught with overproduction and losses. 19The Chinese government has begun consolidating and upgrading the industry in an effort to
compete with foreign corporations. It is estimated that most hospitals derive 25-60% of their
revenue from prescription sales, hospitals remain the main outlets for distributing
pharmaceuticals in China. This will change with the separation of hospital pharmacies from
healthcare services and with the growing numbers of retail pharmacy outlets. Retail pharmacy
outlets are expected to grow in number once the government finally introduces its system to
classify drugs as OTC. The government is now encouraging development of chain drug stores,
but the full effect might not be seen for several years. The central government has been playing a
significant role in pharmaceutical price readjustment. Future price reductions will originate from
hospital pharmaceutical retail shops. The rural pharmaceutical market will shift significantly. 80%
of counterfeit products are consumed in rural areas. This provides a huge opportunity for
pharmaceutical companies to develop the market in rural areas.
China Generic Drugs Situation
The wave of patented drug expirations will significantly boost manufacturing and sales of the
related generics. In fact, generic drugs are the mainstay of China's pharmaceutical industry, and
are likely to remain so for a long time. While the government encourages and relies upon
innovation to meet industry targets, China will probably continue to rely upon widespread
prescription of generics in the public insurance plan to hold down the overall healthcare